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      • EBM 구축을 위한 쌍화탕의 실험 연구 문헌 분석

        이준경(Lee Junkyoung),이남헌(Lee Namhun),하혜경(Ha Hyekyoung),이호영(Lee hoyoung),서창섭(Seo Changsub),정다영(Jung Dayoung),이진아(Lee Jinah),신현규(Shin Hyunkyu) 한국한의학연구원 2008 한국한의학연구원논문집 Vol.14 No.3

        Objective: The purpose of this report was to provide the information about activity and safety of Ssanghwa-tang by analyzing domestic papers and theses about Ssanghwa-tang. Methods: Domestic papers and theses related to Ssanghwa-tang were reviewed and analyzed. These papers were then classified by year, experimental method, and activity subject. Results: The following results were obtained in this study. 1. The study of Ssanghwa-tang started from 1981 and continued steadily 1990s and it was decreased 2000s. 2. The paper of Ssanghwatang was entire domestic paper, 20 volumes. 3. In classified by experimental method and animal of Ssanghwa-tang paper, more than a half study used rat in vivo experiment. Furthermore clinical experiments were performed about anti-fatigue effect of Ssanghwa-tang and Ssanghwatang was proved a safety herbal medicine in acute toxicity experiment. 4. Decursin, glycyrrhizin, paeoniflorin were determined in Ssanghwa-tang by using HPLC analysis. 5. As these studies were classified by subject, papers related to anti-fatigue effect were most abundant by 7 papers. Besides there were several papers related to liver funtion, anti-inflammatory, alleviation, smooth muscle relaxation effect and so on. 6. According to experimental data, it is supported that Ssanghwa-tang was safety herbal medicine and it has a several activity about anti-fatigue, anti-inflammatory, alleviation, smooth muscle relaxation. Conclusion : Many study of basic science experiments and clinical experiments were performed and reported on Ssanghwa-tang in domestic journal. Ssanghws-tang is being used in various ways associating with anti-fatigue. anti-inflammatory. alleviation and smooth muscle relaxation. furthermore Ssanghwatang was proved a safety herbal medicine in acute toxicity experiment. However, studies on randomized controlled trials of Ssanghwatang need to be completed at the clinical level.

      • KCI등재후보

        전산화단층촬영에서 촬영 목적 부위와 주변 결정장기에 대한 피폭선량 평가

        이서영(Seoyoung Lee),김경리(Kyunglee Kim),하혜경(Hyekyoung Ha),임인철(Inchul Im),이재승(Jaeseung Lee),박형후(Hyonghu Park),곽병준(Byungjoon Kwak),유윤식(Yunsik Yu) 한국방사선학회 2013 한국방사선학회 논문지 Vol.7 No.2

        최근 다중검출기 CT의 보편화 된 사용으로 환자의 피폭선량이 증가하고 있다. 따라서 광자극발광선량계를 이용해 촬영 목적 부위와 주변 결정장기에 대한 환자의 피폭선량을 측정하고 그에 따른 생물학적 효과를 예측하여 저감화 방안을 제시하고자 하였다. ICRP에서 권고한 표준안을 대상으로 만들어진 인체 모형 표준 팬텀에 교정상수를 부여받은 OSD 선량계를 측정하고자 하는 좌ㆍ우 수정체, 갑상선, 촬영의 중심점, 생식선에 부착하여 각 검사 부위별 노출 조건과 동일한 상태에서 환자의 피폭 선량을 모사하였다. OSL 선량계의 평균 교정상수는 1.0058±0.0074이었으며 검사 부위별 주변 결정장기의 등가선량은 좌ㆍ우측 수정체의 경우 직접 피폭이 약 50mGy로 최대였으며 간접 피폭되는 경우 0.24mGy, 원거리에서는 0.005mGy미만의 기준 준위 이하로 측정되었다. 갑상선의 경우 두부 검사에서 10.89mGy로 최대였으며 흉부에서 7.75mGy, 복부 및 요추부, 골반부에서는 기준 미만이었다. 생식선의 경우 골반검사에서 21.98mGy로 최대였으며 간접 피폭되는 검사에서 기준 준위 미만에서 6.92mGy까지 피폭되었다. CT 검사에서 DRL에 대한 저감화 방법은 국제기구에서 권고하고 있는 방사선 방어 원칙에 대한 정당한 해석과 제도적 뒷받침이 필요하다. 따라서 환자의 피폭을 최소화하기 위해서는 정당성을 충족하여야 하며 환자의 피폭선량에 미치는 영향들을 체계화하고 조직의 불필요한 피폭을 최소화 하여야 한다. In this study measured patient exposure dose for purpose exposure area and peripheral critical organs by using optically stimulated luminescence dosimeters (OSLDs) from computed tomography (CT), based on the measurement results, we predicted the radiobiological effects, and would like to advised ways of reduction strategies. In order to experiment, OSLDs received calibration factor were attached at left and right lens, thyroid, field center, and sexual gland in human body standard phantom that is recommended in ICRP, and we simulated exposure dose of patients in same condition that equal exposure condition according to examination area. Average calibration factor of OSLDs were 1.0058 ± 0.0074. In case of left and right lens, equivalent dose was measure in 50.49 mGy in skull examination, 0.24 mGy in chest, under standard value in abdomen, lumbar spine and pelvis. In case of thyroid, equivalent dose was measured in 10.89 mGy in skull examination, 7.75 mGy in chest, 0.06 mGy in abdomen, under standard value in lumber spine and pelvis. In case of sexual gland, equivalent dose was measured in 21.98 mGy, 2.37 mGy in lumber spine, 6.29 mGy in abdomen, under standard value in skull examination. Reduction strategies about diagnosis reference level (DRL) in CT examination needed fair interpretation and institutional support recommending international organization. So, we met validity for minimize exposure of patients, systematize influence about exposure dose of patients and minimize unnecessary exposure of tissue.

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