• 제목/요약/키워드: base prescription

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소화기 질환을 위한 인터넷 기반 전문가 시스템 (The Internet based Expert System for Gastroenteritis)

  • 하상호;유일대;천인국;박상흠;김선주
    • 한국멀티미디어학회논문지
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    • 제6권6호
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    • pp.1079-1087
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    • 2003
  • 국외에서는 수많은 종류의 의료 전문가 시스템이 개발되어 의사의 진단 및 처방에 효과적으로 활용되고 있으나, 국내에서 인터넷 기반의 의료 전문가 시스템의 개발 사례는 매우 미흡한 편이다. 본 논문에서는 인터넷을 통해서 손쉽게 사용 가능한 의료 진단 전문가 시스템 을 개발한다. 이 시스템은 Java 기술과 Java와 연동 가능한 전문가 시스템 셀 Jess를 사용하여 개발된다. 따라서 개발된 시스템은 특정 컴퓨팅 플랫폼에 독립 되 어 사용 가능하다는 특징 을 갖는다. 또한, 시스템의 지식 베이스를 구성하는 사실들과 규칙들을 통합하지 않고 구분하여 구성함으로써 지식베이스의 수정과 확장이 용이하다는 특징을 갖는다.

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동의보감(東醫寶鑑) 중(中) 마황(麻黃)이 주약(主藥)으로 배오(配伍)된 방제(方齊)의 활용(活用)에 대한 고찰(考察) (Study on Application of Herba Ephedrae Main Blended Prescription from Dongeuybogam)

  • 황치환;윤용갑
    • 대한한의학방제학회지
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    • 제13권2호
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    • pp.169-192
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    • 2005
  • This report describes the remedial fields, symptoms, pathlogy, dosage, prescriptional constitution of 79 studies to the use of Herba Ephedrae main blended prescriptions from dongeubogam. The following conclusions were reached through investigations on the prescriptions that use Herba Ephedrae as a key ingredient Herba Ephedrae blended prescriptions are utilized for 26 therapeutic purposes, for example, in symptoms of cough, cold, wind. In particular, 20.2% of the prescriptions appear in the chapter of cough. Prescriptions that utilize Herba Ephearae as the main ingredient are used in the treatment of 47 different types of diseases, for example, in the treatment of wind-cold pathogen, cold, wind, exogenous febrile disease etc. Herba Ephedrae is most widely used in six pathogenic factors such as wind, cold, dampness, heat. The actual amount of Herba Ephedrae blended has ranged at a wide variety of amounts from 1 don to 2 don. It is widely applied with base prescriptions such as Mahwang-tang, Samyo-tang, Mahwangbujasesin-tang, Mahwangkanghwal-tang.

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일차진료 항생제 치료기간과 비인두 항생제 내성률에 대한 연구 고찰 (A Review of Studies on Antibiotic Course and Antibiotic Resistance in Nasopharyngeal Pathogens in Primary Care Setting)

  • 신향화;이선행;윤성중;장규태
    • 대한한방소아과학회지
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    • 제32권2호
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    • pp.64-71
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    • 2018
  • Objectives The purpose of this study is to examine the correlation of antibiotics administration duration and antimicrobial resistance by reviewing domestic and foreign literatures. Methods We searched literatures dated up to 23 February, 2018 in PubMed and Cochrane Library using terms of "Anti-Bacterial Agents", "Carrier State", "Nasopharynx", "Drug Administration Schedule", and also searched via RISS (Research Information Service System), KISS (Koreanstudies Information Service System), DBpia (DataBase Periodical Information Academic) using terms of antibiotics, resistance, and dose. Results In comparison with shortened and standard antibiotic course, longer treatment duration is associated with greater antimicrobial resistance or non-significant difference, but we cannot find literature that shortened antibiotic course increases antimicrobial resistance on human nasopharyngeal flora. Conclusions Currently, there is no evidence that completing the standard antibiotic course reduces antimicrobial resistance. It can be a strategy for reducing antibiotic use to apply Korean medicine treatment, as well as short-course antibiotic therapy or delayed antibiotic prescription. Additional well-designed trials should be conducted in domestic and foreign settings about the appropriate duration of antibiotic therapy.

신축본(辛丑本) "동의수세보원(東醫壽世保元)" 처방(處方)에 관한 연구(硏究) (Research about The Discourse on The Discourse on The Medications and Prescriptions on The ShinChukBon DongyiSuseBowon)

  • 박성식;한경석
    • 사상체질의학회지
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    • 제14권3호
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    • pp.52-73
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    • 2002
  • 1. Purpose We can find the Newly created prescriptions of ShinChukBon DongyiSuseBowon which is not described at the Discourse on the Constitutional Symptoms and Diseases and still more not exist symptom in charge. And some of prescriptions of Discourse on the Constitutional Symptoms and Diseases is not described the composition. So how can we understand that prescriptions is the purpose of research. 2. Methods All the prescription of ShinChukBon DongyiSuseBowon is analyzed by many directions and compared with early books which is DongyiSuseBowonSasangChoBonKywun, GaBoBon DongyiSuseBowon etc. 3. Result and Conclusion We can find the analysis of prescriptions of ShinChukBon DongyiSuseBowon as follows. All prescriptions can't be make clear the base of the Discourse on the Constitutional Symptoms and Diseases as only ShinChukBon DongyiSuseBowon. And that is made at the different period More research is need that how can we understand the Newly created prescriptions which is not described at the Discourse on the Constitutional Symptoms and prescriptions of Discourse on the Constitutional Symptoms and Diseases which is not described the composition. So we must expain again in view of the varies period.

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분심기음(分心氣飮) 투여(投與)에 따른 Stress 관련(關聯) Hormone 의 함량변화(含量變化)에 관(關)한 실험적(實驗的) 고찰(考察) (An Experimental Study on the Change of Stress-related hormone Contents by Prescription of Bunsimgieum)

  • 지선영;정대규
    • 동의신경정신과학회지
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    • 제3권2호
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    • pp.49-63
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    • 1992
  • In order to study the anti-stress effect of Bunsimgieum, the changes of plasma catecholamine, aldosterone and cortisol levels were measured. In this study author gave immobilization stress to rats, and got the following results: 1. The contents of NE and EPI control group were $2.67{\pm}0.53$, $1.90{\pm}0.22\;ng/ml$, but in sample group the contents were $1.93{\pm}0.67$, $1.15{\pm}0.28\;ng/ml$. The real significance lies in thet only NE show the difference. 2. The contents of aldosterone in control group were $440.69{\pm}37.82\;Pg/ml$, but in sample group $174.64{\pm}42.41Pg/ml$ of aldosterone was measured. The difference was obvious. 3. The cortisol contents in control group were $0.17{\pm}0.03\;ug/dl$, but in sample group $0.28{\pm}0.03 \;ug/dl$ of cortisol was measured. Base on the results above, it may be concluded that Bunsimgieum is effective to prevent to prevent the changes by stress.

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불면증 환자의 Doxepin 치료 중단율 (Discontinuation Rate of Doxepin in Insomnia Patients)

  • 이지현;김성민;홍승철;서호준;김태원;엄유현;정종현
    • 정신신체의학
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    • 제26권1호
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    • pp.51-58
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    • 2018
  • 연구목적 일 대학 병원 정신건강의학과의 불면증 외래 환자에서 doxepin 처방 패턴에 따른 doxepin 치료 중단율 및 중단 이유에 차이가 있는지 확인하고자 하였다. 방 법 불면증 치료를 위해 doxepin을 처방한 외래 환자 534명의 환자를 선별한 후, 전자의무기록을 후향적으로 검토하여 201명의 환자를 대상으로 doxepin 처방 2개월 후 치료 중단율을 조사하였고, doxepin 처방 패턴에 따라 처음으로 수면 목적의 약제로 doxepin을 처방 받은 환자들을 initial군, 기존에 복용하던 수면 목적의 약제를 유지하면서 doxepin을 추가 처방한 경우를 add-on군, 기존에 수면 목적의 약제를 복용하였고 기존 약제를 중단하고 doxepin으로 약물을 변경한 경우를 switching군으로 나누어 doxepin 중단률 및 중단 이유를 조사하고 세 그룹간에 비교하였다. 결 과 2개월 후 doxepin 치료 중단율은 56.2%였고, 세 군 간의 치료 중단율에 유의한 차이가 있었다. Initial군이 세 군 중에 가장 높은 치료 중단율을 보였고, add-on 군이 가장 낮은 치료 중단율을 보였다(p=0.018). 각 군별 doxepin 치료 중단의 이유에서는 효과부족(p<0.001), 이상반응(p<0.001)이 add-on군에서 유의하게 높게 확인되었고, 환자거부(p=0.022), 원인미상 및 추적실패(p<0.001)가 initial군에서 유의하게 높은 결과를 보였다. 결 론 본 연구 결과 실제 임상 진료 상황에서는 add-on 방법이 약물의 switching 방법보다 doxepin 치료 유지에 적합하며, 부작용을 예방하기 위해 기존에 복용하던 수면제 및 수면에 도움을 주는 약제를 단계적으로 줄여야 함을 확인하였다. 추후 대규모 전향적 연구를 통하여 doxepin 치료 중단과 관련된 다양한 변인 및 위험요인들이 체계적으로 평가될 필요가 있다.

『본초정화(本草精華)』의 해제(解題)에 관한 역사학적(醫史學的) 접근 (『Bonchojeonghwa(本草精華)』, Medical Historical Approach to Bibliographic Notes)

  • 김홍균
    • 한국의사학회지
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    • 제24권2호
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    • pp.25-55
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    • 2011
  • The currently existing "Bonchojeonghwa (本草精華)" is a manuscript without the preface and the epilogue, composed of 2 books in 2 volumes. This book is a quintessence of knowledge on science of medicinal ingredients (medicinal phytology I herbal science) as well as an trial of new development in Chosun medical science. I.e. this book includes surprising change representing medical science in Chosun dynasty as a single publication on science of medicinal ingredients. It holds a value essential to clinician as a specialized book in medicinal ingredients, and Includes richer content on medicinal ingredients than any other books published before. In addition, it is away from boring list-up of superfluous knowledge as seen in "Bonchokangmok(本草綱目)" published in China, and well summarizes essential knowledge which can be used within a range of medicines available in Korea. This book has an outstanding structure that can be even used in today's textbook on science of medicinal ingredients, as it has clear theory, system and classification. Because it handles essential learning points prior to prescription to disease, it is possible to configure new prescription and adjustment of medicinal materials. Moreover, this book can play a good role for linguistic study at the time of publication, because it describes many drugs in Hangul in many parts of the book. "Bonchojeonghwa" includes a variety of animals, plants and mineral resources in Korea, like "Bonchokangmok" which was recently listed in UNESCO. As such, it has a significance in natural history as well as pharmacy in Korean Medicine. It has various academic relationships all in biologic & abiologic aspects. It has importance in sharing future biological resources, building up international potential, setting up the standard for biologic species under IMF system, and becoming a base for resource diplomacy. We should not only see it as a book on medicinal ingredients in terms of Oriental Medicine, but also make an prudent approach to it in terms of study strengthening Korea's national competitiveness. After bibliographical reviewing on the features & characteristics of the only existing copy of "Bonchojeonghwa" housed in Kyujanggak(奎章閣) of Seoul National University, the followings are noted. First, "Bonchojeonghwa" is a specialized book on medicinal ingredients voluntarily made by private hands to distribute knowledge on drugs in the desolate situation after Imjinoeran (Japanese Invasion in 1592), without waiting for governmental help. Second, it raised accessibility and practicality by new editing. Third, it classified 990 different kinds of drugs into plant, animal, and mineral at large, and dassified more in detail into 15 'Bu' and 48 'Ryu' at 258 pages. Fourth, the publication of this book is estimated to be around 1625~1633, at the time of Injo's reign in 17th century. Fifth, it contains the existing & up-to-date knowledge at the time of publication, and it is possible to see the supply-demand situation by Hangul descriptions in 149 places in the book. By the fact that there are many linguistic evidences of 17th century, explains well when the book was published.

유비쿼터스 환경에서 모바일을 이용한 원격 헬스케어 (Mobile Remote Healthcare in Ubiquitous Computing Environments)

  • 강은영;임용순
    • 한국인터넷방송통신학회논문지
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    • 제8권6호
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    • pp.55-61
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    • 2008
  • 본 논문에서는 의학적 센서 모듈과 무선 통신 기술이 결합된 멀티 에이전트 기반 원격 헬스케어 시스템을 제안한다. 제안된 헬스케어 시스템은 멀리 떨어진 곳에서도 환자 모니터링, 의사의 진단과 처방, 환자와 의사, 병원 관계자 사이의 정보 교환 등 폭 넓은 서비스를 지원한다. 또한 Body Area Network(BAN)과 병원의 의사와 관계자들과 연결되며, 이에 대한 유기적이고 병원 서버의 중앙 부하를 감소시키는 확장된 JADE기반 헬스케어 시스템을 디자인하고 개발했다. 에이전트들은 센서로부터 수집된 환자의 정보를 수집, 통합, 전달하고 모바일(PDA)에 표현하기도 한다. 제안된 시스템은 모바일(PDA)과 같은 모바일 디바이스 등을 통하여 섬과 같이 병원과 멀리 떨어진 지역에서도 긴급 상황을 판단하여 원격으로 처리할 수 있다는 장점을 얻게 된다. 또한 환자(노인)의 상태를 실시간으로 모니터링 함으로써 요구되는 시간과 비용을 많이 단축하게 되고, 의료 서비스의 지원에 대한 효율성을 높이게 된다.

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백혈병의 한의학적 질병 관점과 약물 기전 조사 (Review of Leukemia in Eastern Medicine Theory)

  • 강다혜;윤용선;조성훈;김준기
    • 동국한의학연구소논문집
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    • 제11권
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    • pp.1-40
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    • 2008
  • The leukemia is caused by with abnormal changes of the hemotopoietic cell and in the various neoplasm group which occurs from lymph organization and the bone marrow occurs disrupts immigrates toward the blood of circumference and a hemotopoiesis and the arm discouragement royal tomb and is a disease which infiltrates with the organization. Western medical diagnosis and classification and presents eastern medicinal demonstration which is confronted in him about the leukemia, eastern medicinal diagnosis and treatment the clinical dissertation against precisely, saw and dissertation precisely tried about leukemia therapeutic effect of the herbal extract, last from conclusion like this dissertation precisely in the base which tries groped the direction of eastern medicinal treatment method research about the leukemia. Eastern medicine approach led about diagnosis and treatment of the leukemia and with leukemia treatment the medical herb which the eastern medicine possesses in development and room sacrifice an eastern medicine theory and the false eye presented the drug which is therapeutic possibility and they presented. The eastern medicine demonstration and therapeutic method is showing the therapeutic ratio which is effective about the leukemia. But according to the patient does a about prescription and therapeutic method differently and the room my composition is complicated and clinical day is consistent decides upon a reproducibility and a therapeutic ratio with difficult point of accumulation, with standardization of therapeutic method has the difficult point of supply. In treatment of the leukemia demonstrates a nature of a disease consequently with theory of eastern medicine and appropriately prescribes endeavors raises a therapeutic ratio and the medical herb and room proposal remedial value, under verifying reveals the clinical trial which is standardized leads and the medical herb and a room sacrifice and the verification and supply of effect and safety are necessary.

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동의보감(東醫寶鑑) 중(中) 건강(乾薑)이 주약(主藥)으로 배오(配伍)된 방제(方劑)의 활용(活用)에 대한 고찰(考察) (A Study on the Applications of Zingiberis siccatum Rhizoma Mainly Blended Prescription in Dongeuibogam)

  • 윤지연;윤용갑;임규상
    • 대한한의학방제학회지
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    • 제25권3호
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    • pp.413-427
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    • 2017
  • Objectives : This report describes 75 studies related to the use of Zingiberis siccatum Rhizoma mainly blended from Dongeuibogam. Methods : The 75 Prescriptions of Consumptive part in DonguiBogam analysed frequency of basic prescriptions, symptoms of prescriptions and the pathology. Results : Prescriptions that Zingiberis siccatum Rhizoma was taken as a monarch drug are utilized for 25 therapeutic purposes, for example, cold disease, stool disease, cough disease. In particular, 16.0% of prescriptions appear in the chapter of cold. Prescriptions that utilize Zingiberis siccatum Rhizoma as the main component are used in the treatment of cold, stool and cough disease. Zingiberis siccatum Rhizoma is used in pathogenic factors such as weakness cold and cold strength and used in pathology related to the spleen and stomach system. The dosage of Zingiberis siccatum Rhizoma is 5pun(about 1.88g) to 4nyang(about 150.4g), however 1don(about 3.75g) has been taken the most for clinical application. Ijungtang is the most useful base prescriptions which use the Zingiberis siccatum Rhizoma as the main ingredient. Conclusions : As a result of Study on Analysis all Prescriptions of Zingiberis siccatum Rhizoma in DonguiBogam. We can understand more about basic prescriptions, symptoms of prescriptions and the pathology that are using for Zingiberis siccatum Rhizoma.