• 대한한방내과학회지
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• 제44권5호
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• pp.1071-1082
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• 2023

Objective: The purpose of this study is to report the efficacy of using Korean medicine treatment with cold hypersensitivity of the hands and feet with lumbar spinal herniated intervertebral disc. Case presentation: We used Korean medicine treatment (Gyejigabuja-tang, acupuncture) to treat a hospitalized patient with cold hypersensitivity of the hands and feet with lumbar spinal herniated intervertebral disc. To evaluate the treatment, we used the Numerical Rating Scale (NRS). The degree of cold hypersensitivity of the hands and feet was also evaluated using evaluation paper. The generic health status was measured using the European Quality of Life-5 Dimensions (EQ-5D) scale. The 31-year-old female underwent 13 days of inpatient treatment. Her pattern identification was that both hands and feet are cold (BiYangHeo) types. The treatments were herbal medicine and acupuncture. She took Gyejigabuja-tang for 13 days. She also received acupuncture for 20 minutes twice a day at LI11 (曲池), L14 (合谷), TE5 (外關) on her hands, LR3 (太衝), SP6 (三陰交), SP9 (陰陵泉) ST36 (足三里), GB41 (足臨泣) on Feet, GV4 (命門), GV3 (腰陽關), BL23 (腎兪), BL24 (氣海兪), BL25 (大腸兪), and BL26 (關元兪) on the low back. After 2 weeks of treatment, the NRS scale of her cold hypersensitivity of hands and feet symptoms dropped from NRS 7 to NRS 3, and her low back pain dropped from NRS 6 to NRS 3. Her cold hypersensitivity of hands and feet evaluation paper score decreased from 64 to 32, and her EQ-5D increased from 0.487 to 0.681. After the end of treatment, continued symptom improvements and no significant side effects were confirmed. Results: These findings suggest that Korean medical treatment (Gyejigabuja-tang, acupuncture) may be effective for treating cold hypersensitivity of hands and feet with lumbar spinal herniated intervertebral disc. The NRS, evaluation paper, and EQ-5D scores improved after treatment, with no side effects.

• 대한한방내과학회지
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• 제38권2호
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• pp.118-124
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• 2017

Objective: This study describes the case of a patient with a left basal ganglia (BG) infarct who had made almost a complete recovery upon discharge from the hospital in 2014 but who was re-admitted after 31 months with a worsened hemiplegic gait. Methods: The patient had undergone no rehabilitation treatment in the 31 months since his discharge. When the patient was re-admitted to our hospital in 2017, stance and gait data were collected on the patient using a treadmill gait analysis system. In addition, the patient underwent a manual muscle test (MMT) evaluation, and his Motricity index (MI) and modified Barthel index (MBI) scores were recorded. After rehabilitation for one month, the patient was reassessed, and the results were compared to those on the day of re-admission and those recorded in 2014. Results: Compared to the 2014 evaluation results, the patient's stance parameters and gait parameters had worsened at re-admission. However, there was no significant change in the patient's MMT grade or MI and MBI scores in comparison to the results of the 2014 evaluation. After one month of rehabilitation, the patient was re-evaluated again, but there was no significant change in comparison to the evaluation results at re-admission. Conclusion: Some of the stroke patients who have passed six months since the onset of their stroke may require ongoing rehabilitation although the functions of them is almost recovered. Because there is a possibility that recovered functions get worse again without any rehabilitation for a long time. And once the recovered functions get worse, re-recovery of them is not easy.

• 대한한방내과학회지
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• 제37권4호
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• pp.631-644
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• 2016

Objectives: The purpose of this study was to evaluate the reliability and validity of an instrument for pattern identification and evaluation in chemotherapy-induced peripheral neuropathy (CIPN).Methods: The study consisted of 66 patients with CIPN (visual analog scale ≥30 mm, Eastern Cooperative Oncology Group ≤2). The test-retest reliability of the instrument for pattern identification and evaluation in CIPN was tested twice with the same patients in one week.Results: Pearson’s coefficient test-retest reliability of the instrument was 0.601-0.777. The internal reliability of each part was 0.619-0.811. To confirm the validity of the instrument for pattern identification and evaluation for CIPN, the correlation between the score for each identification pattern and that of other CIPN instruments was analyzed. The results revealed a positive correlation between the Functional Assessment of Cancer Therapy-General and CIPN-20.Conclusion: The reliability of the instrument for pattern identification and evaluation in CIPN was moderate, and the validity analysis revealed a positive correlation.

• 대한기계학회논문집B
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• 제37권9호
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• pp.855-862
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• 2013

개방 노심 열적여유도 해석 코드에 입력으로 제공되는 APR+ (Advanced Power Reactor Plus)의 수력학적 특징을 결정하기 위해 일련의 1/5 축소 원자로 유동분포 시험이 수행되었다. 본 연구에서는 원자로 내부 유동 계산시 다공성 모델을 사용한 전산유체역학의 적용성을 평가하기 위해 상용 전산유체역학 소프트웨어인 ANSYS CFX V.14를 사용하여 계산을 수행하였다. 결론적으로 본 연구에서 사용한 일부 원자로 내부 구조물에 대한 다공성 영역 처리방식을 통해 원자로 내부의 유동 특성을 정성적으로 적절히 파악할 수 있을 것으로 판단된다. 만일 충분한 계산 자원이 확보된 조건인 경우라면 노심 입구 상류에 위치한 원자로 내부 구조물의 실제 기하 형상을 고려함으로써 노심 입구 유량분포를 보다 정확하게 예측할 수 있을 것으로 예상된다.

• Tuberculosis and Respiratory Diseases
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• 제81권1호
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• pp.19-28
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• 2018

Cancer is the leading cause of death in the Republic of Korea and cancer death accounts for 27.8% of the total deaths, which is not only a social issue but also a concern for the public. Among the cancer death rates, lung cancer mortality account for 34 deaths per 100,000 populations, making it the number one cancer death rate. In a preliminary report on cancer death in 2012, the lung cancer mortality ratio showed the regional variation indicating that there were differences in the qualitative level and the structure among the medical care benefit agency and in the assessment of the treatment process. Therefore, the Health Insurance Review and Assessment Service (HIRA) had begun evaluation of the assessment of lung cancer treatment since 2014 to improve the quality of lung cancer care through evaluation and feeds back the results of lung cancer care process. In this report, authors described the current Indicators for the lung cancer adequacy assessment proposed by HIRA and results of the evaluation reported in 2017.

• 한국항공우주학회지
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• 제37권8호
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• pp.780-788
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• 2009

복합재 날개 구조물에 대한 구조 건전성 및 손상을 평가하기 위하여 정적 구조강도시험에 음향방출(AE)법이 응용되었다. 시험중 스트레인과 변위측정기법을 통하여 정적구조강도를 확인하였고, 음향방출요소 분석과 위치표정기법을 통하여 구조물의 내부 손상을 평가하고 손상위치를 찾을 수 있었다. 시험은 설계제한하중시험, 2차에 걸친 설계극한 하중시험, 파단시험이 수행되었다. 주요한 AE신호는 front lug근처의 표면에 부착된 센서에 의하여 감지되었다. 특히 1차 설계극한하중시험에서 스트레인 및 변위결과는 내부 손상을 보이지 않았으나 AE신호는 내부 손상이 이미 형성된 현상을 나타내었다. 파단시험에서는 AE활성도가 매우 활발하였고, 스트레인 및 변위의 결과는 심한 손상에 의하여 하중경로가 바뀌는 경향을 나타내었다. 음향방출법을 적용하여 정적 구조시험이 진행되는 동안 내부손상이 발생되는 하중과 위치를 정확하게 평가할 수 있었다. 본 연구로부터 음향방출법은 정적 구조강도시험에 있어 내부 손상을 평가하는데 유용한 기법임이 확인되었다.

• 한국임상수의학회지
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• 제33권5호
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• pp.255-260
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• 2016

$Pyunkang-tang^{(R)}$ is a kind of herbal medicine and has been used for the treatment of atopy and allergic disease in humans over forty years. The purpose of this study was to evaluate the hematological, biochemical, and protein and lipid electrophoresis profiles after the oral administration of $Pyunkang-tang^{(R)}$ in healthy dogs. Fifteen clinically healthy beagle dogs were selected and orally administered either 33 ml of $Pyunkang-tang^{(R)}$ (group I, n = 5), 16.5 ml of $Pyunkang-tang^{(R)}$ (group II, n = 5), or 33 ml of distilled water (group III, n = 5) 3 times a day for 4 weeks. The results of the hematological, serum biochemical, and urine analysis did not differ significantly among the 3 groups. The oral administration of $Pyunkang-tang^{(R)}$ for 4 weeks was associated with significant changes in the serum globulin levels and an elevation in the high-density lipoprotein (HDL) concentrations in groups I and II (p < 0.05), compared to group III. The ${\alpha}1-globulin$ and ${\gamma}-globulin$ levels were significantly increased in group I, and the ${\alpha}1-globulin$ and ${\beta}-globulin$ levels were significantly increased in group II. The ${\alpha}2-globulin$ levels were significantly decreased in both groups. During the short-term evaluation of $Pyunkang-tang^{(R)}$ administration, we did not detect any specific adverse effects in the dogs. However, further evaluation of the safety and efficacy of $Pyunkang-tang^{(R)}$ for the treatment of atopic disease in dogs is needed.

• 설비공학논문집
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• 제25권5호
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• pp.269-278
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• 2013

In this study, in order to examine the applicability of computational fluid dynamics with the porous model to the analysis of APR+ (Advanced Power Reactor Plus) internal flow, simulation was conducted with the commercial multi-purpose computational fluid dynamics software, ANSYS CFX V.14. In addition, among the various reactor internals, the effect of flow skirt geometry on reactor internal flow was investigated. It was concluded that the porous model for some reactor internal structures could adequately predict the hydraulic characteristics inside the reactor in a qualitative manner. If sufficient computation resource is available, the predicted core inlet flow distribution is expected to be more accurate, by considering the real geometry of the internal structures, especially located in the upstream of the core inlet. Finally, depending on the shape of the flow skirt, the flow distribution was somewhat different locally. The standard deviation of the mass flow rate (${\sigma}$) for the original shape of flow skirt was smaller, than that for the modified shape of flow skirt. This means that the original shape of the flow skirt may give a more uniform distribution of mass flow rate at the core inlet plane, which may be more desirable for the core cooling.

• 아동학회지
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• 제16권2호
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• pp.97-112
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• 1995

The purpose of this study was to investigate the effect of selected internal and situational factors on children's prosocial behaviors. While child's sex and trait empathy were chosen as internal factors, state empathy and social evaluation were regarded as situational factors. The subjects were 72 bays and 72 girls chosen from 288 eleven-year-olds. This selection was based on their emplathic scores measured by the Bryant Empathy Scale (1982). Half of the 144 children belonged to the high-trait empathic group and the other half to the low-trait empathic group. Within each of the high-and the low-trait empathic groups, equal numbers of boys and girls were randomly assigned to one of the two state empathy conditions and two social evaluation conditions. The state empathy conditions were divided into the arousal condition and the disregarding condition. To control social evaluation, subjects were led to believe that the experimenter either would or would not evaluate their donation of colorful ball-point pens to handicapped children. The data was analyzed by 4-way ANOVA [sex(2)${\times}$trait empathy(2)${\times}$state empathy(2)${\times}$social evaluation(2)]. The results were that (1) children's prosocial behaviors were significantly different by sex, state empathy, and social evaluation, and (2) children's prosocial behaviors were not significantly different by their trait empathy level.

• Journal of Preventive Medicine and Public Health
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• 제43권2호
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• pp.105-108
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• 2010

Objectives: To evaluate the policies on 2009 influenza pandemic in Korea at the end of first wave. Methods: The main policies and the estimation of these were described according to the progress of 2009 influenza pandemic. Results: The public health measures for containment were estimated to be successful in the early stage. The preparedness of antiviral agents and vaccines before the pandemic, risk-communication on pandemic influenza and policies of government including vaccines, and the education of health care worker and support of health care institutions was not enough to respond to the pandemic. Conclusions: The additional evaluation should be performed at the end of the pandemic in various aspects including health and socioeconomic effects.