• 한방재활의학과학회지
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• 제33권2호
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• pp.33-48
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• 2023

Objectives The purpose of this study is to investigate the latest research trends regarding the traditional Chinese medicine treatment of plantar fasciitis and suggest the direction for future research. Methods We investigated recent clinical studies about traditional Chines medicine treatment for Plantar fasciitis through searching the electronic database of China National Knowledge Infrastructure. We analyzed the characteristics of selected studies according to study design, criteria for diagnosis and evaluation, periods, treatment methods. Results Twenty-six clinical studies published from 2018 to 2022 were analyzed. Acupuncture, herbal medication, herbal fumigation and washing, herbal integration, herbal external application, and manual therapy were performed for the treatment of plantar fasciitis in China. In particular, studies on acupuncture, herbal fumigation and washing, and manual therapy were actively conducted and all of these treatment methods were effective. Conclusions Various Chinese medical interventions are being studied in China for the treatment of plantar fasciitis. However, in order to reinforce evidence for effectiveness of treatment, additional high-level clinical studies are required. It is considered that additional research related to the Korean medicine treatment for plantar fasciitis is needed in the future in Korea.

• Korean Journal of Acupuncture
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• 제40권3호
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• pp.79-89
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• 2023

Objectives : The purpose of this study is to investigate various application methods of focused ultrasound and apply them to clinical use in Korean medicine. Methods : Search was performed using the search engines of electronic databases, including PubMed, ScienceDirect, Cumulative Index to Nursing and Allied Health Literature (CINAHL), ScienceON, Oriental Medicine Advanced Searching Integrated System (OASIS), China National Knowledge Infrastructure (CNKI), Wanfang Data, Japan Science Technology Information Aggregator, Electronic (J-STAGE) and Citation Information by NII (CiNii), from inception to July 2023 without language limitation. Inclusion criteria were clinical studies including randomized controlled trials (RCTs), and animal experimental studies related with focused ultrasound treatments for acupoints or meridian sinews. Results : Total 17 papers, 7 for RCT, 6 for in vivo animal studies, and other experimental studies, were finally selected. Indications used in studies were shoulder pain, back pain, chronic back pain, and degenerative knee arthritis. In experimental studies, studies on animal models of hypoxic ischemic brain damage and hyperlipidemia were also conducted. As for the acupoints, LR3, LI4, and ST36 were used in clinical studies and, in animal experimental studies, GV20, KI1, and ST36 were used. As for the dose, 4 studies below 3 W/cm² and 3 studies in the range of 0.625 to 5 W/cm² in clinical studies, and all studies did not exceed 5 W/cm². In animal experimental studies, 0.5 W/cm², 2 W/cm², 7.5 WW/cm², 15 W/cm², 10~20 W/cm² were used. In all three studies describing the penetration depth during irradiation, it was less than 1 cm. Conclusions : We suggest that focused ultrasound is an appropriate treatment tool for stimulating the acupoints to transfer heat energy. Future studies with rigorous and well-designed RCTs for various diseases will be required to ascertain the focused ultrasound stimulate acupoints or meridian sinews.

• 생명과학회지
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• 제33권4호
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• pp.343-348
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• 2023

여드름은 가장 흔한 피부 질환 중 하나로 청소년기에 주로 발생한다. 호르몬, 유전, 환경적 요인이 알려져 있으며, 이 외에도 피부 과각화 및 C. acnes의 과증식 등이 여드름 발병에 중요한 역할을 한다. CBD는 통증과 스트레스 완화 및 항염증 특성을 갖는 것으로 알려져 있다. 뿐만 아니라, CBD가 함유된 대마 추출물이 여드름 완화 및 치료에 효과적인 소재로 보고되었다. 그러나 이에 대한 연구는 부족한 실정으로, 본 연구를 통하여 피지세포에서 CBD의 항여드름 활성을 확인하고자 하였다. 본 연구진은 세포에 CBD를 처리하여 지질 합성과 증식에 대한 억제 효과를 확인할 수 있었다. 그런 다음 CBD가 SREBP-1를 통해 지방 생성에 대한 억제 효과를 가지는 것을 입증했다. 또한 SREBP-1의 상위 조절자인 Akt와 AMPK가 CBD에 의해 조절되는 것을 확인했다. 종합하면, 본 연구 결과를 통해 CBD가 Akt/AMPK-SREBP-1 경로 조절을 통해 지방 생성을 억제하여 여드름 완화 소재로 이용될 수 있음을 시사하였다. 과각화증으로 인한 염증에 대한 CBD의 효과를 확인하기 위한 추가 연구가 필요하며, 이는 여드름에 대한 CBD의 활용 가능성을 높일 수 있을 것으로 사료된다.

• Korean Journal of Acupuncture
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• 제40권4호
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• pp.141-148
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• 2023

Objectives : The purpose of this study is to investigate on the application of the yttrium aluminum garnet (YAG) lasers for acupoints irradiation. Methods : We conducted a systematic search for peer-reviewed studies published from inception to November 2023, in the following electronic databases: PubMed, Scopus, and Web of Science in English, Science ON, Oriental Medicine Advanced Searching Integrated System (OASIS) and Research Information Sharing Service (RISS) in Korean, and China National Knowledge Infrastructure (CNKI) and Wanfang in Chinese, and Japan Science Technology Information Aggregator, Electronic (J-STAGE) and Citation Information by NII (CiNii) in Japanese. Inclusion criteria were original articles including clinical and experimental studies related with YAG lasers for acupoints including Ashi or meridian sinews. Results : Among the 8 selected studies, there were 7 studies on human subjects and 1 study on animals, 7 studies on Nd:YAG (1,064 nm) laser, and 1 study on Er:YAG (2,940 nm) laser. A total of 16 acupoints were used, 15 of which were in the face and 1 of which was located in the foot. In addition, there were two studies using Ashi. 4 studies looked at the effect of pain relief, 2 studies looked at safety, 1 study looked at changes in blood flow, and 1 study looked at the effect of skin care. There were no reported adverse events, and the YAG laser was confirmed to be safe and effective in pain relief, beautifying the skin, and increasing blood flow. Conclusions : We suggest that high intensity YAG lasers can be applied to laser acupuncture or laser moxibustion. YAG lasers are considered to be worth using for various clinical indications of Korean medicine because of photobiomodulation effects, analgesic action, and deep penetration depth. Further scientific research and clinical evidences should be warranted.

• 한방재활의학과학회지
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• 제34권2호
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• pp.135-147
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• 2024

Objectives The aim of this study is to investigate the research trends in traditional Chinese medicine (TCM) treatment for pes anserine bursitis using the search results from the China National Knowledge Infrastructure (CNKI). Methods We searched for clinical studies on pes anserine bursitis in the CNKI electronic database. We analyzed the publication year, study type, participant demographics, treatment methods and duration, evaluation criteria, adverse events, and the results of each article. Results Seventeen studies published from January 1, 2014 to January 1, 2024 were selected. Among the 17 selected studies, 14 were randomized controlled trials and 2 were case reports. The most frequently used treatment intervention was acupuncture. Nine types of acupuncture were identified, including electro-acupuncture, pharmacopuncture, acupotomy, floating acupuncture, and other new types of acupuncture. The most commonly used evaluation outcome was effective rate. Conclusions Various TCM treatments for pes anserine bursitis were introduced, and we could identify the effectiveness of TCM in treating pes anserine bursitis. However, it is anticipated that more well-designed and high-quality evaluation studies will be required in the future.

• 한국응용과학기술학회지
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• 제41권2호
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• pp.459-471
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• 2024

현대사회에서 스트레스와 긴장감은 피할 수 없는 요인이다. 다양한 피부질환은 스트레스를 일으키는 중요한 요인으로 언급되고 있다. 피부질환을 가진 환자들은 수면상태가 원활하지 않아 전반적으로 수면 효율이 낮다. 또한 피부질환으로 인해 심리적 스트레스 수치가 높아지고, 이와 같은 과정은 반복적으로 발생하고 있다. 피부질환과 스트레스는 상호적으로 연관되어 있으며, psychodematology에 대한 연구가 증가하고 있다. 이에 본 연구에서는 피부질환을 저하 시킬 수 있는 호박, 작약, 타트체리 복합물을 활용하여 피부 각질 형성 세포에서 스트레스로 인한 만성 피부질환을 개선할 수 있는 소재를 개발하고 효능을 입증하고자 하였다. HaCaT 각질형성세포에 복합 추출물은 12.5, 25, 50, 100 ㎍/mL 농도 의존적으로 TNF-α, IL-1β, IL-6, MDC, TARC 발현량이 저해되었으며 특히 IL-1β의 경우, 100 ㎍/mL의 농도에서 40% 이상 저해하는 우수한 효능을 확인하였다. 또한 AQP-3, HA, filaggrin의 생성량 농도 의존적으로 유의미한 증가를 보이며 TNF-α/IFN-γ로 증가된 p-ERK, p-JNK, p-p38의 단백질 발현은 복합 추출물의 처리로 유의하게 감소시 키는 것으로 나타났다. 이를 통하여 해당 복합 추출물은 피부질환을 치료 및 예방할 수 있는 소재로서 활용가치가 있는 것으로 판단되며, 이는 피부질환과 스트레스 간의 상호 관계의 악영향을 낮춰 줄 것으로 판단된다.

• Tuberculosis and Respiratory Diseases
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• 제43권4호
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• pp.571-578
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• 1996

배 경 : 폐 농양은 괴사된 폐실질에 농이 고이는 질환으로 1940년대 이전까지는 폐 농양은 체외 배액술에 의한 방법이 치료 원칙이었으나 피 이후 파양한 항생제의 발달로 대부분의 폐 농양에서는 항생제와 체위적 배농술을 포함한 내과적 치료법이 매우 효과적으로 이용되어 왔고 내과적 치료에 실패한 경우에 한해서 폐엽 절제를 포함한 외과적 치료 방법이 적용되어 왔다. 농흉은 흉막강내에 농이 고이는 질환으로 흉수 그람 염색상 양성이어야 하고 약제의 효과적인 침투가 어려우므로 내과적인 치료만으로 치유를 기대할 수 없고 흉관삽관 등 수술적인 조작이 필요하다. 하지만 최근 환자의 전신상태가 불량하거나 외과적 폐절제술이 용이하지 않는 경우에 국소 마취로 직경이 작은 카테타를 사용하여 경피적으로 배농시켜 치료하는 방법을 시행하고 있다. 이에 본 연구에서는 한양대학병원에 내원한 폐 농양 10례와 농흉 23례의 환자를 대상으로 pig-tail 도관 배액술을 시행하였기에 이에 대한 치료 효과를 보고하는 바이다. 대상 및 방법 : 1990년 1월 1일부터 1996년 5월 20일까지 한양대학병원에서 입원 치료한 환자중에서 pig-tail 도관을 이용하여 치료한 폐 농양 환자 10례와 농흉 환자 23례를 대상으로 하였고 각 환자들은 도관 배액술 전에 단순 흉부 X-선사진과 흉부 전산화 단층촬영을 하였고 형광 투시 또는 초음파 유도하에서 천자를 시행하였다. 천자후 카테타는 배액이 잘 되는 위치에서 피부에 고정되어었고 매일 배액량을 관찰한 후 3-4일 간격으로 단순 흉부 X-선사진을 검사하여 폐 농양의 크기나 농흉의 크기가 줄고 임상적 호전이 있으면서 배농량이 하루 5ml이하일때 도관을 제거하였다. 결 과 : 원인균은 폐 농양에서는 Staphylococcus aureus aureus 1례, Klebsiella pneumoniae 1례였으며 농흉에서는 결핵균이 14례로 가장 많았고 2례에서는 Streptococcus pneumoniae 였고 나머지에서는 균의 성장을 관찰할 수 없었다. 카테타의 삽입기간은 폐농양에서는 1-2주 사이가 7례(70%)였으며 농흉에서도 1-2주 사이가 14례(60.8%)로 가장 많았다. 경피적 배농은 29례(87.8%)에서 성공적이었으며 그 중 20례(60.6%)에서는 그 크기가 빠르게 감소되었다. 결 론 : 폐 농양과 농흉에서 pig-tail도관을 통한 배농은 항생제 요법과 보조 요법에 반응하지 않는 경우와 외과적인 수술의 어려움이 있는 환자들에서 비교적 안전하게 선택할 수 있는 효과적인 치료 방법으로 생각된다.

• Journal of Preventive Medicine and Public Health
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• 제30권1호
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• pp.77-101
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• 1997

In September 1994, residents of Gozan-dong, Incheon City, made a petition to the government about their health problems which might be caused by previous glass fibre landfill nearby 'H' company. In february 1995, at regular academic meeting of occupational and environmental medicine, a research team of 'D' University presented that they had found glass fibres in groundwater of the area through their survey. They were suspicious of probable association between ingestion of groundwater contaminated with glass fibres and skin tumors among residents. A joint research team was formed and carried out the survey of environment concerning groundwater and its glass fibre existence, and health assessment of residents in the area and industrial workers of 'H' company during May to November, 1995. Analysis of groundwater flow system indicates that the flow lines from the glass fibre landfill pass through or terminate at the 6 houses around the landfill. This means that the groundwater of the 6 houses around the glass fibre landfill could be affected by some possible contaminants from the landfill, but the groundwater quality of the other houses was irrelevant to the landfill. The qualitative and qualitative analyses for glass fibres in 54 groundwater samples including those from the nearby 6 houses, were carried out using SEM equipped with EDS, resulting in no evidence for the presence of glass fibres in the waters. Major precipitates, formed in waters while boiling, were identified as calcium carbonates, in particulary, aragonites in needle form. The results of health assessments of 889 residents in Gozan-dong, participated in this study, showed statistically significant differences in past medical histories of skin tumor and respiratory disease between the exposed group (31 persons who inhabited in 6 houses around the landfill) and the control group, but no significant differences in past medical histories of other diseases, such as cancer mortality, current gastroscopic findings, current skin diseases and respiratory diseases, etc. Also, we could not prove any glass fibres in excised specimens of 9 skin tumors in both groups and there were no health problems possibly associated with glass fibres in employees of the 'H' company. After all, we could not authenticate the association, raised by prior investigators, between groundwater streams, assumedly contaminated with glass fibres or not, and specific disease morbidities or common disease/symptom prevalences. That is, we could not find any glass fibres in groundwater as the only exposure factor of this study hypothesis, and there were not enough certain evidences such as increasing disease prevalences, for examples, skin, respiratory and gastrointestinal diseases etc, possibly related to glass fibre exposure, in exposed group. As a matter of course, the conditions for confirming causal association, for example, strength of the association, consistency of the association, specificity of the association, temporality of the association and dose-response relationship etc, have not been satisfied. In conclusion, we were not able to certify the hypothesis that contamination of groundwater with glass fibres might cause any hazardous health effects in residents who used it for drinking.

• 한국임상수의학회지
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• 제31권2호
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• pp.77-84
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• 2014

본 연구는 사람 재조합과립구자극인자 (rhG-CSF) 투여 간격에 따른 말초혈액과 골수의 변화를 평가하였다. 사람 재조합과립구자극인자는 개에서 항암치료 후 나타나는 골수억압 등에서 유용한 치료효과가 있는 것으로 알려져 있으나 그 투여간격에 따른 연구는 아직 진행되지 않았다. 따라서 본 연구에서는 다음과 같은 간격으로 실험 기간 동안 각각 2마리씩 3그룹으로 체중당 $5{\mu}g$으로 사람 재조합과립구자극인자를 주사하였다; (1) 하루에 한번 주사; 그룹 1, (2) 2일에 한번 주사; 그룹 2, (3) 3일에 한번 주사; 그룹 3, 말초혈액 분석과 100개의 직접 현미경 세포계수는 매일 실시하였다. 골수천자는 0일차, 3일차 9일차 마지막으로 말초혈액상 총 백혈구수가 정상범위내로 떨어지는 12일차 혹은 13일차에 시행하였다. 사람 재조합과립구자극인자는 모든 실험견에서 잘 투여되었으며 부작용을 보이지 않았다. 이러한 본 연구의 결과에 따르면 체중당 $5{\mu}g$의 사람 재조합과립구자극인자의 투여는 말초혈액과 골수에서 세포특이적이고 투여간격에 대체적으로 비례하는 효과를 보였으며 사람 재조합과립구자극인자 투여가 반복될수록 그 효과는 증가하였으며 사람 재조합과립구자극인자 투여를 중지한 이후에도 골수에 미치는 효과는 3일이상 지속되는 것으로 보여졌다. 따라서 본 연구의 결과를 통해 임상가들은 적절한 치료 간격을 세울 수 있을 것으로 기대된다.

• Journal of Preventive Medicine and Public Health
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• 제29권3호
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• pp.617-637
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• 1996

Occupational dermatosis is one of the most prevalent occupational disorders. However, the extent of the occupational dermatoses including incidences and prevalencies of each disease entity, and etiologic materials are not yet welt stated in Korea. Authors reviewed the literatures on the statistic data and reports on the occupational dermatoses, and surveyed on the occupational dermatoses in two factories, and surveyed the physicians responsible to the occupational dermatoses with formed questionnaire. The results are as follows; 1. Among medical journals published since 1964, there were 31 articles on the occupational dermatoses. Of 31 articles, 18 were case reports and all others were review articles. Of 18 case reports, 9 were epidemiologic survey. The Workers' Periodic Health Examinations revealed that prevalence of the occupational dermatoses was highest(4.36 per 10,000 workers) in 1974, but number of the cases reported were decreased sharply since 1978 with some tendency to increase since 1981. There were 2,240 reported cases of occupational dermatoses between 1966 and 1992, which is 1.90% of all the reported occupational diseases. Skin infection and injuries due to chemicals were most frequent and there were 6 cases of skin cancer. 2. In an epidemiological survey on the dermatoses among 995 workers in a metal product manufacturing factory and 225 workers in a coal chemical factory, there were 794 with dermatomycosis, 296 workers with acne, 130 workers with scar, 123 workers with deformity of toe nails. Scars, photosensitivity dermatitis, deformity of finger and toe nails, and acne were more prevalent in the metal product manufacturing factory(p<0.05). In the metal prouct manufacturing factory, workers treating organic solvents and oils had more dermatoses than those without treating the materials(p<0.05). On the skin patch performed on 16 workers in the metal product manufacturing factory, there were 8 cases of irritation dermatitis and 5 cases of contact dermatitis. Prevalence of contact dermatitis in the metal product manufacturing factory was 1.3%. 3. On the questionnaire survey, 34 dermatologists, 29 doctors of preventive medicine, and 22 family physician replied. The proportion of occupational etiology among all dermatoses assumed by the physicians were below 9%, and the most important occupational dermatosis in Korea was contact dermatitis. Main etiologic materials related to the occupational dermatosis were organic solvent, acid and alkali, and metals. The reason for the scarcity of report of occupational dermatoses were difficulty in diagnosis and physician's ignorance of the occupational etiology. They replied that to prevent the occupational dermatoses in the workplace, the use of protective devices was most important, and development of diagnostic criteria on the occupational dermatoses is urgent. Above results shows us that there is many workers with occupational dermatoses, but they are mostly unreported. Measures to prevent and manage the occupational dermatoses are not satisfactory at present. Hence, authors suggest measures for the precise diagnosis, report and prevention of the occupational dermatoses. a. Dermatologist, preventive physician, and industrial hygienist should work as a team to examine the high risk group and establish the preventive measures. b. Disease entities, diagnostic criteria of occupational dermatoses should be listed, criteria for the compensation and job fitting at recruitment should be established, and manual for the proper treatment and effective prevention of each occupational dermatosis should be developed. c. Patch test antigens against each occupational category should be developed and it should be available to any physicians responsible. d. To facilitate the diagnosis of occupational dermatoses by the doctors responsible for the Workersr Periodic Health Examination, development of standardized questionnaire, education on the techniques of the patch test, and cooperation with the dermatologist in diagnosis of occupational dermatoses is essential.