• Title/Summary/Keyword: 연주문

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A Clinical Study of a Stroke Patient with a Worsened Gait Pattern after Discontinuing Rehabilitation (재활치료 중단 후 보행 양상이 다시 악화된 뇌졸중 환자 1례에 관한 고찰)

  • Kim, Cheol-hyun;Moon, Yeon-ju
    • The Journal of Internal Korean Medicine
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    • v.38 no.2
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    • pp.118-124
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    • 2017
  • Objective: This study describes the case of a patient with a left basal ganglia (BG) infarct who had made almost a complete recovery upon discharge from the hospital in 2014 but who was re-admitted after 31 months with a worsened hemiplegic gait. Methods: The patient had undergone no rehabilitation treatment in the 31 months since his discharge. When the patient was re-admitted to our hospital in 2017, stance and gait data were collected on the patient using a treadmill gait analysis system. In addition, the patient underwent a manual muscle test (MMT) evaluation, and his Motricity index (MI) and modified Barthel index (MBI) scores were recorded. After rehabilitation for one month, the patient was reassessed, and the results were compared to those on the day of re-admission and those recorded in 2014. Results: Compared to the 2014 evaluation results, the patient's stance parameters and gait parameters had worsened at re-admission. However, there was no significant change in the patient's MMT grade or MI and MBI scores in comparison to the results of the 2014 evaluation. After one month of rehabilitation, the patient was re-evaluated again, but there was no significant change in comparison to the evaluation results at re-admission. Conclusion: Some of the stroke patients who have passed six months since the onset of their stroke may require ongoing rehabilitation although the functions of them is almost recovered. Because there is a possibility that recovered functions get worse again without any rehabilitation for a long time. And once the recovered functions get worse, re-recovery of them is not easy.

The Major Causes and Prescriptions for Head Symptoms in Donguibogam Simplified by Network Analysis (동의보감(東醫寶鑑) 두문(頭門) 처방의 네트워크 분석을 통해 간략화한 두부(頭部) 증상의 주요 원인 및 처방)

  • Kim, Cheol-hyun;Chu, Hong-min;Moon, Yeon-ju;Sung, Kang-keyng;Lee, Sang-kwan
    • The Journal of Internal Korean Medicine
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    • v.38 no.6
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    • pp.1000-1006
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    • 2017
  • Objectives: Head symptoms, such as headache and dizziness, are commonly presented in clinical practice. Although Donguibogam, the representative book of Korean medicine, contains many prescriptions for head symptoms, they are difficult to learn and apply because of the vast numbers. The aim of this study was to simplify and visualize the vast contents of Donguibogam by network analysis. Methods: 127 prescriptions for head symptoms, found in Donguibogam, were entered into a Microsoft office Excel 2013 file. This was used as a database for network analysis using the NetMiner 4 program. Results: Through network analysis, six networks for prescriptions for head symptoms in Donguibogam were established. The first network is similar to the herb composition of Cheongsangsahwa-tang (prescriptions for hwa-yeol syndrome). The second network is similar to the herb composition of Yanghyulgupung-tang (prescriptions for hyul-heo syndrome). The third network is similar to the herb composition of Sangcheongbaekbuja-hwan (prescriptions for dam-eum syndrome). The fourth network is similar to the herb composition of Heukseok-dan (prescriptions for yang-heo syndrome). The fifth network is similar to the herb composition of Boheo-eum (prescriptions for chil-jeong syndrome). The sixth network is similar to the herb composition of Bangpungtongseong-san (prescriptions for hwa-yeol syndrome). Conclusions: The results of the network analysis of 127 prescriptions for head symptoms in Donguibogam suggest that there are five major causes of head symptoms (hwa-yeol, hyul-heo, dam-eum, yang-heo, and chil-jeong), and that it is possible to prescribe Cheongsangsahwa-tang, Bangpungtongseong-san, Yanghyulgupung-tang, Sangcheongbaekbuja-hwan, Heukseok-dan, or Boheo-eum depending on the major causes.

A Study on Hybrid Structure of Semi-Continuous HMM and RBF for Speaker Independent Speech Recognition (화자 독립 음성 인식을 위한 반연속 HMM과 RBF의 혼합 구조에 관한 연구)

  • 문연주;전선도;강철호
    • The Journal of the Acoustical Society of Korea
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    • v.18 no.8
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    • pp.94-99
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    • 1999
  • It is the hybrid structure of HMM and neural network(NN) that shows high recognition rate in speech recognition algorithms. And it is a method which has majorities of statistical model and neural network model respectively. In this study, we propose a new style of the hybrid structure of semi-continuous HMM(SCHMM) and radial basis function(RBF), which re-estimates weighting coefficients probability affecting observation probability after Baum-Welch estimation. The proposed method takes account of the similarity of basis Auction of RBF's hidden layer and SCHMM's probability density functions so as to discriminate speech signals sensibly through the learned and estimated weighting coefficients of RBF. As simulation results show that the recognition rates of the hybrid structure SCHMM/RBF are higher than those of SCHMM in unlearned speakers' recognition experiment, the proposed method has been proved to be one which has more sensible property in recognition than SCHMM.

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Intercomparison of Middle and Low Tropospheric Temperature from Satellite with ECMWF Reanalyses; Temporal and Spatial Variability (위성관측에서 유도된 중간 및 하부 대류권 온도와 ECMWF 재분석 결과 사이의 상호 비교; 시.공간 변동)

  • 이은주;유정문
    • Proceedings of the KSRS Conference
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    • 2000.04a
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    • pp.43-48
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    • 2000
  • 중간 및 하부 대규권의 열적 상태에 대한 결과들의 상대적인 정확성을 평가하기 위하여 대기대순환 모델의 재분석(1980-93년) 그리고 세 종류의 위성관측 자료들(1980-97년)을 태평양, 한반도 부근에 대한 시.공간 분석으로 상호 비교하였다. 중간 대류권 온도를 반영하는 위성자료는 본 연구에서 유도된 Microwave Sounding Unit (MSU) 채널2 직하점 밝기온도(MSU2)와 Spencer and Christy(1992a)가 전체 주사자료를 사용하여 유도된 채널2 밝기 온도(SC2)이고, 하부 대류권 온도를 반영하는 위성자료는 Spencer and Christy(1992a)가 유도한 것이다(SC2R). 또한, 모델 자료는 ECMWF 재분석 온도이며, 위성관측 자료와의 비교를 위하여 재구성되었다. 한편, 각 위.경도 격자에서 위성관측과 모델 재분석의 월평균 값들의 상관도 전구적으로 조사하였다. 세 종류의 관측 자료들 간의 상관은 중.고위도에서 높았으나(r$\geq$0.9), 저위도 그리고 대류가 활발한 열대 서태평양 및 콩고강 부근에서 낮았다(r~0.65). 특히 SC2R에 대한 다른 자료의 상관이 상대적으로 낮았다. 이는 하부 대류권의 열적 상태를 반영하는 SC2R이 수적 및 지표방출의 영향으로 잡음을 크게 내포하기 때문인 것으로 추정되었다. 관측들과 모델 온도에 대한 월평균과 아노말리 값의 분석에서 시.공간 변동은 대체로 유사하였다. 관측 및 모델 자료는 열대 태평양 이외의 지역에 대한 월평균 값 모드1에서 연주기를 보였으나, 열대 태평양의 경우 모드2에서 보였다. 열대 태평양의 MSU2 모드1은 Walker 순환에 의한 동.서 대비를 보인 반면, 다른 위성관측과 모델 자료에서는 이러한 형태가 현저하지 않았다. 이 지역의 아노말리 값 모드2에서 위성관측들은 엘리뇨 기간에 적도를 중심으로 열대 동태평양 부근에서 아령모양의 대칭 형태를 보였으나 모델 결과에서는 이러한 특징이 약하였다. 관측과 모델 모두는 열대 태평양에 대한 아노말리 값의 모드 1,2에서 엘니뇨와 라니냐에 의한 경년변동을 뚜렷하게 보였다.

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A Case Report of a Homonymous Hemianopsia in a Stroke Patient Treated with Traditional Korean Medical Treatment (한의 복합 치료를 통해 시야결손에 개선을 보인 후대뇌동맥 폐색에 의한 뇌경색증 환자 1례에 대한 증례 보고)

  • Chu, Hongmin;Kim, Cheol-hyun;Lee, Young-ung;Kim, Kwang-ho;Moon, Yeon-ju;Shin, Hye-ryung;Ahn, Jae-yoon;Sung, Kang-keyng;Lee, Sang-kwan
    • The Journal of Internal Korean Medicine
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    • v.40 no.5
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    • pp.797-803
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    • 2019
  • Introduction: The aim of this study was to report the effect of Korean medicine treatments on a stroke patient with homonymous hemianopsia. Case Presentation: A 50-year-old male with a posterior cerebral artery infarction had continuously deteriorating symptoms of right homonymous hemianopsia, fatigue, dizziness, and light sensitivity. Treatment with Korean medicine therapy, including acupuncture and herbal medicine significantly improved the patient's symptoms. The result of a visual field test (VFI) was also improved after treatment, and no side effects were observed during treatment. Conclusion: Korean medicine treatment can be considered an effective treatment for homonymous hemianopsia in stroke patients.

Three Case Reports of Treatment of Chronic Intractable Diarrhea Using Hyungbangjihwang-tang-gami (형방지황탕가미로 치료한 만성 난치성 설사 치험 3례에 대한 임상적 고찰)

  • Lee, Jun-young;Chae, Han-nah;Moon, Yeon-ju;Lee, Yoon-seung;Gwak, Si-ra;Moon, Goo;Baek, Dong-gi
    • The Journal of Internal Korean Medicine
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    • v.40 no.5
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    • pp.822-831
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    • 2019
  • Objective: This study reports the effect of Hyungbangjihwang-tang-gami as a treatment for Soyang-in patients with chronic diarrhea. Methods: We treated three male patients with chronic diarrhea who did not improve after taking herbal medicine, as determined by zang-fu (organ) pattern diagnosis. After changing our approach to a Sasang constitution, we prescribed Hyungbangjihwang-tang-gami and assessed the effect by the frequency or form of defecation. Results: The patients' complaints worsened when they were administered a herbal medicine unsuited to their Soyang constitutions, which caused an exuberance of Yang. Changing the herbal medicine to Hyungbangjihwang-tang-gami improved their symptoms. Conclusions: This study suggested that Soyang-in patients may have side effects when administered unsuitable herbs, even if they were diagnosed using zang-fu (organ) pattern diagnosis. When we treat patients, we have to consider their Sasang constitution, as well as the zang-fu (organ) pattern diagnosis.

A Case Report of the Patient with Anxiety Disorder following Traumatic Brain Injury Treated with Ling-Gui-Gan-Zao-Tang (외상성 뇌손상 후 불안장애 양상이 발생한 환자 1례에 대하여 영계감조탕을 투여한 증례보고)

  • Chu, Hongmin;Kim, Cheol-hyun;Park, Chan-ran;Moon, Yeon-ju;Ryu, Ho-sun;Kim, Mi-hye;Lee, Sang-kwan;Sung, Kang-keyng
    • The Journal of Internal Korean Medicine
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    • v.39 no.6
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    • pp.1272-1280
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    • 2018
  • Introduction: The aim of this study is to report the effect of Ling-Gui-Gan-Zao-Tang (LGGZT) effectively improves anxiety disorder following traumatic brain injury (TBI). Case Presentation: 50-year-old female with traumatic brain injury after falling down from golf cart. After injury, symptoms like anxiety disorder, diarrhea, dizziness, headache were occurred. She took medications like antidepressants, antianxiety drugs and antipsychotic agent, but symptoms deteriorated consistently. After being prescribed LGGZT, patients' symptoms were significantly improved. Result of Impact Event Scale-Revised (IES-R-K) was changed from 24 to 5 and Beck Anxiety Inventory (BAI) was changed from 21 to 3. Also, side effects were not observed during the treatment period. Conclusion: LGGZT can be considered as an effective treatment for anxiety disorder following traumatic brain injury.

Effect of Injinoryung-san Administration on the Elevated Hepatic Function Test Level: Retrospective Chart Review (인진오령산 투여가 상승된 간화학 수치에 미치는 영향 : 후향적 차트 리뷰)

  • Chu, Hongmin;Shin, Hyeryung;Moon, Yeon-ju;Kim, Cheol-hyun;Kim, Kwang-ho;Lee, Young-ung;Ryu, Ho-sun;Sung, Kang-keyng;Lee, Sang-kwan
    • The Journal of Internal Korean Medicine
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    • v.40 no.3
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    • pp.478-490
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    • 2019
  • Purpose: This work is a retrospective clinical case study evaluating the efficacy of Injinoryung-san granule administration to patients who showed an abnormal hepatic function test level. Methods: We analyzed the chart records of seven patients with elevated levels of the hepatic function test treated with Injinoryung-san granules. Results: The patients who were treated with Injinoryung-san showed a significant improvement in their elevated hepatic function test levels. Conclusion: In patients with elevated hepatic function test levels, Injinoryung-san granules can improve the hepatic level without adverse effects or changes in existing drugs.

A Case Report of Fibromyalgia Improved by Korean Medical Treatment (섬유근육통의 한방치료 증례보고 1례)

  • Moon, Yeon-ju;Chu, Hong-min;Shin, Hye-ryung;Lee, Jun-young;Kweon, So-hyoun;Kim, Cheol-hyun;Song, Bong-keun;Won, Jin-hee;Baek, Dong-gi
    • The Journal of Internal Korean Medicine
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    • v.40 no.2
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    • pp.192-200
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    • 2019
  • Introduction: The aim of this study is to report the effect of traditional Korean medical treatment on fibromyalgia. Case presentation: A patient with fibromyalgia was treated with acupuncture, pharmacopuncture (Bee venom, Hwangryunhaedok-tang), cupping therapy, moxibustion therapy and herbal medicine for 37 days. To reduce the patient's symptoms, we provided herbal medicine three times a day, as well as acupuncture, pharmacopuncture, cupping therapy and moxibustion therapy once a day for 37 days. To evaluate the results of this treatment, we used the Numeral Rating Scale (NRS), Score of Sleeping Quality (SSQ) and Fibromyalgia Impact Questionnaire (FIQ). After treatment, the patient showed that pain was reduced, the score of NRS was improved, FIQ improved from 91 to 69 and SSQ improved from 3 to 1. No adverse reaction was noted. Conclusion: According to the result, traditional Korean medical treatment can be effective and safe for the treatment of fibromyalgia.

Intercomparison of Satellite Data with Model Reanalyses on Lower- Stratospheric Temperature (하부 성층권 온도에 대한 위성자료와 모델 재분석들과의 비교)

  • Yoo, Jung-Moon;Kim, Jin-Nam
    • Journal of the Korean earth science society
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    • v.21 no.2
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    • pp.137-158
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    • 2000
  • The correlation and Empirical Orthogonal Function (EOF) analyses over the globe have been applied to intercompare lower-stratospheric (${\sim}$70hPa) temperature obtained from satellite data and two model reanalyses. The data is the19 years (1980-98) Microwave Sounding Unit (MSU) channel 4 (Ch4) brightness temperature, and the reanalyses are GCM (NCEP, 1980-97; GEOS, 1981-94) outputs. In MSU monthly climatological anomaly, the temperature substantially decreases by ${\sim}$21k in winter over southern polar regions, and its annual cycle over tropics is weak. In October the temperature and total ozone over the area south of Australia remarkably increase together. High correlations (r${\ge}$0.95) between MSU and reanalyses occur in most global areas, but they are lower (r${\sim}$O.75) over the 20-3ON latitudes, northern America and southern Andes mountains. The first mode of MSU and reanalyses for monthly-mean Ch4 temperature shows annual cycle, and the lower-stratospheric warming due to volcanic eruptions. The analyses near the Korean peninsula show that lower-stratospheric temperature, out of phase with that for troposphere, increases in winter and decreases in summer. In the first mode for anomaly over the tropical Pacific, MSU and reanalyses indicate lower-stratospheric warming due to volcanic eruptions. In the second mode MSU and GEOS present Quasi-Biennial Oscillation (QBO) while NCEP, El Ni${\tilde{n}}$o. Volcanic eruption and QBO have more impact on lower-stratospheric thermal state than El Ni${\tilde{n}}$o. The EOF over the tropical Atlantic is similar to that over the Pacific, except a negligible effect of El Ni${\tilde{n}}$o. This study suggests that intercomparison of satellite data with model reanalyses may estimate relative accuracy of both data.

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