• Clinical and Experimental Pediatrics
• /
• 제59권8호
• /
• pp.313-318
• /
• 2016

Complementary and alternative medicine (CAM) is a phrase used to describe additional health care methods such as mind/body practices and natural products not regarded as treatments by conventional medicine. The use of CAM in children with common neurologic diseases is more frequent than its use in healthy children (24%-78% vs. 12%). However, less than half of patients report such use to their physicians. The preferred modalities of CAM vary in different countries due to their different cultures and traditions. The most common factor significantly associated with the use of CAM is parental CAM use in most studies. The frequency of the use of CAM in children and adults with neurologic diseases is similar, and both rates are higher than the rates in those without these conditions. The preferred modalities of CAM in adults are diverse, and megavitamins and mind/body therapy (prayer and chiropractic care) are included. The most common factor significantly associated with the use of CAM in adults with neurologic diseases is high educational level. Physicians need to be concerned with patients' use of CAM and provide correct information about CAM so that patients may make the right decisions. Further study is needed to determine the evidence-based efficacy of CAM use in children with common neurologic diseases.

• 한국보건간호학회지
• /
• 제18권2호
• /
• pp.276-285
• /
• 2004

The purpose of this study was to help in explaining the necessity of education on complementary and alternative medicine(CAM) and opening relevant curriculums in nursing education by grasping the kinds of CAM in which nursing students want to be opened. Data were collected from September 27, 2003 through October 20, 2003. A group of 865 nursing students were surveyed using questionnaires in seven universities whose curriculums on CAM have not been available. Collected data were statistically analyzed by using SAS 8.02 system, and the study results are as follows: 1. The average of subjects' behavior toward CAM was 3.52 of the total 5 with practical affairs 3.79. medical treatment 3.79, social concerns 3.84, and communication 3.78. 2. Most nursing students $(90.6\%)$ did not precisely understand the meaning of CAM although they had heard of it. Most of them $(85.5\%)$ had no experience of applying CAM. The study also revealed that more qualified CAM lecturers in the future are needed: specialist in the relevant field $(83.2\%)$, doctor and herb doctor $(6.5\%)$, clinical nurse $(6.0\%)$ and professor of the department of nursing science $(4.3\%)$. 3. Concerning students' behavior toward CAM, there were statistically significant difference between students from agrarian and fishing villages (F=4.91. p=.007) and the others. 4. CAM courses that students want were therapeutic touch (massage) $(22.9\%)$. aroma therapy $(14.8\%)$, manual healing methods $(14.7\%)$, treatment of blood vessel $(8.3\%)$, foot reflexology $(7.9\%)$, and heart remedy $(6.8\%)$. In conclusion, the study indicated that nursing students had positive attitudes toward CAM and for this. healers should have a frank talk with patients in order to maximize symptom-relieving effects. However, the study showed that most nursing students did not understand the exact meaning of CAM. Considered the fact that improvement of both health status and quality of life will be an important issue in the future, active introduction and education of CAM in nursing curriculum are a matter of necessity.

• 정보처리학회논문지:소프트웨어 및 데이터공학
• /
• 제10권9호
• /
• pp.349-358
• /
• 2021

최근 CAM[1]을 이용해서 이미지의 객체에 대한 주의 영역 또는 지역화(Localization) 영역을 찾는 방법이 WSOL의 연구로서 다양하게 수행되고 있다. CAM을 이용한 객체의 히트(Heat) 맵에서 주의 영역 추출은 객체의 특징이 가장 많이 모여 있는 영역만을 주로 집중해서 객체의 전체적인 영역을 찾지 못하는 단점이 있다. 여기서는 이를 개선하기 위해서 먼저 CAM과 Selective Search[6]를 함께 이용하여 CAM 히트맵의 주의 영역을 확장하고, 확장된 영역에 가우시안 스무딩을 적용하여 재학습 데이터를 만든 후, 이를 학습하여 객체의 주의 영역이 확장되는 방법을 제안한다. 제안 방법은 단 한 번의 재학습만이 필요하며, 학습 후 지역화를 수행할 때는 Selective Search를 실행하지 않기 때문에 처리 시간이 대폭 줄어든다. 실험에서 기존 CAM의 히트맵들과 비교했을 때 핵심 특징 영역으로부터 주의 영역이 확장되고, 확장된 주의 영역 바운딩 박스에 대한 Ground Truth와의 IOU 계산에서 기존 CAM보다 약 58%가 개선되었다.

• 동의생리병리학회지
• /
• 제21권6호
• /
• pp.1590-1596
• /
• 2007

Complementary and alternative medicine (CAM) has gained in popularity among cancer patients in recent years. The use of CAM in cancer patients is common with about one third of patients using some form of CAM in Western countries. The purpose of this study was to analyze the use of CAM and determine what factors affect to use CAM among cancer patients to provide CAM therapy information and assist therapy selection among various CAM therapies to cancer patients. The design of the study was descriptive cross-sectional, and data were collected using a 16-item questionnaire. This study was conducted in subjects with confirmed diagnosis of stomach, colon, liver, or pancreas cancer, in both out-patients clinics and inpatients setting in a tertiary hospital in Seoul Korea. As a result, among the participants, past or current CAM use was reported by 75%, which shows a statistically significant difference in income groups(P<0.05), but no difference in age and religion groups. The most common therapies use by cancer patients included traditional Korean medicine (32.1%), folk remedies (26.6%), exercise (14%), dietary supplements (11.6%), physical therapy (9.9%), diet therapy (5%), and meditation (4%). 77.8% of patients show satisfaction and 64.4% shows perceived effectiveness of CAM. Male patients with higher income, and previous treatment were more likely to use CAM. The main benefits from CAM reported by cancer patients were psychological improvement and symptom improvement. Of the cancer patients used CAM, 30.9% were dissatisfied, 25.8% did not have benefits from the use, and 7.6% experience side effects. Cancer patients who prefer CAM (more than 3 kinds) used it to cure cancer, on the contrary, the one who do not prefer CAM used to improve symptoms and psychological stability. The main sources of information about CAM were family and friends(54.4%), and media(24.5%), doctor and nurse(18.3%), and religion group(2.6%). Findings suggest that due to the relatively high use of CAM among cancer patients in Korea, this topic should be taken into account in the development of a holistic approach to cancer patients and efficient cancer patients management system and proactive and consistent management of CAM is necessary in the health care system in Korea.

• Asian Pacific Journal of Cancer Prevention
• /
• 제13권1호
• /
• pp.21-25
• /
• 2012

The use of complementary and alternative medicines (CAM) among women with gynecologic cancer is becoming increasingly popular. Therefore, it is important to gain insight into the prevalence and factors related to the use of CAM. The aim of this study was to assess the use of CAM in women with gynecologic cancer. This is a descriptive cross-sectional study. Data were obtained from 67 gynecological cancer patients at gynecologic oncology clinic of a hospital in Turkey between October 2009 to December 2010 using a questionnaire developed specifically for this study. The instrument included questions on socio-demographic information, disease specifics and complementary and alternative medicine usage. On the basis of women's responses, all participants were divided into 2 groups: CAM users and nonusers. The findings indicated that 61.2% of the women reported the use of 1 or more CAM therapies. There were no significant differences in the sociodemographic and clinical characteristics between CAM users and nonusers (P <0.05). The most frequently used CAM method was herbal therapy (90.2%) and the second was prayer (41.5%). The main sources of information about CAM were informal (friends/ family members). A considerable proportion (56.1%) of CAM users had discussed their CAM use with their physicians or nurses. Turkish women with gynecologic cancer frequently use CAM in addition to standard medical therapy. Nurses/ oncologists caring for women with gynecologic cancer should initiate a dialogue about usage of CAM, discussing the potential adverse effects of CAM and the patient's therapeutic goals.

• 한국멀티미디어학회논문지
• /
• 제12권8호
• /
• pp.1055-1065
• /
• 2009

HDR(high dynamic range) 렌더링 기술은 다이내믹 레인지가 9 log unit이 넘는 휘도 범위의 일반 장면을 눈으로 보는 장면의 느낌과 최대한 유사하게 일반적인 영상매체에 출력이 가능하도록 8 bit해상도의 다이내믹 레인지로 변환하는 기술이다. 최근 가장 우수한 성능을 보이는 iCAM06 알고리듬은 iCAM (Image Appearance Modeling)과 CIECAM02를 토대로 만들어 졌으며, 기존 iCAM 모델에서는 제대로 고려하지 못한 공간 필터 링 (spatial filtering) 처리와 여러 시각현상을 고려 하여 설계하였다. 그러나 iCAM06 모델은 상당히 뛰어난 성능을 가지고 있음에도 불구하고 몇 가지 문제점을 가지고 있는데, 그 중의 하나가 사용자 설정 변수들이다. iCAM06에서 필요한 입력 변수들은 렌더링 영상에 큰 영향을 끼치지만, 실험적인 최적치로 결정되는 모호한 변수들이다. 본 논문에서는 iCAM06모델에서 사용되는 사용자 설정 입력 변수들에 대해 다양한 시조건이 고려된 최적의 값을 제공할 수 있도록 정량화된 수식을 제공하고, 또한 개선된 모델을 통하여 향상된 톤 압축의 가시성 결과를 다양한 조건에서의 HDR 영상으로 확인하였다.

• Biomolecules & Therapeutics
• /
• 제30권6호
• /
• pp.546-552
• /
• 2022

Epidermal cell adhesion molecule (EpCAM) is a tumor-associated antigen (TAA), which has been considered as a cancer vaccine candidate. The EpCAM protein fused to the fragment crystallizable region of immunoglobulin G (IgG) tagged with KDEL endoplasmic reticulum (ER) retention signal (EpCAM-FcK) has been successfully expressed in transgenic tobacco (Nicotiana tabacum cv. Xanthi) and purified from the plant leaf. In this study, we investigated the ability of the plant-derived EpCAM-FcK (EpCAM-FcK^P) to elicit an immune response in vivo. The animal group injected with the EpCAM-FcK^P showed a higher differentiated germinal center (GC) B cell population (~9%) compared with the animal group injected with the recombinant rhEpCAM-Fc chimera (EpCAM-Fc^M). The animal group injected with EpCAM-FcK^P (~42%) had more differentiated T follicular helper cells (Tfh) than the animal group injected with EpCAM-Fc^M (~7%). This study demonstrated that the plant-derived EpCAM-FcK fusion antigenic protein induced a humoral immune response in mice.

• Journal of Advanced Marine Engineering and Technology
• /
• 제30권1호
• /
• pp.58-64
• /
• 2006

This work focuses on reducing the noise and vibration levels of an LPi fuel pump, which are generated from the dynamic motions of pump elements and non-uniform flow of fuel. The noise and vibration levels increase as the revolution speed of the cam goes up. The fuel pump consists of five cavity cells, plungers and diaphragms, which are driven by the cam. The optimal design of the cam profile is performed to decrease the accelerations of moving Parts and to obtain a smooth hydraulic force through a dynamic analysis of a cam-plunger mechanism. The cam-Plunger with a cavity is modeled as a 2 degrees of freedom system having non-linear contacts, the cam profile being represented in terms of Fourier series in order to determine the optimal shape of the cam. From the optimized cam Profile, the acceleration of the diaphragm is reduced in $78\%$, the hydraulic force becoming smoother in case that the hydraulic force is rapidly dropped.

• 동의신경정신과학회지
• /
• 제25권2호
• /
• pp.143-152
• /
• 2014

Objectives: The purpose of this research is to examine the perceptions that current Korean medical students have towards the practice and efficacy of Complementary Alternative Medicine (CAM). Methods: A survey questionnaire was given to 91 Korean medical students assessing their attitudes towards CAM. Results: 1) Most students (82.4%) expressed concern about CAM. 2) Many students (59.3%) expressed a positive attitude towards the efficacy of CAM. No surveyed student (0%) thought the efficacy of CAM was due to the placebo effect. 3) Many students (75.8%) posited that Korean Medicine would ultimately absorb CAM to facilitate the development of Korean medicine. 4) Most surveyed students (87.9%) answered they planned to integrate the use of CAM in their clinical practice. Conclusions: The survey questionnaire results suggests that Korean medical students have a positive perception toward CAM. They also have an affirmative attitude towards the clinical use of CAM.

• 한국생산제조학회지
• /
• 제19권5호
• /
• pp.684-690
• /
• 2010

A drum cam with rotational follower has a cam mechanism and it is mainly used in its application such as index table and ATC of machine tool. Also its use can reduce the backlash in its kinematic movement. To machine the drum cam with rotational follower, 5-axis CNC machine tool is generally used and its kinematic principle is included in it's design. Until now, the commercialized CAM software can't cover the application of the drum cam machining. Even if, some special software was developed for machining a drum cam, the post processing method for finish machining was not developed yet. And to overcome the problem, the form tool is still used on the tool path of rough machining. This study includes the induction of the post processing technique for the finish machining of drum cam on three 5-axis CNC machine tools, type AC, AB and BC. To prove the finishing geometric profile, the result was clearly verified through inspection and geometric measurement after direct machining of the drum cam in AC type 5-axis machine tool in this study.