사상체질에 따른 대사증후군과 수족냉증 분포 차이와 역상관관계

배광호,박기현,이시우 사상체질의학회 2022 사상체질의학회지 Vol.34 No.1

Objectives This study aimed to examine the differences in the distribution of metabolic syndrome(MetS) and cold hypersensitivity in the hands and feet(CHHF) according to Sasang constitution, and to determine whether CHHF and MetS have an inverse association. Methods MetS and its components, CHHF, Sasang constitution data from 1,998 participants in the Korean medicine Daejeon Citizen Cohort study(KDCC) were obtained. The participants were divided into a non-CHHF(n = 1,270, 63.6%), intermediate(n = 220, 11.0%) and CHHF(n = 508, 25.4%) group according to the thermal sensitivity questionnaire. Sasang constitution was diagnosed by Korea Sasang Constitutional Diagnostic Questionnaire(KS-15). One-way ANOVA and the chi-square test were used for participants’ general characteristics and thermal sensitivity and MetS related factors. ANCOVA and logistic regression were used to compare the differences and the odds ratios(ORs) for MetS and its components. Results The MetS and CHHF prevalence rates of the Taeeumin, Soeumin, and Soyangin were 27.6%, 3.8%, 7.7%, and 18.3%, 42.3%, 26.4% respectively. The ANCOVA for MetS components showed that the waist circumference was significantly lower in the CHHF group as compared to the non-CHHF group in total and Soyangin. The logistic regression for MetS prevalence showed that CHHF had a significant inverse association in total(OR = 0.611) and Taeeumin(OR = 0.521). Conclusions The MetS prevalence had the highest in Taeeumin, followed by Soyangin and Soeumin, while the prevalence of CHHF was highest in Soeumin, followed by Soyangin and Taeeumin. In addition, it was confirmed that CHHF and MetS had an inverse association independently.

사상체질에 따른 수부, 족부, 복부의 냉증

배광호,박기현,이시우 사상체질의학회 2018 사상체질의학회지 Vol.30 No.1

Objectives This study was aimed to examine cold hypersensitivity tendency in the hands, feet and abdomen according to Sasang constitution among Koreans. Methods Multi stage stratified sampling was conducted for random selection of 1,100 participants aged ≥ 19 years, based on sex, age, region in Oct.2010. Cold hypersensitivity was measured using a questionnaire to score the extent of cold hypersensitivity in the hands, feet, abdomen. Subjects’ constitution was diagnosed by Korea Sasang Constitutional Diagnostic Questionnaire (KS-15). The cold hypersensitivity scores according to Sasang constitution were analyzed using logistic regression and one way ANOVA. Results On the one way ANOVA, Soeumin group’s cold hypersensitivity in the hands and feet scores were significantly higher than those of Taeeumin and Soyangin groups. However, there was no significant difference in the abdominal cold hypersensitivity scores by constitution. The regression analysis, adjusted for age, sex, and sociodemographic variables, showed that Soeumin group had significantly higher cold hypersensitivity effects of the hands (β = 0.105, p = 0.002) and feet (β = 0.099, p = 0.003) than Taeeumin group. Conclusions Soeumin group significantly had higher cold hypersensitivity scores in the hands and feet than Taeumin and Soyangin group.

추적관찰을 통해 살펴본 한증 HRV지표

배광호,박기현,장은수 한의병리학회 2020 동의생리병리학회지 Vol.34 No.1

This study aimed to investigate heart rate variability (HRV) characteristics of cold pattern with repeated measurement data. Participants were taken from a Daejeon University cohort study from 2015 to 2018. Forty-seven of the participants studied displayed cold pattern while 23 showed signs of non-cold pattern. HRV was measured in supine position for 5 minutes at each year, and an 8-item cold pattern questionnaire was used for the diagnosis of cold pattern. SDNN (standard deviation of the NN intervals) and RMSSD (the square root of the mean squared differences of successive NN intervals) were used as time domain analysis, and TP (total power), VLF (power in very low frequency range), LF (power in low frequency range), HF (power in high frequency range), LF norm (LF power in normalized units), HF norm (HF power in normalized units) and LF/HF were used as frequency domain analysis. In the Mann-Whitney U test, LF norm, HF norm, and LF/HF showed differences between the cold pattern group and non-cold pattern group at every measurement, and in the independent t-test, the differences were also observed at three points except for the baseline (2015). In the repeated measures ANOVA, the interaction effects were not observed in all HRV parameters, but the time period effects were observed in SDNN, RMSSD, TP, VLF, LF and HF. There were significant differences between those two groups in LF norm, HF norm and LF/HF. This study suggests that LF norm, HF norm and LF/HF might be a useful indicator of cold pattern properties.

1년간 검사-재검사법을 통한 단축형 사상체질 진단 설문(KS-15)의 신뢰도 평가

배광호,김상혁,고호연,박기현,이시우,이수진 사상체질의학회 2019 사상체질의학회지 Vol.31 No.2

Objectives This study was aimed to evaluate the one-year test-retest reliability of the Korea Sasang constitutional diagnostic questionnaire (KS-15) in university students. Methods In March 2017, and March 2018, a survey was sent by email to 583 Korean medicine students in two universities. Of these, 149 (25.6%) participated and completed the first survey (test) and second survey (retest). Participants responded to the KS-15 questionnaire and the general characteristics including their age, sex, height, and weight. Cohen’s kappa Spearman’s rank correlation coefficient and agreement rate (%) were used for the test-retest reliability for each question item and the diagnosis of the Sasang constitution. The independent T-test was used to determine the difference in BMI between Sasang constitutional accordance and discordance groups obtained from the test-retest results of KS-15. Results The agreement of Sasang constitutional diagnosis was 75.8% (Kappa = 0.618), indicating that KS-15 had a certain level (substantial) of test-retest reliability. However, the kappa of each item was 0.161 ~ 0.620, which showed a large difference between the items. The agreements of each Sasang constitution were 85.1% for Taeeumin, 73.6% for Soeumin, and 58.6% for Soyangin. There was no significant difference in the BMI change between Sasang constitutional accordance and discordance groups in the test-retest. Conclusions These results indicate KS-15 has a reliable one-year test-retest reliability. However, further studies will be required to improve reliability, validity and application across different age ranges for the practical utilization of KS-15.

족냉과 수면의 질 : 수면다원검사와 피츠버그 수면의 질 지수를 이용한 탐색적 연구

배광호,박기현,안일구,임수은,이시우 대한예방한의학회 2024 대한예방한의학회지 Vol.28 No.1

Objectives : This study aimed to investigate the relationship between cold feet and sleep quality using polysomnography (PSG) and Pittsburgh Sleep Quality Index (PSQI). Methods : We divided 11 adults (6 females, 5 males) with Insomnia Severity Index score below 21 into cold feet (CF) and a non-cold feet (NCF) group based on the median feet temperature (Taichong, LR3). PSG and PSQI were administered to assess sleep characteristics and subjective sleep quality. Results : CF group exhibited significantly lower time in bed, sleep period time, and total sleep time compared to NCF group. While there were no significant group differences in sleep latency, wakefulness after sleep onset, or total arousal index, NCF group had significantly lower minimum oxygen saturation and apneahypopnea index in REM (rapid eye movement) sleep compared to CF group. Although the PSQI score and the proportion of poor sleepers were both higher in the CF group (7.40 and 80%) compared to the NCF group (5.50 and 50%), these differences did not reach statistical significance. Conclusions : This study showed that foot temperature affects sleep characteristics and suggests the need to utilize PSG in sleep research in Korean medicine. Objectives : This study aimed to investigate the relationship between cold feet and sleep quality using polysomnography (PSG) and Pittsburgh Sleep Quality Index (PSQI). Methods : We divided 11 adults (6 females, 5 males) with Insomnia Severity Index score below 21 into cold feet (CF) and a non-cold feet (NCF) group based on the median feet temperature (Taichong, LR3). PSG and PSQI were administered to assess sleep characteristics and subjective sleep quality. Results : CF group exhibited significantly lower time in bed, sleep period time, and total sleep time compared to NCF group. While there were no significant group differences in sleep latency, wakefulness after sleep onset, or total arousal index, NCF group had significantly lower minimum oxygen saturation and apneahypopnea index in REM (rapid eye movement) sleep compared to CF group. Although the PSQI score and the proportion of poor sleepers were both higher in the CF group (7.40 and 80%) compared to the NCF group (5.50 and 50%), these differences did not reach statistical significance. Conclusions : This study showed that foot temperature affects sleep characteristics and suggests the need to utilize PSG in sleep research in Korean medicine.

그래프와 트리 구조를 활용한 한국어 문장제 수학 문제 풀이의 성능개선 연구

배광호,여상엽,정유철 한국정보과학회 2022 정보과학회논문지 Vol.49 No.11

In previous studies, there have been various efforts to solve math word problems in the English sentence system. In many studies, improved performance was achieved by introducing structures such as trees and graphs, beyond the Sequence-to-Sequence approaches. However, in the study of solving math problems in Korean sentence systems, there are no model cases, using structures such as trees or graphs. Thus, in this paper, we examine the possibility of solving math problems in Korean sentence systems for models using the tree structure, graph structure, and Korean pre-training language models together. Our experimental results showed that accuracy improved by approximately 20%, compared to the model of the Seq2seq structure, by introducing the graph and tree structure. Additionally, the use of the Korean pre-training language model showed an accuracy improvement of 4.66%-5.96%. 선행 연구에서 영어 문장제 수학 문제를 해결하려 한 다양한 시도가 있었다. 많은 연구에서 Sequence-to-Sequence(이하 Seq2seq) 패러다임을 넘어선 트리, 그래프 등의 구조를 도입하여 개선된 성능을 달성할 수 있었다. 하지만 한국어 문장제 수학 문제 풀이 연구에서는 트리(Tree)나 그래프(Graph)등으로 제안된 구조를 활용한 모델 사례가 없다. 이에 본 논문에서는 한국어 사전학습 언어모델을 사용하여 트리 구조를 활용하는 모델, 트리와 그래프 구조를 함께 활용하는 모델에 대한 한국어 문장제 수학 문제 풀이 능력의 가능성을 검토해보고자 한다. 테스트 결과 그래프와 트리 구조를 도입함으로써 Seq2seq 구조의 모델 대비 약 20%의 정확도 향상을 보였고, 나아가 한국어 사전학습 언어모델을 사용한 것이 사용하지 않은 것 대비 4.66~5.96%의 정확도 향상을 보였다.

권두언

배광호 한국해사문제연구소 1982 (月刊)海洋韓國 Vol.106 No.-

N/A

국민건강보험공단 표본코호트 데이터(2010-2019)를 이용한 한의 감기(J00) 진료 및 한약 처방 현황

배광호,이영섭,박만영 한약정보연구회 2024 한약정보연구회지 Vol.12 No.1

This study aimed to investigate the visiting patterns, comorbidities, and insured herbal extract usage of common cold patients aged 20 years or older who visited Korean medical clinics and hospitals. To understand the characteristics of individuals diagnosed with the common cold (Korean Standard Classification of Disease code: J00), we utilized the National Health Insurance Service sample cohort database, which encompasses 1 million individuals representing approximately 2% of the South Korean population and contains their health insurance claim information. We analyzed data from 2010 to 2019, focusing on the primary and secondary diagnoses for J00, the top 19 comorbidities (>1%), and the 15 most frequently prescribed insured herbal extracts. Between 2010 and 2019, the number of people diagnosed with J00 increased by 31.31%, from 7,090 to 9,310, and the number of visit days increased by 133.74%, from 16,075 to 37,574 days. The primary diagnosis rate of J00 decreased from 63.4% in 2011 to 47.8% in 2019. The most common comorbidity was dorsalgia (15.3%), followed by other and unspecified soft tissue disorders (9.7%) and functional dyspepsia (8.2%). Socheongryong-tang was the most frequently prescribed insured herbal extract (21.3%), followed by Samso-eum (19.0%), Yeonkyopaedok-san (14.0%), Gumiganghwal-tang (7.9%), Insampaedok-san (7.4%), and Galgeun-tang (5.9%). Based on our findings, we recommend further clinical research and the development of related healthcare policies to enhance the effectiveness and accessibility of Korean Medicine (KM) for the treatment of the common cold.

Perception of cold and heat pattern identification in diseases: a survey of Korean medicine doctors

배광호,이영섭,박기현,윤영흠,문수정,이시우 한국한의학연구원 2017 Integrative Medicine Research Vol.6 No.1

Background: This study aimed to investigate the extent to which Korean Medicine doctors consider cold and heat pattern identification when prescribing herbal treatment for a disease. Methods: A survey was sent by e-mail to 15,841 members of the Association of Korean Medicine for whom member information was registered. Of these, 699 (4.4%) members participated in the survey. The survey included questions regarding the frequency of use of cold and heat pattern identification in deciding a herbal treatment prescription, the diseases for which cold and heat pattern identification-related herbal treatment was most efficacious, the type of herbal treatment prescribed, and the duration of the treatment. Results: Of the 699 respondents, 591 (84.5%) reported that they considered cold and heat when prescribing herbal treatment. The diseases for which consideration of cold and heat patterns was effective were, in order, menopausal disorder (124, 18.3%), chronic rhinitis (98, 14.5%), dyspepsia (94, 13.9%), hwa-byung (92, 13.6%), diarrhea (83, 12.3%), dysmenorrhea (61, 9.0%), headache (59, 8.7%), inflammation in the digestive tract (58, 8.6%), coldness in hands and feet (58, 8.6%), and atopic dermatitis (55, 8.1%). The typical treatment duration differed widely for different diseases: atopic dermatitis was most frequently treated for >2 months (38, 34.5%), whereas diarrhea was most frequently treated for ≤ 10 days (73, 43.6%). Conclusion: These findings indicate that cold and heat pattern identification is a useful tool employed by Korean Medicine doctors. This study may provide a basis for clinical research investigating the effect of pattern identification-based treatment of diseases.

이원조론

배광호 한민족어문학회 1991 韓民族語文學 Vol.20 No.-