• 사상체질의학회지
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• 제24권1호
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• pp.21-31
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• 2012

1. Objectives : In this study we derived constitutional characteristics both by using questionnaire on character and symptom and by collecting objective measurement data through face, body shape. Furthermore, by developing a program, we intend to help one's diagnosis of Sasang constitution. 2. Methods : Through November 2007 to July 2009, we obtained questionnaire, face, and body shape data of 958 constitution confirmed subjects within the age range of 10-80 from 19 oriental medical facilities in the country. According to sex, we divided the subjects into two groups as real constitution and non-constitution group respectively. We analyzed the questionnaire through chi-square test (p<.01) and facial and body shape data through unpaired T-test (p<.01). By using weight law for questionnaire and euclidean distance for body shape and face data, we expressed constitution possibility to develop a supplementary program. 3. Results : The concordance rates of constitutional diagnosis by using the program for Taeeumin, Soeumin, Soyangin are, 76.7%, 61.5%, 67.4% resulting in 69.6% in male and 64.1%, 64.7%, 65.1%, resulting in 64.7% In female respectively. New cases tested on the program showed concordance rate of 65% in male and 62% in female with real constitution. 4. Conclusion : The constitutional diagnostic program based on the face, body shape and questionnaire, may have significant meaning as a supplementary tool in the constitutional diagnosis for clinical expert.

• 성인간호학회지
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• 제14권4호
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• pp.564-572
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• 2002

Purpose: This study was conducted to describe qualitatively the entities of nurse's experiences in general hospitals and to suggest basic data guiding research on developing Standards of clinical nursing practice in Korea. Method: Fourteen nurses working at general hospitals with over 300 beds in Seoul were interviewed in-depth until saturation using tape-recorders and transcription. Result: The central theme of clinical nursing practice experienced by subjects was "being with clients" that means accepting client's personal character, solving client's needs and providing client-centered nursing. A also "being with clients" was felt to be the responsibility of nurses which was learned from their nursing schools. The nursing strategies performed in order to be with patients were proving skillful nursing techniques, accepting, educating, emotional support, advocating, and self-reflecting, the subjects experienced somewhat problematic affects such as difficulties in interpersonal relationship, work overload, negative image of nursing, deficit of self-confidence for nursing actions, poor working conditions, and unfair treatment. Nurses at the hospital practiced with pride when they felt that they were accepted by clients. Conclusion: Further research is needed to analysis problems in clinical practice and the comparison of nurses' experiences of clinical practice, with nurses' experiences in various settings.

• 사상체질의학회지
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• 제31권3호
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• pp.34-47
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• 2019

Introduction Cloninger's Novelty-Seeking (NS) and Harm-Avoidance (HA) were found to be the biopsychological characteristic of Sasang typology, and the So-Yang type has high NS and low HA however the So-Eum type as contrary. The purpose of this study was to show the clinical usefulness of these measures as objective clinical index of Sasang typology in foreign countries lacking validated measures. Methods The Sasang type of 103 university students was diagnosed using Questionnaire for Sasang Constitution Classification (QSCC) II and clinical specialist, and biopsychological and physical features with NS, HA, Sasang Personality Questionnaire (SPQ) and BMI. These measures were normalized to make a noble index of 'NS(100-HA)', and the correlation among these were examined with Pearson's correlation. The differences of biopsychological and physical features between Sasang type groups were attested with ANCOVA, and the comparison of clinical usefulness of SPQ and NS(100-HA) were examined with discriminant analysis. Results SPQ and BMI were clinically useful for Sasang typology as shown in previous studies, and the substitution of SPQ with normalized NS(100-HA) was found acceptable. The NS(100-HA) is significantly correlated with SPQ (r=0.466, p<0.01), however not with BMI (r=0.079, ns). The SPQ and NS(100-HA) scores were found to be distinctive between Sasang type groups, and these were found to predict Sasang type of participants with similar correctness. Discussion and Conclusion The current study reviewed the theoretical backgrounds and confirmed the clinical usefulness of Cloninger's biopsychological theory in Sasang typology. These might provide foundations for integrative medicine and cross-cultural biopsychology of the East and West.

• Journal of Korean Neurosurgical Society
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• 제57권2호
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• pp.108-113
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• 2015

Objective : Although the L5-S1 has distinct structural features in comparison with other lumbar spine segments, not much is known about adjacent segment degeneration (ASD) at the L5-S1 segment. The aim of study was to compare the incidence and character of ASD of the cephalad and L5-S1 segments after L5 floating lumbar fusion. Methods : From 2005 to 2010, 115 patients who underwent L5 floating lumber fusion were investigated. The mean follow-up period was 46.1 months. The incidence of radiological and clinical ASD of the cephalad and the L5-S1 segments was compared using survival analysis. Risk factors affecting ASD were analyzed using a log rank test and the Cox proportional hazard model. Results : Radiological ASD of the L5-S1 segment had a statistically significant higher survival rate than that of the cephalad segment (p=0.001). However, clinical ASD of the L5-S1 segment was significantly lower survival rates than that of the cephalad segment (p=0.038). Risk factor analysis showed that disc degeneration of the cephalad segment and preoperative spinal stenosis of the L5-S1 segment were risk factors. Conclusion : In L5 floating fusion, radiological ASD was more common in the cephalad segment and clinical ASD was more common in the L5-S1 segment. At the L5-S1 segment, the degree of spinal stenosis appears to be the most influential risk factor in ASD incidences, unlike the cephalad segment.

• 동의신경정신과학회지
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• 제20권3호
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• pp.149-168
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• 2009

Objectives : This study aimed for attain to ideal aspects in medical ethics-clinical medicine, through researching doctor's ethics based on Confucian ideas, Methods : Research materials are datum of Confucian ideas included eastern medical books and the Confucian old books, Stand on above-mentioned, I investigate indispensable ethical condition clinical doctor must have in diagnose and treat. Results and Conclusions : 1. Combination of people-oriented ideas-Confucian and applicative learning-Eastern Medicine, doctor's principle mind is initiated and Confucian physician is the center of that. 2. For practice morality and ethics using the Confucianist's good character, Eastern medical doctor read and acquire the Confucian books. 3. Eastern medical doctor make an effort for application a kind love ideas(perfect religious scholarship ideas of Confucian), serve parents and country as for practice and sublimate into a kind love ideas through practice of integrity and the self-sacrifice. 4. Occasion to examine the female patient, emphasize good manners by Confucian ideas's sexual distinction 5. According to the doctor-doctor ethics, partnership is important due to Confucian faith and good manners 6. Confucian physician often effected by the people around patient and the protector of patient and criticize positive influence by these kind of peoples(傍人) when diagnose and treat. 7. Owing to Confucian's a notion of preferring a son to a daughter(男兒選好思想), come out the methods of convert a son into a daughter(轉女爲男法)-manipulation of sex distinction. this method is criticized aspect of medical ethics.

• Clinical and Experimental Pediatrics
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• 제46권3호
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• pp.308-311
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• 2003

저자들은 복부 팽만과 체중감소를 주소로 내원한 신생아에서 복부 팽만이 심하여 기계적 장 폐색을 의심하여 시험적 개복술 시행하였으나, 폐색 소견 발견되지 않았고 이후 대변의 염소 이온 농도를 검사한 결과 CLD로 진단된 1례를 경험하였기에 문헌 고찰과 함께 보고하는 바이다.

• Journal of Acupuncture Research
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• 제25권1호
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• pp.169-178
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• 2008

Objectives : Dong-si acupuncture therapy is being widely used because of good clinical result. The purpose of this study was to compare the location and efficacy of Dong-si acupoints and 14 meridian acupoints. Conclusions : 1. Dong-si acupoints on the lower extremity total 83. Among them, 16 acupoints are the same as 14 meridian acupoints. 2. Between the same location points, the efficacy of each Dong-si acupoints is similar to that of each of the 14 meridian acupoints in cases of musculoskeletal pain diseases, paralytic diseases, urogenital diseases, and gastrointestinal diseases. 3. Dr. Dong studied deeply into the 14 meridian acupoints and created Dong-si acupuncture therapy. He said that the distribution of acupuncture points was closely related to the 14 meridians. 4. I think that we are able to apply Dong-si acupuncture therapy to clinical use widely by comprehending the character of the 14 meridian acupoints and each meridians.

• 한방재활의학과학회지
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• 제19권2호
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• pp.275-287
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• 2009

Objectives : In order to observe clinical effects, carboxytherapy and electroacupuncture, we analyzed relation effect and patients' character, and researched correlation among reduction of BFM(Body Fat Mass), WHR(Waist-Hip Ratio) and AC(Arm Circumference). Methods : Among outpatients who had admitted to department of oriental rehabilitation medicine, Dae-Jeon oriental medicine hospital, Dae-Jeon university from January to September, 2008 for obesity treatment and abdominal fat, 44 subjects were chosen and carboxytherapy and electroacupuncture were practiced concurrently. Results : 1. The group under the concurrent practice of carboxytherapy and electroacupuncture showed significant decrease in BFM, BFR(Body Fat Rate), WHR and AC. 2. The group under the concurrent practice of carboxytherapy and electroacupuncture did not show statistical significance but showed decrease in BFM, WHR. The degree of decrease was proportional to that of obesity. 3. As AC decreased, BFM, WHR reduction tended to increase as well in the group under the concurrent practice of carboxytherapy and electroacupuncture. 4. Compared to the group under the sole practice of electroacupuncture, the group under the concurrent practice of carboxytherapy and electroacupuncture showed less change in BFM reduction and greater change in WHR reduction. Conclusions : From the above results, the concurrent practice of carboxytherapy and electroacupuncture had an effect on obesity and reducing abdominal fat, but did not show statistically significant decrease compare to the sole practice of electroacupuncture.

• The Journal of Korean Physical Therapy
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• 제4권1호
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• pp.59-67
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• 1992

This study was carried out by using questionnaires with 230 lumbago patients who visited the general hospitals, orthopedic clinics, neurosurgery clinics and physical treatment centers in Taequ. Korea for one month from December 20, 1991 to January 20, 1992. The result of this study is summarized as follows. 1. 203 patients consisted of 113 males and 90 females, while 65 patients were was which was the highest percentage. 2. The relation between their occupational properties and lumbago indicated that there was significant relation in their total employed period, job hours, monthly average incomes(P<0.01), job satisfaction, working posture, mental stress(P<0.01), excessive usage of bark during working, lifting of heavy thing and serious noises. 3. The relation between social properties and lunbago showed that there was a remarkable relation in their introspective character(P<0.05). daily average riding hour(P<0.05), smoking(P<0.01), drinking(P<0.01) and insufficient physical exercise. 4. The relation between the clinical properties and lunbago indicated that the lumbago was mainly caused by lifting the heavy thing, which was continued fur three months or longer. And, it was shown that they consider the lumbago as one of serious diseases. In addition. they positively evaluated their physical treatment. Therefore, it is required to accomplish the comprehensive treatment of this lumbago on the basis of the educational contents centering around its prevention by performing more suitable health education.

• 대한상한금궤의학회지
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• 제12권1호
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• pp.49-60
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• 2020

Objective: To explore the meaning of 虛in Shanghanlun through two cases. Methods: We analyzed the original form of 虛and the contexts in Shanghanlun. Concurrently, we report two clinical cases treated with Chijasi-tang according to the newly deduced definition of 虛. Results: 虛is composed of 丘and 虍, which means a tiger on a large hill. Here, the meaning of "empty"was derived. In both cases, sleep disorders and heart stuffiness were the chief complaints, which were confirmed to occur under 虛's circumstances. Therefore, Chijasi-tang was administered to two patients with a feeling of emptiness as a pathogenic factor, and improvements were confirmed in both cases. Conclusions: In 15 provisions of Shanghanlun, 虛is defined as "a feeling of emptiness"instead of of "deficient,"which was widely used previously, and appears clinically as "emptiness after being hurt by someone."This definition was applicable in both cases.Further study of the other characters is needed because the previously used meaning may be different in the 15-character provisions of the Shanghanlun.