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균형감각 및 보행 장애 뇌출혈 환자에 대한 한방치료 치험 3례
김진엽,조희진,남상수,김용석 대한침구의학회 2014 대한침구의학회지 Vol.31 No.4
Objectives : The purpose of this study is to find the effectiveness of Korean medical treatment on sense of balance by cerebral hemorrhage. Gaitview analysis and Berg balance scale(BBS) research were used to evaluate it. Methods : We selected patients who were hospitalized at the Kangnam Korean Hospital, Kyung Hee University Hospital from May 2014 to August 2014 that satisfied inclusion/exclusion criteria. Before taking treatment, we took gaitview analysis and BBS first to analyze the ability of balance and gait of patients. In gaitview analysis, we checked Center of gravity(COG), pressure ratio, ave pressure, gait time ratio, statistic score. For about 10 days, patients were given acupuncture treatment, herbal medicine and physical therapy. Afterwards, we compared patients’ progression between before-treatment and after-treatment with the same evaluation scale. Results : In the period of treatment, patients showed static and dynamic index change within the normal range or increase. And in statistic score, 2 cases score are increased. In BBS, all cases score are increased. Conclusions : Korean medical treatment improves imbalance symptom of cerebral hemorrhage patient. So the ability of gait and activity of daily living is improved. But, this study has only 3 cases, and has no comparable study. Prospective and Larger study will be necessary.
Revisiting the Clinical Scoring System for the Prognosis of Chronic Rhinosinusitis with Nasal Polyps
김진엽,한영은,서유주,최고운,김민경,허진,조득태,양승구,강승훈,김대우 연세대학교의과대학 2019 Yonsei medical journal Vol.60 No.6
Purpose: To evaluate the Japanese Epidemiological Survey of Refractory Eosinophilic Chronic Rhinosinusitis (JESREC) classification,a clinical scoring system, for predicting disease control status in chronic rhinosinusitis with nasal polyps (CRSwNP) and toinvestigate prognostic factors. Materials and Methods: In total, 134 CRSwNP patients who underwent functional endoscopic sinus surgery after maximal medicaltreatment were enrolled. These patients were categorized into four groups according to JESREC classification: 1) non-eosinophilicCRSwNP (non-ECRSwNP), 2) mild eosinophilic CRSwNP (ECRSwNP), 3) moderate ECRSwNP, and 4) severe ECRSwNP. Disease control status among the patients was evaluated at 1 year after surgery, and the patients were divided into two groups(disease-controlled and disease-uncontrolled groups) for the investigation of prognostic factors. Results: There was no significant difference in disease control status between non-ECRSwNP and ECRSwNP groups (p=0.970). Age, Lund-Mackay CT scores, global osteitis scores, tissue neutrophil count, and tissue eosinophil count were associated with diseasecontrol status. In subgroup analysis of the non-ECRSwNP group, only high tissue neutrophil count was related with diseasecontrol status, whereas for the ECRSwNP group, young age, high Lund-Mackay CT scores, high global osteitis scores, and high tissueand blood eosinophil counts were associated with disease control status. Conclusion: No difference in disease control status was identified between non-ECRSwNP and ECRSwNP cases. Tissue neutrophilia,however, appeared to be associated with disease control status in non-ECRSwNP cases, whereas tissue and blood eosinophiliawas associated with ECRSwNP cases.
세계보건기구 국제질병분류 1 판 베타버전 중 한의학 고유 상병의 로마자 표기 및 영문표현 검토연구
김진엽,안창식,조희진,김규리,강다현,이종란,김용석 대한침구의학회 2015 대한침구의학회지 Vol.32 No.4
Objectives: The purpose of this study is to review and propose improvements for the Roman- ization and English expressions in the WHO international classification of diseases 11th revision beta version (ICD-11b) traditional medicine chapter. Methods: ICD-11b as of October 5, 2015, was reviewed. Romanization and English expressions were analyzed with reference to existing standards such as the Basic Principles of Roman- ization stipulated by the National Institute of Korean Language, and the Korean Standard Classification of Diseases (KCD), suggested improvements followed. Results: Following the Basic Principles of Romanization, 131 ICD-11b rubrics need improvement in the Romanization of Korean. When compared to KCD-6 comparable rubrics, 161 ICD-11b rubrics are the same and 64 are different. When compared to KCD-7 comparable rubrics, 118 ICD-11b rubrics are the same, and 51 are different. In KCD-6, there are 127 rubrics that do not match with items in ICD-11b. In KCD-7, there are 123 rubrics that do not match with items in ICD-11b. Conclusions : ICD-11b may be improved by correcting the Romanization and consideration of English expressions suggested in this study.
인공지능을 활용한 C-Arm에서 수술용 거즈 검출을 위한 데이터셋 구축 및 검출모델 적용에 관한 연구
김진엽,황호성,이병주,최용진,이강석,김호철 대한의용생체공학회 2022 의공학회지 Vol.43 No.4
During surgery, Surgical instruments are often left behind due to accidents. Most of these are surgical gauze, so radioactive non-permeable gauze (X-ray gauze) is used for preventing of accidents which gauze is left in the body. This gauze is divided into wire and pad type. If it is confirmed that the gauze remains in the body, gauze must be detected by radiologist’s reading by imaging using a mobile X-ray device. But most of operating rooms are not equipped with a mobile X-ray device, but equipped C-Arm equipment, which is of poorer quality than mobile X- ray equipment and furthermore it takes time to read them. In this study, Use C-Arm equipment to acquire gauze image for detection and Build dataset using artificial intelligence and select a detection model to Assist with the rel- atively low image quality and the reading of radiology specialists. mAP@50 and detection time are used as indicators for performance evaluation. The result is that two-class gauze detection dataset is more accurate and YOLOv5 model mAP@50 is 93.4% and detection time is 11.7 ms.
한의 치료가 교통사고 환자의 스트레스 및 심박변이도 변화에 미치는 영향
김진엽,조희진,남상수,김용석 대한침구의학회 2014 대한침구의학회지 Vol.31 No.2
Objectives : The purpose of this study is to find the effectiveness of Korean medical treatment on stress caused by traffic accidents. HRV analysis and IES-R K research were used to evaluate it. Methods : We selected patients who entered the KangNam KyungHee Hospital between 28 Sep 2013 and 14 Apr 2014 and met inclusion/exclusion criteria. Before taking treatment, we took HRV and IES-R-K first to know the exact mental conditions of patients. For a week, we had taken acupuncture treatment, herb medicine treatment and physical therapy. After that, we compared patients’ changes between before-treatment and after-treatment with the same examination. Results : In a period of one week, Korean medical treatment makes LF(Norm) stay within the normal range and HF(Norm) increase. But, we could not find statistical significance between two. The normal range of LF/HF ratio increased, and there was statistical significance. After treatment, the IES-R-K score tended to decrease. Statistically, korean medical treatment is useful to alleviate subjective stress by traffic accidents. Conclusions : Korean medical treatment makes the sympathetic system relax and parasympathetic system rise so it balances an autonomic nervous system. But, there is not statistical significance. Also, it gives positive effect on car accident patients’ treatment in terms of easing their subjective stress. Prospective and Larger study will be necessary.
Drug-Induced Sleep Endoscopy: A Guide for Treatment Selection
김진엽,Seung Cheol Han,Hyun Jung Lim,김현직,Jeong-Whun Kim,이재서 대한수면학회 2020 sleep medicine research Vol.11 No.1
Identifying the sites, severity, and pattern of upper airway obstruction in obstructive sleep apnea is crucial for determining the treatment options, particularly the surgical plan. Although early methods of assessment, such as Muller’s maneuver, computed tomography, and magnetic resonance imaging in awake patients have been utilized to assess obstructive sites, the physiologic and anatomical differences between awake and sleeping patients showed a limited ability of those methods as diagnostic tools. Recently, drug-induced sleep endoscopy (DISE) was introduced as a useful diagnostic and evaluation tool to identify dynamic upper airway collapse during sedation that simulates natural sleep. In this article, we review all aspects of DISE, including the technique, evaluation methods, and clinical application.