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Correlation Analysis with Modified Barthel Index and Motor Assessment Scale in Stroke Patients (뇌졸중환자의 기능평가척도로서의 MBI와 MAS의 상관성분석)

  • Ko, Seong-Gyu;Jun, Chan-Yong
    • The Journal of Korean Medicine
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    • v.20 no.1 s.37
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    • pp.52-59
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    • 1999
  • 연구목적 : 뇌졸중환자에 기능회복도의 측정을 위해 가장 신뢰도가 높은 MBI에 대해서 순수하게 뇌졸중환자의 운동기능평가만을 위해 고안된 MAS의 상관성을 각 기간별로 분석하여 MAS의 운동기능평가척도로서의 객관성에 대해 연구한다. 또 한편으로 경과시간에 따른 운동기능 회복도의 차이를 전체그룹과 사상그룹에서 평가한다. 연구방법 : 1998년 1월부터 1998년 6월까지 6개월에 걸쳐 상지대학교 한의과대학 부속한방병원 내과에 입원하여 뇌졸중으로 진단된 환자 중 의식과 언어상태가 명료한 32명을 대상으로 하였다. 입원직후 사상의학과에 의뢰하여 QSCCII 시스템에 의하여 체질진단을 받은 후 본원 운동기능평가실에서 입원직후, 입원 후 2주와 4주 등 3회에 걸쳐 Modified Barthel Index(MBI)와 Motor Assessment Scale(MAS)을 시행하였다. 각 환자에 대한 검사는 2명의 한방순환기내과 전문의와 전공의에 의해 환자에 대한 사전 정보 없이 이루어졌다. 연구결과 : 통계처리는 상관분석을 위해서는 Pearson correlation coefficient, 사상체질에 있어서 각 경과시간에 따른 점수변화는 Repeated ANOVA, 일반적특성 분석에는 Descriptive analysis가 사용되었고, 프로그램은 SPSS/PC+ 7.5 version을 사용하였다. 1. 뇌졸중 환자의 사상의학적인 분포는 태음인이 56.3%로 가장 많았고, 소양인이 28.1%, 소음인이 12.5%, 태양인이 3.1%이었으며, 연령별로는 50대가 32.6%로 가장 많았으며, 평균연령은 60.9세였다. 2. 경과시간에 따른 사상체질간의 MBI, MAS 평균점수변화는 MBI, MAS 모두 반복측정 분산분석 결과 입원당시와 2주 후, 입원당시와 4주 후에서 모두 P<0.001의 범위에서 통계학적으로 유의하게 증가하였고, 경과시간과 사상체질간의 교호작용은 없었다. 3. MBI, MAS 모두 각 항목과 기능별 분류군에서도 경과시간에 따른 평균점수의 변화는 P<0.001 범위에서 통계학적으로 유의하게 증가하여 한방치료의 효과가 있음을 보여주었다. 4. MBI와 MAS의 경과시간별 Pearson 상관성 분석결과 입원당시의 MBI와 입원당시의 MAS에서, 2주 후의 MBI와 입원당시, 2주 후, 4주 후의 MAS에서, 4주 후의 MBI와 입원당시, 2주, 4주 후의 MAS에서 모두 높은 상관성을 보여, 두 평가방법 간에는 상관성이 높다고 본다.

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A Numerical Model for Predicting the Radial Power Profile in CANDU-PHWR Fuel Pellet (CANDU-PHWR 핵연료 소결체의 반경방향 출력분포 수치모형)

  • Woan Hwang;Suk, Ho-Chun;Jae, Won-Mok
    • Nuclear Engineering and Technology
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    • v.23 no.4
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    • pp.444-455
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    • 1991
  • An accurate and fast running NEDAR model for calculating radial power profile throughout fuel life in both solid and annular pellets for existing and advanced CANDU-PHWR-fuel was developed in this work. This model contains resultant flux depression equations and neutron depression data tables which have been developed for CANDU-PHWR fuel of pellet with the diameter 8.0 to 19.5 mm and enrichment 0.71-6.0 wt % U-235, over a bumup range of 0 to 840 MWh /kgU (35000 MWD/T). In order to obtain the neutron flux distribution in the fuel pellet, the CE-HAMMER physics code was run for a neutron flux spectrum appropriate to a CANDU-PHWR to give predictions of radial power profile for several ranges of fuel design parameters. The results, which were calculated by the CE-HAMMER physics code, were fitted to an equation which is solved in terms of Bessel and exponential functions in order to obtain the parameters, $textsc{k}$, $\beta$ and λ in the resultant equation. The present NEDAR model produce a radial profile which, when normalized to unity at the pellet surface, is slightly higher than the profile of the original ELESIM data table. The predictions of the fission gas release by KAFEPA-NEDAR are in slightly better agreement with the experiments than those of ELESIM. The NEDAR model described in this study has been shown to provide an effective, reliable, and accurate method for determining radial power profiles in CANDU-PHWR fuel rods without incurring a significant increase in computing time.

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An Analysis of Clerkship Satisfaction in College of Korean Medicine : Focusing on Doctor-patient Role-play and mock CPX (한의과대학 실습 만족도 조사 - 의사-환자 역할극, 모의 CPX를 중심으로 -)

  • Han, Chang-Yi;Kang, Dong-Won;Park, Jung-Gun;Kim, Bong-Hyun;Kim, Kyu-Seok;Kim, Yoon-Bum;Nam, Hae-Jeong
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.33 no.1
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    • pp.12-24
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    • 2020
  • Objectives : The purpose of this study is to find an effective clerkship process for the implementation of participatory clinical practice that is practically applicable to most Colleges of Korean Medicine. Methods : Taking the 4th-grade students of the College of Korean Medicine, Kyung Hee University in 2019 as a subject, we conducted Role-playing and simulated CPX in the department of Ophthalmology, Otolaryngology and Dermatology and conducted a satisfaction survey through a questionnaire. Results : 1. The preliminary expectations for overall practice and Ophthalmology, Otolaryngology and Dermatology practice did not differ significantly. 2. The satisfaction, data adequacy, feedback adequacy, and usefulness of Ophthalmology, Otolaryngology and Dermatology course were 79.4%, 80.8%, 87.6%, and 86.5%, respectively. 3. When comparing the Role-playing of Ophthalmology, Otolaryngology with mock CPX of Dermatology, data relevance level was similar, feedback adequacy level was higher in mock CPX, satisfaction and usefulness level were higher in Role-playing. Conclusion : Comparing Role-playing with the simulated CPX method, Role-playing is a relatively realistic form than the CPX method, and moreover students showed higher satisfaction and usefulness in Role-playing.

An Evaluation of The Vital Registration System in Korea (한국 인구동태통계 작성에 대한 평가)

  • 김남일
    • Korea journal of population studies
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    • v.20 no.1
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    • pp.47-63
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    • 1997
  • Problems concerning the vital registration system and its management, errors and methods to adjust them in the vital registration data in Korea have been studied. It is found that birth and death registration rates were above 95% in 1994. The registration rates rose rapidly since 1970 due to 1) simplification of registration form, 2) improving accessibility by allowing registration at the current residence, 3) enforcing fine against non-registration, and 4) improvements in social security system. However, there should be some continuing efforts for further improvement of the vital registration system. The content error in the data could be substantially reduced following the rapid rise of the registration rates in the 1980s, though this has never been actually studied. There are still substantial registrations with false date of death. The false date of events may affect the computed vital rates specially when the registration rates are rapidly rising. Especially the death rates of the young can be seriously affected. A study on the data in the 1970s shows that death of age between 3 to 19 has been over-registered up to 67% compared with the expected. It is a serious matter that some researchers analyze the registration data without adjusting the errors. It is strongly recommended for the Government Statistical Office to undertake a study on the registration behavior of the people.

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Comparison of Super Structure-Sub Structure Separation Analysis and Unification Analysis about Building Structures (건축구조물의 상부구조-하부구조 분리해석과 일체해석의 비교분석)

  • Kim, Jae-Yo;Kim, Jin-Yong;Kang, Su-Min
    • Journal of the Computational Structural Engineering Institute of Korea
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    • v.29 no.1
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    • pp.19-28
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    • 2016
  • In the case of structural analysis for building structures, the super-structure and the sub-structure are analyzed by using separate structural models in the field because of time saving, facile result interpretation and easy analysis of dynamic behavior. However this separate structural model violated the compatibility condition of structural analysis and it can not consider the interaction of superand sub- structures. In the present study, the analysis results of this separate model were compared to those of the unified model of super- and sub- structures which can consider the interaction of super- and sub- structures and reflect the realistic boundary conditions. According to the comparison results, the the analysis model using separate models can underestimate the member force and deflection of structural members in the super-structures and overestimate the deflection and member force of sub-structures. Therefore, in the case of high-rise buildings, irregular shaped buildings, buildings which are expected to be affected by large differential settlement and remodeling buildings, the unified structural model for super- and sub- structures was recommended for structural analysis instead of the separate structural model.

A CLINLCAL STUDY OF the TYPE OF DISEASE AND SYMTOM ACCORDING TO SASANG CONSTITUTION CLASSWICATION (in the field of questionnaire analysis) (체질진단분류(體質診斷分類)에 따른 질병(疾病) 및 증상유형(症狀類型)에 관한 임상적 연구 - 문진표를 중심으로 -)

  • Kim, Jong-Wean
    • Journal of Sasang Constitutional Medicine
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    • v.8 no.1
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    • pp.337-347
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    • 1996
  • The 73 outpatients who had been treated in the Oriental Medical Hospital at Dong Eui Medical Center have participated in this study. The following conclusions were made in comparison with the type of disease and symptom and sasang constitution classification. (in the field of questionnaire analysis) 1. The symptom of "weight loss" is significant differences in sasang constitution classification. The frequency of Taeeum goup is more than Soyang group and Soeum group. 2. The symptom of "vomitig" is significant differences in sasang constitution classification. The frequency of Taeeum goup is more than Soyang group and Soeum group. 3. The symptom of "hoarseness" is significant differences in sasang constitution classification. The frequency of Soeum goup is more than Soyang group and Taeeum group. 4. The symptom of "respiratory distress" is significant differences in sasang constitution classification. The frequency of Taeeum goup is more than Soyang group and Soeum group. 5. The symptom of "arthralgia" is significant differences in sasang constitution classification. The frequency of Soyang goup is more than Taeeum group and Soeum group. 6. The symptom of "menstrual pain" is significant differences in sasang constitution classification. The frequency of Soeum goup is more than Soyang group and Taeeum group. 7. The analysis of past history and sasang constitution classification didn't show any significant differences. Only the analysis of past history and age show significant differences. I think that it is necessary to go deep into the clinical study of the type of disease and symptom according to sasang constitution classification.

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Intrapelvic Urethral Anastomosis in a Dog with Complete Obstruction of Proximal Membranous Urethra (막성요도 근위부 완전폐쇄를 지닌 개에서 골반내 요도문합술)

  • Yoon Hun-Young;Kim Jun-Young;Han Hyun-Jung;Jang Ha-Young;Lee Bo-Ra;NamKung Hyo-Sun;Jeong Soon-Wuk
    • Journal of Veterinary Clinics
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    • v.23 no.1
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    • pp.61-64
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    • 2006
  • A 4.65 kg 13-month-old male Pekingese dog was referred to veterinary teaching hospital of Konkuk University for evaluation of dysuria. On physical examination, severe distention of urinary bladder was found in abdominal palpation. Urinary catheter could not be guided into urinary bladder. On serum biochemistry, blood urea nitrogen (35.6 mg/dl) and creatinine (1.9 mg/dl) were increased. Obstruction part of proximal membranous urethra was founded on urethrogram. The length (13 mm) of obstruction part was callipered by cystourethrogram and urethrogram on operation. Surgical resection of obstruction part of urethra was performed without pubic osteotomy, and anastomosis was performed with 5-0 polyglycolic acid. Omentum was placed around the urethral anastomosis. On first day after surgery, appetite was good. On day 5, complete blood count and serum biochemistry showed normal range but mild urinary incontinence was showed after removing catheter. On day 7, urinalysis showed normal condition. On day 14, no leakage of surgical site was observed in excretory urogram. On day 21, no more urinary incontinence and good micturition were found. On 1 year later, the patient showed healthy condition without recurrence.

Dystocia Causing Postrenal Azotemia in a Captive Spotted Hyena (Crocuta Crocuta) (점박이 하이에나에서 신후성 질소혈증을 유발한 난산 증례)

  • Han, Jae-Ik;Kim, Jeong-Ho;Lee, Sook-Jin;Lee, Jong-Won;Han, Sang-Hui;Na, Ki-Jeong;Kim, Ill-Hwa;Kang, Hyun-Gu
    • Journal of Veterinary Clinics
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    • v.27 no.5
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    • pp.614-617
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    • 2010
  • A 3-year-old, female spotted hyena (Crocuta crocuta) was referred with dystocia. The hyena had been in labor for over 5 days, but she failed to expel the infant. The blood biochemistry profiles showed severe azotemia. During caesarian section, we confirmed that the uterus had expanded and contained 1 dead, decayed infant, which compress the urethra, leading to the expansion of the urinary bladder and that the dead fetus was nearly 3 kg in weight (approximately 5% of the maternal weight). Thus, we confirmed that the dystocia caused by oversized fetus and malposture, and the severe azotemia resulted in compression of the urethra by fetus in the hyena. This report is the first to show that the dystocia can induce postrenal azotemia in female spotted hyenas.

Placement of an Intraocular Silicone Prosthesis with Evisceration in a Dog with Refractory Glaucoma (난치성 녹내장을 지닌 개에서 안구내용제거술을 통한 안구 내 실리콘 보철물 적용 1례)

  • Kim, Kyung-Hee;Kim, Joon-Young;Choi, Young-Min;Lee, Jong-Hoon;Park, Chang-Hee;Lee, Jung-Ha;Lee, Young-Sun;Jeong, Soon-Wuk
    • Journal of Veterinary Clinics
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    • v.27 no.5
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    • pp.610-613
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    • 2010
  • An 8-year-old male dog weighing 7.9 kg was referred to us for evaluation of exophthalmos and corneal edema of the left eye, on which cataract surgery had been performed 3 years prior. On ophthalmic examination, the left eye showed an extremely high intraocular pressure (47 mmHg), with no menace response, dazzle reflex, or pupillary light reflex. The dog was treated with systemic and topical glaucoma medications. After treatment, corneal edema decreased but IOP did not return to within acceptable limits. Seventeen months later, the dog presented with hyphema, episcleral congestion, and corneal edema attributable to accidental trauma. The owner wished to maintain an attractive ocular appearance, and an intraocular silicone prosthesis (ISP) was thus inserted after the evisceration. Three months postoperatively, a corneal ulcer was detected, but this resolved successfully after prescription of appropriate medication. One year after surgery, no complications related to surgery were evident.

Antioxidant Property of Aqua-Acupuncture Solution from Circium japonicum (대계 약침액의 항산화 효능)

  • Lee, Jeong-Joo;Moon, Jin-Young
    • Korean Journal of Acupuncture
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    • v.22 no.4
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    • pp.57-65
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    • 2005
  • Objectives : Circium japonicum is a pharmacologically active used in traditional Korean medicine. An aqua-acupuncture solution of the Circium japonicum was assessed to determine the mechanism of its antioxidant activity. Materials : Circium japonicum was obtained from a Dongguk Korean Medicine Hospital (Kyung-ju, Kyungbuk). The freeze-dry powder was collected (yield 5.1%) for the aqua-acupuncture solution. Scavenging activity on DPPH free radicals by the Circium japonicum aqua-acupuncture solution (CJAS) was assessed according to the method followed by Gyamfi et al.. and then scavenging activity orl superoxide radicals $(O_2^-{\cdot})$ was assessed by the method described by Gotoh et al. with slight modification. Deoxyribose assay to determine the rate constant for the reactions between either antioxidants and hydroxyl radicals or antioxidants and iron ions. We tested by; (1) Non-site-specific scavenging assay (hydroxyl radicals, OH), (2) Site-specific scavenging assay (chelate iron ions), and (3) Pro-oxidant effect of the CJAS on iron dependent hydroxyl radical generation. Finally, we determined hydroxyl radical-mediated DNA nicking formation. Conclusion : Our study demonstrated that CJAS has antioxidant activities and we investigated the potential effectiveness of CJAS in preventing oxidative stress-mediated disease further.

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