• 대한한의진단학회지
• /
• 제18권3호
• /
• pp.137-148
• /
• 2014

Objectives This study was conducted to derive consensus about physical attributes in pressure pulse waveform and pulse conditions by Delphi study. Methods Delphi research was conducted for 2 rounds via e-mail. 8 Professors who lecture on a diagnostics of K. M. from the society of Korean medicine diagnostics were participated in this survey. They were asked for answering about series of definition for a physical attribute in pressure pulse waveform and combination for physical attributes of pulse conditions. Results 4 survey items were decided to have high validity and 9 survey items were decided to come to consensus about a physical attribute in pressure pulse waveform. 6 pulse condition were decided to come to consensus. Conclusion Using Delphi method, physical attributes in pressure pulse waveform and combinations of physical attribute in pulse condition come to consensus.

• 한국가시화정보학회지
• /
• 제2권1호
• /
• pp.52-56
• /
• 2004

Several visualization techniques of laser diagnostics are presented for combustion phenomena, including Mie scattering for flow, Rayleigh and Raman scattering spectroscopy for major species, laser-induced fluorescence for minor species, and laser-induced incandescence for soot. These techniques have been applied to understand the various combustion phenomena more clearly, including buoyancy-dominant flow system, diffusion flam oscillation, laminar and turbulent lifted flames, flame propagation along a vortex ring, and soot zone characteristics. The usefulness of laser diagnostics on a better understanding of physical mechanism is demonstrated.

• 대한한의진단학회지
• /
• 제14권2호
• /
• pp.101-109
• /
• 2010

Objectives: This study intends to identify the Effects of Oriental Medicine Gigong Exercise on patients with the metabolic syndrome. Method: The study was performed with one group in a pre-test/post-test design. The subjects were patients with metabolic syndrome in K city, Kyung-Nam. A total of 24 subjects were selected by convenience sampling. The data were collected by using questionnaires and measured values from March, 2009, to May, 2009. The Oriental Medicine Gigong Exercise program consists of 90-minute sessions three times a week over 12 weeks. Prior and post surveys were measured before and after experiment a treatment. The date were analyzed by SPSS/WIN 12.0 program with descriptive statistics, paired t-test, wilcoxon rank sums test. Results: The results were as follows : 1) In of physical strength, body fat %(p=0.014) was decreased significantly, 'agility'(p=0.004) & 'flexibility'(p=0.031) were increased significantly after program. 2) In blood function, systolic blood pressure (P=0.013), diastolic blood pressure (P=0.001) were decreased significantly, HDL (P=0.001) was increased significantly after program. Conclusions: The Oriental Medicine Gigong Exercise program improve their physical strength and blood function, therefore this program is strongly recommended for adult with metabolic syndrome in community.

• 동의신경정신과학회지
• /
• 제27권2호
• /
• pp.89-101
• /
• 2016

Objectives In human, there is a diversity in the breathing pattern, for instance inspiratory and expiratory time, volume, breathing frequency, and breath-to-breath variation. Expecially, respiratory variability can provide important information about breathing regulation and physiological flexibility. it is significant to not only breathing index but also physiological index.Methods Thus this paper reviews the literature on respiratory variability with the aim of clinical application.Results We could find the interrelationships and respiratory variability between emotions, psychopathy, sighing, mental and physical activity.Conclusions As a result, respiratory variability can serve an important physiological index in the clinical area and reflects how our bodies act in diverse environments under various condition.

• 대한한의진단학회지
• /
• 제15권3호
• /
• pp.223-234
• /
• 2011

Objectives: This study shows feasibility and suitability of a microelectromechanical system inertial measurement unit(MEMS-IMU) as a helpful measurement device for evaluating movement system impairment syndrome. Methods: We reviewed articles of two fields in this study. First, we reviewed articles about movement system impairment syndrome(MSIS) as a brand new viewpoint of diagnosing and treating musculoskeletal pain. Second, we reviewed articles about conventional motion analysis system and inertial measurement unit(IMU) to show the superiority of IMU in analyzing the human movement. All papers were searched by SciVerse, world largest search engine and database about many academic fields including engineering and medicine. Results: Some physical quantities of human motions can be useful to the diagnosis of MSIS, and those data can be obtained by the MEMS-IMU without the weak points of the conventional motion analysis systems. Conclusions: Using MEMS-IMU as a measurement unit for diagnosing and evaluating MSIS is feasible and can be extended to many further studies.

• 대한한의진단학회지
• /
• 제14권1호
• /
• pp.79-95
• /
• 2010

Background and Purpose : By preventing diseases caused by exogenous evil, disorder of internal organs, and seven modes of emotions and adapting to mother nature when the mind is unsettled, and keeping the body and mind relaxed diseases can be avoided, but there can be unpredicted situations caused accidentally by stroke. Currently the general prescription is regulating the flow of vital energy including drugs eliminating blood stasis. Even though the stroke is resulted from diseases caused by exogenous evil, by observing the patient's physical appearance, essence of life, vital energy, and mental faculties which are believed to be the functions of the heart to clear the upper body and invigorate the functions of the spleen and stomach and purge with drugs of warm nature is a closer approach than simply prescribing vital energy regulating drugs with eliminating blood stasis to the main purpose of treatment. Methods : 1) The subject of the study are 2 cases of patients who have visited the private hospital of the person who is announcing the results of the study. These patients have been given a diagnosis of edema or cystoma caused by bursitis in the knee joint through perception or medical examination and were waiting for operational application. 2) Sources related to stroke from Dong Eui Bo Gwam(東醫寶鑑) were used as the general standard of Korean Traditional Medicine, and to promote the understanding the original text and the translation has been given. 3) By observing the whole body such as the patient's usual physical appearance, essence of life, vital energy, and mental faculties which are believed to be the functions of the heart, or partly using the "Yin is even and well while Yang is firm" theory of "Plain Questions" as the background to present the results of the clinical study. Results and Conclusion : Generally the prescriptions from the first volume of Dong Eui Bo Gwam(東醫寶鑑) are mostly drugs eliminating stagnated blood including extravasated blood and the blood moving sluggishly in circulation or congested in a viscus, alleviating pain, invigorating blood circulation. Also prescriptions for bone fracture or fracture of bones and sinews are mostly to eradicate blood stasis with drastic drugs or coaptation drugs added to drugs eliminating stagnated blood including extravasated blood and the blood moving sluggishly in circulation or congested in a viscus, alleviating pain, invigorating vital energy, possessing warm properties for the Xue system.

• 대한한의진단학회지
• /
• 제19권2호
• /
• pp.125-132
• /
• 2015

Objective This study investigated the effect of Korean Traditional medicine treatment with Acupuncture, Cupping, Physical Therapy and Ganghwalijetong-yeum(Qianghuochutong-yin) on Knee joint Osteoarthritis patients. Methods 5 Knee joint Osteoarthritis patients were treated with Ganghwalijetong-yeum(Qianghuochutong-yin), acupunture, cupping, physical therapy and exercise for Knee joint Osteoarthritis. K-WOMAC(Western Ontario and McMasters Universitis) Index, VAS(Visual Analogue Scale) were checked to evaluate the effectiveness of the treatment. Results K-WOMAC of patients treated with Ganghwalijetong-yeum(Qianghuochutong-yin) is improved from $67.00{\pm}24.41$ to $44.80{\pm}21.18$ and there was statistical significance(p<0.05). VAS of patients treated with Ganghwalijetong-yeum(Qianghuochutong-yin) is also improved from $4.20{\pm}1.79$ to $2.30{\pm}1.10$ but there was no statistical significance(p>0.05). Conclusions According to the study, Korean Traditional complex therapy with Ganghwalijetong-yeum(Qianghuochutong-yin) might improve Knee joint Osteoarthritis.

• 셀메드
• /
• 제14권2호
• /
• pp.4.1-4.4
• /
• 2024

The development of clinical reasoning, which is the basis of medical education, is of great importance in medical universities. One of the founders of modern structural clinical reasoning, based on the knowledge of pathological physiology, is the inventor of the stethoscope Rene Laennec (1781-1826). He described the pioneering experience of clinical reasoning in the pages of his treatise A Treatise on the Diseases of the Chest and on Mediate Auscultation, which is of lasting value, since every rookie physicians in his professional development goes through the path of Laennec. Laennec's practice is of great importance for novice physicians since Laennec's treatise contains a diagnostic analysis of the most common clinical cases. Each such analysis demonstrates the algorithm of clinical reasoning. The purpose of this study was to analyze the approaches of clinical reasoning by René Laennec, which made it possible to identify two basic principles. Laennec's diagnostic reasoning involved two principles: pathogenetic analysis of clinical manifestations and a syndrome-based approach to differential diagnosis. These principles help distinguish between diseases with similar symptoms and physical findings are used to demonstrate the practical application of syndrome-based differential diagnosis. These principles can be easily mastered by understanding the pathogenesis of clinical manifestations. Thanks to the pathogenetic basis, the principles of clinical reasoning of Rene Laennec are universal and applicable to the analysis of any signs of the disease: not only physical but also laboratory and instrumental.

• 대한한의진단학회지
• /
• 제18권2호
• /
• pp.121-136
• /
• 2014

Objectives For the excellent differentiation of syndromes, we study on the individual characteristic factor by the inspection of body shape. Methods To the subject of diagnosis special books and diagnostics textbook of korean medicine, we arrange the individual characteristic factor by the four methods of diagnosis. Results The individual characteristic factor analyzed by the inspection of the body shape in the "Huangdineijing 黃帝內經" and "Donguisusebowon 東醫壽世保元" was observed stereotyped. The inspection of the body shape means to diagnose the patient by examining the individual physical conditions of the patient. The body depends on visceral essence to nourish, while the functions of the viscera and the conditions of visceral essence may be reflected by the body. The inspection of individual physical strength and weakness may enable one to know the functions of the viscera and the conditions of ki(氣) and blood. And also the inspection of local regions is used to closely examine some regional areas to obtain necessary clinical data on the individual characteristic factor. Conclusion As the results, the individual characteristic factor by the inspection of body shape is very important item of the four methods of diagnosis(四診) and the differentiation of syndromes(辨證). And therefore the process on four methods of diagnosis and differentiation of syndromesis is necessary to divide the signs of individual characteristic factor and the signs of disease.

• 대한한의진단학회지
• /
• 제14권1호
• /
• pp.101-110
• /
• 2010

경련성 사경한자 1례에 대하여 TWSTRS와 Tsui score를 사용하여 경련성 사경정의 심한 정도와 치료 결과를 평가하고, 한방치료를 주로하고 양방치료를 보완적으로 실시한 결과 다음과 같은 결과를 얻었다. 1. 키네시오 테이프를 이용해 실시한 첩대요법은 사경증의 비틀림을 교정하는데 TWSTRS와 Tsui score 상 일정부분 효과가 있었다. 2. 아시혈을 포함한 치치료와 봉독치료는 TWSTRS상 경부통증과 일상생활 장애를 감소시켰다. 3. 양방협진하에 실시한 trigger point에 대한 국소 steroid 주사요법도 일정부분 통증을 감소시킨 것으로 생각된다.