• 대한약침학회지
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• 제16권3호
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• pp.46-51
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• 2013

Objectives: The aim of this study is to evaluate the effect of acupotomy in patients with degenerative lumbar spine stenosis. Methods: A total of 437 patients who had been diagnosed as having lumbar spine stenosis and who had been admitted to Daejeon Oriental hospital from June 1, 2008, to September 31, 2012, were included in this study. The patients underwent acupotomy once, twice or three times on the lumbar spine, according to their symptoms. Then, the patients were asked to complete the verbal numeric rating scale (VNRS) and the oswestry disability index (ODI) before and after acupotomy and underwent a global assessment. The resulting data were analyzed. Results: The gender ratio of the participants was 1:1.54, and the mean age was $65{\pm}10.0$ yr. The number of patients over the age of 65 yr was less than that of the patients under the age of 65 yr in the ratio of 1:1.3. The average disease period was $30.17{\pm}56.63$ months. The verbal numeric rating scale (VNRS) significantly decreased from 10 to an average of $7.10{\pm}2.50$ after one acupotomy, $6.30{\pm}2.60$ after two acupotomies, and $5.50{\pm}2.50$ after three acupotomies. The ODI was significantly decrease from $20.60{\pm}8.70$ to $17.80{\pm}8.60$ after once acupotomy, $17.10{\pm}8.50$ after two acupotomies, and $16.70{\pm}8.60$ after three acupotomies. High scores were also observed on the global assessment. Conclusion: These results provide evidence that acupotomy is effective to relieve pain and to improve quality of life in patients with degenerative lumbar spinal stenosis.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제30권3호
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• pp.116-120
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• 2019

Objectives: This study was conducted to re-validate the clinical efficacy of the Korean Adult Attention-Deficit/Hyperactivity Disorder (ADHD) Rating Scale (K-AARS), which is a self-report scale for ADHD in adults, and to determine the clinical utility and cut-off scores of K-AARS. Methods: The participants were 135 drug naïve adults with ADHD and 144 healthy controls. To diagnose ADHD based on the diagnostic criteria of the Diagnostic and Statistical Manual of Mental Disorders, 5th Edition, two board-certified pediatric psychiatrists interviewed the participants and completed the Mini International Neuropsychiatric Interview. K-AARS was applied to all participants. K-AARS comprises six clinical subscales, one impairment subscale, and one driving behavior subscale. The receiver operating characteristic analysis was conducted to calculate the cut-off scores of K-AARS. Results: All subscale scores, including six clinical subscale, impairment subscale, and driving behavior subscale scores, were found to be significant in distinguishing adults with ADHD from healthy controls. The sensitivity and specificity of the six clinical subscales were 63.0-77.0% and 66.7-79.9%, respectively. The combined total score of the six clinical subscales, had a sensitivity of 80.0% and specificity of 79.9%. Conclusion: The discriminative power of K-AARS for the diagnosis of ADHD in adults was excellent, and K-AARS and the empirical diagnosis of adults can be useful in diagnosing ADHD in adulthood.

• 인터넷정보학회논문지
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• 제18권3호
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• pp.19-28
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• 2017

협업적 필터링(CF)은 사용자와 상품간의 관계를 해석하여 특정 사용자에게 상품을 추천 해주는 시스템이다. CF 모델은 컨텐츠 등 다른 추가 정보 없이 평점 데이터만으로 사용자에게 상품을 추천해 줄 수 있다는 장점이 있다. 하지만 사용자는 전체 상품의 극히 일부분만을 소비하고 상품을 소비한 후에도 평점을 부여하지 않는 경우가 매우 많다. 이는 관찰된 평점의 수가 매우 적으며 사용자 평점 행렬이 매우 희박함을 의미한다. 이러한 평점 데이터의 희박성은 CF의 성능을 끌어올리는데 문제를 야기한다. 본 논문에서는 CF 모델 중 하나인 잠재 요인 모델(특히 SVD)의 성능을 끌어올리는데 집중한다. SVD에 상품 유사도 정보와 상품 동시 발생(co occurrence) 정보를 포함시킨 새로운 모델을 제안한다. 평점 데이터로부터 얻어지는 유사도와 동시 발생 정보는 상품 잠재 요인에 대한 잠재 공간상의 표현력을 높여주어 기존방법보다 Recall은 약 16%, Precision과 NDCG는 각각 8%, 7% 상승하였다. 본 논문에서 제안하는 방법이 향후 다른 추천 시스템과 결합하면 기존의 방법보다 더 좋은 성능을 보여줄 것이다.

• Journal of Acupuncture Research
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• 제33권1호
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• pp.117-125
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• 2016

Objectives : The purpose of this report is to introduce a rare case of a patient with Chorea Hyperglycemia Basal Ganglia syndrome (C-H-BG) whose initial medical interventions were started 2 weeks after the onset, and to suggest the possibility of treatment using a combined Western-Korean medicine approach. Methods : A 75-year-old female C-H-BG patient complaining of persistent right-sided hemichorea was treated with a therapy that combined Korean and Western medicine from April 4, 2015 to April 29, 2015. Improvements of symptoms were measured by a motor assessment of Unified Huntington's Disease Rating Scale (UHDRS), Visual Analog Scale (VAS) and the number of involuntary movements. Results : Motor assessment of UHDRS, VAS and the number of involuntary movements all showed a gradually improving tendency during 26 days of admission treatment. However, the patient's hemichorea persisted. Conclusion : Rapid blood sugar control is the most important treatment for C-H-BG, because pathologic changes of basal ganglia seem to become irreversible as time goes by. A combined Western-Korean medicine approach to treating C-H-BG seems effective not only in reducing hemichorea, but also in the management of accompanying symptoms such as muscle pain and general weakness.

• Journal of Acupuncture Research
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• 제32권1호
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• pp.119-126
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• 2015

Objectives : The purpose of this study was to investigate the clinical effects of Korean medical treatments combined with acupotomy on patients diagnosed with a herniated intervertebral disc of the lumbar spine. Methods : We reviewed the medical records of twenty in patients diagnosed with a herniated intervertebral disc of the lumbar spine. They had received Korean medical treatment combined with acupotomy on tender points in the gluteus minimus muscle and piriformis muscle at Gwangju Korean Medicine Hospital of Dong-Shin University from April, 2014 to December, 2014. To evaluate the efficacy of the treatments, the twenty in patients were asked to complete the Numerical Rating Scale(NRS) and the Oswestry Disability Index(ODI) before acupotomy, the first day after acupotomy, the third day after acupotomy, and the fifth day after acupotomy. Results : 1. NRS significantly decreased from $6.15{\pm}1.27$ to $3.90{\pm}1.45$. 2. ODI significantly decreased from $23.64{\pm}8.76$ to $15.95{\pm}7.35$. Conclusions : Korean medical treatment combined with acupotomy on tender points in the gluteus minimus muscle and piriformis muscle might be effective in reducing pain and improving the life quality of patients with a herniated intervertebral disc of the lumbar spine. We hope that further studies will be done to produce more clinical data and ensure effective application of these results.

• 대한한방내과학회지
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• 제41권6호
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• pp.1210-1222
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• 2020

Objective: The purpose of this study was to report the effect of acupuncture on the splenius muscle and the effect of combined Korean medicine treatment on acute dizziness in patients due to whiplash injury. Methods: Three patients with acute dizziness were treated with acupuncture of the splenius muscle and combined Korean medicine. A numeric rating scale (NRS) and the Korean dizziness handicap inventory (K-DHI) were checked every day from admission to discharge to confirm symptom improvements. Results: In the acute stage of dizziness caused by whiplash injury, acupuncture of the splenius muscle and combined Korean medicine improved the NRS and K-DHI scores. Conclusions: For patients with acute dizziness caused by whiplash injury, a combination of acupuncture on the splenius muscle and Korean medicine treatment may be a solution.

• 한국구조물진단유지관리공학회 논문집
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• 제26권6호
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• pp.93-101
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• 2022

국내 RC 슬래브교의 경우 공용연수가 20년 이상인 교량이 전체의 70% 이상을 차지하며, 노후화된 구조물의 수가 증가함에 따라 구조물의 안전 진단 및 유지관리의 중요성이 증가하는 실정이다. 고속도로 교량의 경우 바닥판 균열은 열화현상의 우선적인 원인이 되며, 교량 내구성 및 사용수명 저하에 밀접한 관계가 있다. 또한 신축이음과 교량받침 등의 부재 손상으로 인한 손상 발생 비율이 약 73%로 주부재보다 높다. 따라서 본 연구에서 교량 부재 손상과 바닥판 열화가 결합된 손상 시나리오를 정의하였다. 설계하중으로는 일교차를 고려한 온도 증감과 차랑햐중을 고려하여 개별 단일 손상 및 이종손상 시나리오 발생 시 바닥판 응력 분포와 최대 응력 발생 지점을 비교 분석하였다. 또한 바닥판 열화의 주요한 원인이 되는 균열의 점검 및 진단이력데이터 기반으로 공용연수 별 손상 시나리오에 대한 손상확산 분석 및 상태등급 예측을 수행하였다. 교량부재 손상이 동반되어 발생하는 이종손상의 경우 단일손상 대비 균열 면적율과 손상확산율이 증가되며, 상태등급 C에 도달하는 시기도 매우 빠를 것으로 예측된다. 따라서 교량부재 손상이 발생하였을 때, 신속한 보수 및 교체가 이루어지지 않으면 바닥판의 손상 발생과 손상 확산으로 인한 2차 피해를 유발하는 원인이 될 수 있다. 따라서 바닥판 응답에 대한 지속적인 관찰과 대응이 필요할 것으로 판단된다.

• Journal of Acupuncture Research
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• 제31권2호
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• pp.183-193
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• 2014

Objectives : The purpose of this study is to report the improvement in patients with lumbar, cervical or radiating pain to the extremity by means of acupotomy. Methods : We treated 5 patients who have a disease related with lumbar or cervical spine with acupotomy combined with oriental medical treatment. We checked numeric rating scale(NRS), oswestry low back pain disability index(ODI) or neck disability index(NDI), and range of motion(ROM). Results : NRS and ODI/NDI were decreased, and ROM improved at all cases. Conclusions : This study shows acupotomy has a meaningful effect when applied on lumbar and cervical spine.

• KEPCO Journal on Electric Power and Energy
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• 제2권3호
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• pp.415-419
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• 2016

As the need for clean coal technology has grown, so has the global research and development efforts into integrated gasification combined cycle (IGCC) plants. An IGCC plant couples a gas turbine to a gasification block. Various technical and economic problems exist in designing such a system. One such problem is the difficulty in realizing economies of scale because the single-train flow capacity of commercial IGCC synthetic gas turbine plants is limited; the capacity does not exceed a net power rating of 300 MW. To address this problem, this study modeled and simulated a synthetic gas turbine with the goal of evaluating the feasibility of a 500 MW or larger IGCC plant. First, a gas turbine with the best output and efficiency was chosen for use with natural gas. The turbine was modeled using GateCycle (a simulation tool), and the integrity of the model validated by comparing the result to the design value. Next, off-design modeling was carried out for a gas turbine with synthetic gas based on its on-design model, and the result was compared with the study result of the gas turbine manufacturer. The simulation confirmed that it is possible to create a large capacity IGCC plant by undertaking the remodeling of a gas turbine designed to use natural gas into one suitable for synthetic gas.

• 한국강구조학회 논문집
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• 제9권1호통권30호
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• pp.51-63
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• 1997

Highly curved steel-box bridges are usually constructed as ramp structures for the highway interchange and metropolitan elevated highway junction, but a number of these bridges are deteriorated and damaged to a significant degree due to heavy traffic. The main objective of the study is to develop a practical reliability-based assessment of safety and residual load carrying-capacity of existing curved steel-box ramp bridges. In the paper, for the realistic assessment of safety and residual load carrying-capacity of deteriorated and/or damaged curved steel-box bridges, an interactive non-linear limit state model is formulated based on the von Mises's combined stress yield criterion. It is demonstrated that the proposed model is effective for the assessment of reliability-based safety and the evaluation of residual load carrying-capacity of curved steel-box bridges. In addition, this study comparatively shows the applicability of various reliability analysis methods, and suggests a practical and effective one to be used in practice.