• 제목/요약/키워드: Interior therapy

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사상체질병증 임상진료지침 개발을 위한 임상 현황 조사연구 (A Study on Clinical Status for Development of Clinical Practice Guidelines for Sasang Constitutional Medicine Symptomatology)

  • 조일현;권진혁;이의주;이준희
    • 사상체질의학회지
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    • 제32권4호
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    • pp.29-44
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    • 2020
  • Objectives We surveyed clinical status of Sasang Constitutional Medicine (SCM) for preparation of adaptation of Clinical Practice Guidelines for Sasang Constitutional Symptomatology. Methods We emailed Google survey form to Doctors of Korean Medicine registered the Association of Korean Medicine on 10/13/2020 and 10/21/2020 and closed survey 10/23/2020. We got a data of 654 cases, removed a case of error, analyzed data of 620 responses by frequency analysis Results and Conclusions Out of 620 respondents, 499 have answered that they refer to or make use of SCM. SCM is mainly applied in the field of treatments using Herbal Medicine. Doctors of Korean Medicine participated in survey of SCM, they think Diseases of digestive system are the most effectively treated by the methods of SCM. Sasang Constitutional Symptomatology most frequently observed are Soeumin Congestive Hyperpsychotic symptomatology, Soyangin Chest-Heat congested Symptomatology, Taeeumin Liver Heat-based Interior Heat disease. The diseases that are mainly applied by SCM are 'Diseases of digestive system' for Soeumin, 'Diseases of digestive system' for Soyangin, 'Diseases of respiratory system' for Taeeumin and 'not applicable' for Taeyangin. The important diagnostic methods of SCM are Inspection-listening and smelling examination-Inquiry-Palpation and survey. In the majority of cases, Prescription of Herbal medicine is used by adding or subtracting some herbal medicine from the original prescription suggested in the oriental medical classics and Saam acupuncture method is the most frequently used for the acupuncture therapy. Diet therapy is the most frequently used for the method of prevention and care.

자동차 시트의 인간공학적 디자인에 따른 착좌 안락감 및 압력분포 평가 (Evaluation of Seat Comfort and Pressure Distribution According to the Ergonomic Design of Automobile Seats)

  • 정하림;최준원;양승완;박준규;김도용;송창현;김종배;김한성
    • 대한의용생체공학회:의공학회지
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    • 제44권2호
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    • pp.157-165
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    • 2023
  • The purpose of this study was to evaluate the importance of developing slim seats with ergonomic design to improve seat comfort and expand the interior space. Two seats were used for the experiment: a sample seat designed based on hip shape and spinal alignment and a normal seat with a flat design without curves. Subjects sat in both the sample seat and a normal seat applied to the vehicle simulator and the experiment was conducted. The next part of the experiment was conducted in two different postures: a driving posture and a relaxed posture. The subjects filled out a comfort questionnaire immediately after sitting and after 30 minutes. The results showed that the comfort in the sample seat was found to be more comfortable than the normal seat. However, no significant difference was noted for the relaxation posture. Pressure distribution was also recorded immediately after sitting and after 30 minutes. In the case of pressure distribution, it was confirmed that the pressure in the sample seat was more evenly distributed in both the driving and relaxed postures than in the normal seat. The results showed that the ergonomically designed sample seat greatly improved seating comfort and pressure distribution compared to the normal seat, which is a general vehicle seat design.

소양인 동출일속 병증에 관한 연구 (A Study on the Soyangin Pathologies that originate from a Common Root Pathologic Category)

  • 김윤희;황민우
    • 사상체질의학회지
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    • 제23권3호
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    • pp.285-293
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    • 2011
  • 1. Objectives: This study examines the pathologies that originate from a Common Root Pathologic Category(CRPC; 同出一屬) in the Soyangin that are suggested in the Sasang Constitutional Medicine(SCM). 2. Methods: The changes in concepts and perceptions on the Soyangin pathologies were compared across the different editions of Donguisusebowon, "Donguisusebowon, Gabo edition(東醫壽世保元甲午本) (DGO)" and "Donguisusebowon, Sinchuk edition (東醫壽世保元辛丑本) (DSC)". 3. Results and Conclusions: The Soyangin pathologies originating from a CRPC that are described in Donguisusebowon are actually detailed classifications of the Yin-deficiency Diurnal-heat symptomatology (陰虛午熱證) and the Chest-congestion symptomatology (結胸證). Lee Jema had introduced the concept of "Common Root Pathologic Category(CRPC)" to approach pathologies of similar exterior/interior classification or severity stage (mild/moderate/severe/critical) by combining them in a comprehensive, integrative pathology system. This comprehensive approach, which promotes better understanding of the Soyangin pathology and maximizes the therapeutic efficiency of SCM, constitutes the "Comprehensive Therapeutic Methodology" that is the hallmark of Sasang therapy.

천연색소를 이용한 건축내장용 색한지 제조 (제3보) - Super Eight Color 벽지의 기능성 연구 - (Manufacture of Colored Hanji for Interior Materials from Natural Pigments (Part 3) - Functional Properties of Super Eight Colors Hanji Wallpaper -)

  • 이상현;신유수;최태호
    • 펄프종이기술
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    • 제47권5호
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    • pp.120-126
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    • 2015
  • In this study, we used various dyes from natural pigments such as tumeric, goldthread, indigo, pagoda tree flower, sappanwood, and safflower to make the Hanji wallpaper with super eight colors of yellow, orange, green, turquoise, violet, red, blue, and magenta. As a result of measuring the lightfastness, magenta dyed with sappanwood showed the worst effect, but blue dyed with only indigo showed the best effect. In terms of the spot test by water, red wallpaper dyed with safflower showed the clear spot, but blue, turquoise, and green dyed with indigo resulted in a little spot. The orange, violet, and magenta dyed with goldthread and sappanwood showed antibacterial activity, and the turquoise, green, and blue also has a little antibacterial activity. However, yellow and red didn't show the some result as expected. In the experiment for efficiency of formaldehyde removal, all Hanji wallpapers dyed with natural pigments showed the significant removal effect of formaldehyde, especially turquoise and red were the highest.

葛根解肌湯을 투여하여 치료한 단독 환자에 대한 임상보고 3례 (A Case Report for Three Cases of Erysipelas Applied Galgunhaegitang.)

  • 심상희;정동환;유미경;박수연;최정화;김종한;위통순
    • 한방안이비인후피부과학회지
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    • 제17권3호
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    • pp.174-180
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    • 2004
  • Erysipelas is a type of cellulitis in skin infection generally caused by group A ${\beta}$-hemolytic streptococci. An erysipelas skin lesion typically has a raised border that is sharply demarcated from normal skin. The underlying skin is painful, intensely red, hardened, swollen, and warm. Objectives: We reviewed three cases of erysipelas patients who hospitalized in Dongshin Univ. Suncheon Oriental medicine hospital from June 2001 to June 2002. Methods : We treated them with Galgunhaegitang(葛根解肌湯) for interior diease of Taeumin(太陰人) and also used acupuncture and cupping therapy. Results and Conclusions ; We had significant effects of Galgunhaegitang(葛根解肌湯) for three cases of erysipelas patients. So if the patient were a Taeumin(太陰人), we can consider using Galgunhaegitang(葛根解肌湯) for erysipelas. We can also use antibiotics properly in case there are high fever or open wounds.

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소양인(少陽人) 지황백호탕(地黃白虎湯)으로 호전된 경증(輕症) 파킨슨 환자에 대한 임상보고(臨床報告) (A clinical report on the mild case of Parkinson's disease improved with Soyangin-Gihwangbeakho-tang)

  • 고경덕;정승현;신길조;이원철;이지훈
    • 사상체질의학회지
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    • 제14권3호
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    • pp.153-159
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    • 2002
  • Parkinson's disease(PD) is characterized by chronic progress of mesencephalic dopaminergic neuronal death. Diagnostic criteria for PD require at least two of three motor sign: tremor, rigidity, or bradykinesia. Levodopa and the dopamine agonists are considerd first-line drug therapy. In the book ‘dongyi soose bowon(東醫壽世保元)’, Soyangin Gihwangbeakho-tang(地黃白虎湯) is used at Soyangin Interior-overheated-disease. This case is patient who is 69 years old lady, suffered by the tremor of jaw and a slight rigidity, bradykinesia etc. This patient was classified as Soyangin by features, somatotype and emotional patterns. She improved in the tremor of jaw and others with Gihwangbeakho-tang for 67days. The result revealed that Soyangin-Gihwangbeakho-tang was effected on the tremor of jaw and others with Parkinson's disease patient.

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상한론(傷寒論)과 사상의학(四象醫學)의 병기(病機)에 대한 비교연구(比較硏究) - 동의수세보원(東醫壽世保元) 변증론(辨證論)을 중심(中心)으로 - (A comparative study on between Shanghanlun(傷寒論) and Sa-sang constitutional medicine(四象醫學) in Pathogenesis)

  • 이광영;박찬국
    • 대한한의학원전학회지
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    • 제11권1호
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    • pp.676-718
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    • 1998
  • After a comparative study on between Shanghanlun(傷寒論) and Sa-sang constitutional medicine(四象醫學) in Pathogenesis, I got a conclusion like this. Sa-sang consitutional medicine(四象醫學) changed the directions to the medicine in the center of personality from the medicine in the center of Shanghanlun(傷寒論)'s demonstration, devided the personality of people by the size of Organ system(臟腑) into 4types of Tae-eum, Yo-yang, Tae-yang, Yo-eum(太少陰陽), and explains all the course of physiology, pathology, diagnosis, therapy of the body on the point of constitutional view. Comparing the features of two medicines, Shanghanlun(傷寒論) and Sa-sang constitutional medicine(四象醫學), Shanghanlun(傷寒論) devided the diseases into the three type of eum-yang based on eight principal syndroms(八綱原理), in accordance with evidence of illness, pulse and studied the therapy, Shanghanlun(傷寒論) set up the basis of medicine which is based on overall of symptoms and signg(辨證論治醫學). Sa-sang constitutional medicine(四象醫學) distinguished the image(象) which is devided by the size of inherited Organ system(臟腑), refered to the symptom of diseases(病症) and decided the therapic directions. So Sa-sang constitutional medicine(四象醫學) gave more accuracy to the therapy by subdeviding the process of differenciation of case(辨證) into 2 steps of differenciation of image(辨象) and differenciation of case(辨證). In view of etiologic factor, Shanghanlun(傷寒論) regarded it as a invading of pathogenic factors(邪氣), so Shanghanlun(傷寒論) has the medical theory of pathogenic factors(邪氣). But Sa-sang constitutional medicine(四象醫學) regarded it as a disorder of the genuine energy(正氣)'s movements(升降緩速), so Sa-sang constitutional medicine(四象醫學) has the medical theory putting first of genuine energy(正氣). But Shanghanlun(傷寒論) also recognized the constitutional difference basically and Sa-sang consitutional medicine(四象醫學) devided the constitution into Tae-eum, Yo-yang, Tae-yang, Yo-eum(太少陰陽) and explained the food-air-fluid metabolism(飮食-氣液之氣病證) as cold-hot, cool-warm and devided the the symptom of diseases(病症) into the interior and the exterior(表裏) as the up-down, slow-fast movements of eum-yang and insufficiency and excessiveness is between them. In the end, Sa-sang constitutional medicine(四象醫學) has the theory of eight principal syndroms(八綱原理) faithfully which is the theory of differenciation of case(辨證理論) of Shanghanlun(傷寒論). Therefore Shanghanlun(傷寒論) made a lot of influence on originating Sa-sang constitutional medicine(四象醫學), Sa-sang constitutional medicine(四象醫學) is the theory which is based on existing medical theory including Shanghanlun(傷寒論) and composed the new medical theory to the constitutional point of view. Sa-sang constitutional medicine(四象醫學) enriched the medical theory and developed the clinical medicine so it has the historical value in the medicine.

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갑상선암 환자에서 고용량 방사성요오드 치료 후 유효반감기에 대한 연구 (A Study on the Effective Half-life after the High Dose Radioactive Iodine (131I) Therapy for Thyroid Cancer Patients)

  • 김성철;권다영;김용민
    • 한국방사선학회논문지
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    • 제11권7호
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    • pp.597-603
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    • 2017
  • 고용량 $^{131}I$ 치료는 분화갑상선암으로 인한 갑상선전절제술을 받은 환자에게 보편적으로 시행되어 왔다. 고용량 $^{131}I$ 치료를 하는 경우 환자로부터 일반인이 받게 되는 피폭선량을 선량한도 이내로 제한하기 위해 환자를 일정 기간 동안 격리하여야 한다. 유효반감기는 환자로부터 가족들이 얼마나 피폭되는지 계산하거나 격리기간을 결정하는데 중요한 값이다. 이에 본 연구에서는 NM670 SPECT/CT를 이용해 고용량 $^{131}I$ 치료환자의 유효붕괴상수, 유효반감기, 격리기간을 도출하였다. 본 연구를 통해 고용량 $^{131}I$ 치료환자의 유효반감기를 도출하였고, 체내에 잔류 방사능량이 퇴원기준인 1.2 GBq 에 도달하는 시간을 확인하였다. 또한 치료선량별 유효반감기를 비교하였을 때 유의한 차이가 없었으나, 격리기간은 치료선량이 커질수록 격리기간이 길어지는 것을 확인할 수 있었다. 전처치 유형별 유효반감기를 비교하였을 때 rhTSH 환자군과 THW 환자군의 유효반감기가 유의한 차이를 보이지 않았으나, 격리기간은 rhTSH 환자군이 THW 환자군 보다 짧게 나타났다. 이는 치료선량의 차이로 인해 격리기간이 짧아진 것으로 판단된다. 따라서 현행 의료보험체계(rhTSH 사용 시 3.7 GBq 이하에서 보험적용)가 유지된다면, 전처치 유형별로 구분하여 현행 격리기간(2박 3일)보다 더 이른 시간에 환자를 퇴원시킬 수 있을 것이다.

서울시 아파트가구내의 실내식물이 행복지수에 미치는 영향 (Relationship between Indoor Plants in Apartments and Happiness Index of Citizens in Seoul)

  • 이해일;홍종원;장유진;김재윤;박천호
    • 화훼연구
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    • 제19권1호
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    • pp.64-67
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    • 2011
  • 본 연구는 서울시 아파트 200가구의 거주자를 대상으로 실내식물이 거주자의 행복지수에 미치는 영향을 알아보기 위한 조사로서, 그 동안 원예치료와 식물의 기능성 연구 등 여러 연구를 통해 나타난 식물의 인간에 대한 긍정적인 역할에 착안하여, 거주자와 가장 가까이 있는 실내식물이 궁극적인 목표인 거주자의 행복에 어떻게 관여하고 있는지를 분석하고자 하였다. 실내식물을 키우면서 행복감이 가장 컸을 때는 꽃이 피었을 때라고 응답한 사람이 전체의 57% 로 가장 많았고, 그 뒤를 이어 새싹이 돋았을 때가 33% 를, 분갈이 했을 때와 직접 키운 식물을 분양했을 때가 각각 2%, 기타가 7% 였다. 식물과 함께하는 시간이 많을수록 행복지수는 1시간 내에서 정비례관계를 보였다. 실내식물의 재배관리주체가 누구냐에 따른 행복지수에서는 본인이 직접 관리하는 경우의 행복지수가 67.90, 가족구성원이 관리하는 경우의 행복지수는 65.09, 기타가 64.79로 분석되었다. 실내식물 선호도와 실내정원의 면적에 따른 행복지수도 정비례관계를 나타냈으며 실내화분 식물의 개수가 많아지면 행복지수도 증가하였다.

폐암 환자의 호흡훈련에 의한 호흡동조 방사선치료계획의 유용성 평가 (The feasibility evaluation of Respiratory Gated radiation therapy simulation according to the Respiratory Training with lung cancer)

  • 홍미란;김철종;박수연;최재원;표홍렬
    • 대한방사선치료학회지
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    • 제28권2호
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    • pp.149-159
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    • 2016
  • 목 적 : 폐암환자의 호흡동조 방사선 치료 계획 시 호흡 훈련 전후 RPM 신호와 횡격막 위치 변화를 분석하여 호흡 훈련의 유용성을 평가하고자 한다. 대상 및 방법 : 2016년 4월부터 8월까지 호흡 동조 방사선 치료를 받는 환자 11명을 대상으로 호흡 훈련을 시행하였고 동시에 RPM 신호 및 횡격막 영상을 획득하였다. 호흡 훈련은 총 3단계로 1단계 자유 호흡 상태의 신호 획득, 2단계 호흡 신호 가이드를 통한 1차 호흡 신호 획득, 3단계 설명과 반복 훈련으로 규칙성과 안정을 유도한 최종 호흡 신호를 획득 하였다. 각 단계의 흡기와 호기시 RPM 신호와 투시 영상의 횡격막 위치의 평균값, 표준편차, 최대값, 최소값을 구하고, 이를 1단계 값으로 표준화 하여 2, 3단계를 상대분포 백분율(%)로 변환하여 환자의 호흡 변화와 내부 움직임을 분석 함으로써 각 환자의 호흡훈련 유용성을 평가 하였다. 결 과 : RPM 신호와 횡격막 진폭을 측정한 뒤, 1단계를 100%으로 표준화하여 각 단계의 평균값과 표준편차의 오차 평균을 구하였다. 그 결과, 3단계 최종호흡 획득 시 진폭의 상대평균 및 표준편차 모두 감소가36.4%, 표준편차만 감소가 18.2%, 진폭만 감소가 36.4%로 나타났으며, 횡격막 영상의 위치 측정 시 3단계에서 전체 81.8%의 환자에게서 상대평균 진폭 값이 30% 감소함을 보였다. 그러나 모든 환자들에게서 2단계 대비 3단계의 RPM 신호와 횡격막 진폭이 각각 평균 52.6%, 42.1% 감소함을 보였다. 또한, RPM 신호와 횡격막 영상 진폭 차이의 연관성은 2번 10번 환자를 제외하고 각각 1, 2, 3단계 움직임의 패턴이 상관관계를 보였다. 결 론 : 호흡 동조 방사선치료에서 호흡 훈련을 시행하였을 때 최적화된 호흡 주기를 유도할 수 있었으며, 모의 호흡 훈련을 치료 전 시행함으로써 불규칙적인 호흡에 의한 환자의 호흡을 제어해 폐의 움직임을 예측 가능 하게 해주는 효과를 기대할 수 있었다. 궁극적으로는 방사선 치료의 체계적 오류를 최소화해 보다 정확한 치료를 기대할 수 있어 호흡 훈련이 유용하다고 할 수 있겠다.그러나 본 연구는 치료 전 호흡 훈련을 시행한 자료를 바탕으로 분석한 연구로 제한되어 있으며 추후 실제 CT 계획과 치료 시 획득한 자료를 가지고 검증하는 것도 필요할 것으로 사료된다.

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