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침구치료에 사용되는 고출력 레이저에 대한 고찰 (High Intensity Laser for Laser Acupuncture Application)

  • 양창섭;선승호;장인수
    • Korean Journal of Acupuncture
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    • 제28권3호
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    • pp.1-12
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    • 2011
  • Objectives : The purpose of this study is to review laser acupuncture studies to find possibility for applying high intensity laser to acupuncture and moxibustion treatment. Methods : Searching papers was performed using search engines of five electronic databases, including Pubmed, Thomson ISI, EMBASE, Sciencedirect, and EBSCO, from inception to May 2011 without language limitation. Inclusion criteria were clinical studies with human, randomized controlled trials (RCTs), case-control studies, and case reports. Selecting papers was performed with titles and abstracts in first step, scrutinize full text in second step, and then the extrated data was analyzed by two authors independently. The methodological quality for RCTs was evaluated using Jadad's scale. Results : Total 8 papers, (3 RCTs, 5 controlld studies, and 1 case reports), were finally selected. The study dealt with surgical laser, argon and $CO_2$ laser was one for each, with GaAs laser was two, and with new semiconductor laser, GaN, were four. The output range was from 110 mW to 15 W. The study diseases were alcohol addiction, knee osteoarthritis, bronchopneumonia and asthma for children, and circulation. All studies reported positive effect. The methodological quality in all RCTs was low because of below 3 points and all studies had few subject numbers. Conclusions : We suggest that high intensity laser can be applied to acupuncture and moxibustion. Further rigorous and well-designed study will be needed for various disease. The oriental medical society needs to take active measures to study and clinical application of acupuncture and moxibustion treatment with high intensity laser.

웹 기반의 SWOT 분석 지원도구 설계 및 구현 (Design and Implementation of Web-based SWOT Analysis Supporting Tool)

  • 황지나;서주환;임정선;유형선;박진한;김유일;김지희
    • 한국콘텐츠학회논문지
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    • 제17권7호
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    • pp.1-11
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    • 2017
  • 기업 내부 및 외부 환경 요인 분석을 통한 올바른 비즈니스 전략 수립은 기업의 혁신성과 창출로 이어질 수 있다. 때문에 SWOT 분석을 통해 기업 내부의 강점요인과 약점요인을 인지하고, 기업 외부의 기회요인과 위협요인을 정확하게 분석하는 과정은 매우 중요하다. 그러나 많은 기업들이 그들의 상대적인 강점요인과 약점요인, 기회요인과 위협요인에 대해 정확하게 판단하지 못하는 경우가 많다. 본 연구는 기업이 환경분석 과정에서 보편적으로 활용하는 분석모델 중 하나인 SWOT 분석을 지원하는 도구를 설계 및 구현한 것으로, 각 분야의 전문가들이 작성한 SWOT 분석 결과를 바탕으로 SWOT 분석 사례 DB를 만들어 사용자가 데이터베이스에 저장되어있는 각각의 환경요소를 조회하여 기업에 적합한 환경요소들을 선택, 수정, 추가하게 함으로써 SWOT 분석 시에 기업들이 고려해야하는 내부 및 외부 환경 요인에 대한 정보를 제공하고자 한다. 이를 통해 기업들이 자신의 내부 역량에 대해 보다 정확하게 인지하고, 외부 환경 변화에 대한 고찰을 도울 수 있을 것으로 사료된다.

한의학임상협연연구의 필요성과 효율적인 조직체계의 구축 (Establishment of Efficient Organization for Coordination Center on Clinical Research in Traditional Korean Medicine)

  • 고성규;전찬용;박종형;한창호;정우상;문상관;조기호;김영석;배형섭
    • 대한한의학회지
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    • 제27권1호
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    • pp.196-203
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    • 2006
  • Objectives : The aim of this study is to investigate how does the methods of treatment and diagnosis of Traditional Korean Medicine(TKM) get the evidence of efficacy and safety and what type of efficient body and appropriate facility of the coordination center for clinical trial in TKM. Methods : We have got the information of clinical trial center or clinical collaboration center by site invitation, search of paper and reports and internet exploration for the domestic or foreign site. Results : Coordination center for clinical trial usually involves every steps of clinical trials, such as development of Case Report From (CRF), design of study, calculation of sample size, randomization, maintenance of blinding, monitoring and audit of the resource document, data and CRF, data entry, quality control of data, analysis and report. Conclusions : The body needs several aresa of experts, which are epidemiologists, biostatisticians, research nurses for coordination, data manager and programmer, and administrator. This body would be enhance and help he clinical researches including clinical trials in TKM.

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위축성 위염에 대한 반하사심탕과 표준치료 병용요법의 최신 연구 동향 (A Review of Recent Clinical Research about Banhasasim-tang Combined with Conventional Therapy on Atrophic Gastritis)

  • 이가영;안수빈;정민정;장인수
    • 대한한방내과학회지
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    • 제40권6호
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    • pp.1169-1178
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    • 2019
  • Objective: The purpose of this study was to investigate the effect of combined therapy with Banhasasim-tang and conventional treatment for atrophic Gastritis. Methods: The study collected data of clinical studies of combined therapy with Banhasasim-tang and conventional treatment for atrophic gastritis. Electronic databases were used, including PubMed, Cochrane, CNKI, Wanfang, CINII, J-stage, NDSL, and OASIS. The main search terms included such as "Atrophic Gastritis", "Banhasasim-tang", "BanXia Xiexin Tang". This study only included randomized controlled trials (RCTs) that adopted combined therapy with Banhasasim-tang and conventional treatment for atrophic gastritis. Results: A total of 18 RCTs were selected. They all adopted combined therapy with Banhasasim-tang and conventional treatment for atrophic gastritis. In all the studies, the intervention group significantly improved the score of effective rate, and in the 8 studies, Hp negative conversion rate was significantly improved when Banhasasim-tang was taken. Conclusion: Through the analysis of 18 RCTs, we found Banhasasim-tang combined with conventional therapy were more effective in the positive performance of atrophic gastritis than conventional therapy single contribution. However, due to the low quality of the selected studies and the lack of endoscopy, biopsy, follow-up observation, so there is a slight insufficient to prove its conclusion. Therefore, we hope that more systematic and diverse clinical studies will be conducted.

경도인지장애의 침 치료에 대한 무작위배정 대조 임상시험(RCT) 연구 논문에 대한 질 평가 : STRICTA와 CONSORT 지침을 바탕으로 (Quality Assessment of Studies on Randomized Controlled Trials (RCTs) of Acupuncture Treatment for Mild Cognitive Impairment: Based on the STRICTA and CONSORT Guidelines)

  • 신여옥;허우영;이인
    • 대한한방내과학회지
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    • 제40권6호
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    • pp.1101-1111
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    • 2019
  • Objective: The purpose of this study was to investigate quality of reporting acupuncture intervention for mild cognitive impairment (MCI) based on the STRICTA and CONSORT guidelines Methods: We searched for randomized controlled trial studies of acupuncture treatment for MCI in the MEDLINE (PubMed) database. Once the online search was completed, studies were selected manually by the inclusion criteria, and the selected studies were evaluated by STRICTA and CONSORT guidelines. Results: Five studies were included. The most frequently selected points for acupuncture treatment of MCI were on the head, such as GV20, EX-HN1, GV24, and GB20. By STRICTA guidelines, all items from STRICTA were reported except three items on the checklist. By CONSORT guidelines, apart from six items which were not available, quality assessment was performed with 31 items. Eighteen items were reported by 80% of the studies. Four items were reported by 40% of the studies and another four items were reported by 20% of the studies. One item was not reported in all studies. Conclusion: Most items were reported by STRICTA guidelines, whereas many items were insufficiently reported based on CONSORT guidelines. This needs to be considered in future RCTs of acupuncture treatment for MCI.

CIR-Tree를 위한 효율적인 대량적재 알고리즘의 설계 및 구현 (Design and Implementation of an Efficient Bulk Loading Algorithm for CIR-Tree)

  • 피준일;송석일;유재수
    • 한국정보과학회논문지:데이타베이스
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    • 제29권3호
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    • pp.193-206
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    • 2002
  • 이 논문에서는 고차원 색인 구조인 CIR-트리를 위한 효율적인 벌크로딩 알고리즘을 설계하고 구현한다. 벌크로딩 기법은 대량의 고차원 데이타가 색인 구성 시 함께 주어지는 경우 색인의 구성을 빠르게 하고 구축한 색인의 검색 성능을 향상시킨다. CIR-트리는 반드시 필요한 차원만 이용해서 비단말 노드의 엔트리를 구성하기 때문에 엔트리 크기가 일정하지 않다. 이 특성은 비단말 노드의 분기율을 높이고 탐색 성능을 향상시키는 효과가 있다. 기존에 다차원 및 고차원 색인구조를 위한 벌크로딩 기법이 제안되었지만 이러한 CIR-트리의 특징을 제대로 살릴 수 있는 방법은 없다. 이 논문에서는 기존의 벌크로딩 알고리즘을 개선하면서 CIR-트리의 특징을 효과적으로 색인 구성에 반영할 수 있는 알고리즘을 제안한다. 또한 이를 BADA-III의 하부 저장 시스템인 MiDAS-III에서 구현하고 다양한 실험을 통해 그 성능을 입증한다.

요각통 및 요추간판탈출증 침 치료에 다용되는 혈위 조사 및 협척혈의 해부학적 위치에 대한 문헌적 고찰 (The Trend Review of Acupoints for Lumbar HIVD Treatment and the Literature Review of Anatomical Location of Hwatahyeopcheock)

  • 이민수;강경래;우기원;백상현;하인혁;신민식;이진호
    • Korean Journal of Acupuncture
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    • 제32권3호
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    • pp.81-89
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    • 2015
  • Objectives : The purpose of this study is to explore the trends of acupoints used for lumbar HIVD(Herniated Intervertebral Disc) and treatment and anatomical location of Hwatahyeopcheock. Methods : We searched the latest clinical studies on acupuncture treatment for lumbar HIVD(Herniated Intervertebral Disc) through domestic studies search. To analyze the data, we categorized them by year and article types of literatures and investigated often-used acupoints and acupuncture types for treatment by reading treatment part of every paper searched. Domestic and Chinese literatures related to Hwatahyeopcheock were also studied for its anatomical location. Results : Total 50 articles are searched and local points are more used than distant points for lumbar HIVD(Herniated Intervertebral Disc) and most of them showed curative effects. Back-su points were used the most and Hwatahyeopcheock use accounted for one-third of the articles. In the articles of Hwatahyeopcheock use, except for one, patients complained of both low back pain and radiating pain, and all of them showed positive results after treatment. Conclusions : Back su point is considered to have its meaning as physical region where patients feel pain including herniated disc level rather than the effect meridian system makes. Through document research and meridian muscle theory, we found that Hwatahyeopcheock means vertebral facet joint, intervertebral foramen and surrounding muscle, nerve, blood vessel and related spinal nerves.

최근 독성 문제가 제기된 한약재에 대한 고찰 (A Review of Herbal Medicinal Products Associated with Toxic Events in Korea)

  • 장인수;양창섭;한창호
    • 대한한의학회지
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    • 제28권1호통권69호
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    • pp.1-10
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    • 2007
  • Background : There has been renewed interest in complementary alternative medicine around the world far a decade. On the other hand, the issue of safety of herbal medicine in Korea has been continuously questioned. Issues raised have included not only chemical residue or heavy metals caused by pollution, but also the toxicity of herbal medicine itself. Objectives : The purpose of this study was to review some herbal medicines subject to controversy of toxicity and figure out what kind of problems they evidence. Methods : In this review, PubMed was used to search medical journals. Keywords such as 'herb, or herbal medicine', 'safety, or adverse events, or adverse effect, or toxicity, or liver injury' were applied. Journals were selected by four inclusion criteria, as objectives should be human, researchers should be medical doctors, literature written in the English language, and types of journals should be meta-analysis or practice guideline or reviews. Finally, 9 cases from 60 journals were included in this review. Results : We reviewed 13 herbal medicines for controversy of toxicity such as ephedra(Mahuang), Arisolochia fangchi, Aristolochia manshuriensis, licorice, skullcap , germander, Syo-saiko-to(Xiao-chai-hu-tang), Chelidonium majus, mistletoe, Dictamnus dasycarpus and madder. Conclusions : It suggested that 'who it is prescribed for' is one of the most important factors to identify the causes of toxicity in herbal medicine and dietary supplements, under specific conditions in Korea.

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중풍위험인자로서의 혈액학적 소견 연구 - 중풍조기검진 326명에 대한 분석 - (The Hematologic Study as risk factors on premature examination of stroke (PES))

  • 한덕희;설인찬;김윤식
    • 혜화의학회지
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    • 제13권2호
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    • pp.221-229
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    • 2004
  • 1.Purpose Stroke is the most frequent cause of mortality and morbidity rate in Korea with ischemic heart disease and cancer. Recent recurrence rate of stroke is high, but little attention had been given to the features of its' cause. The purpose of this studies is to examine the hematologic states in Korean normal adults through premature-examination of stroke(PES). 2.Method The study group consisted of 326 cases that they had no significant results by CT through premature examination of stroke(PES) in Cheonan oriental hospital of Daejeon university. We tested RBC, hemoglobin, hematocrit, WBC, PT, PTT, PLT, total protein, albumin, total bilirubin, direct bilirubin, GOT, GPT, $\gamma$-GTP, total cholesterol, triglyceride, HDL-C, glucose, BUN, creatinine, Na, K and evaluated by cross sectional study. 3.Result In the PES, there were many patients with low RBC(11%), shorten PT(26.7%), delayed PTT(19.3%), high TP, GPT, ${\gamma}$ -GTP(respective1y 16.9%, 14.4%, 13.5%), high cholesterol level and triglyceride level(respectively 18.7%, 28.2%). We didn't found significant cases in hemoglobin, hematocrit, WBC, PLT, albumin, total bilirubin, direct bilirubin, GOT, HDL-C, glucose, BUN, creatinine, Na, K. 4.Conclusion In this study, we demonstrated that short PT, high triglyceride level are special views in PES. Also prospective studies are needed continuously to search the preventing methods of the CVA.

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항암화학요법으로 인한 증상에 대한 반하사심탕의 효과 : 체계적 문헌고찰 (The Effect of Banhasasim-tang in the Treatment of Chemotherapy-induced Symptoms: A Systematic Review)

  • 안수빈;이가영;황현호;정민정;장인수
    • 대한한방내과학회지
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    • 제40권4호
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    • pp.663-674
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    • 2019
  • Objective: The purpose of this study was to investigate (using a systematic review) the effect of Banhasasim-tang in the treatment of chemotherapy-induced symptoms. Method: A systematic review was conducted to identify the effect of Banhasasim-tang for chemotherapy-induced symptoms. Electronic databases were used, including such as PubMed, Cochrane, CNKI, Wanfang, CiNii, J-STAGE, NDSL, and OASIS. Among others, the main search terms included "cancer", "Banhasasim-tang", "Banxia Xiexin Tang", and "Hangeshashin-to". This study only included randomized controlled trials (RCTs). Results: A total of 14 RCTs were selected. They all identified the effect of Banhasasim-tang in the treatment of chemotherapy-induced symptoms such as nausea, vomiting, and diarrhea. In addition, five of the studies evaluated the preventive effect of Banhasasim-tang on the symptoms. Conclusion: An analysis of 14 RCTs showed that Banhasasim-tang for chemotherapy-induced symptoms might be effective not only for treatment but also for prevention. However, due to the low quality and number of the selected original articles, the significance of this conclusion is somewhat limited. It is hoped that more systematic and rigorous clinical trials will be conducted.