• Journal of Dental Anesthesia and Pain Medicine
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• 제21권5호
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• pp.379-396
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• 2021

Background: Trigeminal neuralgia (TN) is characterized by brief, unilateral, sharp, stabbing, and shooting pain of the fifth cranial nerve. The objective of this systematic review with meta-analysis was to determine the effect of medications compared to placebo in adult patients with TN. Methods: Review authors identified randomized placebo-controlled trials (RCTs) from PubMed, Web of Science, Cochrane, and EMBASE up to February 2021. We assessed the inclusion and exclusion criteria as well as the risk of bias of the studies based on the Cochrane Handbook. A total of 324 unduplicated references were scanned independently and reduced to eight relevant RCTs, with 89 patients included. Medications investigated included oral carbamazepine, subcutaneous sumatriptan, lidocaine (intranasal, 8% spray on the oral mucosa or intravenous), buprenorphine (ganglionic local opioid analgesia), and oral Nav1.7, a selective sodium channel blocker. Results: Meta-analyses showed that overall patients receiving lidocaine reported a significantly lower post-treatment intensity of pain -3.8 points on a 0-10 scale (95% Cl = -4.653 to -2.873; P < 0.001). Patients who received lidocaine were 8.62 times more likely to have pain improvement than patients on placebo (P < 0.001). In one RCT, patients receiving oral carbamazepine showed a significant improvement in pain intensity of -32% compared to the placebo (P < 0.001). In one trial, patients receiving 3 mg subcutaneous sumatriptan had a significantly lower intensity of pain on average -6.1 points on a scale of 0-10 compared to placebo (P < 0.001) and a significant improvement in pain intensity of -75% compared to the improvement in the placebo group (P < 0.001). Patients who received subcutaneous sumatriptan were 10 times more likely to have pain improvement than those who received placebo (P = 0.001) in one study. Due to the unclear/high risk of bias and small sample size, the quality of the evidence for lidocaine in the treatment of TN was low. Conclusion: Further studies are needed for carbamazepine, sumatriptan, buprenorphine, and oral Nav1.7 sodium channel blockers, as only one study reported outcomes.

• 한국초전도ㆍ저온공학회논문지
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• 제21권1호
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• pp.18-24
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• 2019

This study was carried out to investigate the effect of milling of boron (B), which is one of raw materials of $MgB_2$, on the critical current density ($J_c$) of $MgB_2$. B powder used in this study is semi-amorphous B (Pavezyum, Turkey, 97% purity, 1 micron). The size of B powder was reduced by planetary milling using $ZrO_2$ balls (a diameter of 2 mm). The B powder and balls with a ratio of 1:20 were charged in a ceramic jar and then the jar was filled with toluene. The milling time was varied from 0 to 8 h. The milled B powders were mixed with Mg powder in the composition of (Mg+2B), and the powder mixtures were uniaxially pressed at 3 tons. The powder compacts were heat-treated at $700^{\circ}C$ for 1 h in flowing argon gas. Powder X-ray diffraction and FWHM (Full width at half maximum) were used to analyze the phase formation and crystallinity of $MgB_2$. The superconducting transition temperature ($T_c$) and $J_c$ of $MgB_2$ were measured using a magnetic property measurement system (MPMS). It was found that $B_2O_3$ was formed by B milling and the subsequent drying process, and the volume fraction of $B_2O_3$ increased as milling time increased. The $T_c$ of $MgB_2$ decreased with increasing milling time, which was explained in terms of the decreased volume fraction of $MgB_2$, the line broadening of $MgB_2$ peaks and the formation of $B_2O_3$. The $J_c$ at 5 K increased with increasing milling time. The $J_c$ increase is more remarkable at the magnetic field higher than 3 T. The $J_c$ at 5 K and 4 T was the highest as $4.37{\times}10^4A/cm^2$ when milling time was 2 h. The $J_c$ at 20 K also increased with increasing milling time. However, The $J_c$ of the samples with the prolonged milling for 6 and 8 h were lower than that of the non-milled sample.

• 대한본초학회지
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• 제28권6호
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• pp.31-38
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• 2013

Objectives : The purpose of this study was to determine whether NMED-01 or NMED-02 improves laboratory test results in participants with liver function disorder. Methods : This is a randomized, placebo-controlled trial in which participants, treating physicians and data management staff were blinded to treatment group. The study was conducted at Semyung university oriental medicine hospital in Jecheon where participants with high level of serum ${\gamma}$-GTP (60-350 U/L) were enrolled. The intervention consisted of three times daily ingestion of either two capsules of placebo, NMED-01 (NeuMed. co. ltd., Seoul), or NMED-02 (NeuMed. co. ltd., Seoul) for twelve weeks. To evaluate the efficacy and safety of NMED-01 and NMED-02, we primarily evaluated the degree of decrement of serum ${\gamma}$-GPT level among three groups. Secondarily the decrement of serum ALT, AST, and triglyceride level in each group were also evaluated. Adverse effects were monitored during the twelve weeks treatment. Results : The change of ${\gamma}$-GTP level of NMED-01 group was lower than that of placebo group at the end of 12-week administration ($28.1{\pm}38.7U/L$ vs. $9.3{\pm}27.0U/L$, p=0.046). Other variables including AST, ALT, and triglyceride level were not significantly reduced. The decrement of ${\gamma}$-GPT, AST, ALT, and triglyceride level of NMED-02 group was not significant. There were no significant adverse effects or toxicities during treatment period. Conclusions : Participants receiving NMED-01 had improvement in laboratory test results. Despite a modest sample size, our results suggest that NMED-01 are safe and may be potentially effective in improving liver function. However, NMED-02 have lack of a detectable effect in this study.

• Journal of Nutrition and Health
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• 제56권3호
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• pp.288-299
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• 2023

본 연구는 COVID-19 유행 동안 대학생의 체중변화를 알아보고 체중증가와 관련된 생활습관 및 식생활 변화를 파악하기 위해 실시되었다. 대학생 270명을 대상으로 2021년 9월 22에서 10월 26일까지 온라인 설문조사를 실시하였다. 체중증가와 일반적 특성, 생활습관 및 식생활 변화와의 관련성이 로지스틱 회귀분석을 통해 평가되었다. 체중이 증가하였다고 응답한 비율은 남성이 42,9%, 여성이 44.7%이었다. 체중이 증가한 주요 이유로는 외부활동 제한으로 활동량 감소, 배달음식이나 인스턴트 위주의 식습관으로 조사되었다. COVID-19 유행 동안 체중증가와 일반적 특성 및 생활습관과의 관련성을 평가한 결과 체중증가는 주관적 건강상태가 나쁜 경우 (OR, 3.97, 95% CI, 1.98-7.96), 저체중 (OR, 0.19, 95% CI, 0.05-0.83)과 유의적 수준에서 관련성이 있었다. 체중증가와 식생활과의 관련성에 대하여 분석한 결과 체중증가가 아침 섭취빈도 증가(OR, 4.44, 95% CI, 1.76-11.21), 간식 섭취빈도 감소 (OR, 0.35, 95% CI, 0.16-0.77), 과일 섭취빈도 감소 (OR, 3.0, 95% CI, 1.32-6.80), 탄산음료 및 가당음료 섭취빈도 증가 (OR, 2.74, 95% CI, 1.26-5.99), 패스트푸드의 섭취빈도 증가 (OR, 2.32, 95% CI, 1.14-4.70)와 유의적 수준에서 관련이 있었다. COVID-19 유행은 체중증가와 생활습관 및 식생활 변화에 영향을 미쳤다. 향후 감염병을 대비하여 좀 더 많은 표본을 대상으로 한 조사결과를 바탕으로 구체적인 건강 및 영양관리 방안이 마련되어야 한다.

• 동의신경정신과학회지
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• 제35권2호
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• pp.191-203
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• 2024

Objectives: To evaluate the effectiveness of an integrated medical service model for a fibromyalgia patient and their caregiver, focusing on reducing pain and improving quality of life. Methods: A single-case study design was employed, involving a fibromyalgia patient and their primary caregiver treated at W University Hospital. The integrated medical service program, based on the Ministry of Health and Welfare's model, included medical consultations and complementary therapies such as psychological counseling, art therapy, music therapy, horticultural therapy, yoga, and meditation. The program was conducted weekly for 8 weeks, with each session lasting up to 100 minutes. Data collection involved both quantitative and qualitative assessments. Quantitative data included demographic surveys, psychological tests, health-related quality of life measures, pain indices, and sleep quality indices. Qualitative data were gathered through feedback evaluations and emotional assessments. Results: The patient showed improvements in mobility, self-care, daily activities, and anxiety/depression, with EQ-VAS scores increasing from 20 to 40 and pain perception decreasing from 67.41 to 42.58. The caregiver reported reduced anxiety/depression and an increase in EQ-VAS scores from 95 to 98. Both patient and caregiver exhibited emotional changes, with decreased depression and increased happiness. However, the patient showed an increase in fear and anger. Conclusions: The integrated medical service model positively impacted the emotional and psychological well-being of the fibromyalgia patient and their caregiver. Despite the limitations of a small sample size and a single-case study design, the findings suggest that an integrated approach can be beneficial. Larger-scale studies are needed to confirm and generalize these results.

• 대한통합의학회지
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• 제12권3호
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• pp.37-47
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• 2024

Purpose : Cancer survivors often suffer from postoperative sequelae. the diagnosing and provision of manual therapy using spiral taping significantly improves the quality of life of cancer patients. The aim of this case study is to investigate the immediate effects of spiral taping on pain, range of motion (ROM), chemotherapy-induced peripheral neuropathy (CIPN), and lymphedema following breast cancer surgery. Methods : The taping techniques were performed as follows by spiral taping. The measurements were taken before, in the middle, and after taping using a mobile phone camera, tape measure, and a numerical rating score (NRS). The evaluation employed a single-group pre-post design based on a primitive experimental design. Results : Out of four patients, all four exhibited Reverse circle flow energy (RCFE), Passive cervical right (Rt) rotation test, anterior-posterior movement pattern, nerve type (+), cold energy (CE), sangcho acupuncture point, blood clot, hwal point. Comparing before and after treatment, almost all values were reduced to zero after treatment in terms of pain complaints. The lack of range of motion (ROM) caused by the shortened tissue after surgery did not increase. The range of motion (ROM) lost due to pain returned to normal. The circumference of lymphedema did not show a tendency. The symptoms of CIPN improved. Conclusion : There was a significant change in joint range of motion, with pain decreasing, but there were structural limitations in the tissue due to total resection, and the chemotherapy-induced peripheral neuropathy scale. It was effectively treated surgical site pain, axillary membrane syndrome-induced pain, and unexplained pain. While there was a treatment effect for lymphedema in the evaluation of circumference values, there was no significant change in circumference. There was a significant effect on chemotherapy-induced peripheral neuropathy, particularly in treating numbness in the feet, which is a side effect of TC anticancer drugs. This case study found that spiral balance taping provides a rapid therapeutic effect for most side effects in patients who have undergone total breast cancer resection. However, the generalization is limited due to the small sample size, and further research is needed to determine the extent to which the effects of one treatment are maintained.

• 한국진공학회지
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• 제22권2호
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• pp.86-91
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• 2013

Arsenic interruption growth (AIG)법을 이용하여 GaAs 기판에 성장한 InAs 양자점(quantum dots, QDs)의 광학적 특성을 PL (photoluminescence)과 time-resolved PL을 이용하여 분석하였다. AIG법은 InAs 양자점 성장 동안 In 공급은 계속 유지하면서 셔텨(shutter)를 이용해서 As 공급과 차단을 조절하는 방법이다. 본 연구에서는 As 공급과 차단을 1초(S1), 2초(S2), 또는 3초(S3) 동안 반복하여 성장한 InAs QDs과 As 차단 없이 성장한 기준시료(S0)를 사용하였다. AIG법으로 성장한 시료들의 PL 세기는 기준시료보다 모두 강하게 나타나고, As 차단 시간에 따라 PL 피크는 적색이동(redshifted) 또는 청색이동 (blueshifted)하여 나타났다. 기준시료 S0의 PL 피크와 비교하였을 때 S1의 PL 피크의 적색이동은 양자점 평균 길이가 S0보다 증가하였기 때문이며, S3의 청색이동은 양자점 평균 길이가 S0보다 감소하였기 때문이다. AIG법으로 성장한 QDs 시료들의 PL 세기의 증가는 cluster의 감소, 양자점 밀도의 증가, 균일도의 향상, 종횡비(aspect ratio) 향상으로 설명된다. 온도에 따른 PL 세기와 PL 피크 에너지, PL 소멸 시간과 발광 파장에 따른 PL 소멸 시간을 측정하였다. As 공급과 차단을 2초로 하였을 때 cluster는 전혀 나타나지 않았고 양자점의 밀도는 증가하였으며 균일도와 종횡비도 향상되었다. 또한 S2는 가장 강한 PL 세기와 가장 긴 소멸 시간을 나타내었다. 이러한 결과는 AIG법을 이용하여 InAs 양자점의 크기, 조밀도, 균일도, 종횡비 등을 조절하여 원하는 파장대의 양자점을 성장할 수 있으며 발광 특성도 향상시킬 수 있음을 확인하였다.

• 청정기술
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• 제24권1호
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• pp.77-84
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• 2018

리튬이온전지의 음극활물질로 사용되는 $Li_4Ti_5O_{12}$를 건식 볼밀법으로 합성하였고, $Li_4Ti_5O_{12}$의 전기화학적 특성을 향상시키기 위하여 탄소소재인 polyvinyl chloride (PVC)를 첨가하였다. PVC는 $Li_4Ti_5O_{12}$를 합성하고 난 후에 첨가하였을 때 스피넬 구조를 갖는 물질이 잘 합성되었음을 X-ray diffraction (XRD) 실험으로 확인하였다. 합성하기 전에 탄소재를 첨가하여 열처리를 한 경우에는 탄소재가 미량 첨가되더라도 다른 결정구조의 물질이 합성되는 것을 확인할 수 있었다. 탄소재를 첨가하지 않은 $Li_4Ti_5O_{12}$의 경우 전기전도도 값이 약 $10{\mu}S\;m^{-1}$으로 부도체에 가까운 매우 작은 값을 보였다. 탄소를 첨가함에 따라서 전기전도도가 크게 향상되었으며, 압력을 증가시킬 경우에 최대 10,000배 이상 증가되었다. Electrochemical impedance spectroscopy (EIS) 분석결과 탄소를 첨가할 경우 저항에 해당하는 반원의 크기가 감소하였으며, 이는 전극내의 저항이 감소하였음을 보여준다. Cyclic voltammetry (CV) 분석에 의하면 탄소를 첨가할 경우에 산화피크와 환원피크의 전위차가 줄어 들었으며, 이는 리튬이온의 삽입과 탈리의 속도가 증가하였음을 의미한다. PVC를 9.5 wt% 첨가한 물질의 경우, 0.2 C-rate에서 $180mA\;h\;g^{-1}$, 0.5 C-rate에서 $165mA\;h\;g^{-1}$, 5C-rate에서 $95.8mA\;h\;g^{-1}$의 용량을 나타냄으로써 우수한 출력 특성을 보여주었다.

• 한국지반신소재학회논문집
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• 제14권4호
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• pp.59-77
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• 2015

본 연구에서는 매립재료에 대한 새로운 요구를 만족하기 위해 석탄회(bottom ash)와 해안준설토를 혼합한 혼합토를 준설매립지반에 적용하기 위한 연구를 계획하였다. 화력발전소에서 발생되는 석탄회는 크게 비회와 저회로 구분된다. 비회의 경우 입자가 작아 재활용 시 투수계수가 작기 때문에 환경적인 부분에서 문제가 제기되지 않아 연구가 많이 진행되었으나 저회의 경우 입도가 크고 투수계수가 커 재활용 시 환경적인 문제가 제기되어 그동안은 활용이 제한되었다. 하지만 최근에 발표된 연구결과에 따르면 bottom ash를 활용한 지반개량구간에서 추출한 침출수의 수질분석 실험을 실시한 연구결과 중금속 오염수치가 기준치 이내로 나타나 환경적인 문제는 크게 없는 것으로 나타나 향후 bottom ash의 활용이 크게 늘어날 것으로 평가된다. 이러한 bottom ash는 모래의 입도를 가지고 있으며, 그동안은 대부분이 폐기되기 때문에 재료 수급 시 운반비만 고려하면 되며, 대부분의 화력발전소가 해안에 위치하고 있어 배를 이용하여 운반하면 운반비를 줄일 수 있어 경제적인 측면에서도 준설매립에 가장 적당한 재료로 판단된다. 또한 새만금사업 등 해안준설 매립에 대한 수요가 크기 때문에 준설토보다 시공기간과 공사비 절감의 효과를 극대화할 수 있는 혼합토의 연구가 필요한 것으로 판단된다. 따라서 본 연구에서는 최근 해안매립지반의 새로운 개발 요구에 따라 bottom ash와 카올리나이트를 혼합한 혼합토에 대한 실내 자중압밀실험을 실시, 혼합토의 시료처리과정과 혼합방법에 따른 자중압밀특성에 대해 연구하였으며, 이 연구결과는 향후 대규모 해안 준설매립지반의 적용시 기초자료로 활용이 가능할 것으로 판단된다.

• Asian Pacific Journal of Cancer Prevention
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• 제13권7호
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• pp.3403-3408
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• 2012

The molecular mechanisms involved in the progression of clear cell renal cell carcinomas (ccRCCs) are still unclear. The aim of this study was to analyse the relationships between expression of RALYL and clinical characteristics. In 41 paired samples of ccRCCs and adjacent normal tissues, we used real-time qPCR to evaluate the expression of RALYL mRNA. RALYL protein levels were determined in 146 samples of ccRCC and 37 adjacent normal tissues by immunohistochemistry. Statistical analysis was used to explore the relationships between expression of RALYL and the clinical characteristics (gender, age, tumor size, T stage, N stage, M stage, survival times and survival outcome) in ccRCC. In addition, these patients were follow-up period 64 months (range: 4~116months) to investigate the influence on prognosis. We found significantly differences between ccRCC tissues and normal tissues (p<0.001, paired-sample t test) in mRNA levels of RALYL. Immunohistochemistry analyses in 146 ccRCC samples and 37 adjacent normal tissues showed significantly lower RALYL protein levels in ccRCC samples (${\chi}^2$-test, p<0.001), inversely correlating with tumour size (p=0.024), T stage (0.005), N stage (p<0.001) as well as M stage (p=0.019), but not age (p=0.357) and gender (p=0.348). Kaplan-Meier survival analysis demonstrated that people with lower level of RALYL expression had a poorer survival rate than those with a higher level of RALYL expression, significantly different by the log-rank test (p=0.011). Cox regression analysis indicated that RALYL expression (p=0.039), N stage (p=0.008) and distant metastasis (p<0.001) were independent prognosis factors for the overall survival of ccRCC patients. We demonstrated that the expression of RALYL was significantly low in ccRCC and correlated with a poor prognosis in a large number of clinical samples. Our findings showed that RALYL may be a potential therapeutic target as well as a poor prognostic factor.