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A Study on the Historical Changes in the Theory of 'Syndrome Differentiation' from the Viewpoint of Yoon Gilyeong (윤길영(尹吉榮)의 변증론(辨證論) 변천(變遷) 연구(硏究)에 대한 고찰)

  • Kim, Gyeong Cheol;Lee, Hai Woong
    • The Journal of the Society of Korean Medicine Diagnostics
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    • v.19 no.3
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    • pp.151-158
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    • 2015
  • Objectives Syndrome differentiation and treatment (辨證論治) is one of the core theories in Korean medicine and syndrome differentiation (辨證) constitutes a branch of disease diagnosis in Korean medicine. Yoon Gil-Young, one of the modern outstanding scholar of basic medical science in Korean medicine, wrote on basic theories of Korean medicine such as physiology, pathology, formula science, etc. Hereby we will analyze and discuss his works to understand his recognition of historical changes in the syndrome differentiation. Methods We conducted researches into the two works of Yoon Gil-Young's, which are "The Clinical Formula Science of Eastern Medicine (東醫臨床方劑學)" and "The theory of Four-Constitution Medicine (四象體質醫學論)". From Yoon's academic standpoint which connects the basic medical science with the clinical medicine, we analyzed his opinion about syndrome differentiation and its historical changes. Results According to Yoon's research work on syndrome differentiation and its historical changes, the development of syndrome differentiation, which goes in harmony with the history of Korean medicine, has its deep root in " Huangdi's Internal Classic (黃帝內經)" and "Treatise on Cold Damage and Miscellaneous Diseases (傷寒雜病論)". And through "Treatise on the Spleen and Stomach (脾胃論)" and the articles of warm disease (溫病論), the theory of syndrome differentiation became extended to the whole clinical diagnostic field in Korean medicine, finally including the achievements in "Treasured Mirror of Eastern Medicine (東醫寶鑑)", "Longevity and Life Preservation in Eastern Medicine (東醫壽世保元)". Conclusions Yoon Gil-Young recognized that the system of syndrome differentiation was developed in accordance with the theories from the "Treatise on Cold Damage and Miscellaneous Diseases", then the "Treatise on the Spleen and Stomach" and the articles of warm disease. The four-constitution medicine in Korea and Koho school in Japan which lays emphasis on abdominal signs also contributed to its development. Syndrome differentiation can be categorized basically into three states of intrinsic cold (本寒), intrinsic deficiency (本虛), intrinsic heat (本熱) according to the deficiency and excess in human body metabolism.

Clinical Analysis of Ventricular Septal Defect (심실중격결손증의 임상적 고찰)

  • 인강진
    • Journal of Chest Surgery
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    • v.22 no.4
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    • pp.620-629
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    • 1989
  • A clinical analysis of 138 cases of ventricular septal defect operated on from 1983 to June 1988 at the department of Thoracic and Cardiovascular Surgery, School of Medicine, Chung-nam National University was done. The following results were obtained. 1. The VSD were 27.6 % and 41.0 % respectively of 500 open heart surgery cases and 334 congenital heart disease. 2. The range of age when the VSD was repaired was 3 months to 45 years, the mean age was 10.4 years and the 53.6 % of patients were under 7 years. The sex ratio was 6:4 in males favor. 3. The two common symptoms were frequent upper respiratory infection and dyspnea whose frequency was 62.5 % and 58.7% respectively. 4. 52% of the patients was below 25 percentile of the standard body weight. 5. The most common chest PA findings were cardiomegaly and increased pulmonary vascularity. 6. On anatomical classification, perimembranous type was most common [65.5%], subpulmonary arterial type was 27.6 %, perimembranous plus subpulmonary arterial type was 3.4 % multiple VSD was 0.8 % and LV-RA defect was 2.6 %. 7. Associated cardiac anomalies were founded in 39 cases [35.5 %] and PDA and aortic valve prolapse were most common associated anomalies and extracardiac anomalies were founded in 6.7 % of patients. 8. Mean extracorporeal circulation time was 68 min. and mean aortic cross-clamping time was 42 min. 9. The postoperative complications developed in 26 % of patients and the most common one was minor wound infection. 10. Right bundle branch block developed in 54.8% of the patients who had right ventriculotomy, 40.0% of the patients who had right atriotomy and 10.5% of the patients who had pulmonary arteriotomy. 11. The overall operative mortality was 5.1 % and the operative mortality of the patients who body weigh under 10 Kg was 23.8%.

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A Study on the categorization of acupuncture points of the Lung Meridian based on Huangdineijingmingtang ("황제내경명당(黃帝內經明堂)"을 중심으로 살펴본 폐경(肺經) 수혈(腧穴) 배열법에 관한 고찰)

  • Ahn, Jin-Hee;Baik, You-Sang;Jang, Woo-Chang;Jeong, Chang-Hyun
    • Journal of Korean Medical classics
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    • v.25 no.2
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    • pp.141-168
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    • 2012
  • Objective : The objective of this paper is to study the characteristics of the categorization of acupuncure points of the Lung Meridian(肺經) based on Hwangdineijingmingtang(黃帝內經明堂). Method : This paper examines several texts regarding the Lung Meridian. Result and Conclusion : Out of Yang Shangshan(楊上善)'s work, the theoretical aspects are presented in Hwangdineijingmingtang, whereas contents regarding acupuncture points are presented in Hwangdineijingmingtang. This is due to Yang's position as an imperial doctor(太醫侍御). In Hwangdineijingmingtang, Yang explains the characteristics of Metal(金) based on Hwangdineijingmingtang followed by an explanation of the acupuncture points of the Lung Meridian, which shows his emphasis on the relationship between the meridian as the main branch and the viscera. Along this medical logic, Yang must have included LU1(中府) into the Lung Meridian. This is Yang's unique point of view, distinguishing itself from other texts regarding the Lung Meridian. Apart from the means of explanation of the Lung Meridian by Yang, the verse 'made a volume for each 12 meridian' in the introduction of Hwangdineijingmingtang, discussion of the main treatable diseases of Hwangdineijingmingtang, contents on pathways of Lingshu Jingmai(靈樞 經脈), the start and end points of the meridians in Lingshu Maidu(靈樞 脈度) points to the assumption that each acupuncture point's belonging meridian known to us today was fixated by Yang.

Hooking rate and bait loss rate of traditional hairtail hand line according to immersion time in the coastal waters of Jeju (제주 연안 재래식 갈치 채낚기의 침지시간에 의한 조획률 및 미끼 탈락률)

  • Kim, Byung-Yeob;Park, Young-Seok;Lee, Chang-Heon
    • Journal of the Korean Society of Fisheries and Ocean Technology
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    • v.45 no.2
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    • pp.77-84
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    • 2009
  • This paper is to investigate the effect of the immersion time in the traditional hairtail hand line for developing the fishing methods and the fishing gear in the coast of jeju. The operating of 32 times was made with each different immersion time of hairtail hand line, and the relations between the catch and the immersion time were examined. As the result, targeted species rate was over 98% of total catch. From about 800 seconds after casting, the hooking rate was decreased and the bite loss rate was increased, it seems to be made by the decreasing factors of predators including the cutting of branch lines etc. In addition, it was supposed that the hooking rate and the bait loss rate had a deep connection with feeding time zone. The level of the correlation coefficient of the bait loss rate according to the immersion time was 0.54 at $p{\leq}0.01$, in the case of the hooking rate, 0.59 was chosen after about 800 seconds. The hooking rate and the bait loss rate according to the hook number were not irrelevant to the fish school layer. Additionally, it was assumed that the bait loss rate was related to the depth of water.

Computational investigation of the comparative analysis of cylindrical barns subjected to earthquake

  • Zandi, Yousef;Shariati, Mahdi;Marto, Aminaton;Wei, Xing;Karaca, Zeki;Dao, Duy Kien;Toghroli, Ali;Hashemi, Mir Heydar;Sedghi, Yadollah;Wakil, Karzan;Khorami, Majid
    • Steel and Composite Structures
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    • v.28 no.4
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    • pp.439-447
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    • 2018
  • The structural behaviors of cylindrical barns as a specific engineering structure have been considered as a complicated computing process. The structure design against the earthquake load, to protect by using the code, is an urgency avoiding unexpected damages. The situation has been subjected to the applied design method if there would be no failure across the construction procedures. The purpose of the current study is to clarify the behaviors of cylindrical reinforced concrete barns through the analytic methods across the mass and Lagrangian approaches through the whole outcomes comparison indicating that the isoparametric element obtained from the Lagrangian approach has been successfully applied in the barns earthquake analysis when the slosh effects have been discarded. The form of stress distributions is equal with $s_z$ closed distributions to one another.

The Influence of Sales-force System on Salesperson's Job Attitude and Sales Performance (영업통제시스템이 판매사원의 직무태도와 판매성과에 미치는 영향)

  • YI, Ho-Taek;YU, Jung-Rim
    • Journal of Distribution Science
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    • v.17 no.11
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    • pp.81-92
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    • 2019
  • Purpose: The salesperson, the core of the operating activities, plays the role of connecting the inside and outside of the company, representing the company to the consumer and identifying and responding to the customer's needs. The department store industry is the most representative retail industry in South Korea, and competition among its peer group and industry is intensifying, requiring differentiated service sales activities and performance from its employees. This study divided the sales force system into activity control(process-oriented control) and output control(performance-oriented control) and verified the differential impact on the job attitude of the salesperson (e.g., job satisfaction and burn-out), respectively. In addition, the effect of job satisfaction and burn-out of the salesperson on the job performance were checked. Research design, data, and methodology: The survey was conducted on 200 sales people working at five branch stores of Hyundai department store in Seoul, and 194 of them were analyzed. The reliability and validity of the variables were analyzed and hypotheses were verified through the SEM. Results: Results have shown that activity control has a greater impact on burn-out compared to output control, and output control has a greater impact on job satisfaction compared to activity control. It has been shown that the salesperson's burn-out does not affect sales performance, but that job satisfaction has a positive effect on sales performance. Conclusions: This study examines the effect of sales force management system such as activity control and output control, on the job attitude and sales performance in department stores. According to the results of this research, each of two control systems have a discriminatory effect on the job attitude variables. For the sales managers of department store, it is recommended to increase the efficiency of sales management by increasing the use of outcome control compared to activity control.

Effects of Offspring-Related Characteristics on Depressive Disorder among Cancer Patients and Survivors

  • Kim, Jae-Hyun;Park, Eun-Cheol;Yeom, Hyungseon;Kwon, Jeoung A;Lee, Sang Gyu
    • Asian Pacific Journal of Cancer Prevention
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    • v.16 no.11
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    • pp.4531-4536
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    • 2015
  • Objective: To investigate the influence of offspring-related characteristics on the prevalence of depressive disorders among cancer patients and those who survived cancer for at least 45 years. Materials and Methods: Data were obtained from the Korean Longitudinal Study of Aging (KLoSA). To investigate the association between offspring and depressive disorder among cancer patients and survivors, we analyzed data from 292 cancer patients and survivors drawn from a total subject pool of 16,613 individuals at baseline. Results: According to our results, the odds ratio (OR) for subjects with five or more offspring developing depressive disorder was -0.794 (p-value: 0.039, SE: 0.329) compared with that of those with two offspring. In addition, the adjusted effect of the number of male and female offspring on the presence of depressive disorder showed that the OR for those with three or more female offspring for developing depressive disorder was -0.958 lower (SE: 0.305, p-value: 0.012) than it was for those with no female offspring. Conclusions: This article provides evidence for an association between offspring-related characteristics and depressive disorders among cancer patients and survivors. Therefore, offspring may be important contributors to the emotional status of cancer patients and survivors. Further study should precisely need to measure depressive disorders because of self-reported data.

Directions for Muti-institutional Cooperation in Follow-up Management of Prostatic Disease Screening for the Low-income Group in Gangwon-do (강원도 저소득층의 전립선질환 검진사업과 사후관리를 위한 유관기관 협력방안)

  • Jang, Sungok;Lee, Jongseok
    • Korean Journal of Health Education and Promotion
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    • v.30 no.4
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    • pp.99-110
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    • 2013
  • Objectives: This study aimed to investigate factors related to prostate disease and follow-up procedure on health examination program in Gangwon-do. Methods: The studied population was 16,501 male aged 40 or more, who underwent screening tests for prostatic disease in 2011 health examination program designed for the low income residents in Gangwon-do. The screening tests included prostate specific antigen (PSA), international symptom score (IPSS), and maximal flow rate (Qmax). We conducted chi-square test for trend, two independent samples t-test, and binary logistic regression to find out the relationship between prostate cancer or benign prostatic hyperplasia and risk factors such as age, PSA level, and IPSS. Results: The number of subjects who turned out positive for PSA level (> 3.8ng/ml) was 971 men accounting for 5.9%. The result of post survey on them showed that 511 subjects (52.6%) got the urology check-up: 156 (30.5%) were diagnosed as normal, 286 (56.0%) as benign prostatic hyperplasia, and 69 (13.5%) as prostate cancer. The detection rate for prostate cancer was 8.8% when PSA level was between 3.81 and 9.99g/ml, and was 30.6% when PSA level was more than 10.00ng/ml. The rates of further testing varied depending on the communities from 26.7% to 68.2%, which was mainly affected by the role of local health center. Conclusions: Our findings indicate that enhanced quality control of local health center and empowerment of screening agency would increase the effort of coupled institutions between public and private sectors.

An Application of Support Vector Machines to Customer Loyalty Classification of Korean Retailing Company Using R Language

  • Nguyen, Phu-Thien;Lee, Young-Chan
    • The Journal of Information Systems
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    • v.26 no.4
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    • pp.17-37
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    • 2017
  • Purpose Customer Loyalty is the most important factor of customer relationship management (CRM). Especially in retailing industry, where customers have many options of where to spend their money. Classifying loyal customers through customers' data can help retailing companies build more efficient marketing strategies and gain competitive advantages. This study aims to construct classification models of distinguishing the loyal customers within a Korean retailing company using data mining techniques with R language. Design/methodology/approach In order to classify retailing customers, we used combination of support vector machines (SVMs) and other classification algorithms of machine learning (ML) with the support of recursive feature elimination (RFE). In particular, we first clean the dataset to remove outlier and impute the missing value. Then we used a RFE framework for electing most significant predictors. Finally, we construct models with classification algorithms, tune the best parameters and compare the performances among them. Findings The results reveal that ML classification techniques can work well with CRM data in Korean retailing industry. Moreover, customer loyalty is impacted by not only unique factor such as net promoter score but also other purchase habits such as expensive goods preferring or multi-branch visiting and so on. We also prove that with retailing customer's dataset the model constructed by SVMs algorithm has given better performance than others. We expect that the models in this study can be used by other retailing companies to classify their customers, then they can focus on giving services to these potential vip group. We also hope that the results of this ML algorithm using R language could be useful to other researchers for selecting appropriate ML algorithms.

Simplified Moment-Curvature Relationship Model of Reinforced Concrete Columns Considering Confinement Effect (구속효과를 고려한 철근 콘크리트 기둥의 모멘트-곡률 관계 단순모델)

  • Kwak, Min-Kyoung;Yang, Keun-Hyeok
    • Journal of the Korea Concrete Institute
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    • v.28 no.3
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    • pp.279-288
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    • 2016
  • The present study simplified the moment-curvature relationship to straightforwardly determine the flexural behavior of reinforced concrete (RC) columns. For the idealized column section, moments and neutral axis depths at different stages(first flexural crack, yielding of tensile reinforcing bar, maximum strength, and 80% of the maximum strength at the descending branch) were derived on the basis of the equilibrium condition of forces and compatibility condition. Concrete strains at the extreme compression fiber beyond the maximum strength were determined using the stress-strain relationship of confined concrete, proposed by Kim et al. The lateral load-displacement curves converted from the simplified moment-curvature relationship of columns are well consistent with test results obtained from column specimens under various parameters. The moments and the corresponding neutral axis depth at different stages were formulated as a function of longitudinal reinforcement and transverse reinforcement indices and/or applied axial load index. Overall, curvature ductility of columns was significantly affected by the axial load level as well as concrete compressive strength and the amount of longitudinal and transverse reinforcing bars.