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A Review on the Characteristics of Temperature Variation in Warm Needle (온침의 온도변화 특성에 대한 문헌 고찰 연구)

  • Lee, Ju Hyun;Jo, Hyo Rim;Kim, Seon Hye;Lee, Yeon Sun;Park, Se Won;Moon, So Ri;Jung, Chan Yung;Sung, Won Suk;Cho, Hyun Seok;Kim, Kyung Ho;Lee, Byung Wook;Kim, Eun-Jung
    • The Journal of Korean Medicine
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    • v.40 no.3
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    • pp.112-138
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    • 2019
  • Objectives: The purpose of this study is to organize the research methods and results of studies related to the temperature of the warm needle for systematic utilization of warm needling technique. Methods: This study used the databases of nine (Pubmed, Science Direct, Cochrane Central, 4 Korean databases, CNKI, CiNii) to analyze temperature-related studies of the warm needle from 2000 to June 2019. Results: A total of 19 papers were included. Of these, 15 were used for mugwort, 2 for high frequency, and 1 for both mugwort and high frequency, and the other one for a ceramic heater. The maximum temperature rises as the amount of moxibustion increases. It is also affected by the density of moxa and the ignition part. There were 16 papers using stainless steel needles and 4 papers using a needle made of gold or silver to compare. In the area of the needle, the closer it is to moxibustion, the hotter it is. Compared to stainless steel needles, gold and silver needles showed almost twice the temperature. The effects of environment and radiant heat should be considered during warm needle procedures. Conclusions: There are various experimental methods such as warm needle technique materials, methods, measuring parts, measuring instruments, etc. The results were also very diverse. When setting the heating source, ignition part, size of moxibustion, etc. of warm needles, it should be implemented in a way that takes safety and validity into account. Considerations for temperature characteristics, radiant heat, etc. of warm needles will be needed when making warm needle apparatus.

Effects of Warm-up and Cool-down Exercises for Preventing Delayed Onset Muscle Soreness on Pain and Muscle Activation (지연성근육통 예방을 위한 준비운동과 정리운동이 통증과 근활성도에 미치는 효과)

  • Oh, Duck-Won
    • Physical Therapy Korea
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    • v.20 no.1
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    • pp.28-35
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    • 2013
  • The purpose of this study was to determine the effects of warm-up and cool-down exercises on pain and muscle activation of delayed onset muscle soreness after intense exercise. Delayed onset muscle soreness was caused by the eccentric exercise in the elbow flexor muscle of the non-dominant upper limb. Forty-four subjects volunteered to participate in this study and were randomly assigned to one of the following groups: warm-up and cool-down group, only warm-up group, only cool-down group, or control group with no intervention. The level of perceived pain using the visual analogue scale and electromyographic activation change in maximal voluntary isometric contraction were measured 4 times at the following times: 10 min, 24 hr, 48 hr, and 72 hr after the exercise. The results revealed the main effect between the groups and interaction effect between the group and measurement session (p<.05). The warm-up and cool-down group showed most favorable results with respect to reduced perceived pain level and increased muscle strength in most measurement sessions, and the only warm-up group showed significantly more decreased pain level than the control group at 24 hr and 48 hr and more increased muscle activation than the cool-down group at 48 hr (p<.05). However, there were no significant differences in pain level and muscle activation between the only cool-down group and control group at all measurement sessions (p>.05). The findings suggest that the warm-up exercise performed before an intense exercise had beneficial effects on the symptoms of delayed onset muscle soreness, whereas cool-down exercise performed after the intense exercise did not.

Comparative Study on Etiological Cause, Pathogenesis Mechanism of "Shanghanlun" and "Wenbingtiaobian" ("상한론(傷寒論)"과 "온병조변(溫病條辨)"의 병인병기론적 비교 연구)

  • Park, Mi Sun;Kim, Yeong Mok
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.27 no.1
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    • pp.1-10
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    • 2013
  • We can understand "Shanghanlun(傷寒論)" and "Wenbingtiaobian(溫病條辨)" which are major books on externally contracted diseases well by making a comparative study of their similarities and differences. After studying etiological causes and characteristics of disease, disease pattern, syndrome differentiation, transmutation rules, following conclusions are derived. While cold is an etiological cause of Cold damage and harms Yang qi, heat is an etiological cause of Warm disease and harms Yin qi. Cold damage and Warm disease have something in common in the respect of damage to fluid and humor and Yang qi. Exuberant heat symptom of Yang brightness disease and lesser yin heat transformation pattern have similar damage to fluid and humor as Warm disease does. Warm disease can reach qi collapse syndrome through damage to Yang qi following fluid and humor damage. In the respect of water qi, as Cold damage makes water-dampness retain easily due to cold congealing, dampness-draining diuretic medicinal and warm yang medicinal are used together. As warm disease damages fluid and humor, yin-tonifying medicinal is used and dampness-draining diuretic medicinal can be used in the case of Warm disease with dampness. In the respect of disease pattern, cold syndromes arise mostly by Cold damage except heat syndrome of grater yang disease, chest bind syndrome, stuffiness syndrome, reverting yin disease and yang brightness disease. Warm disease is classified as pure heat syndrome and heat syndrome with bowel excess, damage to yin, qi collapse or damage to blood.

Diversity of Epiphyte in the Warm Temperate Evergreen Forest. Jejudo (제주도 난대상록수림에서 착생식물의 다양성 연구)

  • Song, Kuk-Man;Kang, Young-Je;Hyeon, Hwa-Ja;Byun, Kwang-Ok
    • Journal of Environmental Science International
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    • v.22 no.1
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    • pp.99-107
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    • 2013
  • This study surveyed the distribution and characteristics of epiphytes and host trees in Jejudo's warm-temperate evergreen forests area. The gathered data will be used for evaluating ecological changes according to climate change. The study found 46 species of epiphytes in Jejudo; 12 of which were species of pteridophytes and 5 species of orchids, totaling 17 species of epiphytes. The appearance frequency was the greatest with Lepisorus thunbergianus, followed by Lemmaphyllum microphyllum and Lepisorus onoei. The area with the greatest diversity of epiphytes was nutmeg tree forests which have the largest number of 2.89 average species. Lemmaphyllum microphyllum had the greatest percent cover of the epiphytes whose importance was found to be the greatest. The factors involved were the epiphytes' diversity index (0.64), maximum species diversity (1.23), evenness (0.52), and dominance (0.48). The study has noted the distribution characteristics of epiphytes according to altitudes above sea level. The Lemmaphyllum microphyllum can survive at an altitude of 600 m above sea level, Lepisorus thunbergianus at 200 - 1,400m above sea level, Lepisorus onoei. at 400 - 1,000 m, and Gonocormus minutus at an altitude above 800 m. The host trees, consisting of Quercus serrata, Castanopsis cuspidata var. sieboldii, and Carpinus laxiflora, stands at 2-19 m high and 2.5 - 120 cm wide, showing diverse kinds of trees and sizes. Jejudo's warm-temperate evergreen forests have lower epiphyte diversity compared with those of subtropical and tropical areas in Japan and China. Based on the characteristics of the host trees order, epiphytes' distribution associated with the altitude above sea level was typical.

Retrospective Clinical Analysis of Treatment for Primary Warm Autoimmune Hemolytic Anemia (원발성 온난자가면역용혈빈혈의 치료에 대한 후향적 분석)

  • Moon, Hong Seop;Park, Chiyoung
    • Korean Journal of Clinical Pharmacy
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    • v.25 no.3
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    • pp.166-170
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    • 2015
  • Background: Primary warm autoimmune hemolytic anemia (AIHA) is a relatively rare hematologic disorder resulting from autoantibody production against red blood cells. There has been very few studies about primary warm AIHA in South Korea because of its low incidence. We retrospectively analyzed the treatment outcome of primary warm AIHA. Method: We reviewed retrospectively the medical records of 9 primary warm AIHA patients from December 2002 to January 2015. We analyzed the causes and clinical characteristics of primary warm AIHA patients. We retrospectively analyzed the clinical data in electronic medical records for 9 Korean patients with AIHA patients who were diagnosed during the period from December 2002 to January 2015 at the Regional University Hospital in Korea. The study protocol was approved by the Institutional Review Board (IRB #2015-08-007, Chosun University Hospital IRB). Results: The mean age was 52 years (range 27~78), the mean hemoglobin level was 5.0 g/dL (range 2.5~6.4 g/dL). All patients received steroids at therapeutic dosages (corticosteroid 1 mg/Kg) as first line treatment. Eight of them showed complete response (5/8, 62.5%) and partial response (3/8, 37.5%), one patient required second-line treatment with rituximab. Two patients who responded first line treatment were relapsed at 86 weeks and 24 weeks after response, respectively. Only one patient of them was retreated with corticosteroid because of anemic symptoms. Conclusion: This study indicates that oral corticosteroid is an effective therapy for primary warm AIHA.

Liuwansu's 『Fire-Heat』 & 『Warm disease』 -on pathology(pathogenesis)of exterior-contact causes- (유완소(劉完素)의 화열론(火熱論)과 온병학(溫病學) - 외감(外感) 병기(病機)를 중심으로 -)

  • Jin, Jupio;Cha, Wung-Seok;Kim, Nam-Il
    • The Journal of Korean Medical History
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    • v.22 no.1
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    • pp.57-67
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    • 2009
  • The results of analyzing "Shanghanlun-Shanghan examples" of Song Dynasty Text and Liuwansu's writings in the pursuit of comprehending his views written in "Fire-Heat" & "Warm disease" -are as follow. 1.He introduced Exterior-Interior Shanghan and Latent in the Winter & recurrent in the Spring Shanghan concept in the Febrile disease pathology as the link and the bifurcation point. His perception on Febrile disease encompassed Shanghan and Febrile disease on the same plane but actually discriminated in the treatment and medication between the two actually. 2.He suggested Febrile disease pathology in the concept of Shanghan and Febrile disease, which is coherent in the formation of interior heat as the result of the invasion of the lung by warm pathogen described in Warm disease Wei, Qi, Ying and Xue Fen Syndrome differentiation. He expanded the concept of esoteric portal 玄府 of "Suwon Tiaojinglun", to that of the omni-present portal & way of Qi's all directions movement, which is in accordance of invasion of upper energizer 上焦 by warm or hot pathogen via mouth and nose as used in Warm disease three-energizer differentiation. 3.He recognized both exterior-interior febrile disease in the context of both exterior-interior contact cause disease. He prescribed pungent-cool exterior releasing medicinal similar to that of exterior-releasing treatment adopted in warm disease. As lily-talc powder百合散 introduced in "Golden chamber synopsis" dispells heat by promoting excretion of urine and defecation, it is regarded as the original formula of later ikwonsan yiyuansan 益元散.

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Influence of a Warm Eddy on Low-frequency Sound Propagation in the East Sea (동해에서 저주파 음파전파에 미치는 난수성 소용돌이의 영향)

  • Kim, Bong-Chae;Choi, Bok-Kyoung;Kim, Byoung-Nam
    • Ocean and Polar Research
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    • v.34 no.3
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    • pp.325-335
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    • 2012
  • It is well known that sound waves in the sea propagates under the influence of sea surface and bottom roughness, the sound speed profile, the water depth, and the density of sea floor sediment. In particular, an abrupt change of sound speed with depth can greatly affect sound propagation through an eddy. Eddies are frequently generated in the East Sea near the Korean Peninsula. A warm eddy with diameter of about 150 km is often observed, and the sound speed profile is greatly changed within about 400 m of water depth at the center by the eddy around the Ulleung Basin in the East Sea. The characteristics of low-frequency sound propagation across a warm eddy are investigated by a sound propagation model in order to understand the influence of warm eddies. The acoustic rays and propagation losses are calculated by a range-dependent acoustic model in conditions where the eddy is both present and absent. We found that low-frequency sound propagation is affected by the warm eddy, and that the phenomena dominate the upper ocean within 800 m of water depth. The propagation losses of a 100 Hz frequency are variable within ${\pm}15$ dB with depth and range by the warm eddy. Such variations are more pronounced at the deep source near the sound channel axis than the shallow source. Furthermore, low-frequency sound propagation from the eddy center to the eddy edge is more affected by the warm eddy than sound propagation from the eddy edge to the eddy center.

Evaluation of Warm-Recycled Asphalt Mixtures using Polyethylene Wax-Based Additive (중온화 첨가제를 사용한 중온 재생 아스팔트 혼합물 평가)

  • Lee, Jin Wook;Lee, Moon Sup;Kim, Yong Joo;Cho, Dong Woo;Kwon, Soo Ahn
    • International Journal of Highway Engineering
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    • v.15 no.4
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    • pp.43-51
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    • 2013
  • PURPOSES : The main purposes of this study are to examine the influences of polyethylene wax-based WMA additive on the optimum asphalt content of warm-recycled asphalt mixture based on the Marshall mix design and to evaluate performance of warm-recycled asphalt mixture containing 30% RAP with polyethylene wax-based WMA additive. METHODS: Physical and rheological properties of the residual asphalt were evaluated in terms of penetration, softening point, ductility and performance grade (PG) in order to examine the effects of polyethylene wax-based WMA additive on the residual asphalt. Also, To evaluate performance characteristics of the warm-recycled asphalt mixtures using polyethylene wax-based WMA additive along with a control hot-recycled asphalt mixture, indirect tensile strength test, modified Lottman test, dynamic immersion test, wheel tracking test and dynamic modulus test were conduced in the laboratory. RESULTS : Based on the limited laboratory test results, polyethylene wax-based WMA additive is effective to decrease mixing and compacting temperatures without compromising the volumetric characteristics of warm-recycled asphalt mixtures compared to hot-recycled asphalt mixture. Also, it doesn't affect the optimum asphalt content on recycled-asphalt mixture. All performance test results show that the performance of warm-recycled asphalt mixture using polyethylene wax-based WMA additive is similar to that of a control hot-recycled asphalt mixture. CONCLUSIONS: Overall, the performance of warm-recycled asphalt mixture using polyethylene wax-based WMA additive is comparable to hot-recycled asphalt mixture.

Manufacturing and Properties of CGI-based Composite Coating Layer Utilizing a Warm Spray Process and Cu-Ga and Cu-In Mixed Powders (Warm Spray 공정과 Cu-Ga 및 Cu-In 혼합 분말을 이용한 CGI계 복합 코팅층의 제조 및 특성)

  • Jeon, Min-Gwang;Lee, Myeong-Ju;Kim, Hyeong-Jun;Lee, Kee-Ahn
    • Journal of Powder Materials
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    • v.21 no.3
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    • pp.229-234
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    • 2014
  • This study manufactured a CIG-based composite coating layer utilizing a new warm spray process, and a mixed powder of Cu-20at.%Ga and Cu-20at.%In. In order to obtain the mixed powder with desired composition, the Cu-20at.%Ga and Cu-20at.%In powders were mixed with a 7:1 ratio. The mixed powder had an average particle size of $35.4{\mu}m$. Through the utilization of a warm spray process, a CIG-based composite coating layer of $180{\mu}m$ thickness could be manufactured on a pure Al matrix. To analyze the microstructure and phase, the warm sprayed coating layer underwent XRD, SEM/EDS and EMPA analyses. In addition, to improve the physical properties of the coating layer, an annealing heat treatment was conducted at temperatures of $200^{\circ}C$, $400^{\circ}C$ and $600^{\circ}C$ for 1 hour each. The microstructure analysis identified ${\alpha}$-Cu, $Cu_4In$ and $Cu_3Ga$ phases in the early mixed powder, while $Cu_4In$ disappeared, and additional $Cu_9In_4$ and $Cu_9Ga_4$ phases were identified in the warm sprayed coating layer. Porosity after annealing heat treatment reduced from 0.75% (warm sprayed coating layer) to 0.6% (after $600^{\circ}C/1hr$. heat treatment), and hardness reduced from 288 Hv to 190 Hv. No significant phase changes were found after annealing heat treatment.

Principal Components of Thermal Stimulation while the Warm Needling: Diameter of the Acupuncture Needle and Distance from the Skin (온침 표준화를 위한 열자극 요소 연구: 침 두께 및 피부-뜸 거리를 중심으로)

  • Yang, Seung-Bum;Kwon, O Sang
    • Korean Journal of Acupuncture
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    • v.36 no.4
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    • pp.210-220
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    • 2019
  • Objectives : Warm needling is a combined treatment technique of acupuncture and moxibustion. In this study, we aimed to find out the components related with the thermal stimulation of the warm needling and to provide basic data for the guideline of the warm needling technique in the clinic. Methods : In this study, we measured thermal change of 3% agarose phantom embedding K-type thermocouples in depths of 0, 1, 2, 4, 8 and 16 mm. The warm needling was performed with acupuncture needles of various specifications (0.50×30, 0.50×40, 0.30×30, 0.30×40, 0.20×30 and 0.20×40 mm). A linear regression analysis was performed to find out the major component and quantify the effectiveness of the thermal stimulation during warm needling. Results : As a result of the measurement of temperature change, we could observe the thermal change pattern from the surface of the phantom to the 16mm deep part of the phantom. The thermal pattern was similar among the needles of different specifications. The regression analysis pointed the distance between the moxa cautery and the skin surface as the main component for the thermal stimulation of the warm needling. Conclusions : The authors suggest considering the distance between moxa cautery and the skin rather than the diameter of the acupuncture needle in accordance to the result of the study.