• 한국의료질향상학회지
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• 제18권1호
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• pp.79-87
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• 2012

문제: 투약오류는 의료기관 전반에서 가장 많이 발생하는 오류의 하나이며, 환자에게 중대한 위해를 초래하기도 한다. 특히 고농축전해질은 문제발생의 가능성과 위험성이 높아 지속적인 관리 및 교육을 필요로 하고 있다. 목적: 발생한 투약오류 건에 대한 근본원인분석을 시행함으로써 유사사례가 발생하는 것을 예방하여 환자안전을 도모하고자 한다. 의료기관: 연세대학교 세브란스병원 질 향상 활동: 투약오류 건에 대해 근본원인분석 시행 후 고위험약물 관련 내규를 보완하였고, 고위험약물에 대한 Alert System 개발, 고위험약물 라벨 부착, 약 처방 관련 의료진 교육을 시행하였다. 개선효과: 고위험약물 투여와 관련된 시스템 개선 활동 이후 유사사례는 발생하지 않았고, 의료진 교육을 통하여 환자안전에 대한 인식과 중요성을 더욱 증가시켰다.

• Korean Journal of Acupuncture
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• 제39권2호
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• pp.63-67
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• 2022

Objectives : The purpose of this study was to investigate the needling depth of five-phase acupoints and discuss the association with the depth of meridian qi. Methods : DongUiBoGam was used to determine the depth of five-phase acupoints. The depth of needling at 60 five-phase acupoints was compared between well, spring, stream, river, and sea acupoints. Results : The proximal part of the extremities had deeper needling depth than the distal part of the extremities. The targeted deqi sensation can be related to the needling depth. Conclusions : The depth of the meridian qi is related to the distinct patterns of needling depth of five-phase acupoints.

• 한국철학논집
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• 제27호
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• pp.447-468
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• 2009

愚潭丁時翰(1625-1707)是朝鮮朝中期退溪學派的主要代表人物之一, 他一生隱居求志躬行心得為後世儒者所敬仰｡ 作為近畿主理論學者他同李玄逸(1627-1704, 字翼升, 號葛庵)一起, 對退溪的四七理論作了積極維護和系統闡述｡ 本文從比較的角度, 對愚潭的理氣說, 四端七情說, 人心道心說進行了簡要論述｡ 儘管他在理氣關係及四七理論的解釋上有些折衷退溪與栗谷思想之傾向, 但是從四七說以及對理氣關係的主僕, 上下位關係的解釋中我們還是可以看出其基於退溪的尊理貶氣, 理氣互發之義上的為學特色｡ 在人心道心說方面的特點在於, 其對朱子所講的實然之"心"的重視｡

• 사상체질의학회지
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• 제15권2호
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• pp.1-8
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• 2003

1. Objects of Research This research is purposed to find role and treatment mind of Sasang constitutional medicine in human genome age, through summarizing recognition of human and etiology. treatment on diseases proposed in Sasang constitutional medicine 2. Methods of Research It was researched as bibliologically with Dong-mu's chief medical writings such as ${\ulcorner}Dongyi$ Soose Bowon(東醫壽世保元)${\lrcorner}$, ${\ulcorner}$Dongyi Soose Bowon Sasang Chongyun(東醫壽世保元四象草本卷${\lrcorner}$. 3. Results and Conclusions 1. The outlook on human of Sasang Constitutional Medicine was completed in the base on Confusianism and it recognized that human is consisted with congenital element based on 'Human nature-shape' and acquired element based on Knowledge-Acting. Dong-mu emphasised acquired element than inborn element. 2. Sasang Constitutional Medicine is thought that we ran overcome inborn limitation of each constitution through moral culture of aposteriori Knowledge-Acting. and that self-correction is methods which is applied to treatment of disease recovering Essential Qi of each constitution with moral culture of personality 3. Sasang Constitutional Medicine is recognizing Essential Qi by main standard that foretell prognosis of disease and emphasize recovery of Essential Qi through self-correction than way of 'Assisting-Good Qi' and 'Removig-Bad Qi' in treatment of disease. 4. Self-correction can be divided into non-herbal self-correction and herbal self-correction. Non-herbal self-correction is to control greed by aposteriori Knowledge-Acting and herbal self-correction is to recover Essential Qi by herb. 5. It is thought that the present constitutional disease is consisted by accumulating life habit nature of a disease of ordinary times, and Sasang Constitutional Medicine that present constitutional disease is treated through administration of life habit nature of a disease of ordinary times in Sasang Constitutional Medicine. 6. Treatment mind to correct oneself into Golden Mean through controlling Knowledge-Acting in Sasang Constitutional Medicine may get into important treatment guide of gene medicine age.

• 대한약침학회지
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• 제20권2호
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• pp.100-106
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• 2017

Objectives: This study aimed to assess a Qi Blood Yin Yang evaluation method systematically and objectively and to identify the correlation between the Qi Blood Yin Yang deficiency pattern (QBYYDP) and facial color. Methods: Thirty-seven participants (17 males, 20 females) were enrolled in this study. Twenty-four (10 males, 14 females) had ages from 40 to over 60, and 13 (7 males and 6 females) were in their twenties. After sufficient rest, facial images were taken with a camera. Based on the results from a questionnaire survey, we divided the participants into five groups: the normal and the Qi-, Blood-, Yin-, and Yang-deficient groups, after which the relationships between the L, 'a', and 'b' values in the Lab color system and the characteristics of the participants in each of the deficient groups were elucidated using a facial color analysis program. Results: The color analysis for Qi-deficient (QD) participants revealed that the L value was fairly decreased in comparison with the normal participants, but the 'a' and 'b' values were almost the same. A comparison between the normal and the Yang-deficient (YaD) groups revealed that the L values were somewhat lower compared to the normal group, but the 'a' and 'b' values were not statistically different. For the Yin-deficient (YiD) group, the L value was slightly lower compared to the normal group, but the 'a' and 'b' values were almost the same and the R values were slightly increased. For the Blood-deficient (BD) group, the L values were slightly increased compared to the normal group, but the 'a' and 'b' values were decreased slightly. Conclusion: This study obtained objective, reliable data for judging the QBYYDP by using facial images and a color analysis program. However, further study with at least 10 or more subjects in each of the deficient groups is necessary to confirm our findings.

• 대한한방내과학회지
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• 제41권4호
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• pp.624-643
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• 2020

Objectives: The aim of this study was to analyze the correlation between Ryodoraku and two pattern-identification questionnaires in patients with Burning Mouth Syndrome (BMS). Methods: The study participants were 30 patients with BMS who visited the Oral Diseases Clinic of Kyung Hee Oriental Medicine Hospital from June to November, 2019. The Ryodoraku test and two pattern-identification questionnaires were administered to all patients. Measurements included the average Ryodoraku score, which is called the Total Average (TA), and each score on the Ryodoraku point scale. The degree of Yin-deficiency, Qi-stagnation, and pain were assessed with the Yin-deficiency Questionnaire (YDQ), Qi-stagnation Questionnaire (QSQ), and Visual Analogue Scale (VAS), respectively. Results: The average TA score was 29.90. The LF5 (p=0.013) and RF5 (p=0.016) scores were lower than the TA scores, and the RH5 (p=0.020) and RH6 (p=0.006) scores were higher than the TA scores. A negative correlation was detected between the YDQ scores and the LH1 (r=-0.366, p=0.046), LH2 (r=-0.507, p=0.004), LH3 (r=-0.374, p=0.042), RH1 (r=-0.361, p=0.050), RH2 (r=-0.403, p=0.027) points. The LF5 (p=0.050) and RF2 (p=0.048) scores were lower in the patients with Qi-stagnation patients than without Qi-stagnation. Conclusions: Our results suggest that low TA and Ryodoraku scores on LF5 and RF5 and high Ryodoraku scores on RH5 and RH6 could be quantitative indicators for the diagnosis of BMS. The LH1, LH2, LH3, RH1, RH2, LF5, and RF2 scores could also be an indicators for diagnosis of Yin-deficiency and Qi-stagnation in patients with BMS.

• 한방비만학회지
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• 제8권2호
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• pp.63-72
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• 2008

Objectives We aimed to explore obesity pattern among overweight and obese Korean adult women using oriental obesity pattern identification questionnaire. Methods This survey was performed using data of 83 overweight and obese women aged from 20 to 55 yrs (BMI ${\geq}\;23\;kg/m^2$ : n=18, BMI ${\geq}\;25\;kg/m^2$ :ｎ=65) in Seoul, from 2007 to 2008. Subjects were given written consent and this study was performed under the permission of institutional review board of Kyung-Hee East-west Neo Medical Center. Results 1. The distribution of oriental obesity pattern identification did not show any differences between obese and overweight group(p>0.05). 2. The ratio of significantly-scored oriental pattern identification was ordered by Stagnation of the liver Qi(肝欝, 21.7%) > Indigestion(食積, 18.1%) > Spleen deficiency(脾虚, 16.9%) > Yang deficiency(陽虚, 14.5%) (n=83). 3. The frequency of top-scored oriental obesity pattern was ordered by Stagnation of the liver Qi(肝欝, 36.1%) > Indigestion(食積, 24.1%) > Yang deficiency (陽虚, 15.7%) (n=83). 4. The frequency of oriental obesity pattern identification was ordered by Stagnation of the liver Qi(肝欝, 41.7%) > Indigestion(食積, 29.2%) > Yang deficiency(陽虚, 12.5%) > Stagnation of the liver Qi and Yang deficiency(肝欝兼陽虚, 8.3%) (n=24). Conclusions In Korean adult overweight and obese women, Stagnation of the liver Qi(肝欝), Indigestion(食積), and Yang deficiency (陽虚) were found to be the main pathology based on oriental obesity pattern identification questionnaire. It suggests that not only physical status but also general condition and emotional problem should be concerned in treatment of obesity. This study could play a role as a preliminary data of oriental obesity pattern identification.

• 대한한방내과학회지
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• 제39권3호
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• pp.405-425
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• 2018

Objective: The purpose of this study was to analyze the correlation between Stomach Qi Deficiency and gastric emptying as measured by abdominal ultrasonography in postprandial distress syndrome (PDS), a subgroup of functional dyspepsia (FD). Methods: Ten patients who met the Rome III diagnostic criteria for PDS and ten healthy controls participated in this study Gastric emptying shown as the half-life of gastric volume ($T_{1/2}$) was measured by abdominal ultrasonography. The degree of Stomach Qi Deficiency was assessed using the scale for Stomach Qi Deficiency pattern (SSQD). In addition, functional dyspepsia-related quality of life (FD-QoL), Nepean dyspepsia index-Korean version (NDI-K), and visual analogue scale (VAS) of distention and fullness were conducted on all subjects. Results: The scores of SSQD, FD-QoL, NDI-K, and VAS of distention and fullness in the patient group were significantly higher than those in the control group (p<0.05). $T_{1/2}$ was also higher in the patient group than in the control group. The SSQD score significantly correlated positively with $T_{1/2}$ in the patient group (r=0.640, p=0.046). However, there was no significant correlation between $T_{1/2}$ and other questionnaire scores in the patient group. Conclusions: Our results suggest that the gastric emptying measured by abdominal ultrasonography could be a quantitative indicator to diagnose Stomach Qi Deficiency in FD patients, especially the PDS subtype.

• 대한한의학원전학회지
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• 제33권4호
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• pp.57-66
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• 2020

Objectives : This study aims to grasp the principle of the Won Bang supplementation and draining method as mentioned in the 『Lingshu·Guanneng』 and the 『Suwen·Bazhengshenminlun』, which have contrasting properties. Methods : The texts in each chapter were analyzed to understand the supplementation and draining principle that matches the meanings of round[won,員] and angular[bang, 方]. Especially in the case of the chapter 「Bazhengshenminlun」, a hypothesis was drawn upon the relationship between the abstract explanation of the round[won,員] and angular[bang, 方] and the actual manipulation technique. This hypothesis was tested against other texts and annotations for further discussion. Results & Conclusions : The expressions 'bang[angular, 方]' and 'won[round,員]' refer to the same meanings in both chapters, as 'to be upright' and 'to be smooth,' respectively. The difference between the two chapters is that in the 『Lingshu·Guanneng』 the standard for Won Bang is the needler's movements, while in the 『Suwen·Bazhengshenminlun』, it is the patient's breathing. Moreover, while in the former the subjects of supplementation and draining are clearly divided into healthy qi and exterior pathogenic qi, in the latter the subject of manipulation is the deficiency and excessiveness caused by deviation of the healthy qi, thus making the subject of both supplementation and draining healthy qi. Based on these findings, we can conclude that the supplementation and draining of needling is divided into two methods; separating the healthy and pathogenic qi and manipulating the deficiency and excessiveness of healthy qi within the body.

• 한국지능시스템학회논문지
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• 제22권4호
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• pp.527-531
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• 2012

본 논문에서는 종래의 PSO 알고리즘 성능저하의 주요 원인들 중 하나인 입자들의 조기수렴 현상을 개선한 DPSO-QI (Distributed PSO with quantum-infusion mechanism) 기법을 제안한다. DPSO-QI 알고리즘은 다음과 같은 두 가지 특징을 지닌다. 첫째, 분산형 구조의 PSO 기법을 도입한다. 이는 먼저 적절한 수의 입자들로 소그룹을 형성하고, 최적해 탐색에 필요한 다양한 정보의 교환이 각 소그룹 내에서만 이루어지도록 한 기법이다. 이러한 기법을 바탕으로 입자들의 탐색 다양성을 증대시킴으로서 조기수렴 현상을 감소시키는 효과를 달성할 수 있다. 둘째, 상기의 입자 소그룹에 Quantum-infusion (QI) 메커니즘에 기반 한 기법을 도입시킨다. 이를 통해 입자들의 전역 최적해 탐색 정밀도를 보다 향상시킬 수 있다. 끝으로 다양한 수치예제를 통하여 제안하는 새로운 PSO 기법이 종래의 방식들에 비해 매우 뛰어난 성능을 구현할 수 있음을 입증하고자 한다.