• 대한한의학원전학회지
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• 제33권4호
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• pp.33-56
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• 2020

Objectives : The objective of this paper is to develop a standardized patient program with a focus on diagnosis and treatment of internal damage fever in Korean Medical education. Methods : First, cases of diagnosis and treatment of internal damage fever were collected from various classical texts, then a module was developed according to pre-existing standardized patient program's protocols based on selected cases. Careful consideration was given to developing evaluation criteria on history taking and physical examination that are necessary to accurately differentiating the 9 types. Results : Nine types of differentiation models on internal damage fever were selected, which are qi deficiency from overexertion/fatigue and famish; blood deficiency from overexertion/fatigue, famish and fullness; fire stagnation from excessive eating and cold foods; food damage; yang deficiency; yin deficiency; phlegm; stagnated blood; liver qi stagnation. For each type, evaluation criteria in regards to history taking, physical examination, communication with patient, and patient education were developed. Conclusions : When developing a standardized patient program using internal damage fever cases, it would better reflect the characteristics of Korean Medicine in clinical education of Korean Medicine if the program is based on classical texts. It would also be useful in evaluating students' graduation competence in exams such as CPX.

• 한국식품영양과학회지
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• 제26권4호
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• pp.733-742
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• 1997

본 연구는 고지혈증 환자의 식사처방 및 영양상담을 위하여 개발된 시스템으로서 피상담자의 일반상황 분석, 식사력 조사, 하루 동안 섭취된 식품의 영양분석 및 평가 그리고 식단 작성 프로그램으로 구성되었다. 피상담자의 일반상황 분석에 의하여 비만도, 체중과 활동정도에 따른 열량 필요량 및 비만인 경우 체중감소를 위한 1일 열량 필요량이 제시되며, 또한 피상담자의 혈중 지단백질 농도와 표준 지단백질 농도가 비교 제시되었다. 식사력 조사는 피상담자의 식습관, 식품의 기호도 및 식사요법 등에 있어서 문제점을 파악할 수 있도록 구성되었다. 또한 식사력 조사 후 바로 제시되는 상담 결과에 의하여 피상담자는 자신의 그릇된 식습관을 파악할 수 있을 뿐 아니라 식사요법에 도움이 될 수 있는 정보를 얻으므로서 올바른 식생활을 행할 수 있도록 하였다. 섭취한 식품의 영양분석은 24시간 식사섭취 회상 법에 의하여 하루에 섭취한 모든 식품의 섭취상태와 열량 및 영양소를 분석 평가할 수 있으며, 특히 고지혈증의 식사요법에 있어서 중요한 성분인 지방질의 섭취상태를 분석하므로서 피상담자가 섭취하는 식사가 바람직한가를 평가할 수 있도록 하였다 또한 식단작성 프로그램에서는 피상담자의 체중, 활동량 및 체중감소를 위한 열량 필요량을 고려하여 설정된 1일 열량 필요량에 알맞는 식사별 식품구성표와 일일 식단표를 제공받을 수 있도록 하였다. 제공된 식사별 식품구성표와 일일 식단표는 식품교환표를 이용하여 고지혈증 환자의 치료식 에 맞도록 작성하였다. 이와 같이 피상담자는 자신의 식사력 및 식품섭취에 대한 분석평가를 통하여 식사요법의 중요성과 잘못된 식습관을 인지할 수 있을 뿐 아니라 자신의 열량 필요량에 알맞는 식단을 제공받으므로서 올바른 식사요법을 행할 수 있도록 하였다.

• 대한본초학회지
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• 제29권4호
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• pp.9-12
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• 2014

Objectives : Atopic dermatitis is a skin problem that causes dry skin, intense itching, and then a red, raised rash. It may be a long-lasting (chronic) skin problem that requires more than one treatment. The cause of atopic dermatitis isn't clear, but it affects the skin's ability to hold moisture. The skin becomes dry, itchy, and easily irritated. The purpose of this study was to report the clinical effects of herbal medicine on atopic dermatitis. Methods : We employed oriental medical treatments; herbal-medication (Cheonggisanbyeonbang), acupuncture, moxibustion and cupping therapy. At the same time, the patient sweated out the skin poison. We treated him two times a week with oriental therapy method. He took medicine three times a day after a meal. During taking medicine, we let him avoid fatty food, flour based food, and alcohol. We took a picture the patient's body parts and compared the symptom with previous symptom. With the picture, we evaluated the patient's condition. Results : After taking treatment - 17 times' acupuncture, moxibustion and cupping therapy during 4 months- and taking herbal-medicine, the skin condition of the patient was much improved. At first, he was troubled with itching and hot feeling at reddish area, time after time the itching and hot feeling was weakened. The reddish area was changed to dry condition and changed to normal state. In advance, the symptom of arms was improved, and later the symptom of legs was started to improve. Conclusion : Herbal medicine (Cheonggisanbyeonbang) was an effective in the treatment of atopic dermatitis and it helped to improve regenerating the skin in the body.

• 한국식품위생안전성학회지
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• 제15권3호
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• pp.186-198
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• 2000

우리 나라의 학교급식, 병원급식, 및 위탁급식 등에서 위생관리의 수준을 알아보고 앞으로의 개선 및 발전 방안을 논의하였다. 앞으로 발전을 위한 10가지 방안으로서 이들 집단급식에서 (1)인력과 전문성 보강, (2) 건물과 시설의 전용화, (3)조리장 시설 설비의 보강, (4)주 ·부재료 공급 방법의 개선 및 품질관리, (5) 정확한 기계 ·설비류의 생산과 구비, (6)검사 장비와 설비의 보강, (7)개인위생관리의 여건 강화, (8)다양한 위생교육 및 훈련, (9)수입개방에 대한 능동적 대처, (10)관련 연구 및 background data의 축적 강화 등이 이루어져야 할 것으로 도출되었다. 식품 재료를 생산하여 먹기까지에는 여러 가지 단계를 거친다. 그 중에서 조리는 먹기 직전의 단계이다. 영양적으로 우수하고 위생적으로 안전한 재료를 취득하였다 하더라도 이 과정에서 취급이 잘못되면 대규모의 건강 위해를 야기할 수 있다 또 비록 재료가 안전하지 못하였다 하더라도 이 과정에서의 위생관리를 철저히 함으로써 그 위해를 상당히 줄일 수도 있다. 바로 이러한 측면에서 우리는 집단급식 시설의 위생관리가 얼마나 중요한 가를 다시 강조하지 않을 수 없다. 음식물에 의한 위해를 예방하고 위해 요소를 사전에 차단하기 위한 노력의 일환으로 세계적으로 식품위해요소중점관리기준(HACCP)의 도입이 활발하다. 우리 나라에서는 이를 식품제조 ·가공업소에 먼저 도입하였으나 급식 시설에서 시급히 적용하여 건강 위해를 최소화하여야 할 것으로 본다.

• Biomolecules & Therapeutics
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• 제15권1호
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• pp.1-6
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• 2007

The application of the knowledge from the Human Genome Project to clinical medicine will be through both industrial drug development and the application of pharmacogenomics (PG) to patient care. The slow uptake of clinical innovations into clinical practice can be frustrating, but understanding the history of acceptance and sustaining medical innovation is critically important to position PG to succeed. This primarily means that PG tests must have legitimacy; they must be thoroughly validated, must be cost-effective, must be widely accepted by medical practitioners, must be supported by public policy, and must have a way of being easily incorporated into current medical practice. They must also lead to actionalble decisions by health care providers for their patients. Innovative PG assays should be tested in the best US laboratories, and reimbursement for testing must be accepted at the federal and state level. The companies providing these PG tests should be capable of sup-porting the interpretation and use of the test throughout medical practice. Advances such as the addition of PG information to drug labeling and the routine use of validated biomarkers to determine choice of cancer chemotherapy have been made. The PG research community must pay attention to the principles that have been previously described for acceptance and sustaining medical innovations in order for PG to be widely accepted in clinical medical practice.

• 식품보건융합연구
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• 제4권2호
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• pp.13-16
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• 2018

Acupuncture has been clinically used to treat patients suffering from eye disease. It has been used in efforts to help preserve vision for those with a wide range of eye conditions including glaucoma and intraocular hypertension. High intraocular pressure (IOP) is usually associated with glaucoma and conventional treatment is focused on lowering IOP. Controlling this risk factor should help hasten the onset of glaucoma for those patents that are suspect or borderline candidates for glaucoma. In review of the limited scientific research there are not many studies that support conclusive evidence for the use of acupuncture on eye diseases and particularly glaucoma and ocular hypertension. For the information that does exist, diverse results from various interventions make it difficult to draw clear conclusions. The existing studies use different acupoints, techniques, frequencies, and durations. Individual treatment strategies according to the practitioner's subjective experience, patient condition, and the use of other complimentary and natural strategies is ideal for taking a more dynamic and wholistic approach to getting results. Until more pragmatic research models are funded and implemented, case reports can offer good examples of experiential and objective outcomes. This case report presents a 61 year old healthy female patient diagnosed with open-angle borderline glaucoma with elevated IOP. The patients IOP was successfully reduced with 12 treatments over three months using scalp electro-acupuncture and distal Master Tung points.

• Journal of Ginseng Research
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• 제39권2호
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• pp.89-93
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• 2015

Ginseng has long been used as a functional food or therapeutic supplement and it is empirically known to be safe and nontoxic. During recent decades, a number of in vitro and in vivo experiments, as well as human studies have been conducted to prove the safety of various types of ginseng samples and their components. Clinical trials, case reports, and in vitro and in vivo research articles addressing the safety, toxicity, and other adverse events of ginseng application were selected and reviewed. Patient risks associated with ginseng abuse and misuse such as affective disorder, allergy, cardiovascular and renal toxicity, genital organ bleeding, gynecomastia, hepatotoxicity, hypertension, reproductive toxicity, and anticoagulant-ginseng interaction were reviewed and summarized. There are some cases of patient risk associated with ginseng abuse and misuse depending on patients' conditions although further investigation in more cases is required to clarify these issues.

• 한방안이비인후피부과학회지
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• 제25권4호
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• pp.35-44
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• 2012

Objectives : This study was aimed to evaluate the treatment effect of psoriasis patient using pyretotherapy. Methods : The clinical study was performed using retrospective observational research method. Treatment method was pyretotherapy that optimized core temperature through herbs therapy, food therapy, excercise and life style change. In other aspects, pyretotherapy is skin cure therapy that rise core temperature, down skin temperature and open sweat gland. Results : 1. 40s years showed the most coming of clinic in the distribution of age of psoriasis patient. 2. Board type showed the most number in the classification of psoriasis. 3. Pyretotherapy was very effective results in psoriasis patient treatment. 4. Pyretotherapy showed effects of rising axillary temperature and moving facial high skin temperature toward abdominal portion. Conclusions : The author is able to say that it is possible for pyretotherapy to become new skin therapy for many skin disease, especially psoriasis.

• 한국독성학회:학술대회논문집
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• 한국독성학회 2003년도 춘계학술대회 논문집
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• pp.102-102
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• 2003

Diethylhexyl phthalate (DEHP) was known as endocrine disrupter revealing reproductive / developmental toxicity. For a long time, risk due to DEHP released from PVC medical devices was became an issue for patient receiving blood bag, iv injection solution like saline and Hartman's solution. This study was conducted to suggest permissible intake level (PIL) of DEHP based on reproductive toxicity, to quantify daily intake level of DEHP can be exposed to patient through various medical treatment and to estimate risk values of DEHP released from PVC medical devices.(omitted)

• 대한기관식도과학회:학술대회논문집
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• 대한기관식도과학회 1983년도 제17차 학술대회연제순서 및 초록
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• pp.13.1-13
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• 1983

음식물괴에 의한 갑작스런 식도폐쇄는 아주 드문 현상은 아니다. 주로 고령자나 치아의 결손이 있어 불충분한 저작후 큰 덩어리를 무리하게 삼켜 잘 일어난다. 대개는 해부학적 이상이 있는 사람에게서 일어나며 정상적인 식도를 가진 사람에서도 드물게 일어난다. 그러나 가장 흔한 원인중의 하나는 식도부식 등의 기왕력이 있은 후 이차적으로 생긴 식도협착증 이라고 할 수 있으므로 음식물괴에 의한 식도이물의 경우 기왕력을 확인하는 것이 무엇보다도 중요하다고 하겠다. 저자들은 최근 식도협착이 있는 58세 된 남자 환자에게서 10일 동안에 연거퍼 2회의 음식물괴에 의한 식도이물례를 경험하였기에 보고하는 바이다.