• Korean Journal of Acupuncture
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• 제33권3호
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• pp.139-147
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• 2016

목적 : 침술은 동북아시아 지역의 중심에서 시작하여 2천년 이상의 역사와 함께 아시아뿐만 아니라 근-현대 전 세계의 임상의료 현장에서 크게 번창하고 있다. 이와 함께 침술의 객관화를 위하여 의생명과학 여러 방면에서 검증하는 노력이 진행되어 오고 있다. 그 과정을 통해 각종 동물을 비롯해 사람에서 침술의 다양한 효과와 기전이 점차 밝혀지고 있다. 필자는 침술 치료에서 의사와 환자가 주관적으로 경험하는 것을 설명하고, 그것의 임상적 유의성을 심신의학적 측면에서 이해하고자 하였다. 방법 : 침술과 명상에서 각각 진행되었던 뇌신경과학 분야의 여러 실험 결과들을 비교함으로써 심신 상관성이란 의미를 찾고자 하였다. 그밖에 한의학 임상영역에 시도되는 한의학과 심리학이 접목된 새로운 치료법을 정리하였다. 결과 및 결론: 침술의 치료효과와 관련해 "조기치신(調氣治神)"을 매우 중요한 개념으로 표현하고 있다. 이는 인체에 다양한 기능의 균형을 조절하고, 환자의 의식과 심리상태를 조절한다고 설명한다. 전통의학과 현대의학의 큰 차이는 현대의학은 환자와 질병을 대상화시켜 객관화 하는 노력을 추구하였고, 전통의학은 환자와 의사가 경험하는 대상을 자신과 분리하지 않는 주관적 체험을 추구하고 있다는 것이다. 그리고 전통의학은 주관적 체험을 배제하지 않고 진료에서 활용한다는 것이다. 그래서 전통의학의 역할과 의미를 이해하고자 한다면, 객관적 효과와 수량적 결과뿐만 아니라 환자와 의사의 주관적 체험과 이야기도 중요하게 다뤄져야 한다. 침술의 역할과 의미는 의사와 환자 사이에서 나타나는 행위의 모든 과정을 고려해 설명해야 할 것이다. 아마도 그 과정에서 침술이 찾는 해결의 길은 명상이 찾는 해결의 길과 만날 것이라 믿는다.

• 동의생리병리학회지
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• 제28권3호
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• pp.251-262
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• 2014

This article is for understanding dementia with the perspective of Korean Medicine through research on syndrome differentiations of dementia clinically applied and relations between modern diseases and Korean Medicine pattern types of dementia. clinical papers were searched in China Academic Journals(CAJ) of China National Knowledge Infrastructure(CNKI) from 2012 to 2013. Conclusions are as follows. First, dementia was expressed in many ways such as imbecility, stupidity, fatuity, idiocy, vacuity, etc and was related with amnesia, forgetfulness, speech not in the right order, depressive psychosis(quiet insanity), manic psychosis, depression syndrome. Second, prescriptions such as QiFuYin and ZuoGuiWan from JingYueQuanShu, XiXinTang and ZhiMiTang from BianZhengLu, TongQiaoHuoXueTang, XueFuZhuYuTang and BuYangHaiWuTang from YiLinGaiCuo, HaiShaoDan from YiFangJiJie, HuangLianJieDuTang from WaiTaiMiYao were suggested for dementia. Third, syndrome differentiation pattern types of dementia are kidney deficiency and marrow decrease, qi-blood depletion, liver-kidney depletion, spleen-kidney depletion, heart-spleen deficiency as deficiency patterns and effulgent heart-liver fire, ascendant hyperactivity of liver yang, qi stagnation and blood stasis, phlegm turbidity obstructing orifice, phlegm-blood stasis obstructing orifice, intense heat toxin as excess patterns and qi deficiency with blood stasis, yin deficiency with yang hyperactivity as deficiency-excess complex patterns. Major pattern types are kidney deficiency and marrow decrease, phlegm-blood stasis obstructing orifice, qi stagnation and blood stasis, liver-kidney depletion, phlegm turbidity obstructing orifice.

• Asian Pacific Journal of Cancer Prevention
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• 제15권6호
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• pp.2465-2472
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• 2014

Background: The American Joint Committee on Cancer (AJCC) published a new staging system ($7^{th}$ edition) in 2009. In our study, we evaluated the survival results and prognostic factors among T4 local advanced non-small cell lung cancer (LA-NSCLC) patients in a large heterogeneous group, in accordance with this new system. Materials and Methods: We retrospectively evaluated the files of 122 T4 N0-3 M0 LA-NSCLC patients, identified according to the new staging system, treated at two centers between November 2003 and June 2012. Variables correlating with univariate survival at p<0.20 were later included in multivariate Cox regression analysis. Here, selection of relevant predictors of survival was carried out in accordance with the likelihood ratio formula with p<0.05 regarded as significant. Results: The median age was 60 and the median follow-up period was 17.4 months. Median overall survival (OS) was 18.3 months, the 1 year overall survival (OS) rate was 72%, and the 5 year OS rate was 28%. Statistically significant predictors of survival were (p<0.20) ECOG-PS (Eastern Cooperative Oncology Group Performance Status), age, T4 factor subgroup, stage and primary treatment in OS univariate analysis. On multivariate analysis for OS ECOG-PS (p=0.001), diagnostic stage (p=0.021), and primary treatment (p=0.004) were significant. In the group receiving non-curative treatment, the median OS was 11.0 months, while it was 19.0 months in the definitive RT group and 26.6 months in the curative treatment group. There was a significant difference between the non-curative group and the groups which had definitive RT and curative operations (respectively p<0.001 and p=0.001) in terms of OS, but not between the groups which had definitive RT and curative operations. The median event free survival (EFS) rate was 9.9 months, with rates of 46% and 19% at 3 and 5 years, respectively. On univariate analysis of EFS rate with ECOG-PS, weight loss and staging, statistical significance was found only for thorax computerized tomography (CT)+18F-fluorodeoxy-glucose positron emission tomography-CT (PET-CT) use, stage and primary treatment (p<0.20). In multivariate analysis with EFS, only the primary treatment was statistically significant (p=0.001). In the group receiving non-curative treatment, the median EFS was 10.5 months while in the curative operation group it was 14.7 months. When all the primary treatment groups were taken into consideration, grade III/IV side effect swas observed in 57 patients (46.6%). Esophagitis was most prominent among those that received definitive radiotherapy. Conclusions: Independent prognostic factors among these 122 heterogeneous LA-NSCLC T4 N0-3 M0 patients were age at diagnosis, ECOG-PS, stage and primary treatment, the last also being a significant prognostic indicator of EFS. Our findings point to the importance of appropriate staging and a multidisciplinary approach with modern imaging methods in this patient group. In those with T4 lesions, treatment selection and the effective use of curative potential should be the most important goal of clinical care.

• 대한한의학원전학회지
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• 제37권2호
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• pp.101-119
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• 2024

Objectives : This study examined the characteristics of famine relief and fasting formulas in Korean Medical Texts from early Joseon to early modern period. Methods : In addition to previous studies and texts, basic materials were collected from various academic database such as the Korean Medical Classics Database, Korean History Database, Chinese Text Project, Weijiwenku, etc., then analyzed. Results : In Korean Medicine from the early Joseon to early modern Korea, there was a strong awareness to use fasting prescriptions which were applied in Daosim for the purpose of famine relief, using both medicinals and common food ingredients together as complex prescriptions rather than single ingredient formulas. Famine relief and fasting formulas were continuously listed in many medical texts published after the Donguibogam, in modified or newly improved forms. Moreover, the food ingredients and medicinals used in these formulas were consisted of those which could be easily found in the famished nation of the time. Many of these formulas were tried and tested prescriptions, frequently used in clinical settings. Most of the ingredients and medicinals used in the famine relief and fasting formulas were sweet, bland, and neutral in nature, supporting Qi circulation and tonifying the Spleen and Stomach. Therefore in times of famine, these medicinals could help prevent digestive problems and decline of stamina. Conclusions : Research and contemporary interpretation on the famine relief and fasting formulas could contribute to not only health management but to relieving nutrition imbalance and famine, expanding the field of Korean Medicine application.

• 한국비블리아학회지
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• 제34권4호
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• pp.29-54
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• 2023

본 연구는 한국 근대의학을 대표하는 의학교육기관에서 발행된 논문을 계량학적으로 분석하여 공통 및 학술지별 연구 주제를 파악하고 기관에 따른 저자 특성, 연구 경향을 살펴보고자 하였다. 경성의학전문학교와 경성제국대학 의학부에서 발행한 학술지 2종에 수록된 연구 논문 총 682건을 대상으로 저자 분석, 빈도 분석, 주제 분석을 수행하였다. 연구 결과, 경성의전 기요에 참여한 저자의 소속은 학교 및 병원 등 다양한 기관이 조사되었으며, 기초의학 전공과 임상의학 전공이 비슷한 비율을 차지하였다. 경성제대 의학부 기요는 학교 소속 저자만이 참여하였으며, 기초의학 전공은 96.33%임에 비해 임상의학 전공은 3.36%로 현저히 적었다. MeSH on Demand를 활용하여 논문 제목에서 추출한 MeSH 용어를 대상으로 동시출현 네트워크 분석을 실시한 결과, 두 학술지에서 공통으로 등장한 중심 주제어는 'erythrocytes'로 여러 장기 및 질병에 따른 적혈구 상태를 분석한 연구가 진행되었다. 빈도 분석 결과, 두 학술지에서 공통으로 혈액 및 혈구에 초점을 맞춘 연구와 당시 유행했던 질병인 빈혈과 결핵에 대한 연구가 등장하였다. 각 학술지의 주요 연구 주제를 비교한 결과, 경성의전 기요는 염증 질환에 대한 연구와 사람을 대상으로 한 임상병리학적 연구가 다수 확인되었으며, 경성제대 의학부 기요는 동물을 대상으로 한 해부학적 연구와 의약품에 대한 약리학적 연구가 주로 진행되었다. 본 연구를 통하여 설립 목표가 다른 두 의학전문학교에서 진행된 연구 주제와 주요 키워드를 파악하고, 학술지에 따른 연구 영역의 차이를 확인할 수 있었다.

• 동의생리병리학회지
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• 제19권4호
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• pp.878-883
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• 2005

The dream is a well-known experience in the routine life. It is the image and thought being occurred during the sleep, and the complex reaction of our mental world to the event of everyday. In particular, there are so many opinions of the reason why people have a dream and this thesis is telling about the physical and pathological changes in the human as one of that various opinions. The aspects of this thesis are often founded in the diverse texts of oriental Medicine, including the Internal Classics(내경), and there were some cases that regarded the dream as diagnostic object and put to clinical uses. These attempts were not only tried out by particular orient thoght, also the ancient Greeks thought that the dream would represent important informations about the health. But, these ideas have been treated lightly by the impacts of the western medicine since the modern age. Straightforwardly, before the psycho-analytics was not development, most of the doctors and scientists regarded the dream as things like dregs of mind. The central operating bodies of the dream are the Spirit(신) and Hon and Beak(혼백), and the Spirit(신) is more essential part between the two.

• 대한한방소아과학회지
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• 제38권1호
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• pp.46-54
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• 2024

Purpose As modern science and medicine develop, the concept of life is changing, and the importance of patients' rights is emphasized, making it essential for medical professionals to think ethically. However, there is currently a lack of medical ethics research in the field of Oriental medicine, especially for pediatric and adolescent patients, we would like to take a look at this. Methods Through a literature review, we aim to discuss various ethical issues and human rights of children and adolescents that arise when Oriental medical doctors treat children and adolescents as medical professionals and use these as basic data for future research and education on Oriental medical ethics for children and adolescents. Results Medical ethics include the principles of autonomy, prohibition of evildoing, beneficence, and justice, and medical staff must make ethical judgments based on these principles. Ethical issues regarding children and adolescents arise in various clinical situations, and education on medical ethics is essential. Conclusions Discussions on the rights of children and adolescents are becoming active, and their importance is increasing. Therefore, sufficient explanation and consent must be provided to guardians, children, and adolescents with legal rightsand the opinions of the participants must be respected as far as possible.

• Journal of Korean Neurosurgical Society
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• 제30권3호
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• pp.284-294
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• 2001

Objective : Stroke is leading cause of death and more importantly it is cause of serious disability. The effective treatment of acute ischemic stroke still remains a challenge to modern medicine. Recent clinical trials have shown that carotid endareterctomy(CEA) provide overwhelming benefits compared with medical therapy in preventing subsequent stroke for symptomatic carotid stenosis. For the asymptomatic ones, the data are less compelling, but highly suggestive that CEA do have benefits in properly selected patients. Materials and Methods : To investigate the clinical manifestations of carotid stenosis and results of CEAs, authors analyzed retrospectively 19 CEAs in 16 patients from June 1986 to June 1999. Age of patients ranged from 55 to 76 years(median, 66) and male to female ratio was 14 to 2. The duration of follow-up was 1 to 144 months (median, 26). All of CEAs were done on the side of stenosis more than 80% and bilateral CEAs were done in three. Six CEAs were performed in asymptomatic patients. Results : Seventeen of 19 CEAs showed excellent results and complication rate was low although ipsilateral ischemic stroke occurred in two. Conclusion : CEA may be a valuable surgical treatment for ischemic stroke caused by carotid stenosis and also for prevention of stroke of asymptomatic patients with carotid stenosis.

• Radiation Oncology Journal
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• 제29권3호
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• pp.135-146
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• 2011

With the advance of modern radiation therapy technique, radiation dose conformation and dose distribution have improved dramatically. However, the progress does not completely fulfi ll the goal of cancer treatment such as improved local control or survival. The discordances with the clinical results are from the biophysical nature of photon, which is the main source of radiation therapy in current field, with the lower linear energy transfer to the target. As part of a natural progression, there recently has been a resurgence of interest in particle therapy, specifically using heavy charged particles, because these kinds of radiations serve theoretical advantages in both biological and physical aspects. The Korean government is to set up a heavy charged particle facility in Korea Institute of Radiological & Medical Sciences. This review introduces some of the elementary physics of the various particles for the sake of Korean radiation oncologists' interest.

• Radiation Oncology Journal
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• 제32권4호
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• pp.213-220
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• 2014

Insufficiency fracture occurs when normal or physiological stress applied to weakened bone with demineralization and decreased elastic resistance. Recently, many studies reported the development of IF after radiation therapy (RT) in gynecological cancer, prostate cancer, anal cancer and rectal cancer. The RT-induced insufficiency fracture is a common complication during the follow-up using modern imaging studies. The clinical suspicion and knowledge the characteristic imaging patterns of insufficiency fracture is essential to differentiate it from metastatic bone lesions, because it sometimes cause severe pain, and it may be confused with bone metastasis.