• 대한한의진단학회지
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• 제18권1호
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• pp.25-31
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• 2014

Objective This study aims to understand the actual utilization of the oriental rehabilitation medicine center of the initial interdisciplinary medical care at the National Rehabilitation Center and to arrange proper development plans for more effective interdisciplinary medical services for future activation of interdisciplinary medical care. Method: The interdisciplinary patient status, composition of patient care, and major disease-related status were studied and analyzed for oriental rehabilitation medication relating to interdisciplinary medical care at the National Rehabilitation Center. Furthermore, the interdisciplinary status and its operating conditions were evaluated to devise a development plan for the National Rehabilitation Center. Results: As a result of the analysis of oriental rehabilitation medical care diagnosing status utilization at the National Rehabilitation Center regarding interdisciplinary medical care, the ratio of the number of those receiving interdisciplinary oriental rehabilitation medical care was less than half of the total receiving interdisciplinary care. As the major disease status from the patients of interdisciplinary care, stroke patients covered the large majority, and musculoskeletal pain patients covered the majority of outpatients. The establishment of additional oriental medication departments and assigning of interdisciplinary coordinators were presented as the goals of a development plan for the manpower and structural side of interdisciplinary medical care at the National Rehabilitation Center. On the institutional and systematic side, improvement in the interdisciplinary hierarchy and interdisciplinary model development based on the number of patients per disease was proposed. In addition, operation on ward bedding and construction of interdisciplinary EMR medical care is necessary on the medical and administration service side. Conclusion: To understand the actual utilization and to arrange development plans aimed at constructing a safe and effective interdisciplinary hierarchy for interdisciplinary medical care at the National Rehabilitation Center, patient-centered care needs to be implemented.

• 동서간호학연구지
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• 제16권2호
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• pp.122-130
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• 2010

Purpose: This study was aimed at finding factors influencing cognitive impairment which is one of the typical symptoms among the demented elderly. Methods: The number of subjects was 417 elderly residents aged over 65 yr in a community. A cognitive function and a depression level were measured using the Korean Version of Mini-Mental State Examination (MMSE-K) and the Korean Form of Geriatric Depression Scale (KGDS). Alcohol abuse was measured using the CAGE instrument. Chi-square test and Logistic regression analysis were conducted to identify factors affecting cognitive impairment. Results: The prevalence rates of cognitive impairment of the sample was 43.5%. Sex, age, educational level, perceived health and alcohol abuse were strong factors influencing cognitive impairment. However, the effects of smoking, living alone, depression, family history in dementia and stroke were not strong. Conclusion: Risk for cognitive impairment were increased by being female and older than 70 yr, having low education, perceiving health as poor, and drinking alcohol abusively. Therefore, a reinforcement system, continuous research and the development of proper programs should be preformed in order to prevent cognitive impairment.

• 대한한의학원전학회지
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• 제26권2호
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• pp.121-132
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• 2013

Objective : Bambusae Caulis in Liquamen has been used by East Asian doctors who approved efficient clinical effects of it since the early stage of medical history. It is commonly used for lifestyle related diseases including stroke in recent days thanks to the increasing number of manufacturers. However, products from pharmaceutical companies as well as food companies are not classified as Bambusae Caulis in Liquamen but Bamboo vinegar. This study aims to discern disparate manufacturing process. Methods : In this study, original texts were searched to corroborate the correct method to produce Bambusae Caulis in Liquamen. It is essential to inspect the original texts thoroughly in the course of modernizing traditional knowledge. Result : Discrimination between the two substances starts from manufacturing process; Bambusae Caulis in Liquamen is made under the temperature of less then $170^{\circ}C$, containing mild fragrance and sweet taste, and the Bamboo vinegar over $170^{\circ}C$ upto $400^{\circ}C$, carrying strong smoky scent and acidness. Although some researches show conforming clinical actions of both products, still there is a possibility that closer clinical study would reveal their discrepancy. Conclusion : Current use of Bambusae vinegar needs speculation. Authenticity in proper manufacturing process can be attained through passed-on medical texts.

• Advances in Computational Design
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• 제4권4호
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• pp.367-379
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• 2019

Multiple Inputs and Multiple Outputs (MIMO) Fuzzy logic model is developed to predict the engine performance and emission characteristics of pongamia pinnata biodiesel with hydrogen injection. Engine performance and emission characteristics such as brake thermal efficiency (BTE), brake specific energy consumption (BSEC), hydrocarbon (HC), carbon monoxide (CO), carbon dioxide ($CO_2$) and nitrous oxides ($NO_X$) were considered. Experimental investigations were carried out by using four stroke single cylinder constant speed compression ignition engine with the rated power of 5.2 kW at variable load conditions. The performance and emission characteristics are measured using an Exhaust gas analyzer, smoke meter, piezoelectric pressure transducer and crank angle encoder for different fuel blends (Diesel, B10, B20 and B30) and engine load conditions. Fuzzy logic model uses triangular and trapezoidal membership function because of its higher predictive accuracy to predict the engine performance and emission characteristics. Computational results clearly demonstrate that, the proposed fuzzy model has produced fewer deviations and has exhibited higher predictive accuracy with acceptable determination correlation coefficients of 0.99136 to 1 with experimental values. The developed fuzzy logic model has produced good correlation between the fuzzy predicted and experimental values. So it is found to be useful for predicting the engine performance and emission characteristics with limited number of available data.

• 대한한의학회지
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• 제22권3호
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• pp.11-20
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• 2001

Objective: As early as 1967, professor Endre Mester's group published the first scientific report concerning the effects of low level laser therapy (LLLT) on the skin of rats. After that, there have been some two thousand research reports from many countries in which the biological effects of low level lasers have been demonstrated. We reviewed some theses about LLLT published in Korea recently, and we make a proposal concerning the new method of study using LLLT in Oriental Medicine. Methods: We have selected 12 medical theses about low level laser therapy published in Korean Oriental Medicine journals recently, reviewed them, and investigated their methods. Results and Conclusion: There were several clinical studies in Korea about hyperlipidemia, hypercholesteremia, hyperfibrinogenemia, hyperlipoproteinemia, headache, dizziness, stroke, pain and numbness published from 1996 to 2000 using LLLT. The number of theses of good quality is showing a tendency to increase, recently. Sooner or later LLLT will be a very useful treatment and we believe that it will be an alternative useful method in Oriental Medical fields. There have been some negative public opinions about LLLT voiced in the Korean Oriental Medical society recently, but we expect a positive re-evaluation of this new treatment within Oriental Medicine in the near future.

• Perspectives in Nursing Science
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• 제3권1호
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• pp.47-60
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• 2006

BACKGROUND: Social, legal, and economic factors have changed the delivery of care to elderly who are frail and/or chronically ill. Increasing number of the elderly are now treated in the community, while living with or in close proximity to their family. It is evident that families play a major role of support for elderly persons in our society. This paper provides a review and analysis of studies that have investigated informal caregiving issues encompassing physical, psychological, emotional, and social domains. RESULTS OF THE REVIEW: Family caregiving often interfered with workplace and other responsibilities, creating physical, emotional, and financial stress for caregivers. Relatively high volumes of research addressed caregiving issues in the families of Alzheimer patients and in the areas of emotional and psychological impact of caregiving. Few studies explicitly investigated the role of informal caregivers in the management of other chronic conditions such as stroke or depression or physical consequences of long-term caregiving. While most studies were focused on negative aspects of caregiving, a few studies found it rewarding. Often the burden, stress, and socio-economic effects on the family caregiving for an elderly person were not sufficiently appreciated. CONCLUSIONS: Positive outcomes for both the caregiver and the care recipient are more likely to occur when effective levels of collaboration exist between health professionals and caregivers. As a first step, a better understanding of the caregiving experience such as caregiver characteristics, care recipient characteristics, and social stigma is important for nurses to minimize the burden of care so that appropriate interventions can be developed. In addition, further studies are needed to examine the role and needs of informal caregivers in the care of increasing number of frail and/or chronic ill elderly treated in the community.

• 대한한방부인과학회지
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• 제23권4호
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• pp.57-66
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• 2010

Purpose: To provide basic informations for guidelines of Ginseng usage during lactation. Method: Based on a regulation of scope and preparation of herbal prescriptions by Ministry of health and welfare of Korea, we selected the formulae for postpartum care and disease in 7 Korean Medical Classics. And we searched the number of formulae including Ginseng, dosage and indications of Ginseng in formulae in those books. Results: The range of Ginseng dosage during lactation from medical classics is 1.5-18.75g/day for medical purposes. Indications of Ginseng are lethargy, excessive bleeding, asthma, fever, cold, pain, dizziness, mental disorder, spasm, digestive problem, constipation, diarrhea, urinary incontinence, edema, breast engorgement, lack of breastmilk, breast ulcer, etc. But Ginseng had not been used in the case of stroke, epistaxis, beginning of mastitis, tumor of lower abdomen. Conclusions: Ginseng should be recommended less than 1.5g/d as a nutritional supplement. If breastfeeding woman wants to take Ginseng as a medication or as a tonic, she should consult with a official specialist about proper prescription and dosage instead of risky random medication.

• 지역사회간호학회지
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• 제15권1호
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• pp.56-66
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• 2004

Objectives: The purpose of this study was to verify a change for family nursing phenomena and satisfaction of clients of vulnerable families in an urban community. Methods: The study subjects were 711 families, randomly selected, who had chronic diseases(arthritis diabetes, stroke, hypertension, mental disease, cancer, dementia) with basic social welfare services from the nation and had disabled persons in an urban community, South Korea. The instruments used were the family nursing phenomena in Korea by ICNP and client satisfaction. Client satisfaction consisted of client satisfaction on home visiting nurses(4 Likert scales) and home visiting services(3 Likert scales). Results: The average visiting number is 3.82. The service number of education and counseling is 3.16, patient and symptom management 3.08, assessment and diagnosis 3.08, test 2.02, medication service 1.71회, dressing 1.01, referral to social welfare institute 1.00회, referral to medical service institute 0.21. In both, pre home visiting and post home visiting, the highest rated phenomenon was the 'lack of social support system' and following that 'deficit of financial management skill and support'. 'lack of family interaction in community', and 'social isolation' 'unhealthy life style' and 'inadequate care management of sick member', in that order. The percentages of phenomena besides 'deficit of financial management skill and support' decreased. The satisfaction level of clients towards the nurses was 3.27 points on a scale of 4, and the nursing services was 2.70 points on a scale of 3. Conclusion: Home visiting nursing services should continue to provide comprehensive healthcare services and support for vulnerable families, in urban communities.

• 한국항공우주학회지
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• 제40권8호
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• pp.662-669
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• 2012

생체 모방형 초소형비행체의 설계 파라미터를 해석하기 위해 플래핑 날개의 공력특성에 관한 가로세로비의 효과가 조사되었다. 실험 모델은 4절 링크로 구성되었으며, 낮은 레이놀즈수 조건을 갖는 수조 내부에서 구동되었다. 미세힘 측정용 방수 로드셀이 제작되어 아크릴로 만든 날개의 뿌리에 설치되었다. 날개 형상은 초파리의 날개 모양을 기준으로 하였다. 선택된 가로세로비는 각각 1.87, 3.74, 7.48이었으며, 레이놀즈수는 $10^4$에 고정되었다. 가로세로비 1.87과 3.74에서는 후류포획과 같은 비정상효과를 나타내는 뚜렷한 양력 피크가 스트로크 초기에 관찰되었다. 그러나 가로세로비 7.48의 경우 상기 비정상 효과는 관찰되지 않았다. 이러한 물리적 특징은 후행회전인 경우에서도 동일하게 관찰되었다. 이와 같은 결과는 MAV 설계에 적용할 수 있는 곤충 모방형태의 플래핑 날개인 경우 높은 가로세로비의 날개가 향상된 공력성능을 제공한다는 것을 의미한다.

• 한국임상약학회지
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• 제31권2호
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• pp.96-103
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• 2021

Background: The number of elderly people with comorbidities who experience dysphagia associated with geriatric disorders, such as stroke, Parkinson's disease, and Alzheimer's dementia, is increasing. Consequently, the demand for long-term prescriptions of powdered medications is expected to rise. Most patients procure repackaged prescription medications from pharmacies; however, the guidelines regarding their expiration dates are unclear. Objectives: The aim of this study was to assess awareness among adults regarding the expiration dates and drug stability issues associated with repackaged prescription medications, including powdered medications. Methods: A questionnaire with 16 components was designed and distributed online (August 1-September 1, 2019) to adults aged 19 years or older. Statistical analyses, including descriptive analysis and chi-square test, were conducted on the obtained data. A p-value <0.05 was considered significant. Results: Data from 254 respondents were analyzed; 191 (75.20%) respondents worked in non-healthcare-related fields. A significant number of healthcare workers recognized the stability issues associated with powdered medications (p<0.001). However, a large proportion of healthcare workers were not aware of the expiration dates (p>0.05). Conclusions: More than half of the total respondents, including healthcare workers, were not familiar with the appropriate expiration dates of repackaged prescription medications. The establishment of evidence-based guidelines regarding drug expiration dates and the dissemination of awareness among patients are required. Furthermore, clinical practices including repackaging or pulverizing medications for long-term prescriptions should be avoided owing to the associated drug stability issues.