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Approaching Chronic Tension-type Headache through Sasang Constitutional Therapy: A Series of 3 Cases who were classified as the Soeum Type and Taeeum Type (만성 긴장성 두통을 호소하는 소음인(少陰人), 태음인(太陰人) 환자 3례)

  • Oh, Hye-Won;Pak, Yun-Seong;Lee, Jun-Hee;Koh, Byung-Hee;Lee, Eui-Ju
    • Journal of Sasang Constitutional Medicine
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    • v.25 no.4
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    • pp.384-395
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    • 2013
  • Objectives We report a series of 3 chronic tension-type headache cases who were constitutionally typed as the Soeum type, Taeeum type and treated with Dangguibaekhaoguanjung-tang, Chungshimyeonja-tang or Chunghyulganggui-tang. Methods In treating 1 patient who was constitutionally typed as the Soeum type, Case 1 fell into the category of the Taeeum symptomatology, 2 patients who were constitutionally typed as the Taeeum type, Case 2 and Case 3 fell into the category of Dry-Heat symptomatology. Each patient was given Sasang medication according to protocol: Dangguibaekhaoguanjung-tang to Case 1, Chungshimyeonja-tang to Case 2, Chunghyulganggui-tang to Case 3. On admission day and approximately 2 weeks later, patients evaluated their pain and quality of life using SF-36 and HIT-6. The patients symptoms were observed daily and NRS scores were recorded daily. Results and Conclusions 2 Patients(Case1, Case2) showed improvement in their NRS scores, SF-36 scores and HIT-6 scores. 1 patient(Case3) showed improvement in NRS scores, but worse SF-36 scores and no improvement in HIT-6 scores. Treating chronic tension-type headache based on Sasang Constitutional therapy was found to be effective for managing pain. The treatment protocol suggested in this investigation should be explored and verified in future studies.

Pharyngoesophageal Reconstruction Using Free Jejunal Graft (유리공장이식편을 이용한 인두 및 경부식도 재건술)

  • 김효윤
    • Journal of Chest Surgery
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    • v.27 no.2
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    • pp.140-147
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    • 1994
  • Reconstruction of the pharynx and cervical esophagus presents a tremendous challenges to surgeons. Over the past 2 years[1990, Dec.-1993, Jun], the free jejunal graft has been performed in 17 cases in Korea Cancer Center Hospital.The indications of this procedures were almost malignant neoplasms involving neck and upper aero-digestive tract; Hypopharyngeal cancer[12 cases, including 2 recurrent cases], laryngeal cancer[2 cases], thyroid cancer[2 cases, including 1 recurrent case], cervical esophageal cancer[1 case]. There were fifteen men and two women, and the mean age was 59.6 years. The anastomosis site of jejunal artery were common carotid artery[16 cases] or external carotid artery[1 case] and that of jejunal vein were internal jegular [15 cases] or facial[1 case] and superior thyroid vein[1 case]. The length of jejunal graft was from 9 cm to 17 cm[mean 13 cm] and the mean ischemic time was 68 minutes. There was one hospital mortality which was irrelevant to procedures[variceal bleeding] and one graft failure[1/16]. Other postoperative complications were neck bleeding or hematoma[3 cases], abdominal wound infection or disruption[5 cases], anastomosis site leakage[1 case], pneumonia[2 cases], graft vein thrombosis[1 case], and food aspiration[1 case]. The function of conduit was excellent and ingestion of food was possible in nearly all cases. Postoperative adjuvant radiation therapy was also applicable without problem in 7 cases. During follow-up periods, the anastomosis site stenosis developed in four patients, and the tracheal stoma was narrowed in one case but easily overcome with dilation. In conclusion, we think that the free jejunal graft is one of the excellent reconstruction methods of upper digestive tract, especially after radical resection of malignant neoplasm in neck with a high success rate and low mortality and morbidity rate.

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Opto-Chemical Characteristics of Visibility Impairment Using Semi-Continuous Aerosol Monitoring in an Urban Area during Summertime (에어로졸의 준실시간 관측에 의한 여름철 도시지역 시정 감쇄 현상의 광ㆍ화학적인 특성 분석)

  • 김경원;김영준
    • Journal of Korean Society for Atmospheric Environment
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    • v.19 no.6
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    • pp.647-661
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    • 2003
  • For continuous monitoring of atmospheric visibility in the city of Kwanaju, Korea, a transmissometer system consisting of a transmitter and a receiver was installed at a distance of 1.91 km across the downtown Kwanaju. At the transmitter site an integrating nephelometer and an aethalometer were also installed to measure the scattering and absorption coefficients of the atmosphere, respectively. At the receiver site. an URG PM$_{2.5}$ cyclone sampler and an URG-VAPS (Versatile Air Pollutant Sampler) with three filter packs and two denuders were used to collect both PM$_{2.5}$ and PM$_{10}$ samples at a 2-hour or 12-hour sampling interval for aerosol chemical analysis. Sulfate, organic mass by carbon (OMC), nitrate, elemental carbon (EC) components of fine aerosol were the major contributors to visibility impairment. Diurnal variation of visibility during best-case days showed rapid improvement in the morning hours, while it was delayed until afternoon during the worst-case days. Aerosol mass concentration of each aerosol component for the worst-case was calculated to be 11.2 times larger than the best-case for (NH$_4$)$_2$SO$_4$(NHSO), 19.0 times for NH$_4$NO$_3$ (NHNO), 2.2 times for OMC, respectively. Also result shows that elemental carbon and fine soil (FS) were 3.7 and 2.2 times more than those of best-case. respectively- Sum of total contributions of wet NHSO and NHNO to light extinction was calculated to be 301 Mm$^{-1}$ for the worst-case. However, sum of contributions by dry NHSO and NHNO was calculated to be 123 Mm$^{-1}$ for the best case. Mass extinction efficiencies of fine and coarse particles were calculated to be 5.8$\pm$0.3 $m^2$/g and 1.8$\pm$0.1 $m^2$/g, respectively.ely.

A Study on the Development of Classification for Criminal Case Files (형사사건기록의 분류방안 연구 - 사안 파일(Case file) 관리를 중심으로 -)

  • Lee, Hyun-Jung
    • Journal of Korean Society of Archives and Records Management
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    • v.10 no.1
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    • pp.169-197
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    • 2010
  • The purpose of this study is to propose a different classification method for keeping a record of cases. After proving that criminal case files should be counted as one type of case files, based on their characteristics and characteristics, this research analyzes the current process of criminal case filling at Public Prosecutor's Office to point out some problems. This study suggests a new classification system: at first, each case gets classified based on a case: secondary, the data gets further assorted by the chronological procedures. The classification approach, which is adopted from MoReq 2's Workflow method, is more adjustable to the new electronic filing system.

Clinical Evaluation of Surgical Treatment of Benign Mediastinal Tumors (양성 종격동종양의 외과적치료에 대한 임상적 고찰)

  • 지행옥
    • Journal of Chest Surgery
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    • v.3 no.2
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    • pp.121-126
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    • 1970
  • This is a report on a total of 8 cases of benign mediastinal tumors and cysts in Department of Thoracic Surgery, Chonnam University Hospital during the period from 1961 to 1969. The patients age was distributed between 18 and 38 year old with the highest incidence in the age group of second decade. Sex ratio of male to female was 3: 5. The tumors were classificed as follow; 3 case:, of neurogenic tumors, 2 cases of teratomas, one case of pericardial cyst, one case of cystic hygroma, and one case of brochogenic cyst. The symptomatic patients were 5 cases(62. 6%) and asymptomatic patients were 3 cases(37.5%). The symptomatic patients had the symptoms not referable to their lesion and the mediastinal tumors of asymptomatic patients were incidently found by routine chest X-ray. The Symptoms occurred by compression to adjacent nerve system in 3 cases. by perforation into the lung with infection in one case and by infection of bronchial cyst in one case. The complications were Pancoast's syndrome including Horner's syndrome(2 cases), middle lobe syndrome (one case), bro:1chial infection(one case) and intercostal neuralgia(one case). All tbe tumors were surgicai[y resectable with good recovery postoperatively. In 5 cases of the symptomatic patents, their symptoms were disappeared dramatically after operation.

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Thermodynamic Characteristics of Snowfall Clouds using Dropsonde Data During ICE-POP 2018 (ICE-POP 2018 기간 드롭존데 자료를 활용한 강설 구름의 열역학적 특성)

  • Jung, Sueng-Pil;Lee, Chulkyu;Kim, Ji-Hyoung;Yang, Hyo Jin;Yun, Jong Hwan;Ko, Hee Jong;Hong, Seong-Eun;Kim, Seung-Bum
    • Atmosphere
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    • v.30 no.1
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    • pp.31-46
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    • 2020
  • The aircraft observation campaign was performed to investigate thermodynamic conditions of snowfall cloud over the East Sea of Korean peninsula from 2 February to 16 March 2018. During this period, four snowfall events occurred in the Yeongdong region and three cases were analyzed using dropsonde data. Snowfall cases were associated with the passage of southern low-pressure (maritime warm air mass) and expansion of northern high-pressure (continental polar air mass). Case 1 and Case 2a were related to low-pressure systems, and Case 2b and Case 3 were connected with high-pressure systems, respectively. And their thermodynamic properties and horizontal distribution of snowfall cloud were differed according to the influence of the synoptic condition. In Case 1 and Case 2a, atmospheric layers between sea surface and 350 hPa contained moisture more than 15 mm of TPW with multiple inversion layers detected by dropsonde data, while the vertical atmosphere of Case 2b and Case 3 were dry as TPW 5 mm or less with a single inversion inversion layer around 750~850 hPa. However, the vertical distributions of equivalent potential temperature (θe) were similar as moist-adiabatically neutral condition regardless of the case. But, their values below 900 hPa were about 10 K higher in Case 1 and Case 2a (285~290 K) than in Case 2b and Case 3 (275~280 K). The difference in these values is related to the characteristics of the incoming air mass and the location of the snowfall cloud.

Modified Eloesser's Operation and Its Result In Chronic Empuema with Poor General Condition or Chachecic State (만성 농흉에 대한 Modified Eloesser's Operation 과 그 의의)

  • 최종범
    • Journal of Chest Surgery
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    • v.12 no.2
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    • pp.82-88
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    • 1979
  • During the past 3 years, 15 patients who could not be anesthetized generally because of poor general condition or cachecic state, of 111 patients with empyema, have been treated with modified Eloesser`s operation under the local anesthesia with 2% procaine. There were 13 males and 2 females ranging from 21 years to 61 years of age. The etiology was tuberculosis [6 cases], pyogenic pneumonia [5 cases], lung abscess [1 case], post-trauma [2 cases] and malignancy[1 case]. " The over-all mortality rate was 6.7%[1 case] and cause of its death was poor oral feeding because of post-traumatic psychosis. Modified Eloesser`s operation was performed after closed tube thoracostomy and irrigation with 1% zephanon solution for over 2 weeks. And then the other operation was not performed and all patients except 1 case appeared good progression (Complete healing; 4 cases, Progressive healing 10 cases, death: 1 case).

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The Analysis of Runoff Characteristics by Alterations of SCS-CN Value using LID Method (LID 기법 적용에 의한 SCS-CN값 변화가 강우유출특성에 미치는 영향 분석)

  • Kwon, Jun-Hee;Park, In-Hyeok;Ha, Sung-Ryoung
    • Journal of Environmental Impact Assessment
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    • v.19 no.1
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    • pp.49-57
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    • 2010
  • The objective of the research is to analyze changing trend of water discharge in precipitation, according to changing land use, through an environment-friendly urban development method called LID. The study chose S1 basin (Separated Sewer districts) in Cheongju region for survey. Among LID methods, relatively more applicable methods of green rooftop space and parking lot with permeable material were selected to construct plausible scenarios. Curve Number (CN) value was calculated due to land use patterns in each scenario, and SWMM model simulation were conducted during 2008 for comparative analysis. For Case 1, only parking lot with permeable material was applied to the scenario. Green rooftop space I and II were applied to Case 2 and 3 respectively. For Case 4 and 5, green rooftop space I and II were applied, in addition to parking lot with permeable material, Calculation of CN value showed that for S1 basin, the value was 88.1 (prior to scenario application), 86.5 (Case 1), 81.9 (Case 2), 68.5 (Case 3), 80.4 (Case 4) and 67.2 (Case 5). Changing pattern of rain water discharge was analyzed for each scenario. For Case 1, the change was not remarkable before and after application of scenario. In Case 2 and 4, the impact of rain water discharge as source of pollutant fell to 20~30%. The rate dropped to 30~50% in Case 3 and 5 respectively. The result demonstrates that the amount of rain water discharge, amount and frequency of sewer overflow, frequency of rain water discharge, and pollution load decreased in accordance with declining CN value in each scenario. In installing green rooftop space, the effect was twice greater when rain water discharge was directly infiltrated into soil.

Improvement of Ensemble Streamflow Prediction For Runoff Forecasting in Geum River Basin (유출예측을 위한 금강유역의 ESP확률 개선)

  • Ahn, Jung-Min;Jeong, Woo-Chang;Hwang, Man-Ha
    • Proceedings of the Korea Water Resources Association Conference
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    • 2008.05a
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    • pp.704-708
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    • 2008
  • 유역 통합 수자원 환경관리 시스템 내의 유출예측모듈인 RRFS를 통한 유출예측결과의 신뢰도 개선을 위해 ESP 기법을 금강유역에 적용하였다. 시나리오를 통해 생성된 유출예측 앙상블을 이용하여 50%의 확률값을 적용하여 본 결과 우리나라의 실정에 맞지 않아 예측의 결과를 적용하기 힘들고 수자원 관리의 정보로서 활용하기 힘들기 때문에 통계적인 분석을 통하여 정확도가 개선된 발생확률을 제시하기 위하여 본 연구를 수행하였다. 금강유역을 용담, 대청, 공주 지점으로 나눈 뒤, 유출량의 확률 예보를 위하여 '83년$\sim$'07년까지 25년간의 강우자료와 온도자료를 RRFS에 적용하여 '07년의 매월 25개의 유출 시나리오를 생성하였다. 생성된 유출 시나리오에서 Case별로 ESP확률을 산정하였다. 통계분석을 통해 얻어진 월별 ESP 확률분포를 이용하여 '02년부터 '07년까지 과거 실측 월별 유출량에 대한 ESP 확률범위를 결정하였고 년강수량의 2/3가 홍수기인 $6{\sim}9$월 사이에 집중되는 우리나라의 특성을 고려해 이수기(1월$\sim$6월 그리고 10월$\sim$12월)와 홍수기(7월$\sim$9월)로 분리한 후 각각에 대한 ESP 확률 값을 최종적으로 결정하였다. Case별로 '07년 금강유역에 적용한 결과, Case 2로 산정된 ESP확률 값이 다른 Case에 비해 더 적합한 것으로 나타났다. Case 1 큰 오차가 나는 ESP 확률을 제외한 평균 ESP확률의 적용, Case 2 월별 최소 오차가 나는 ESP확률의 적용, Case 3 Case2의 월별 ESP확률을 이수기 홍수기로 평균한 ESP확률 적용, Case 4 분기별 최소 오차가 나는 ESP확률의 적용, Case 5 Case4의 분기별 ESP확률을 이수기 홍수기로 평균한 ESP확률의 적용.

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Effect of Guibitang and Ascorbic Acid on the Regional Brain Catecholamines contents of Heat or Forced Swimming stressed Guinea Pig (귀비탕(歸脾湯)과 Ascorbic Acid가 열(熱) 및 유영(遊泳) Stress Guinea Pig의 뇌(腦) Catecholamine 함량(含量)에 미치는 영향(影響))

  • Ryu Jae-Gyu;Whang Wei-Wan
    • Journal of Oriental Neuropsychiatry
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    • v.6 no.1
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    • pp.41-49
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    • 1995
  • This study aimed to compare the anti-stress effect of Guibitang with Ascorbic Acid on the guinea pigs in heat or forced swimming stress. the experimental animals were heated in hot room$(34{\pm}2^{\circ}C)$ for 2 hours in a day during 7 days. Forced swimming stress was loaded by forcing guinea pigs to swim in a oval tub for 2 minutes in a day during 7days. And administered 1.0mg/100g of Ascorbic Acid or 86.0mg/100g of Guibitang extract formonce befor stress. 1. In brain, the contents of norepinephrine in group of the heat of forced swimming stress, in case administered Ascorbic Acid and in case administered Guibitang extract with Ascorbic Acid significantly decreases as compared with these in case administered non Ascoric Acid. 2. In brain, the contents of epinephrine in group of the forced swimming stress, in case administered Guibitang extract with Ascorbic Acid significantly decreases as compared with these in case administered non Ascorbic Acid. 3. In brain, the contents of dopamine in group of the heating stress, in case administered Guibitang extract with Ascorbic Acid significantly decreases as compared with these in case administered non Ascorbic Acid, and these in group of the forced swimming stress in case administered Ascorbic Acid and in case administered Guibitang extract without Ascorbic Acid and in case administered Guibitang extract with Ascorbic Acid significantly decreases as compared with these in case administered non Ascorbic Acid.

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