• The Journal of Churna Manual Medicine for Spine and Nerves
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• v.17 no.1
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• pp.61-72
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• 2022

Objectives This study aimed to the application of Chuna manual therapy in patients with stroke where much evidence is not available. Methods Domestic databases (KOREANTK, OASIS, RISS, KISS, and KMBASE) were queried for literature showing application of Chuna manual therapy in stroke patients. Additionally, insufficient evidence was supplemented with expert consensus using the Delphi method. Based on the literature review and expert consensus, the academic committee of the Korean Society of Chuna Manual Medicine reviewed and summarized the Chuna technique recommendations that can be applied to stroke patients. Results There were six studies on Chuna manual therapy in stroke patients, and Chuna therapy was applied for pelvic, shoulder, and elbow joint spasticity. The expert Delphi survey did not agree with the application of the nine of the 69 standard Chuna techniques and deliberated on matters to be considered when applying Chuna manual therapy to stroke patients. Finally, based on clinical research literature and expert opinions, Chuna technique was recommended for patients with post-stroke spasticity. Conclusions The application of Chuna therapy to non-muscular skeletal disorders, including stroke is recommended and should be applied while taking the necessary precautions.

• Journal of Ecology and Environment
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• v.46 no.3
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• pp.218-242
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• 2022

Background: Promising specific growth regulators are employed in the tissue cultures of various bamboo species. Specific natural hardening mixtures support the acclimatization and adaptation of bamboo under protected cultivation. Results: The growth regulators like 2, 4-Dichlorophenoxyacetic acid (2, 4-D), Naphthaleneacetic Acid (NAA), Thidiazuron (TDZ), 6-Benzylaminopurine (BAP), Kinetin, Gelrite, Benzyl Adenine (BA), Indole Butyric Acid (IBA), Coumarin, Putrescine, Gibberellic acid (GA₃), Indole Acetic Acid (IAA) has been widely used for callus induction, root regeneration and imposing plant regeneration in various species of bamboo such as Bambusa spp. and Dendrocalamus spp. Different combinations of growth regulators and phytohormones have been used for regenerating some of the major bamboo species. Natural hardening materials such as cocopeat, vermicompost, perlite, cow dung, farmyard manure, compost, soil, garden soil, and humus soil have been recommended for the acclimatization and adaptation of bamboo species. Standard combinations of growth regulators and hardening mixtures have imposed tissue culture, acclimatization, and adaptation in major bamboo species. Conclusions: Bamboo contributes to soil fertility improvement and stabilization of the environment. Bamboo species are also involved in managing the biogeochemical cycle and have immense potential for carbon sequestration and human use. This paper aims to review the various growth regulators, natural mixtures, and defined media involved in regenerating major bamboo species through in vitro propagation. In addition, the ecological benefits of safeguarding the environment are also briefly discussed.

• Archives of Plastic Surgery
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• v.49 no.2
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• pp.166-173
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• 2022

The introduction of acellular dermal matrix (ADM) to breast reconstruction has allowed surgeons to reexplore the prepectoral implant placement technique in postmastectomy breast reconstruction. Our institution adopted a novel approach using meshed ADM to lessen the financial burden of increased ADM utilization with the prepectoral breast reconstruction. This is a retrospective, single-center review of two-stage prepectoral breast reconstruction using meshed human-derived ADM for anterior prosthesis coverage. Patient demographics, oncologic data, perioperative characteristics, and complications were examined and reported as means with standard deviations. Cost-saving with the meshed technique was evaluated. Forty-eight patients (72 breasts) with a mean age of 48.5 ± 15.0 years (range 26-70 years) were included in the study. The mean follow-up time was 13.2 ± 4.4 months (range 4.1-25.8 months). Nineteen breasts (24.6%) experienced complications, with seromas being the most common complication (12.5%, n = 9). Expander removal and reoperation occurred at a rate of 8.3 and 9.7%, respectively. The average time to drain removal was 18.8 ± 6.6 days (range 8-32 days). Meshed ADM provided an average cost savings of $6,601 for unilateral and $13,202 for bilateral reconstructions. Our study found that human-derived meshed ADM can be safely used in two-staged prepectoral tissue expander-based breast reconstruction and can result in significant cost savings.

• Journal of Gastric Cancer
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• v.23 no.1
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• pp.207-223
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• 2023

Gastric cancer (GC) is the fourth leading cause of cancer-related deaths worldwide. Under the standard of care, patients with advanced GC (AGC) have a median survival time of approximately 12-15 months. With the emergence of immunotherapy as a key therapeutic strategy in medical oncology, relevant changes are expected in the systemic treatment of GC. In the phase III ATTRACTION-2 trial, nivolumab, a monoclonal anti-programmed cell death 1 (PD-1) antibody, as a third- or later-line treatment improved overall survival (OS) compared with placebo in patients with AGC. Furthermore, nivolumab in combination with 5-fluorouracil and platinum as a first-line treatment improved OS in patients with human epidermal growth factor receptor-2 (HER2)-negative AGC in the global phase III CheckMate-649 study. Another anti-PD-1 antibody, pembrolizumab, in combination with trastuzumab and cytotoxic chemotherapy as a first-line treatment, significantly improved the overall response rate in patients with HER2-positive AGC. Therefore, immune checkpoint inhibitors (ICIs) are essential components of the current treatment of GC. Subsequent treatments after ICI combination therapy, such as ICI rechallenge or combination therapy with agents having other modes of action, are being actively investigated to date. On the basis of the success of immunotherapy in the treatment of AGC, various clinical trials are underway to apply this therapeutic strategy in the perioperative and postoperative settings for patients with early GC. This review describes recent progress in immunotherapy and potential immunotherapy biomarkers for GC.

• Journal of The Korean Society of Clinical Toxicology
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• v.20 no.2
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• pp.39-44
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• 2022

N-Acetylcysteine (NAC) is the standard antidote treatment for preventing hepatotoxicity caused by acetaminophen (AAP) poisoning. This review summarizes the recent evidence for the treatment of AAP poisoning. Several alternative intravenous regimens of NAC have been suggested to improve patient safety by reducing adverse drug reactions and medication errors. A two-bag NAC infusion regimen (200 mg/kg over 4 h, followed by 100 mg/kg over 16 h) is reported to have similar efficacy with significantly reduced adverse reactions compared to the traditional 3-bag regimen. Massive AAP poisoning due to high concentrations (more than 300-lines in the nomogram) needs to be managed with an increased maintenance dose of NAC. In addition to NAC, the combination therapy of hemodialysis and fomepizole is advocated for severe AAP poisoning cases. In the case of a patient presenting with an altered mental status, metabolic acidosis, elevated lactate, and an AAP concentration greater than 900 mg/L, hemodialysis is recommended even if NAC is used. Fomepizole decreases the generation of toxic metabolites by inhibiting CYP2E1 and may be considered an off-label use by experienced clinicians. Since the nomogram cannot be applied to sustained-release AAP formulations, all potentially toxic sustained-release AAP overdoses should receive a full course of NAC regimen. In case of ingesting less than the toxic dose, the AAP concentration is tested twice at an interval of 4 h or more; NAC should be administered if either value is above the 150-line of the nomogram.

• Explosives and Blasting
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• v.40 no.4
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• pp.1-14
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• 2022

To review the appropriateness of current regulations on the simple explosive storage facility, the effects of internal explosion on the structural stability of the standard storage facility were analyzed by means of both FEM analyses and field experiments. As a result, it was found that the explosion-proof performance of the existing storage structure was not sufficient for 15 kg of emulsion-type explosive. Thus, an alternative method of splitting explosives was tested by conducting sympathetic detonation experiments. This method worked properly as expected, and the proper amount of splitted explosive was determined according to the test results. In addition, a storage structure with open ceiling was found to be very effective because explosion pressure was released so rapidly that the damage of the facility could be reduced significantly. Hence, such a structural pattern was proposed as a new design scheme for simple explosive storage facility.

• Journal of the Korean Society of Physical Medicine
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• v.18 no.3
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• pp.121-133
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• 2023

PURPOSE: Computerization using ICF as a protocol can enhance the assessment, communication, and decision-making of various disciplines and cultures, individual functions, disabilities and health to promote communication and understanding among various professionals, organizations, and countries. The empirical foundation for these propositions was provided by delineating of six distinct computerization components. METHODS: This study analyzed 14 papers that combined the medical field and information technology to activate the ICF through computerization. From each of these papers, distinctive advantages were extracted to propose six computerization elements. The validity of these computerization elements was examined. These papers encompass various computerization elements, among which core elements were identified. In particular, six common core elements were extracted from these papers and assumed to be strategic computerization components for ICF activation. A heuristic methodology was employed to validate these components, representing IT technology maturity using four determining indices, which were then presented graphically for validation attempts. RESULTS: Four quantified indices were defined: reliability, cost-effectiveness, support and updates, and collaboration. Using these indices, this study identified elements that leverage existing IT technologies and require new development. The possibility of increasing utility was identified by applying computerization to ICF. CONCLUSION: This study examined the strategic elements of utilizing ICF by computerizing it using a protocol concept and discussed its potential for utilization. The potential to enhance the value of information in social, physical, and cultural contexts was presented by integrating various domains and data within the ICF framework.

• The Journal of Pediatrics of Korean Medicine
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• v.37 no.3
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• pp.121-132
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• 2023

Objectives We aimed to confirm whether Humulus japonicus Extract Powder can enhance child height growth significantly and safely compared with a placebo. Methods A total of 150 children between the 3rd and 25th percentiles in height and between the ages of 6 and 9 years will be recruited to participate in this randomized, double-blind, placebo-controlled clinical trial. The participants will be randomly assigned to the treatment or placebo group. Participants in the treatment group will take one pack per day (700 mg of Humulus japonicus Extract Powder) for 24 weeks. Participants in the placebo group will take one package of placebo per day (0 mg of Humulus japonicus Extract Powder) for 24 weeks. The primary outcome will be a change in height after 12 weeks, and the secondary outcomes will be the height after 24 weeks, growth rate, height standard deviation, growth hormone, insulin-like growth factor-1 (IGF-1), insulin-like growth factor binding protein-3 (IGFBP-3), bone alkaline phosphatase (BALP), and osteocalcin after 12 and 24 weeks. Results This protocol was approved by the Institutional Review Board (IRB) of the Korean Medicine Hospital of Busan University (IRB No. PNUKHIRB-2023-03-002). Research participants will be recruited from June 2023 to December 2023. Conclusions The results of this study provide clinical information regarding the effectiveness and safety of the Humulus japonicus Extract Powder in increasing child height.

• The Korea Journal of Herbology
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• v.24 no.3
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• pp.169-172
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• 2009

Objectives : The purpose of this study is to discuss ginseng properties by historical research. Methods : Historical documentary records of ginseng were used to develop this review. Results : According to the historical research, the first Korean ginseng cultivation started from the Koryo Dynasty around A.D. 1000. Later, during the Chosun Dynasty around A.D. 1500$\sim$1600, the ginseng cultivators established a method of cultivation. Gasam (cultivated ginseng) was cultivated ginseng on the skirts of their domicile. It was reported that Gasam cultivation was broadened throughout the country around A.D. 1790 on Cheongjosilrok. On the other hand, ginseng properties were reported slightly cool in the oriental herbal medicine books from A.D. 250 to A.D. 1600. But, they were reported slightly warm or warm after A.D. 1600. Korean ginseng cultivation started in the Koryo Dynasty around A.D. 1000. Later, during the Chosun Dynasty, the ginseng cultivators established a standard method of cultivation. Gasam, cultivated ginseng, was grown on the outskirts of their domicile. It was reported that Gasam cultivation was broadened throughout the country around 1790 A.D. in Cheongjosilrok. On the other hand, ginseng properties were reported slightly cool in the oriental herbal medicine books from 250 to A.D. 1600, but they were reported slightly warm or warm after A.D. 1600. Conclusions : It suggests that ginseng properties (slightly cool) before A.D. 1600 are wild ginseng. Also, wood-grown ginseng and ginseng properties (slightly warm, warm) after A.D. 1600 are Gasams.

• The Korean Journal of Applied Statistics
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• v.35 no.6
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• pp.703-724
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• 2022

Although longitudinal studies mainly produce multivariate longitudinal data, most of existing statistical models analyze univariate longitudinal data and there is a limitation to explain complex correlations properly. Therefore, this paper describes various methods of modeling the covariance matrix to explain the complex correlations. Among them, modified Cholesky decomposition, modified Cholesky block decomposition, and hypersphere decomposition are reviewed. In this paper, we review these methods and analyze Korean children and youth panel (KCYP) data are analyzed using the Bayesian method. The KCYP data are multivariate longitudinal data that have response variables: School adaptation, academic achievement, and dependence on mobile phones. Assuming that the correlation structure and the innovation standard deviation structure are different, several models are compared. For the most suitable model, all explanatory variables are significant for school adaptation, and academic achievement and only household income appears as insignificant variables when cell phone dependence is a response variable.