• 대한중풍순환신경학회지
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• 제8권1호
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• pp.17-21
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• 2007

Objectives : This study was done to investigate the relationship of drinking and Dampness-Phlegm pattern in acute stroke patients. Methods : In the time of period Mar. 2007 to Jun. 2007, 103 patients with stroke admitted in the department of Internal Medicine of Kyungwon University Seoul Oriental Medical Hospital, Kyungwon University Incheon Oriental Medical Hospital, Kyunghee University Oriental Medical Hospital, Dongguk Il-san Oriental Medical Hospital were included. Patients were hospitalized within a month after the onset of stroke. Stroke patients were interviewed by residents who studied standard operation procedures in Fundamental Study for Standardization and Objectification of Differentiation and Pattern Identification of Syndrome of Oriental Medicine for Stroke. A questionnaire was completed by a question-and-answer form between patients and residents after explanation details to patients and the agreement of patients. Results : Drinking subjects have tendency of Dampness-Phlegm Pattern(p=0.096), but don't have statistical significance(p<0.05). Conclusions : In this study, we found the relationship of drinking and Dampness-Phlegm Pattern. To acquire more concrete conclusion on this theme, we need more research.

• 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.

• 대한중풍순환신경학회지
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• 제7권1호
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• pp.46-53
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• 2006

Objectives : The purposes of this study were to investigate that a blepharospasm means the presymptom of stroke based on the traditional hypothesis in the oriental medicine and to compare a blepharospasm with warning signs of stroke in the western medicine. Methods : In the time period Oct. 2005 to Oct. 2006, 409 patients with a first-ever stroke admitted in the department of Internal Medicine of Kyungwon University In-cheon Oriental Medical Hospital, Kyunghee University Oriental Medical Hospital, Dongguk Il-san Oriental Medical Hospital were included. Patients were hospitalized within 14 days after the onset of stroke. Stroke patients were interviewed by residents who studied standard operation procedures in Fundamental Study for Standardization and Objectification of Differentiation and Pattern Identification of Syndrome of Oriental Medicine for Stroke. A questionnaire was completed by a question-and-answer form between patients and residents after explanation details to patients and the agreement of patients. Results : Age, care of patients or grandson, diabetes mellitus, and smoking were higher among cerebral infarction group, while smoking was higher among hemorrhage group. Female, young age, hyperlipidemia, hypertension in the family history and fat body in waist-hip ratio were higher among patients undergoing the blepharospasm before stroke onset. And the incidence of blepharospasm was lower in patients who dislike the fast food. Finally, when we compared a blepharospasm with warning signs of stroke in the western medicine, the incidence of blepharospasm in this study were the most frequent. Conclusion : In this study, the incidence of blepharospasm in patients before stroke onset was more frequent than that of warning signs in the western medicine. But more data from prospective cohort studies should be collected to be accepted that the blepharospasm is the presymptom of stroke as like warning signs in the western medicine.

• 한방재활의학과학회지
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• 제33권4호
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• pp.31-44
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• 2023

Objectives The purpose of this study is to check the research trends of pharmacopuncture treatment in nerve entrapment syndrome, identify specific techniques, identify which pharmacopuncture are used, and provide directions for future research. Methods This study was conducted based on the five steps suggested by Arksey and O'Malley. We searched five domestic databases (Research Information Sharing Service, Oriental Medicine Advanced Searching Integrated System, Korean studies Information Service System, Science ON, and KMBASE) and identified studies with key search terms like "nerve entrapment" And "pharmacopuncture" until June 23, 2023. Results Twenty-nine studies were finally selected. among them, 25 papers were non-comparative studies (86.2%). The most common disease was carpal tube syndrome (n=10). All the investigated studies were treated by injecting pharmacopuncture into the pathway of the entraped nerve. The depth of pharmacopuncture injection was mentioned only in 13 studies. As for the pharmacopuncture used, sweet bee venom was 8 studies and bee venom was 6 studies, and about half of the pharmacopuncture manufactured with Bee venom as the main component accounted for. Conclusions This study is a scoping review of the pharmacopuncture treatment for nerve entrapment, which was first conducted in Korea. The treatment is mainly performed on the path way of the entraped nerve. After that, it is necessary to study the standardization of the specific technique method of pharmacopuncture and the uniformity of evaluation criteria.

• 터널과지하공간
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• 제33권5호
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• pp.348-372
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• 2023

고심도 균열암반대수층 환경에서 주로 수행되는 방사성폐기물 처분사업과 관련하여, 부지적합성 및 운영 시 안정성 평가를 평가하는데 있어 해당 대상 부지의 수리지질특성 평가는 필수적이다. 이러한 심부 수리지질 특성평가에 사용되는 인자 자료는 대상 부지에 굴착된 시추공을 이용한 원위치 수리시험을 통해 얻어지는데, 이 때 조사 결과의 정확도와 신뢰성은 적합한 시험방법의 선택, 조사 시스템의 성능, 조사절차의 표준화와 직접적으로 연결된다. 본 보고에서는 심부 암반대수층의 핵심 수리지질 평가인자인 수리전도도와 저류계수를 구하기 위한 대표적인 시험법인 정압주입시험의 상세조사절차를 소개하였다. 본 보고는 2022년도에 제안한 암반공학회 정압주입시험 관련 표준시험법 자료를 보완하여 구체화 하였으며, 본 조사절차가 실제 적용된 화산암 지역 시추공 현장적용 사례도 함께 소개하였다.

• Korean Journal of Radiology
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• 제22권11호
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• pp.1909-1917
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• 2021

Objective: Muscle quantity and quality can be measured with an automated system on CT. However, the effects of contrast phases on the muscle measurements have not been established, which we aimed to investigate in this study. Materials and Methods: Muscle quantity was measured according to the skeletal muscle area (SMA) measured by a convolutional neural network-based automated system at the L3 level in 89 subjects undergoing multiphasic abdominal CT comprising unenhanced phase, arterial phase, portal venous phase (PVP), or delayed phase imaging. Muscle quality was analyzed using the mean muscle density and the muscle quality map, which comprises normal and low-attenuation muscle areas (NAMA and LAMA, respectively) based on the muscle attenuation threshold. The SMA, mean muscle density, NAMA, and LAMA were compared between PVP and other phases using paired t tests. Bland-Altman analysis was used to evaluate the inter-phase variability between PVP and other phases. Based on the cutoffs for low muscle quantity and quality, the counts of individuals who scored lower than the cutoff values were compared between PVP and other phases. Results: All indices showed significant differences between PVP and other phases (p < 0.001 for all). The SMA, mean muscle density, and NAMA increased during the later phases, whereas LAMA decreased during the later phases. Bland-Altman analysis showed that the mean differences between PVP and other phases ranged -2.1 to 0.3 cm² for SMA, -12.0 to 2.6 cm² for NAMA, and -2.2 to 9.9 cm² for LAMA.The number of patients who were categorized as low muscle quantity did not significant differ between PVP and other phases (p ≥ 0.5), whereas the number of patients with low muscle quality significantly differed (p ≤ 0.002). Conclusion: SMA was less affected by the contrast phases. However, the muscle quality measurements changed with the contrast phases to greater extents and would require a standardization of the contrast phase for reliable measurement.

• 의료법학
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• 제25권1호
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• pp.117-148
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• 2024

본 연구는 간호사의 전문적 업무에 대한 범규범과 임상 현실의 실제적 차이에서 오는 법적 혼란 문제를 외국의 사례와 비교함으로써 이를 비판적으로 고찰하는 것을 그 목적으로 한다. 간호사의 업무 확대의 역사적 배경을 비교하고, 주요 국가의 전문간호사 등의 자격 및 업무에 대한 법적 근거 등을 살펴본 후, 이를 기초로 우리 법제의 발전 방향을 모색하고자 한다. 연구 방법은 비교 제도론적 연구 방법을 적용하였다. OECD 국가 중 미국, 호주, 일본을 선정하여 그 전문간호사 등에 관한 법제를 비교하였다. 미국, 호주, 일본 등에서 간호사의 전문적인 업무는 고령화 사회, 만성 질환, 의사 부족 등으로 인한 의료환경의 변화에 의해 출현하였다. 이들의 전문적인 업무에 관한 법적 근거, 자격인정 및 자격인정제도의 발전과 그 업무 범위 등을 비교하여 살펴보았다. 한국은 미국 등 외국과 비교하여 아직 법적 근거가 부재하며, 전문간호사 등의 업무 범위에 관한 법원의 입장과 실제 업무 간의 격차를 좁히지 못하고 있다. 비교법적 검토를 통해 전문간호사 등에 관하여 한국 실정에 맞는 법안 마련과 업무 범위 개발에 대한 시사점을 줄 수 있을 것이라 기대한다.

• 지적과 국토정보
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• 제54권1호
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• pp.89-102
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• 2024

최근 스마트시티와 디지털 트윈 기술의 발전으로 GIS와 BIM의 융합이 도시 계획 및 건설 프로젝트에서 중요한 역할을 하고 있다. 이 융합은 정보의 일관성과 정확성을 보장하여 원활한 정보 교환에 기여하지만, 상호운용성을 확보하기 위해서는 표준화와 프로젝트 통합 관리 방안이 필요하다. 본 연구는 IFC 기반 프로젝트의 통합 관리를 위한 GIS와 BIM의 상호운용 방안을 제안하였다. 이를 위해 최신 IFC4 버전을 기준으로 IFC 스키마와 데이터 구조를 심층 분석하고, 기준점 좌표 및 좌표계의 일관성을 확보하는 방법을 제안하였다. 국토지리정보원 수치지형도에서 사용하는 EPSG:5186 좌표계를 기준으로 설정하고, 가상이동원점 좌표를 적용하여 연구를 수행하였다. BIMvision을 통해 BIM 모델의 형상과 오류 점검 좌표의 이동 결과를 검토한 결과, 기준점 좌표가 이동된 만큼 오류 점검 좌표도 일관되게 이동하는 것을 확인하였다. 또한, 네이버지도 및 도로명주소에서 사용되는 EPSG:5179와 카카오맵에서 사용되는 EPSG:5181로 좌표계를 변경해도 BIM 모델의 형상과 좌표가 변형 없이 일관되게 유지됨을 확인하였다. 특히, IFC 파일에 EPSG 코드 정보를 입력하여 프로젝트 간 좌표계 연동 가능성을 확인하였다. 따라서, 본 연구는 GIS와 BIM의 정보 공유, 자동화 프로세스, 협업 강화, 지속 가능한 개발 등을 위한 통합적이고 체계적인 관리 방안을 제시하였다. 이를 통해 다양한 소프트웨어 플랫폼 간 호환성을 높이고, 여러 프로젝트에서 정보 일관성 및 효율성을 높일 수 있을 것으로 기대된다.

• Korean Journal of Radiology
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• 제23권1호
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• pp.77-88
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• 2022

Objective: Our study aimed to evaluate the quality of radiomics studies on brain metastases based on the radiomics quality score (RQS), Transparent Reporting of a multivariable prediction model for Individual Prognosis Or Diagnosis (TRIPOD) checklist, and the Image Biomarker Standardization Initiative (IBSI) guidelines. Materials and Methods: PubMed MEDLINE, and EMBASE were searched for articles on radiomics for evaluating brain metastases, published until February 2021. Of the 572 articles, 29 relevant original research articles were included and evaluated according to the RQS, TRIPOD checklist, and IBSI guidelines. Results: External validation was performed in only three studies (10.3%). The median RQS was 3.0 (range, -6 to 12), with a low basic adherence rate of 50.0%. The adherence rate was low in comparison to the "gold standard" (10.3%), stating the potential clinical utility (10.3%), performing the cut-off analysis (3.4%), reporting calibration statistics (6.9%), and providing open science and data (3.4%). None of the studies involved test-retest or phantom studies, prospective studies, or cost-effectiveness analyses. The overall rate of adherence to the TRIPOD checklist was 60.3% and low for reporting title (3.4%), blind assessment of outcome (0%), description of the handling of missing data (0%), and presentation of the full prediction model (0%). The majority of studies lacked pre-processing steps, with bias-field correction, isovoxel resampling, skull stripping, and gray-level discretization performed in only six (20.7%), nine (31.0%), four (3.8%), and four (13.8%) studies, respectively. Conclusion: The overall scientific and reporting quality of radiomics studies on brain metastases published during the study period was insufficient. Radiomics studies should adhere to the RQS, TRIPOD, and IBSI guidelines to facilitate the translation of radiomics into the clinical field.

• 한국산업보건학회지
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• 제34권1호
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• pp.18-25
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• 2024

Objectives: The primary aim of this study is to create an Occupational Safety and Health (OSH) guide for high-risk maintenance tasks, specifically one designed for maintenance work (MW) in the electronics industry. Methods: The methodology involved a literature review, field investigations, and discussions. An initial draft of the OSH guide was created and then refined through consultations with experts possessing extensive experience in MW for electronic processes. Results: Specific MW tasks within electronics processing facilities identified as high-risk by the research were selected. A comprehensive OSH guide for these tasks was developed consisting of approximately 11 to 12 components and encompassing about 20-25 pages. Implementing safety and health measures before, during, and after MW is crucial for the protection of maintenance personnel. The guide is enriched with real-case scenarios of industrial accidents and occupational diseases to enhance maintenance workers' comprehension of the OSH principles. For a clearer understanding of and adherence to the safety protocols, the guide incorporates visual aids, including cartoons and photographs. Conclusions: This OSH guide is designed to ensure the protection of workers involved in maintenance activities in the electronics industry. It aligns with global standards set by the International Organization for Standardization (ISO) and Semiconductor Equipment and Material International (SEMI) to ensure a high level of safety and compliance.