• Title/Summary/Keyword: internal ratio

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Analysis of symptom pattern through comprehensive diagnosis of Qui Xui Shui in patients with functional dyspepsia (기혈수변증(氣血水辨證)에 의한 기능성 소화불량 환자의 변증유형 분석)

  • Lim, Jung-Hwa;Ryu, Jong-Min;Jang, Sung-Young;Kim, Hyun-Kyung;Lee, Joon-Suk;Yoon, Sang-Hyub;Kim, Jin-Sung;Ryu, Bong-Ha;Ryu, Ki-Won;Han, Sook-Young
    • The Journal of Internal Korean Medicine
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    • v.25 no.2
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    • pp.224-237
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    • 2004
  • Background & Object : It is well known that functional dyspepsia is one of the most common diseases. While many dyspepsia patients have been helped with oriental medical therapy, there has not been a study based on the concepts of oriental medicine. The aim of this study was to perform a fundamental epidemiological survey and to analyse the symptom pattern of functional dyspepsia. Methods : 86 patients(27 males, 59 females) diagnosed with functional dyspepsia in Kyunghee Oriental Medical Center from May to December 2002 were involved in this investigation. The disease characteristics of functional dyspepsia(based on Rome criteria II) and the Qui Xue Shui diagnostic procedure were investigated by questionnaire and physical examination. The total score and composition ratio of each comprehensive diagnosis were calculated from the symptom score described in the questionnaire. Results : The total score from the Qui Xue Shui diagnostic procedure was found to be influenced by the number of functional dyspepsia symptoms(p=0.026) and the patient's own cognition of their current dyspeptic situation(p=0.006), in addition to digestive ability and general congnition(p=0.006), and was not associated with sex, duration of dyspeptic symptoms in one year, or the total illness period, In the composition ratio of the Qui Xue Shui diagnostic procedure, only Qui-yu(p=0.048) diagnosis was accurate regarding the number of symptoms in one year, total illness period, or the patients' own congnition of their current dyspeptic situation, But the value of the composition ratio among the total factors involved was most similar to that of sex. Conclusions : Thus, it is shown here that the total score of using the Qui Xue Shui diagnostic procedure is mainly dependent on dyspeptic symptoms and the patinets' own cognition of their current dyspeptic situation, and that regular symptom patterns in the Qui Xue Shui diagnostic procedure exist in dyspeptic patients.

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The Clinical Effect of Drinking Habit in Acute Stroke Patients (급성기 중풍환자에서 음주습관이 중풍의 발생양상에 미치는 임상적 영향)

  • Choi, Dong-Jun;Hyun, Jin-Ho;Shin, Won-Yong;Kim, Yong-Hyung;Kang, A-My;Lee, Won-Chul;Jun, Chan-Yong;Jo, Ki-Ho;Han, Chang-Ho
    • The Journal of Internal Korean Medicine
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    • v.28 no.1
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    • pp.92-96
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    • 2007
  • Objectives : This study investigated the clinical effect of a drinking habit in acute stroke patients. Methods : 409 acute stroke patients were included from October 2005 to October 2006. Patients were hospitalized within 14 days after the onset of stroke at DongGuk University International Hospital, Kyungwon University In-cheon Oriental Medical Hospital, or Department of Cardiovascular and Neurologic Diseases (Stroke Center), Kyung Hee University Oriental Hospital. We investigated general characteristics, drinking habit, and stroke subtype by TOAST classification. Results : Among drinking subjects, hemorrhagic stroke was more frequent than ischemic stroke (odds ratio 3.04), and less in small vessel occlusion than others (odds ratio 1.84). Ischemic stroke was associated with a longer (30 yrs) drinking habit than hemorrhagic stroke. Conclusions : To acquire more concrete conclusions on this theme, we need further and larger scale research.

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Analysis on the Analytical Behavior of Soft Ground Reinforced with Granular Compaction Piles (GCP로 보강된 연약지반의 해석적 거동분석)

  • Kim, Min-Seok;Na, Seung-Ju;Yang, Yeol-Ho;Kim, Daehyeon
    • Journal of the Korean Geosynthetics Society
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    • v.15 no.3
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    • pp.27-37
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    • 2016
  • Although many studies on the Granular Compaction Pile (GCP) have been done by many researchers, the GCP design has not been systematically done due to the absence of the rational design methodology. As the GCP design has been mostly done by engineers' own experiences, some failure cases have been reported to occur. For this reason, it is very difficult to confirm definite causes of the failure and establish the prevention plans for the failure. Therefore, this study aims to investigate the optimal mixing ratio of gravel and sand, the effects of the internal friction angle of the GCP on the stress concentration ratio and the vertical and horizontal settlements. In order to analyze the behavior of the soft ground reinforced with the GCP depending on the different design parameters such as the stress concentration ratio and the internal friction angle, a number of finite element (FE) analyses were performed. From the direct shear test, the optimal mixing ratio of gravel to sand was found to be 70:30. Based on the numerical analyses, as the internal friction angle increased, the stress concentration ratio increased and it converged to a constant value. In addition, the larger the internal friction angle, the smaller the settlements. Consequently, the use of the optimal mixing ratio of gravel and sand can lead to reducing both the lateral flow and the heaving phenomenon.

A Didactical Analysis of Korean Mathematical Terms Bi-yul and Bi-ui-gap (비의 값과 비율 용어에 대한 교수학적 분석)

  • Yim, Jaehoon
    • Journal of Elementary Mathematics Education in Korea
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    • v.19 no.3
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    • pp.371-386
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    • 2015
  • There has been little consensus on how to define and use the Korean mathematical terms, bi-ui-gap and bi-yul. This study compares four perspectives of bi-ui-gap and bi-yul proposed and discussed in Korean mathematics education community and examines the ways of using the terms adopted since the 6th national curriculum. Based on the analysis that previously proposed perspectives conflict each other, this study proposes as a way to synthesize different perspectives of bi-ui-gap and bi-yul by analyzing the terms in the internal and external ratio contexts. This study proposes that bi-ui-gap be used to represent 'a value of $A{\div}B$' rather than 'a value originated from a ratio A:B' or 'a fraction form ${\frac{B}{A}}$.' This study also proposes that bi-yul or bae-yul be used in the internal ratio context and a new term, such as dan-wi-yul, be created for the external ratio context.

The Relationship between Functional Dyspepsia and Dyspepsia caused by Organic Disease in Heart Rate Variability (심박변이도(HRV)에서 기능성 소화불량증과 기질성 소화불량증의 상관성 연구)

  • Kim, Sang-Heon;Kim, Hyo-Jin;Lee, Soo-Jung;Sin, Cheol-Kyung;Lee, Sang-Hee;Kim, Won-Il
    • The Journal of Internal Korean Medicine
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    • v.29 no.2
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    • pp.443-455
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    • 2008
  • Objectives : This study was designed to research whether HRV can yield a suitable diagnosis for activity of autonomic nerve system on functional dyspepsia. Methods : The testing of HRV was carried out at the Oriental Medical Center of Dong-Eui University with the participation of 28 functional dyspepsia patients, 25 dyspepsia caused by organic disease patients and 33 control group people. We checked HRV of the three groups for 5 minutes and compared HRV index(frequency domain analysis: HF, LF, VLF, LF/HF Ratio, TP) between groups. Results were as follows : 1. In the frequency domain analysis, HF, LF, VLF, and TP were significantly lower than the control group in the functional dyspepsia patients and dyspepsia caused by organic disease groups. HF, LF, VLF, LF/HF ratio, and TP were not significantly different between functional dyspepsia group and dyspepsia caused by organic disease group. 2. Age in dyspepsia patient group was significantly higher than in the control group. 3. In the frequency domain analysis, LF, VLF, and TP were significantly lower in the functional dyspepsia group than the control group in age 20-30 years. HF, LF, VLF, LF/HF ratio, and TP were not significantly different between the control group and dyspepsia caused by organic disease group in ages 20-30 years. HF, LF, VLF, LF/HF ratio, and TP were not significantly different between functional dyspepsia group and dyspepsia caused by organic disease group in age 20-30 years. Conclusion : According to this study, autonomic nerve system and parasympathetic nerve system decreased more in the functional dyspepsia patient group compared with the control group.

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Statistical Study on Risk Factor of Cerebral Infarction by Case-Control Study (환자-대조군 연구를 통한 뇌경색 위험인자에 대한 통계적 고찰)

  • Son, Yeon-Hui;Jeong, Hyun-Yun;Kim, Do-Gyung;Lee, Jae-Wang;Kim, Young-Kyun;Kwon, Jung-Nam;Sin, Cheol-Kyung;Park, Sun-Mi
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.23 no.5
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    • pp.1199-1205
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    • 2009
  • The purpose of this case-control study was done to examine the relationship among the cerebral infarction, blood lipids and homocysteine. We compared the components of blood lipids and homocysteine between cerebral infarction patients group (n=127) and controls group (n=158). We performed Pearson's chi-square test and Student's t-test for univariate analysis, Binary logistic regression for multivariate analysis to evaluate risk factors of cerebral infarction and Pearson's correlation analysis to investigate correlation between blood lipids and homocysteine. The results were as follows. The blood levels of High density lipoprotein cholesterol(HDL-Chol) and Low density lipoprotein cholesterol (LDL-Chol) were significantly lower in patients group, while age, the blood levels of Triglyceride(TG) and homocysteine were significantly higher in patients group. Hypertension had a 4.62 odds ratio, $TG{\geq}150\;mg/d{\ell}$ had a 2.33 odds ratio, HDL-Chol ${\leq}40\;mg/d{\ell}$ had a 6.85 odds ratio, but sex, DM, T-Chol, LDL-Chol had no direct relationship with odds ratio(non significant). In addition, among T-Chol and TG , HDL-Chol, LDL-Chol, they had positive correlation each other. Between TG and HDL-Chol had negative correlation each other. Homocysteine was not correlated with blood lipids adjusted for age and sex. These results suggest that low HDL-Chol and high TG may be risk factor of cerebral infarction. The correlation between homocysteine and blood lipids was not proven.y urther reserch on the subject is needed.

Normal Control Study of Cerebral Blood Flow by Tc-99m HM-PAO SPECT ($^{99m}TC-HMPAO$ SPECT를 이용한 정상인 국소뇌혈류의 정량적 분석)

  • Moon, Dae-Hyuk;Lee, Bum-Woo;Lee, Kyung-Han;Choi, Yoon-Ho;Chung, June-Key;Lee, Myung-Chul;Koh, Chang-Soon;Yoon, Byung-Woo;Lee, Nam-Soo;Roh, Jae-Kyu;Myung, Ho-Jin;Koong, Sung-Soo
    • The Korean Journal of Nuclear Medicine
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    • v.23 no.2
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    • pp.155-163
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    • 1989
  • Regional cerebral perfusion was evaluated in 15 normal controls by single photon emission computed tomography using $^{99m}Tc$ HM-PAO. For quantitative analysis, 13 pairs of homologous region of interest (ROI) were drawn on three transverse slices matching the vascular territories and cerebral cortices, and normal values of 3 semiqunatitative indices including 'Right to left ratio'(R/L ratio), 'Regional index'(RI), and 'Region to cerebellum ratio'(R/cbll ratio) were calculated. Mean values of R/L ratios of homotogous regions were ranged from 0.985 to 1.023, and mean ${\pm}2$ s.d. of all regions did not exceed 11% of mean. Significant difference of RIs (mean count per voxel of a ROI/mean count per voxel of total ROIs) between regions were found (p<0.001) with highest values in occipital cortex and cerebellum. After attenuation correction, RIs in deep gray, cranial portion of anterior cerebral artery and vascular territories in the 2nd slice increased significantly (p < 0.05-0.001), but vise versa in other ROIs. Region to cerebellum ratios also showed regional difference similar to RIs.

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Differences in the Effects of Beta-Blockers Depending on Heart Rate at Discharge in Patients With Heart Failure With Preserved Ejection Fraction and Atrial Fibrillation

  • Young In Kim;Min-Soo Ahn;Byung-Su Yoo;Jang-Young Kim;Jung-Woo Son;Young Jun Park;Sung Hwa Kim;Dae Ryong Kang;Hae-Young Lee;Seok-Min Kang;Myeong-Chan Cho
    • International Journal of Heart Failure
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    • v.6 no.3
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    • pp.119-126
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    • 2024
  • Background and Objectives: Beta-blockers (BBs) improve prognosis in heart failure (HF), which is mediated by lowering heart rate (HR). However, HR has no prognostic implication in atrial fibrillation (AF) and also BBs have not been shown to improve prognosis in heart failure with preserved ejection fraction (HFpEF) with AF. This study assessed the prognostic implication of BB in HFpEF with AF according to discharge HR. Methods: From the Korean Acute Heart Failure Registry, 687 patients with HFpEF and AF were selected. Study subjects were divided into 4 groups based on 75 beats per minute (bpm) of HR at discharge and whether or not they were treated with BB at discharge. Results: Of the 687 patients with HFpEF and AF, 128 (36.1%) were in low HR group and 121 (36.4%) were in high HR group among those treated with BB at discharge. In high HR group, HR at discharge was significantly faster in BB non-users (85.5±9.1 bpm vs. 89.2±12.5 bpm, p=0.005). In the Cox model, BB did not improve 60-day rehospitalization (hazard ratio, 0.93;95% confidence interval [95% CI], 0.35-2.47) or mortality (hazard ratio, 0.77; 95% CI, 0.22-2.74) in low HR group. However, in high HR group, BB treatment at discharge was associated with 82% reduced 60-day HF rehospitalization (hazard ratio, 0.18; 95% CI, 0.04-0.81), but not with mortality (hazard ratio, 0.77; 95% CI, 0.20-2.98). Conclusions: In HFpEF with AF, in patients with HR over 75 bpm at discharge, BB treatment at discharge was associated with a reduced 60-day rehospitalization rate.

Korean Medical Treatment of Cognitive Impairments after Traumatic Epidural Hemorrhage: A Case Report (외상성 경막외 출혈 이후 발생한 인지장애에 대한 한방치료 1례)

  • Song, Juyeon;Kim, Youngji;Kim, Hakkyeom;Hong, Seungcheol;Park, Song-won;Ahn, Lib;Jeong, Ji-Cheon
    • The Journal of Internal Korean Medicine
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    • v.40 no.5
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    • pp.920-928
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    • 2019
  • Objectives: After epidural hemorrhage, sequelae may cause cognitive impairments, such as attention, memory, and performance disturbances. This case study reports on the use of traditional Korean medicine in a patient with cognitive impairments after a traumatic epidural hemorrhage. Methods: During the 46-day hospitalization period, traditional Korean medicine treatments, including Sunkihwalhyul-tang-gamibang, Ukgan-san-gajinpibanha Granule, Kyungohk-go, acupuncture, and cupping, were administered. The degree of cognitive impairment was measured based on the Mini Mental State Examination-Korea (MMSE-K), Modified Barthel Index (MBI), and correct answer ratio. Results: After traditional Korean medicine treatment, the MMSE-K score increased from 13 to 19 and the MBI score increased from 63 to 71. The patient's conversations in daily life also proceeded more smoothly than before hospitalization, and the correct answer ratio rose. Conclusion: This case reports the improvement of cognitive impairment after traumatic epidural hemorrhage in response to traditional Korean medicine treatment; further study is needed.

Chloride and lactate as prognostic indicators of calf diarrhea from eighty-nine cases

  • Gencay Ekinci;Emre Tufekci;Youssouf Cisse;Ilknur Karaca Bekdik;Ali Cesur Onmaz;Oznur Aslan;Vehbi Gunes;Mehmet Citil;Ihsan Keles
    • Journal of Veterinary Science
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    • v.25 no.3
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    • pp.38.1-38.16
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    • 2024
  • Importance: Deaths due to neonatal calf diarrhea are still one of the most critical problems of cattle breeding worldwide. Determining the parameters that can predict diarrhea-related deaths in calves is especially important in terms of prognosis and treatment strategies for the disease. Objective: The primary purpose of this study was to determine mortality rates and durations, survival status, and predictive prognosis parameters based on vital signs, hematology, and blood gas analyses in neonatal diarrheic calves. Methods: The hospital automation system retrospectively obtained data from 89 neonatal diarrheic calves. Results: It was found that 42.7% (38/89) of the calves brought with the complaint of diarrhea died during hospitalization or after discharge. Short-term and long-term fatalities were a median of 9.25 hours and a median of 51.50 hours, respectively. When the data obtained from this study is evaluated, body temperature (℃), pH, base excess (mmol/L), and sodium bicarbonate (mmol/L) parameters were found to be lower, and hemoglobin (g/dL), hematocrit (%), lactate (mmol/L), chloride (mmol/L), sodium (mmol/L) and anion gap (mmol/L) parameters were found to be higher in dead calves compared to survivors. Accordingly, hypothermia, metabolic acidosis, and dehydration findings were seen as clinical conditions that should be considered. Logistic regression analysis showed that lactate (odds ratio, 1.429) and CI- (odds ratio, 1.232) concentration were significant risk factors associated with death in calves with diarrhea. Conclusions and Relevance: According to the findings obtained from this study, the determination of lactate and Cl- levels can be used as an adjunctive supplementary test in distinguishing calves with diarrhea with a good prognosis.