• Journal of Korean Medical classics
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• v.13 no.2 s.17
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• pp.147-147
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• 2000

For the healthy body, Ying Qi(營氣) and Wei Qi(衛氣) in Jing Maei(經脈) correspond to change of the four seasong and the Five elements at the natural world, and their operation are each other closely connected with regular order. It it is violated this order, it brings about confusion of functional activities of Qi(氣機) and it has a effect upon the five regions of the heart, the lungs, the intestines and stomach(腸胃), the limbs, the head so each differently symptoms come out, this is given a name to wu luan(五亂). this volume are described symptoms and law of cure of wu luan(五亂) therefore this is so called wu luan(五亂). this volume is divided three chapters according to contents, what can be acquired are summarized so follows: 1. chapter deals with symtematic order of functional activities of qi(氣機) 2. chaper deals with what confusion of functional activities of qi(氣機) bring out disease of wu luan(五亂) 3 chapter deals with needle-steadying technique(刺法) of curing wu luan(五亂).

• Journal of Korean Medical classics
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• v.13 no.2 s.17
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• pp.148-154
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• 2000

For the healthy body, Ying Qi(營氣) and Wei Qi(衛氣) in Jing Maei(經脈) correspond to change of the four season and the Five elements at the natural world, and their operation are each other closely connected with regular order. It it is violated this order, it brings about confusion of functional activities of qi(氣機) and it has a effect upon the five regions of the heart, the lungs, the intestines and stomach(腸胃), the limbs, the head so each differently symptoms come out, this is given a name to wu luan(五亂). this volume are described symptoms and law of cure of wu luan(五亂) therefore this is so called wu luan(五亂). this volume is divided three chapters according to contents, what can be acquired are summarized so follows: 1. chapter deals with systematic order of functional activities of qi(氣機) 2. chapter deals with what confusion of functional activities of qi(氣機) bring out disease of wu luan(五亂) 3 chapter deals with needle-steadying technique(刺法) of curing wu luan(五亂).

• The Journal of Korean Medicine
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• v.35 no.2
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• pp.19-27
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• 2014

Objectives: To investigate the different effects of Sa-Am acupuncture with Spleen Jung-gyuck and Spleen Seung-gyuck on the radial pulse in healthy subjects. Methods: Sixty healthy volunteers (30 males and 30 females) participated in this study. The participants were randomly divided into three groups: control (C), Sa-Am acupuncture with Spleen Jung-gyuck (SP+) and Sa-Am acupuncture with Spleen Seung-gyuck (SP-). The radial pulse was measured using a multi-step tonometry system before, and 0, 30 and 60 minutes after acupuncture. Results: The heart rate adjusted radial augmentation index (RAI/HR) and high-tensioned pulse area (W area) significantly increased in the SP- group compared to the C and SP+ groups in males. The systolic pulse period (T4) increased significantly in the SP- group compared to the C and SP+ groups in females. The RAI/HR had positive correlations with W area and T4. Conclusion: The effects of Sa-Am acupuncture with Spleen Jung-gyuck and Spleen Seung-gyuck are different. Sa-Am acupuncture with Spleen Seung-gyuck induces acute increases of radial pulse parameters related to arterial stiffness in healthy subjects.

• Clinical Endoscopy
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• v.55 no.4
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• pp.520-524
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• 2022

Background/Aims: Intralesional steroid injections have been administered as prophylaxis for stenosis after esophageal endoscopic submucosal dissection. However, this method carries a risk of potential complications such as perforation because a fine needle is used to directly puncture the postoperative ulcer. We devised a new method of steroid intralesional infusion using a spray tube and evaluated its efficacy and safety. Methods: Intralesional steroid infusion using a spray tube was performed on 27 patients who underwent endoscopic submucosal dissection for superficial esophageal cancer with three-quarters or more of the lumen circumference resected. The presence or absence of stenosis, complications, and the number of endoscopic balloon dilations (EBDs) performed were evaluated after treatment. Results: Although stenosis was not observed in 22 of the 27 patients, five patients had stenosis and dysphagia requiring EBD. The stenosis in these five patients was relieved after four EBDs. No complications related to intralesional steroid infusion using the spray tube were observed. Conclusions: Intralesional steroid infusion using a spray tube is a simple and safe technique that is adequately effective in preventing stenosis (clinical trial number, UMIN000037567).

• Korean Journal of Radiology
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• v.22 no.2
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• pp.263-280
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• 2021

Percutaneous transthoracic needle biopsy (PTNB) is one of the essential diagnostic procedures for pulmonary lesions. Its role is increasing in the era of CT screening for lung cancer and precision medicine. The Korean Society of Thoracic Radiology developed the first evidence-based clinical guideline for PTNB in Korea by adapting pre-existing guidelines. The guideline provides 39 recommendations for the following four main domains of 12 key questions: the indications for PTNB, pre-procedural evaluation, procedural technique of PTNB and its accuracy, and management of post-biopsy complications. We hope that these recommendations can improve the diagnostic accuracy and safety of PTNB in clinical practice and promote standardization of the procedure nationwide.

• Geomechanics and Engineering
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• v.8 no.1
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• pp.113-132
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• 2015

In this study, lime (L), silica fume (SF), and lime-silica fume (L-SF) mix have been used for stabilizing and considering their effects on the soft clay soil. The improvement technique adopted in this study includes improving the behaviour, of a square footing over soft clay through grouting the clay with a slurry of lime-silica fume before and after installation of the footing. A grey-colored densified silica fume is used. Three percentages are used for lime (2%, 4% and 6%) and three percentages are used for silica fume (2.5%, 5%, 10%) and the optimum percentage of silica fume is mixed with the percentages of lime. Several tests are made to investigate the soil behaviour after adding the limeand silica fume. For grouting the soft clay underneath and around the footing, a 60 ml needle was used as a liquid tank of the lime-silica fume mix. Slurried silica fume typically contains 40 to 60% silica fume by mass. Four categories were studied to stabilize soft clay before and after footing construction and for each category, the effectiveness of grouting was investigated; the effect of injection hole spacing and depth of grout was investigated too. It was found that when the soft clay underneath or around a footing is injected by a slurry of lime-silica fume, an increase in the bearing capacity in the range of (6.58-88)% is obtained. The footing bearing capacity increases with increase of depth of grouting holes around the footing area due to increase in L-SF grout. The grouting near the footing to a distance of 0.5 B is more effective than grouting at a distance of 1.0 B due to shape of shear failure of soft clay around the footing.

• Journal of Korean Neurosurgical Society
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• v.40 no.2
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• pp.79-83
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• 2006

Objective : The purpose of this study was to describe a surgical technique of axillary approach of percutaneous endoscopic interlaminar discectomy for L5-S1 disc herniation and its preliminary results. Methods : From July 2002 to September 2003, 101 patients with lumbar radiculopathy due to L5-S1 disc herniation, who were treated by percutaneous interlaminar endoscopic discectomy, were retrospectively reviewed. There were 57 males and 44 females with a mean age of 44.8 years [range, 18 to 62 years]. The surgery consisted of needle insertion into the epidural space via the interlaminar space, sequential dilatation, and endoscopic discectomy through the axillary area of the S1 root. Results : The mean follow-up period was 14.5 months and the average surgical time was 41 min. According to the modified Macnab criteria, 44 patients [43.6%] had excellent outcomes, 49 [48.5%] had good results and only 8 [78%] had fair or poor outcomes. Four patients had a revision microdiscectomy due to incomplete removal of disc fragment. There were no major complications related to this surgical approach. Conclusion : Axillary approach of percutaneous endoscopic interlaminar discectomy is safe and effective procedure for the treatment of L5-Sl disc herniation. It combines the advantages of MED and conventional percutaneous endoscopic discectomy.

• Journal of Ocean Engineering and Technology
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• v.35 no.5
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• pp.327-335
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• 2021

Microcracks can rapidly grow and develop in high-strength steels used in offshore structures. It is important to render these microcracks harmless to ensure the safety and reliability of offshore structures. Here, the dependence of the aspect ratio (As) of the maximum depth of harmless crack (a_hlm) was evaluated under three different conditions considering the threshold stress intensity factor (Δk_th) and residual stress of offshore structural steel F690. The threshold stress intensity factor and fatigue limit of fatigue crack propagation, dependent on crack dimensions, were evaluated using Ando's equation, which considers the plastic behavior of fatigue and the stress ratio. a_hlm by peening was analyzed using the relationship between Δk_th obtained by Ando's equation and Δk_th obtained by the sum of applied stress and residual stress. The plate specimen had a width 2W = 12 mm and thickness t = 20 mm, and four value of As were considered: 1.0, 0.6, 0.3, and 0.1. The a_hlm was larger as the compressive residual stress distribution increased. Additionally, an increase in the values of As and Δk_th(l) led to a larger a_hlm. With a safety factor (N) of 2.0, the long-term safety and reliability of structures constructed using F690 can be secured with needle peening. It is necessary to apply a more sensitive non-destructive inspection technique as a non-destructive inspection method for crack detection could not be used to observe fatigue cracks that reduced the fatigue limit of smooth specimens by 50% in the three types of residual stresses considered. The usefulness of non-destructive inspection and non-damaging techniques was reviewed based on the relationship between a_hlm, a_NDI (minimum crack depth detectable in non-destructive inspection), a_{cr N} (crack depth that reduces the fatigue limit to 1/N), and As.

• Korean Journal of Radiology
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• v.22 no.11
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• pp.1834-1840
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• 2021

Objective: To analyze the computational fluid dynamics (CFD) of femoral artery pseudoaneurysm (FAP), identify a suitable location and timing for percutaneous thrombin injection (PTI) based on this analysis, and report our clinical experience with the procedure. Materials and Methods: CFD can be used to analyze the hemodynamics of the human body. An analysis using CFD recommended that the suitable location of the needle tip for PTI is at the center of the aneurysm sac and the optimal timing for starting PTI is during the early inflow phase of blood into the sac. Since 2011, seven patients (three male and four female; median age, 60 years [range, 43-75 years]) with FAP were treated with PTI based on the devised suitable location and time. Prior to the procedure, color Doppler ultrasonography was performed to determine the location and timing of the thrombin injection. Results: The technical success rate of the PTI was 100%. The amount of thrombin used for the procedure ranged from 200 IU to 1000 IU (median, 500 IU). None of the patients experienced any symptoms or signs of embolic complications during the procedure. Follow-up CT images did not reveal any embolism in the lower extremities and showed complete thrombosis of the pseudoaneurysm. Conclusion: Based on our study of CFD, PTI administered centrally in the FAP during early inflow, as seen on color Doppler, can be an effective technique.

• Archives of Plastic Surgery
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• v.36 no.5
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• pp.531-537
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• 2009

Purpose: Alveolar bone grafting has become an essential process in the treatmemt of alveolar cleft patient for stabilization of the maxillary arch, elimination of oronasal fistula, the reconstruction of the soft tissue nasal base support, and creation of bony support for tooth eruption for implant. The use of Autologous iliac cancellous bone is preferable because of the adequate quantity and high osteoinductive potential. However, even with iliac bone, insufficient osteoregeneration and absorption occur due to several factors such as the patient's age, cleft width, functional stress, and others. In order to increase osteoregeneration where the iliac bone is placed, the present study is associated with bone marrow aspirate (BMA). The experimental study evaluated the efficacy of osteoregeneration in normal cleft rabbits when alveolar bone grafting was performed with autologous iliac corticocancellous bone. Methods: Twenty - four New Zealand White rabbits were divided randomly into 2 groups (BMA, control). All animals underwent harvesting of corticocancellous bone graft from the right posterior iliac crest via standard surgical technique. $1m{\ell}$ of BMA were obtained by scraping the needle and aspirate with $10m{\ell}$ syringe from the contralateral iliac bone wall. The muco - periosteal flap on the palate was elevated. A mixture of Equal bone's volumes with BMA and saline as its control was inserted into the cleft. Animals were sacrificed at 2, 4, and 8 weeks and maxilla was harvested for dental peri - apical X-ray, bone matrix density (BMD),and histologic analysis. Result: BMD of regenerated bone to the cleft in the rabbits was higher than that of the control rabbits. X-ray, histologic analysis showed that increased osteoregeneration and low absorption rate were observed in the BMA group. Conclusion: Our experimental study showed BMA enhanced the osteoregeneration and survival rate of alveolar bone grafting. BMA is easy to extract & cost - time effective. So it can be an effective enhancers for bone grafting mixtures.