• Archives of Plastic Surgery
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• 제46권1호
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• pp.75-78
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• 2019

It is difficult to differentiate acute skin failure (ASF) from pressure ulcer (PU). ASF is defined as unavoidable injury resulting from hypoperfusion caused by severe dysfunction of another organ system. We describe a case of ASF mistaken as PU that resulted in a legal dispute. A 74-year-old male patient was admitted to our intensive care unit with sepsis due to bacterial pneumonia. Despite the use of air cushions and regular position changes, skin ulcerations occurred over his occiput, back, buttock, elbow, and ankle. After improvement in his general condition, he was transferred to the department of plastic and reconstructive surgery. Debridement was performed immediately, followed by conservative treatment (including a vacuum-assisted closure device) for 6 weeks. The buttock and occiput wounds were treated surgically. Despite complete healing, his caregivers sued the hospital for failing to prevent PU formation. ASF is a pressure-related injury resulting from hemodynamic instability due to organ system failure. Unlike PU, ASF may occur despite the implementation of all appropriate preventive measures. Furthermore, misdiagnosis of ASF as PU can lead to litigation. Therefore, it is critical for the proper diagnosis to be made quickly, and for physicians to explain that ASF occurs despite proper preventative treatment.

• 대한한의학회지
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• 제38권4호
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• pp.55-61
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• 2017

Objectives: In order to accurately measure skin moisture and accumulate normal skin moisture data, analyzing the uncertainty of the skin moisture measurement and establishing standard reference data is essential. It helps to evaluate the skin's condition and has great significance in diagnosis and treatment. In this study, the traceability of the equipment and the uncertainty of the results were analyzed for their potential use in the field of Korean medicine. The data was collected measuring skin moisture on the sole of the foot. Methods: One professional measured the moisture of the adult male's foot 10 times following a determined protocol. The standard uncertainty of repeated measurements was calculated from the mean value of 10 repeated measurements. Ten trainee participants also measured the adult male's foot following a determined protocol. The standard uncertainty by tester was calculated from the value of repeated measurements. Results: As a result of analyzing the difference between the mean and standard uncertainties in both the expert and trainees, it was confirmed that the variance in this study did not satisfy the normal distribution. In addition, the Mann-Whitney U-test was carried out, and it was found that there was no significant difference in the measured values of the two groups. The authorized uncertainty of measurements and traceability of all the equipment was not confirmed. Conclusions: This paper establishes the basis for later measurement-equipment research to provide the objective indicators to approach the dryness of plantar skin from dehydration, the Korean medicine perspective.

• Journal of Acupuncture Research
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• 제15권2호
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• pp.301-310
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• 1998

Infrared thermographic imaging visualizes noninvasively various abnormal condition by detecting the skin temperature. As the imaging represents the objective condition by the changes in blood flow under the control of autonomic nervous system, it is used to diagnosis and monitor the lumboscral radiculopathy. And asymmetry is important in the diagnosis of disc herniation. The most common type of disc herniation occurs psoterolaterally. This frequently causes nerve root compression leading to a radiculopathy in the distribution of the involved nerve root, most of which also provoke the asymmetric changes in thermography. Central disc herniation, which accounts for 5% to 35% of disc herniation, is typically associated with low back pain. But radiculopathy is usually abscent unless central disc heriniaton is large enough to cause compression of the cauda equina. To evalute the diagnostic value of the thermographic imaging in the diagnosis of central disc herniation, the imaging of 15 normal subjects and 48 patients with central disc herniation documented by CT scan were analyzed. The patients had either bilateral radiculophathy or no radiculopathy. The imaging of patient group with non rediculopathy did not show any significant thermal difference to control. While bilateral radiculopathy group reveled hypothermic pattern compared twith control. Thermal difference between left and right side did not present any significance in non radiculopathy group but hypothermia in bilateral radiculopathy group. Large herniation group demonstrated hyperthemic pattern while the others showed no significant change. Cranial caudal thermal difference did not show any difference between experiment groups. These results shows that infrared thermographic imaging can be used central disc herniation with bilateral radiculopathy, while it seems to little useful on the diagnosis of non radiculopathic disc herniation.

• 사상체질의학회지
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• 제24권3호
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• pp.34-41
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• 2012

Objectives In this study, we developed a mock-up of the system for Sasang Constitutional (SC) diagnosis. This system consists of 5 devices which are the face analyzer, the voice analyzer, the skin analyzer, the pulse analyzer, and the computer-based questionnaire. Our goal is to evaluate the repeatability of the system. Methods Each device is capable of classifying SC types. The classification probability of the integrated system for the SC types was obtained by summing the probability from each device. For evaluating the repeatability of the system, we collected data for 5 subjects, and repeated the measurement three times for each individual. The average and standard deviation were used for calculating the Coefficient of Variation. Results The results showed that the repeatability of the classification probability of the integrated system is about 8%, which implies the system is repeatable. Conclusions To increase usability of this system, it is desirable for the system to offer information on health condition of the user. The integrated constitutional diagnosis system will be upgraded to complement the convenience and to develop the diagnostic algorithm for the user's health condition.

• 한국의류산업학회지
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• 제1권1호
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• pp.12-17
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• 1999

The actual clothing conditions were surveyed to diagnose clothing condition of collegians in the view point of adaptation to the thermal environment in fall. Then, clothing climate, physiological responses, and subjective sensation were investigated through wearing trials on human subjects in climatic chamber based on the results from the survey. Factors to evaluate validity of clothing condition were clothing weight, clothing climate, physiological responses of human body, and subjective sensation. Adaptability of this research to thermal environment was compared to the results of Toda's and Duno's of Japan, Chung's results of Korea rural area, and Winslow's clo value. The standard values for wearing trials were values at comfortable zone, such as $32{\pm}1^{\circ}C$ of temperature and $50{\pm}10%$ of humidity inside clothing, $36.5{\sim}37.3^{\circ}C$ of ear temperature and $32.2{\sim}34.3^{\circ}C$ of mean skin temperature. Clothing weight per body surface area was 680.9 $g/m^2$ in male and 526.7 $g/m^2$ in women. Cold resistance ability of collegians was superior to Japanese and American, and similar to rural male in Korea. According to the examination of clothing adaptability with clothing weight from the investigation on physiological responses and the actual clothing conditions survey, following were found. Temperature inside clothing ($29.8{\sim}32.3^{\circ}C$) was normal, and humidity inside clothing (32.2~54.8%) was at comfortable zone. Mean skin temperature was at its comfortable zone. Therefore, 615 $g/m^2$ in male and 525 $g/m^2$ in female were a desirable wearing condition.

• Journal of Chest Surgery
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• 제15권2호
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• pp.169-173
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• 1982

We have experienced two cases of complicated teratoma in anterior mediastinum. One case, 1-year-old female, has a huge anterior mediastinal teratoma involving almost all of the left pleural cavity with atelectasis of the left lung. The other case, 12-year-old female, has a anterior mediastinal teratoma with fistula between the teratoma and the bronchus of anteromedial basal segment of left lung. The bronchus has a bronchiectatic change with cell infiltration. We performed exploratory thoracotomy with complete excision of tumor mass in both cases and with additional resection of anteromedial basal segment of the left lung due to inflammation and necrosis in latter case. The patients had uneventful postoperative courses and were discharged in good condition. Histopathologic diagnosis of these were benign teratoma consist of skin, skin appendages, cartilage, connective tissue, and gut.

• 한국정보처리학회:학술대회논문집
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• 한국정보처리학회 2023년도 추계학술발표대회
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• pp.698-700
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• 2023

최근 들어, 미용 상품을 선택하기 전에 자신의 피부 타입과 상태를 정확히 파악하고 맞춤형 상품을 선택하고자 하는 수요가 증가하고 있다. 이에 따라 피부 상태 측정을 위한 기술적 요소의 중요성이 더욱 두드러지고 있다. 그러나 현재까지 피부 상태 측정을 위한 데이터셋이 한국인을 대상으로 측정한 데이터셋이 없는 실정이다. 본 연구에서는 한국인의 피부 상태를 정밀하게 분석하기 위해 고해상도 디지털 카메라로 촬영된 이미지, 정밀 피부측정 장비를 활용하여 측정한 정밀 값, 그리고 피부과 전문의가 진단한 피부상태 진단 등급 데이트를 통합하여 제공을 한다. 추후 제작한 데이터셋을 활용하여 개인 맞춤형 미용상품 추천과 개발 등 다양한 분야에 활용하고자 한다.

• Korean Journal of Acupuncture
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• 제28권1호
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• pp.53-60
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• 2011

Objectives : Cupping therapy has been used as various treatment methods in oriental medicine clinic for a long time. Specially, Cupping stimulation caused skin hyperpigmentation which has been used as diagnosis method for extravasated blood & inner organs functional disease. But it was difficult to quantitatively measure and analyze the interrelation between extravasated blood and skin hyperpigmentation. The aim of this study is to measure the acupoint's RGB and melanin change pattern by stimulating under fixed 80kPa negative pressure and to evaluate the extravasated blood. Methods : To evaluate extravasated blood, 10 acupoints (left/right BL13, BL15, BL18, BL20, BL23) were stimulated by treatment 80kPa negative pressure for 1 minute. And then we measured the acupoints' skin color change patterns using the color meter, followed by RGB analysis and melanin change pattern. Results and Conclusions : We could observe the correlation of the acupoints' skin color condition related with RGB change pattern. All acupoints' color change degree were different. Regardless of acupoints' color degree due to extravasated blood, we observed in common the fact that RGB values decreased after stimulation and steadily increased according to time. We observed that melanin index increased after stimulation and recovered before stimulation-condition after the lapse of time. In other words, we confirmed the correlation between raised color change degree and $L^*a^*$ index change pattern. Therefore we observed the possibility of charting the $L^*a^*$ index following extravasated blood.

• 한국산학기술학회:학술대회논문집
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• 한국산학기술학회 2010년도 추계학술발표논문집 2부
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• pp.878-881
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• 2010

For better diagnosis and prescription in Korean traditional medicine, Lee Je-Ma (1837-1900) created Sasang Constitution classification which was divided into four groups of Taeyangin, Soyangin, Taeumin and Soumin based on both body shape and natural disposition. The purpose of this study was to investigate the characteristics of facial skin parameters (hydration, lipid and pH) on forehead and cheek according to Sasang Constitution classifications of Taeumin, Soyangin and Soumin in Korean. Eighty-nine Korean female subjects were recruited for this study and the average age of them was 19.9${\pm}$0.84 years. The four groups by the Sasang Constitution were classified by questionnaire for the Sasang Constitution classification proposed by Kyung-Hee Oriental Medicine Hospital. Consequently, thirty-eight (42.7%) among the subjects were grouped into Soumin, twenty-nine (32.6%) into Taeumin, twenty (22.5%) into Soyangin and two (2%) into Taeyangin. Taeyangin group was excluded from statistical analysis due to small subjects. Hydration, lipid and pH parameters on forehead and cheek were measured by using non-invasive instruments of Corneometer (CM 825, Schwarzhaup, Germany), Sebumeter (SM 815, Schwarzhaup, Germany) and Skin-pH-meter (pH 905, Schwarzhaup, Germany), respectively. The measurements by the same investigator were performed under standardized condition with a room temperature of $21^{\circ}C$ and a humidity level of 40% to 50%. As a result, hydration (F=25.481, p=.000), lipid (F=5.753, p=.005) and pH (F=5.010, p=.009) of the forehead skin showed significant differences in the order of Taeumin, Soyangin and Soumin. Hydration (F=23.216, p=.000), lipid (F=6.898 p=.002) and pH (F=5.070, p=.008) of the cheek skin showed significant differences in the order of Taeumin, Soyangin and Soumin. In conclusion, facial skin surface seemed to be dependent on Sasang Constitution classification in Korean. These findings indicated that Sasang Constitution classification might be an useful esthetic treatment for caring facial skin in the future.

• Annals of Clinical Neurophysiology
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• 제14권1호
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• pp.1-6
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• 2012

Low back pain is a common clinical condition with heterogeneous causes and challenges to manage. High prevalence and numerous assessments result in an enormous socioeconomic burden. Clinician must conduct efficient and stepwise evaluation process to rule out serious spinal pathology, neurologic involvement, and identify risk factors for chronicity. The process can be achieved through the focused history taking and physical examination. Certain factors related to serious spinal pathology include age (>50 years), trauma, unexplained fever, recent urinary or skin infection, unrelenting night or rest pain, unexplained weight loss, osteoporosis, immunosuppression, steroid use, and widespread neurological symptoms. In non-specific low back pain, diagnostic imaging and laboratory studies are often unnecessary and can disturb an appropriate management. For the management of acute low back pain, patient education and medication such as acetaminophen, non-steroidal anti-inflammatory drugs, and muscle relaxants are recommended. For chronic low back pain, behavior therapy, back exercise, and spinal manipulation are beneficial. The evidence based approach could improve success rate of management, result in prevention of acute low back pain from being chronic intractable pain.