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Review of Acupuncture and Related Treatments and Classification of Hyperpigmentation Disorders in Traditional Medicine (과색소침착질환에 대한 침구의학적 처치 및 분류체계에 대한 고찰)

  • Kang, Ki Wan;Kim, Eui Byeol;Kim, Min Ji;Jang, In Soo
    • Journal of Acupuncture Research
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    • v.33 no.1
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    • pp.69-77
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    • 2016
  • Objectives : The objective of this study is to review external approaches using acupuncture and related treatments of hyperpigmentation disorders and their classification in traditional medicine. Methods and Results : Hyperpigmentation was recorded for the first time in Treatise on the Pathogenesis and Manifestations of All Diseases published in 610 A.D. This suggests that the symptom has already been recognized as an independent disease in East Asia for more than 1,400 years. Over the course of several centuries, there has been a significant evolution in the traditional treatments for hyperpigmentation. There are many different types of therapy, including body acupuncture, intradermal acupuncture, ear acupuncture, ear acupressure, blood-letting treatment, pharmacopuncture, plum-blossom needle therapy, burning acupuncture therapy, moxibustion, and guasha. In addition, the traditional classification of hyperpigmentation has been changing shape. However, no attempts have been made to establish the academic linkage between the modern classification of hyperpigmentation disorders and the traditional one, on account of different concepts and names of the ailment. This study was designed in an attempt to identify the linkage of the categorization of the Korean Standard Classification of Disease (KCD) and the traditional classification. Conclusions : Through this literature review, we found that there has been a significant evolution in the treatment of hyperpigmentation disorders in East Asia. Traditional medical treatment for skin disease, including hyperpigmentation, is expected to be further developed with the advancement of science and technology.

The Surrealistic Features of Viktor & Rolf's Design (빅터 & 롤프 의상에 나타난 초현실주의 특성)

  • Lee, Young-Min;Lee, Youn-Hee;Park, Jae-Ok
    • The Research Journal of the Costume Culture
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    • v.15 no.2 s.67
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    • pp.352-367
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    • 2007
  • Viktor and Rolf, despite their short career in the field, has been continuously giving a fresh impact on fashion design by grafting a surrealistic approach to their design works. As a basis of this study, we review the features of surrealistic drawing and the surrealistic features expressed in surrealistic clothes. The purpose of this study is to analyze the surrealistic features detected in the clothes designed by Viktor and Rolf on the basis of the above standard and review and predict the future trend in fashion. As for the research method, we review the previous researches and analyze the drawing works by some representative surrealistic artists, in particular, Schiaparelli's clothes in the 1930s, the clothes of surrealistic trend since 2000, and Viktor & Rolf's clothes. The result of the analysis is as follows. The surrealistic features of Viktor & Rolf clothes can be found in the movement of natural objects, the movement of everyday materials, the movement of clothing items, and visual illusion on clothes. As a whole, the surrealistic features clearly stood out in their clothes. High technology will rapidly change the modern society and we humans are likely to resort to something fresh or different as our emotion and feelings are getting tired and weary. Something that stimulates our feeling and emotion hidden behind our reason or logic will be reflected in design far more than something complex and functional. For this reason, as it reveals human imagination inherently, surrealism is expected to establish itself as a mega trend in the future.

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Is Mammography for Breast Cancer Screening Cost-Effective in Both Western and Asian Countries?: Results of a Systematic Review

  • Yoo, Ki-Bong;Kwon, Jeoung A;Cho, Eun;Kang, Moon Hae;Nam, Jung-Mo;Choi, Kui Son;Kim, Eun Kyung;Choi, Yun Jeong;Park, Eun-Cheol
    • Asian Pacific Journal of Cancer Prevention
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    • v.14 no.7
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    • pp.4141-4149
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    • 2013
  • Background: Mammography is considered the gold standard of breast cancer mass screening and many countries have implemented this as an established breast cancer screening strategy. However, although the incidence of breast cancer and racial characteristics are different between Western and Asian countries, many Asian countries adopted mammography for mass screening. Therefore, the objective of this research was to determine whether mammography mass screening is cost-effective for both Western and Asian countries. Materials and Methods: A systematic review was performed of 17 national mammography cost-effectiveness data sets. Per capita gross domestic product (GDP), breast cancer incidence rate, and the most optimal cost-effectiveness results [cost per life year saved (LYS)] of a mammography screening strategy for each data set were extracted. The CE/per capita GDP ratio is used to compare the cost-effectiveness of mammography by countries. Non-parametric regression was used to find a cut-off point which indicated the breast cancer incidence rate boundary line determining whether mammography screening is cost-effective or not. Results: We found that the cost-effective cut-off point of breast cancer incidence rate was 45.04; it exactly divided countries into Western and Asian countries (p<0.0014). Conclusions: Mammography screening is cost-effective in most of Western countries, but not in Asian countries. The reason for this result may be the issues of incidence rate or racial characteristics, such as dense breast tissue. The results indicate that mammography screening should be adopted prudently in Asian countries and other countries with low incidence rates.

Historical Changes in Weights and Measures of Herbal Formulas in Medical Classics (기존한약서의 현대적 용량 환산을 위한 도량형의 시대적 변천 고찰)

  • Han, Cheon-Hee;Lee, Soo-Yeon;Kim, Ji-Hoon;Kim, Yun-Kyung
    • Herbal Formula Science
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    • v.25 no.1
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    • pp.103-113
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    • 2017
  • Objectives : Korea and China are applying different conversion standards for weight in traditional medicine books. This study aims to research and suggest how to convert the units of weight in old traditional medicine classics into the contemporary unit of grams. Methods : Historical documents of Korea and China were used to review the process in which weights and measures changed in each country and the manners in which the Chinese units of weight were introduced to Korea. Results : Weights and measures changed with time. They became almost standardized by the period of Song in China, when coins played the most crucial role, and it was introduced to Korea. Donggaryang, the standard container for weights and measures in ancient China, Gaewontongbo, a coin in Tang, Sangpyeongtongbo, a coin in Joseon, and a scale in Joseon were used as strong foundations for conclusion from literature review. Weight of a 1-don(coin) in the time a traditional medicine books were written was used as a unit of weight in those books. Sangpyeongtongbo, a 1-don coin in Joseon, weighs 4 grams on average. Conclusions : Since the current conversion of 1-don coin into 3.75 grams is not supported by literature review, it is suggested that 1-don(coin) as a unit of weight in traditional medicine books of Joseon, may be better converted into 4 grams, while that of China is converted to 3.73 grams.

Analysis of Soil Saturation Characteristics According to the Presence or Absence of Soil Layer Depth and Impervious (침투해석시 토층심도 및 불투수층 유무에 따른 지반의 포화특성 분석)

  • Lee, Seung Woo;Chang, Bhum Soo;Kim, Yong Soo;Lee, Jong Gun;Lee, Ju Yong
    • Journal of the Korea institute for structural maintenance and inspection
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    • v.17 no.1
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    • pp.21-26
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    • 2013
  • In recent study, infiltration analysis considering rainfall intensity is more economical and practical than existing analysis method. Revised construction slope design standard is also stated to full-fill infiltration analysis considering rainfall for practical stability review. Infiltration analysis considering rainfall for practical stability review. But, to infiltration analysis, the process is complicated by ground impermeability and rainfall intensity. In this study, we perform infiltration analysis to charge infiltration conditions, soil type and rainfall characteristics, for more pratical stability review. Using the result, we can suggest construable condition on the assumption that soil is saturated up to surface zone.

Statistical Review for USNCAP Front Crash Test Results in MY2011 (2011년 모델에 대한 정면 미국신차안전도평가 결과에 대한 통계적 분석)

  • Beom, Hyen-Kyun
    • Transactions of the Korean Society of Automotive Engineers
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    • v.20 no.5
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    • pp.81-87
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    • 2012
  • New car assessment program (NCAP) originated from USNCAP in 1979 has been implemented in several countries or markets, for instance USA, Europe, Korea, Japan, China and Australia. NCAP has contributed greatly to reduce accidental tolls. But recently, NCAP performance has no distinction between cars because manufacturer have been continuously developed to improve NCAP performance. Therefore, NHTSA announced new USNCAP protocol becoming effective from MY2011. NHTSA had carried out many NCAP tests based on the new test protocol and announced these test results. In this paper, USNCAP test results were reviewed by statistical method. This review was focused on passenger cars and frontal crash test results in order to investigate effect of changes in new NCAP protocol. There are two key changes, one is sited female dummy in passenger position, the other is enlarged to 4 scoring body regions in each dummy. Results of this review were summarized as followings. Performance in Passenger (12.5%) is lower than Driver's (50%) for number of 5 star vehicle. Neck injury criterion is dominant to NCAP star rating for both dummies in the mean sense. For standard deviation, chest deflection is showed largest value in driver dummy but neck injury criterion is showed for passenger's. DKAB and PKAB were equipped 28.1% and 6.2%, respectively. Consequently, the countermeasure for new USNCAP frontal crash test is essential to control well dummy kinematics with some safety features including KAB to reduce neck injuries.

Treatment of refractory IgA vasculitis with dapsone: a systematic review

  • Lee, Keum Hwa;Hong, Sung Hwi;Jun, Jinhae;Jo, Youngheun;Jo, Woogyeong;Choi, Dayeon;Joo, Jeongho;Jung, Guhyun;Ahn, Sunghee;Kronbichler, Andreas;Eisenhut, Michael;Shin, Jae Il
    • Clinical and Experimental Pediatrics
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    • v.63 no.5
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    • pp.158-163
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    • 2020
  • IgA vasculitis, formerly known as Henoch-Schönlein purpura, is a systemic IgA-mediated vasculitis of the small vessels commonly seen in children. The natural history of IgA vasculitis is generally self-limiting; however, one-third of patients experience symptom recurrence and a refractory course. This systematic review examined the use of dapsone in refractory IgA vasculitis cases. A literature search of PubMed databases retrieved 13 articles published until June 14, 2018. The most common clinical feature was a palpable rash (100% of patients), followed by joint pain (69.2%). Treatment response within 1-2 days was observed in 6 of 26 patients (23.1%) versus within 3-7 days in 17 patients (65.4%). Relapse after treatment discontinuation was reported in 17 patients (65.4%) but not in 3 patients (11.5 %). Four of the 26 patients (15.4%) reported adverse effects of dapsone including arthralgia (7.7%), rash (7.7%), and dapsone hypersensitivity syndrome (3.8%). Our findings suggest that dapsone may affect refractory IgA vasculitis. Multicenter randomized placebo-controlled trials are necessary to determine the standard dosage of dapsone at initial or tapering of treatment in IgA vasculitis patients and evaluate whether dapsone has a significant benefit versus steroids or other medications.

Use of magnetic resonance imaging for evaluation of therapeutic response in breast cancer-related lymphedema: A systematic review

  • Forte, Antonio Jorge;Boczar, Daniel;Kassis, Salam;Huayllani, Maria T.;McLaughlin, Sarah A.
    • Archives of Plastic Surgery
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    • v.47 no.4
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    • pp.305-309
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    • 2020
  • Breast cancer treatment-related lymphedema (BCRL) is a common comorbidity in breast cancer survivors. Although magnetic resonance imaging (MRI) is widely used to evaluate therapeutic response of patients with various medical conditions, it is not routinely used to evaluate lymphedema patients. We conducted a systematic review of the literature to identify studies on the use of MRI to evaluate therapy for BCRL. We hypothesized that MRI could provide information otherwise not possible through other examinations. On October 21, 2019, we conducted a systematic review on the PubMed/MEDLINE and Scopus databases, without time frame or language limitations, to identify studies on the use of MRI to evaluate therapy for BCRL. We excluded studies that investigated other applications of MRI, such as lymphedema diagnosis and surgical planning. Of 63 potential articles identified with the search, three case series fulfilled the eligibility criteria. In total, 53 patients with BCRL were included and quantitatively evaluated with MRI before and after manual lymphatic drainage. Authors used MRI or MR lymphagiography to investigate factors such as lymphatic vessel cross-sectional area, tissue water relaxation time (T2), and chemical exchange saturation transfer. The only study that compared MRI measurement with standard examinations reported that MRI added information to the therapy evaluation. MRI seems to be a promising tool for quantitative measurement of therapeutic response in patients with BCRL. However, the identified studies focused on only manual lymphatic drainage and were limited by the small numbers of patients. More studies are necessary to shed light on the topic.

Research Trends for Performance, Safety, and Comfort Evaluation of Agricultural Tractors: A Review

  • Kabir, Md. Shaha Nur;Ryu, Myong-Jin;Chung, Sun-Ok;Kim, Yong-Joo;Choi, Chang-Hyun;Hong, Soon-Jung;Sung, Je-Hoon
    • Journal of Biosystems Engineering
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    • v.39 no.1
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    • pp.21-33
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    • 2014
  • Background: Significant technological development and changes happened in the tractor industries. Contrariwise, the test procedures of the major standard development organizations (SDO's) remained unchanged or with a little modification over the years, demanding new tractor test standards or improvement of existing ones for tractor performance, safety, and comfort. Purpose: This study focuses on reviewing the research trends regarding performance, safety and comfort evaluation of agricultural tractors. Based on this review, few recommendations were proposed to revise or improve the current test standards. Review: Tractor power take-off power test using the DC electric dynamometer reduced human error in the testing process and increased the accuracy of the test results. GPS signals were used to determine acceleration and converted into torque. High capacity double extended octagonal ring dynamometer has been designed to measure drawbar forces. Numerical optimization methodology has been used to design three-point hitch. Numerous technologies, driving strategies, and transmission characteristics are being considered for reducing emissions of gaseous and particulate pollutants. Engine emission control technology standards need to be revised to meet the exhaust regulations for agricultural tractors. Finite Element Analysis (FEA) program has been used to design Roll-Over Protective Structures (ROPS). Program and methodology has been presented for testing tractor brake systems. Whole-body vibration emission levels have been found to be very dependent upon the nature of field operation performed, and the test track techniques required development/adaptation to improve their suitability during standardized assessment. Emphasizes should be given to improve visibility and thermal environment inside the cab for tractor operator. Tractors need to be evaluated under electromagnetic compatibility test conditions due to large growing of electronic devices. Research trends reviewed in this paper can be considered for possible revision or improvement of tractor performance, safety, and comfort test standards.

Current Research Trends in Randomized Controlled Trials Investigating the Combined Effect of Korean Medicine and Western Medicine Treatment

  • Ha, Dohyung;Kim, Seoyeon;Baek, Yong Hyeon;Won, Jiyoon;Nam, Seri;Shin, Jeeyoung;Kwon, Oh-Hoon;Kim, Soo-Yeon;Lee, Hyangsook
    • Journal of Acupuncture Research
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    • v.37 no.1
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    • pp.13-18
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    • 2020
  • This review examined recently published (July 2014 to June 2017), randomized controlled trials (RCTs) which investigated the safety and effectiveness of combined Korean medicine/complementary alternative medicine (CAM) and Western medicine, to indicate the direction for integrative medical practice. The Korean Medicine Convergence Research Information Center evidence-based medicine database (KMCRIC EBM DB) was used to retrieve relevant RCTs indexed in the last 3 years. Study design, country, sample size, disease/condition with the Korean Standard Classification of Diseases code, interventions, direction of outcomes, and adverse events were extracted and summarized. A total of 93 RCTs were included in this review. Acupuncture/moxibustion was the most commonly used intervention (n = 47; 51%), and 19% (n = 18) of the studies treated musculoskeletal disorders, followed by circulatory disorders (n = 16; 17%), and mental and behavioral disorders (n = 9; 10%). Integrative treatment was reported as more effective than monotherapy in approximately 83% of these studies. Adverse events were poorly reported in most studies. This review suggests that integrative treatments are feasible, effective, and safe for various diseases/conditions, based on the evidence from recently published RCTs. Future studies on integrative healthcare are warranted.