• 제목/요약/키워드: Pulse diagnosis analysis

검색결과 131건 처리시간 0.022초

미병 정량 지표에 관한 중국의 임상연구 동향 분석 - China National Knowledge Infrastructure를 중심으로 - (Analysis of Clinical Research Trends on Quantitative Indicators of Mibyeong in China - Using China National Knowledge Infrastructure -)

  • 여민경;이영섭
    • 대한예방한의학회지
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    • 제22권1호
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    • pp.15-28
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    • 2018
  • Objectives : The purpose of this study was to analyze the trend of clinical research on quantitative indicators of Mibyeong in traditional chinese medicine(TCM). Method : The journal search was performed using china national knowledge infrastructure(CNKI) database. Our inclusion criteria were as following: TCM clinical researches for quantitative indicators of Mibyeong. Exclusion criteria were as following: non-TCM clinical researches, used intervention methods. Results : Eleven clinical researches were analyzed in this study. Four of these researches classify the Mibyeong as a type of pattern identification(PI) and studied the characteristics of the PI quantitative indicators. Mibyeong diagnosis was done through guidelines and questionnaires, each was used at a similar rate. Quantitative indicators mentioned in the selected researches were blood indices, nailfold capillary, complexion, color of tongue substance and coating, pulse wave diagrams and heart rate variability. Among them, seven researches related to blood indices were the most. Blood indicators include whole-blood viscosity, plasma viscosity, fibrinogen, packed cell volume(Hct), triglycerides, total cholesterol, HDL-C, LDL-C, glucose, BUN/CREA, luteinzing hormone, estradiol, follicle stimulating hormone, IgA, IgG, etc. Conclusions : Based on this results, in combination with western medicine, it seems necessary to try to interpret the Mibyeong in more various ways. Even if the same Mibyeong, it is necessary to identify the index which changes according to the PI or chief complaint, and to set the Mibyeong standard corresponding thereto.

7구역진단기(VEGA-DFM722)를 이용한 사상체질 판별 가능성에 대한 임상 연구 (Clinical Study of Discrimination of Sasang Constitution wi th 7-Zone-Diagnostic System(VEGA-DFM722))

  • 송범용;권경숙;송정모
    • 사상체질의학회지
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    • 제19권2호
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    • pp.82-93
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    • 2007
  • 1. Objectives Functional medicine is a system which utilizes certain Investigative and treatment methods that are primarily oriented toward the recognition of functional disorder. The 7-zone-diagnostic system(VEGA-DFM722 and ABR-2000, etc) is a diagnostic device which applies pulse signals to predetermined bodily locations. We think that we can discriminate between Soeumin, Soyangin and Taeumin with this system. 2. Methods The subject of our study is no disease men and women who are decided the same constitution both survey of the QSCC II and diagnosis of specialist of the Sasang Constitution. All subject are 76(Soeumin(N=24), Soyangin(N=17), Taeumin(N=35)) cases. We make an analysis of a distinctive feature on the result of the VEGA-DFM722. 3. Results and Conclusions 1) Soeumin or Taeumin women had that the red bar graphs of and 1, 2 and 3 are lower than the red bar graphs of zone 4, 5, 6 and 7 in factor AA on the result of the VEGA-DFM722 with the naked eye. Soyangin or Taeumin men had that the red bar graphs of zone 1,2 and 3 are higher than the red bar graphs of tone 4, 5, 6 and 7 in factor AA on the result of the VEGA-DFM722 with the naked eye. 2) The typical discrimination between Soeumin and Soyangin showed statistical significance(p<0.05) in Factor PF 4(red bar) on the result of VEGA-DFM722.

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티벳 전통의학(傳統醫學)에 관(關)한 고찰(考察) (A Review on Tibetan Traditional Medicine)

  • 이봉효;박지하;이상남;한창현
    • 대한예방한의학회지
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    • 제14권3호
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    • pp.77-92
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    • 2010
  • Objectives : There has been little known about the Tibetan medicine in the society for Korean medicine. The aim of this study is to review the system of Tibetan medicine and compare with Korean medicine. Methods : The authors investigated several literatures that mentioned Tibetan medicine and organized in physiology, pathology, diagnostics, and treatment. And then, we interpreted the characteristics of Tibetan medicine as well as compared Tibetan medicine with Korean medicine. After that, we analyzed the commons and the differences, and also found out the meaning of Tibetan medicine. Results : The theory of Tibetan medicine is basically constituted of three elements of Lung, Tripa, and Peken in every parts of physiology, pathology, diagnostics, and treatment. Many organs of human body are compared to the fabrications of building. There is a detail explanation about the process of the development of fetus in Tibetan medicine. Tibetan medicine uses taking pulse in wrist, analysis of urine, watching of tongue, sperm, and menstruation, and etc. for diagnosis. In Tibetan medicine, regimen is prior to other treatments such as surgical treatment and medications. Conclusions : There is the oriental thought of '3' in Tibetan medicine, and esoteric buddhism is solved in Tibetan medicine. The anatomy and the diagnostics using urine, sperm, and menstruation have especially been developed in Tibetan medicine. Tibetan medicine emphasizes the feature of preventive medicine.

마이닝 기반 유비쿼터스 헬스케어 멀티에이전트 시스템 (A Mining-based Healthcare Multi-Agent System in Ubiquitous Environments)

  • 강은영
    • 한국산학기술학회논문지
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    • 제10권9호
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    • pp.2354-2360
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    • 2009
  • 유비쿼터스 컴퓨팅 환경에서 가장 널리 사용 가능한 분야는 헬스케어 분야이다. 본 논문에서는 유비쿼터스 환경에서 마이닝 기반 멀티 에이전트 헬스케어 시스템을 제안한다. 제안하는 기법은 환자의 몸으로부터 생성된 센싱 데이터를 마이닝을 이용하여 진단 패턴을 뽑아내어 정상 상태, 긴급 상태, 응급 상황으로 분류할 수 있다. 이는 실시간으로 센싱되는 엄청난 양의 생체 데이터를 처리할 수 있으며, 환자의 병력 데이터와 비교, 분석한다. 이를 위해 연관 규칙 탐사를 2가지 데이터 그룹으로 구분하여 적용한다. 첫 번째는, 기존의 방대한 의료 병력 데이터로 두 번째는, 체온, 혈압, 맥박등과 같은 센서로부터 센싱한 환자의 실시간 생체데이터로 분류한다. 제안하는 시스템은 PDA 같은 모바일 디바이스 등을 통하여 병원과 멀리 떨어진 지역에서도 긴급 상황을 판단하여 처리할 수 있다. 또한 환자(노인)의 상태를 실시간으로 모니터링 함으로써 요구되는 시간과 비용을 단축하게 되고, 의료 서비스의 지원에 대한 효율성을 높이게 된다.

산업장 건강검진의 한의학적 모델 개발 연구 (Research on the Development of the Oriental Medical Model on the Health Examination in the Industry)

  • 정명수;김성천;이은경;천은주;한종민;이수경;강성호;유택수;정재열;송용선;이기남
    • 대한예방한의학회지
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    • 제4권1호
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    • pp.32-50
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    • 2000
  • On the process of research in the plan on oriental medical participation in the industrial health sponsored by BK21 project, we carried out the oriental medical health examination program for workers during former half-year We reached the conclusion as follows, 1. The oriental medical health examination program is contents and formalities that should be determined by present industrial health system, based on the oriental medical system and scholastic character, and included probability of the western and oriental medical cooperation. 2. The oriental medical health examination program can promote capability of individual health management and productive power of workers, and it is capable to manage on the self-conscious symptoms and macroschophically approach to their environment 3. The oriental medical health examination program that we have developed, is flow as questionare, understanding of working environment, information of result and later management. It is composed of three fields as follow , first, use of pulse diagnostic apparatus, understanding of the health promotion life style, and diagnosis of the oriental medical doctor, second, analysis of constitution, third, photographing for understanding of the musculoskeletal disorders, questionare for musculoskeletal self-conscious symptoms, and diagnosis of oriental medical doctor. 4. The oriental medical health examination program that we have developed, progressive from the view point of health, makes the oriental medical doctor's roll more important. It is the first trial at the western and oriental medical cooperation and characterized by excellence about musouloskeletal disorders. But it need to be improved in aspects of time and specialist on the health examination, diagnostic apparatus, control of examinant and later management. So we think that it needs research on the employment of health examination specialist, establishment of later management system, development of significantly diagnosable standard and assessable form on the health examination, and contents of health examination on the western and oriental medical cooperation.

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치료에 대한 반응이 없는 폐렴 (Unresolving Pneumonia)

  • 방도석;정인성;강기만;박범철;윤영걸;김재수;박열;이성훈;홍영철;고경태;박상민;나동집
    • Tuberculosis and Respiratory Diseases
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    • 제57권6호
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    • pp.604-608
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    • 2004
  • 외인성 지방성 폐렴은 흔한 질환은 아니지만 동물성, 식물성 및 광물성 지방 물질이 원인이 될 수 있으며 발견된 예보다 훨씬 빈도가 많을 것으로 판단된다. 따라서 자세한 병력 청취로 원인 물질에 대한 노출을 우선 확인하여 지방성 폐렴을 의심하는 것이 선행되어야 한다.

OVERVIEW OF KSTAR INTEGRATED CONTROL SYSTEM

  • Park, Mi-Kyung;Kim, Kuk-Hee;Lee, Tae-Gu;Kim, Myung-Kyu;Hong, Jae-Sic;Baek, Sul-Hee;Lee, Sang-Il;Park, Jin-Seop;Chu, Yong;Kim, Young-Ok;Hahn, Sang-Hee;Oh, Yeong-Kook;Bak, Joo-Shik
    • Nuclear Engineering and Technology
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    • 제40권6호
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    • pp.451-458
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    • 2008
  • After more than 10 years construction, KSTAR (Korea Superconducting Tokamak Advanced Research) had finally completed its assembly in June 2007, and then achieved the goal of first-plasma in July 2008 through the four month's commissioning. KSTAR was constructed with fully superconducting magnets with material of $Nb_3Sn$ and NbTi, and their operation temperatures are maintained below 4.5K by the help of Helium Refrigerator System. During the first-plasma operation, plasmas of maximum current of 133kA and maximum pulse width of 865ms were obtained. The KSTAR Integrated Control System (KICS) has successfully fulfilled its missions of surveillance, device operation, machine protection interlock, and data acquisition and management. These and more were all KSTAR commissioning requirements. For reliable and safe operation of KSTAR, 17 local control systems were developed. Those systems must be integrated into the logically single control system, and operate regardless of their platforms and location installed. In order to meet these requirements, KICS was developed as a network-based distributed system and adopted a new framework, named as EPICS (Experimental Physics and Industrial Control System). Also, KICS has some features in KSTAR operation. It performs not only 24 hour continuous plant operation, but the shot-based real-time feedback control by exchanging the initiatives of operation between a central controller and a plasma control system in accordance with the operation sequence. For the diagnosis and analysis of plasma, 11 types of diagnostic system were implemented in KSTAR, and the acquired data from them were archived using MDSpius (Model Driven System), which is widely used in data management of fusion control systems. This paper will cover the design and implementation of the KSTAR integrated control system and the data management and visualization systems. Commissioning results will be introduced in brief.

모듈형 환자감시기와 중앙 환자감시기로 구성되는 환자감시시스템 시제품의 개발: 전체구조 및 사양 (Development of a Prototype Patient Monitoring System with Module-Based Bedside Units and Central Stations: Overall Architecture and Specifications)

  • 우응제;박승훈;전병문;문창욱;이희철;김승태;김형진;서재준;채경명;박종찬;최근호;이왕진;김경수
    • 대한의용생체공학회:학술대회논문집
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    • 대한의용생체공학회 1996년도 춘계학술대회
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    • pp.315-319
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    • 1996
  • We have developed a prototype patient monitoring system including module-based bedside units, interbed network, and central stations. A bedside unit consists of a color monitor and a main CPU unit with peripherals including a module controller. It can also include up to 3 module cases and 21 different modules. In addition to the 3-channel recorder module, six different physiological parameters of ECG, respiration, invasive blood pressure, noninvasive blood pressure, body temperature, and arterial pulse oximetry with plethysmogaph are provided as parameter modules. Modules and a module controller communicate with up to 1Mbps data rate through an intrabed network based on RS-485 and HDLC protocol. Bedside units can display up to 12 channels of waveforms with any related numeric informations simultaneously. At the same time, it communicates with other bedside units and central stations through interbed network based on 10Mbps Ethernet and TCP/IP protocol. Software far bedside units and central stations fully utilizes gaphical user interface techniques and all functions are controlled by a rotate/push button on bedside unit and a mouse on central station. The entire system satisfies the requirements of AAMI and ANSI standards in terms of electrical safety and performances. In order to accommodate more advanced data management capabilities such as 24-hour full disclosure, we are developing a relational database server dedicated to the patient monitoring system. We are also developing a clinical workstation with which physicians can review and examine the data from patients through various kinds of computer networks far diagnosis and report generation. Portable bedside units with LCD display and wired or wireless data communication capability will be developed in the near future. New parameter modules including cardiac output, capnograph, and other gas analysis functions will be added.

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급성기 뇌경색 환자에 있어 변증형별 유의한 임상지표의 분석 (Analysis of Clinical Indicators related to Pattern-Identification in Acute Cerebral Infarction Patient)

  • 이은찬;현상호;곽승혁;우수경;박주영;정우상;문상관;조기호;박성욱;고창남
    • 대한중풍순환신경학회지
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    • 제13권1호
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    • pp.33-42
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    • 2012
  • Object : The aim of this study was to assess the clinical indicators related to Pattern-Identification(PI) in acute cerebral infarction patients. Methods : We studied hospitalized patients within 30days after ictus, who admitted at Korean Medicine Center of Kyung-Hee University from January 2010 to October 2012.(n=290) Two Traditional Korean Medicine(TKM) physicians evaluated the patients independently and diagnosed PI. Inter-rater reliability was measured using simple percentage agreement and the Cohen's kappa(κ) coefficient. To assess the clinical indicators closely related to each PI, we analysed average score of each indicator in each group. Results : Simple percentage agreement of PI between raters was 64.83% and Cohen's kappa(κ) coefficient was 0.526(95% CI: 0.451-0.600). Inter-rater reliability level was fair to good. We analysed the clinical indicators in each group. Significant indicators for Fire-Heat Pattern(FHP) were reddened complexion and strong pulse power, and meaningful indicators for FHP were halitosis and thick tongue fur. Significant indicator for Dampness-Phlegm Pattern(DPP) was overweight and there was no meaningful indicator. Significant indicator for Yin-Deficiency Pattern(YDP) was dry tongue fur and meaningful indicator for YDP was thirst. There was no significant indicator for Qi-Deficiency Pattern(QDP) and pale complexion and faint low voice were meaningful indicators for QDP. Conclusions : This study reveals the significant and meaningful clinical indicators related to each Pattern-Identification in acute cerebral infarction patients. It will contribute to standardization of Korean Medical Diagnosis and Treatment in acute cerebral infarction patients.

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미만성 폐포 출혈의 임상 양상과 예후 (The Clinical Characteristics of Diffuse Alveolar Hemorrhage : A Retrospective Study of 21cases)

  • 함형석;노길환;강은해;강수정;안창혁;서지영;정만표;김호중;권오정;이종헌
    • Tuberculosis and Respiratory Diseases
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    • 제49권5호
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    • pp.614-623
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    • 2000
  • 배경 및 방법 : 미만성 폐포 출혈은 객혈, 호흡곤란 및 빈혈을 동반하며 단순흉부방사선사진상 미만성 폐포성 음영이 급성으로 진행하는 질환이다. 교원성 질환에 의한 경우 비교적 많이 알려져 있으나, 비교원성 질환에 의한 경우 비교적 많이 알려져 있으나, 비교원성 질환에 의한 경우 보고된 바가 적어 저자들은 폐포 출혈의 임상 양상을 알아보고자 21명을 대상으로 후향적 조사를 하였다. 결과 : 1) 21명의 환자들 중 교원성 질환 환자는 13명(61.9%)이었고, 이 중 전신성 홍반성 낭창이 10례(76.9%)로 가장 많았다. 비교원성 질환 환자는 허혈성 심부전, 승모판 폐쇄부전증으로 인한 심부전, 급성 골수성 백혈병(M2), 비소세포폐암, 자궁경부암의 폐전이와 기타 폐부종, 폐렴 및 급성호흡부전 증후군 등의 예였다. 2) 교원성 질환군에서 여자 환자가 더 많았던 것 외에 임상적 발현 차이는 없었고, 임상 양상으로는 호흡곤란(95.2%), 기침(76.2%), 객혈(61.9%), 발열(33.0%) 순이었다. 크레아티닌은 교원성 질환군이 비교원성 질환군보다 더 높았고($3.26{\pm}3.15$ mg/dl vs. $1.19{\pm}0.94$ mg/dl, p=0.030), 교원성 질환군 환자 13명중 8명(61.5%)이 산장 질환을 동반하였다. 혈색소의 감소 차이는 $2.69{\pm}1.26$ g/dl 였다. 단순흉부방사선사진상 미만성 폐포음영이(85.7%) 가장 많았고, 미만성 폐포음영이 가장 심한 소견이 혈색소의 감소가 가장 심했던 날보다 $1.38{\pm}4.22$일 늦게 나타났다. 3) 교원성 질환 환자의 경우 대부분 methlyprednisolone pulse, 혈장교환술, cyclophosphamide pulse로 투여하여 사망률은 23.1%였고, 비교원성 질환의 경우 보존적 치료를 하였고 사망률은 50.0%로 높았다. 결론 : 미만성 폐포 출혈은 객혈이 없더라도 발생할 수 있으므로, 다른 임상증상이 있으면 의심해 봐야 한다. 교원성 질환군에서 신장을 동시에 침범한 경우가 많았다. 교원성 질환 환자에서 혈색소의 감소보다 방사선학적으로 악화되는 소견이 하루이상 지연되므로 혈색소의 감소가 임상적 진단에 더 중요한 요소로 판단되며, 예후는 교원성 질환이 동반되었을 때보다 비교원성 질환이 원인일 때 불량하다고 사료된다.

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