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무심기공 도인법과 보법의 임상 적용 보고서 (Clinical Application Report for Moosim Gigong Doinbeop and Walking)

  • 나삼식;정재훈;필감매
    • 대한의료기공학회지
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    • 제22권1호
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    • pp.28-71
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    • 2023
  • Objective : From March 2018 to July 2022, H Korean Medicine Hospital conducted a guidance on Gigong training using the Moosim Gigong Doinbeop and Moosim Gigong Walking. This report intends to report the results and share the specific methods of a guidance on Gigong training used in the process of implementation, thereby helping the research of a guidance on Gigong training later. Methods : The methods and results of the implementation of Moosim Gigong Doinbeop and Moosim Gigong Walking implemented by H Korean Medicine Hospital were reported. For the movements of Doinbeop, the posture and movements, the precautions to be taken when guiding, the alternative movements, and the meaning of the movements were summarized. For Moosim Gigong Walking, the method of progress, the method of motion, precautions to be taken, and replaceable movements were summarized. The method of implementing the guidance on Gigong training for severely ill and elderly patients was introduced. The application cases that were applied to some diseases and effective were recorded. Results : At H Korean Medicine Hospital, Moosim Gigong Doinbeop and Moosim Gigong Walking were conducted in the form of an open lecture, and 4,682 patients attended the Doinbeop class and 3,373 patients attended the Walking class. There is no restriction on the type of disease of the participating patients. The attending physician recommends and the patient wishes, the patient participates in the course. Conclusions : Curing technology is a long-standing treatment method of Korean Medicine, but it has not yet been activated in the modern Korean Medicine system. Research on the guidance on Gigong training can be conducted to establish itself as a new treatment method for Korean Medicine.

상악 완전 무치악 환자에서 구강 스캐닝 디지털 워크플로우를 활용한 완전 고정성 임플란트 수복 증례 (Fixed implant rehabilitation of maxillary edentulous patient using intraoral scanning digital workflow: a case report)

  • 박승민;박영범
    • 대한치과보철학회지
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    • 제62권1호
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    • pp.38-46
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    • 2024
  • 편악 무치악 환자에서 완전 고정성 임플란트 보철 치료를 위해 다수의 임플란트를 식립할 때에는 악궁의 해부학적 구조, 대합치의 상태, 교합 평면 등을 고려한 최종 보철물 형태를 미리 결정해야 한다. 이 때 임시 보철물의 형태 및 교합 정보는 최종 보철물의 디자인에 유용하게 활용될 수 있다. 본 증례에서는 구강 스캐닝 디지털 워크플로우를 통해 무치악 스캔 데이터와 임시 보철물의 스캔 데이터를 중첩하였으며, 이를 통해 임시 보철물의 정보를 최종 보철물의 디자인에 반영하였다. 또한 구강 스캔을 통해 임시 의치 정보를 획득하여 임플란트의 위치와 각도를 계획하고, 수술 가이드를 사용하여 사전에 계획한 3차원적 위치에 임플란트를 식립하였다. 본 증례에서는 이와 같이 디지털 기술을 활용하여 심미적, 기능적으로 만족할 만한 임상적 결과를 얻었기에 이를 보고하는 바이다.

악성 종양으로 오인된 직장 매독 감염: 증례 보고 (Rectal Syphilis Mimicking Malignancy: A Case Report)

  • 유선진;강보경;김미미;이철민
    • 대한영상의학회지
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    • 제85권3호
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    • pp.637-642
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    • 2024
  • 직장 매독은 매독 감염(syphilis infection)에서 드물게 발생하며 증상 및 내시경, 영상 소견이 비특이적이다. 직장 매독은 일반적으로 동심성 장벽비후, 점막 충혈, 직장간막 지방침윤, 림프절병증 등으로 나타난다. 직장암은 비대칭적 장벽비후, 림프절 괴사를 보여 두 질환 감별에 도움을 얻을 수 있다. 하지만 두 질환의 중복되는 소견이 많아 환자의 병력을 고려하지 않고 직장 매독과 직장암을 구분하기는 매우 어렵다. 직장 매독은 직장암 외에도 염증성 장 질환 등 다른 양성 질환으로 오인하여 필요 없는 검사를 하거나 치료가 지연되는 경우가 많다. 저자들은 악성 종양으로 의심되었던 직장 매독 증례를 경험하여 이 증례 보고에서 내시경 및 영상, 병리학적 소견에 대하여 자세히 보고하고자 한다.

핫 프레스 성형용 EL-Max 소재 초정밀 연삭 가공에 관한 연구 (Study on Ultra-precision Grinding of EL-Max Material for Hot Press Molding)

  • 박순섭;고명진;김건희;원종호
    • 한국정밀공학회지
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    • 제29권12호
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    • pp.1267-1271
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    • 2012
  • Demand for optical glass device used for lighting could increase rapidly because of LED lighting market growth. The optical glass devices that have been formed by hot press molding process the desired optical performance without being subjected to mechanical processing such as curve generation or grinding. EL-Max material has been used for many engineering applications because of their high wear resistance, high compressive strength, corrosion resistant and very good dimensional stability. EL-Max is very useful for a glass lens mold especially at high temperature and pressure. The performance and reliability of optical components are strongly influenced by the surface damage of EL-Max during grinding process. Therefore, the severe process condition optimization shall be necessary for the highly qualified EL-Max glass lens mold. To get the required qualified surface of EL-Max, the selection of type of the diamond wheel is also important. In this paper, we report best grinding conditions of ultra-precision grinding machining. The grinding machining results of the form accuracy and surface roughness have been analyzed by using Form Talysurf and NanoScan.

중풍환자의 변증에 따른 맥상의 분포 (Study on the Pulse Diagnosis for Pattern Identifications in Stroke Patients)

  • 이정섭;강병갑;고미미;김보영;김정철;이인;김윤식;조기호;최선미;방옥선
    • 동의생리병리학회지
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    • 제22권6호
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    • pp.1378-1382
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    • 2008
  • This study is aim to evaluate pulse diagnosis as indicators for classification of the pattern identifications in stroke patients. To get the clinical information, we recruited the onset 1 month stroke patients through the multicenter network which consists of 13 oriental hospitals. The clinical informations about three pairs of pulse wave form and levels of their significancy based on the case report form (CRF) were collected and their distribution in each pattern identification were analyzed. The results are as follows Fire-Heat group shows high portions of floating pulse, rapid pulse and solid pulse. Qi Defficiency group has a greater portion of deep pulse, slow pulse, deficient pulse. The well-defined character of Phlegm-Retained Fluid, Yin Defficiency, Static Blood groups cannot be explained by pulse wave form. These results show a rough relationship between the pulse diagnosis and pattern identifications of stroke therefore, further studies are required to determine the pulse diagnosis as significant indicators of stroke pattern identification.

Chronic intermittent form of isovaleric aciduria in a 2-year-old boy

  • Cho, Jin Min;Lee, Beom Hee;Kim, Gu-Hwan;Kim, Yoo-Mi;Choi, Jin-Ho;Yoo, Han-Wook
    • Clinical and Experimental Pediatrics
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    • 제56권8호
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    • pp.351-354
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    • 2013
  • Isovaleric aciduria (IVA) is caused by an autosomal recessive deficiency of isovaleryl-CoA dehydrogenase (IVD). IVA presents either in the neonatal period as an acute episode of fulminant metabolic acidosis, which may lead to coma or death, or later as a "chronic intermittent form" that is associated with developmental delays, with or without recurrent acidotic episodes during periods of stress, such as infections. Here, we report the case of a 2-year old boy with IVA who presented with the chronic intermittent form. He was admitted to Asan Medical Center Children's Hospital with recurrent vomiting. Metabolic acidosis, hyperammonemia, elevated serum lactate and isovalerylcarnitine levels, and markedly increased urine isovalerylglycine concentration were noted. Sequence analysis of the IVD gene in the patient revealed the novel compound mutations-a missense mutation, c.986T>C (p.Met329Thr) and a frameshift mutation, c.1083del (p.Ile361fs$^*11$). Following stabilization during the acute phase, the patient has remained in a stable condition on a low-leucine diet.

복합중재에 관한 소고 (A Study on the Complex Arbitrations (Multi-Issues, Multi-party, Multi-Contract))

  • 박영길
    • 한국중재학회지:중재연구
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    • 제9권1호
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    • pp.139-160
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    • 1999
  • International commercial arbitrations have developed into a simple form in which both parties involved in the dispute by a contract intend to solve the dispute through the legal arbitration system. however nowadays the above traditional form taken by international projects are rarely seen and instead the form of complex arbitration in which many parties are involved has become more and more universal. The complex arbitration means not only many-sided parties concerned but also means a plural number of contract involved in conflicts, a plural number of issues involved in conflicts and a plural number of contracts though their contractors are not in a plural number. However in this report the complex arbitrations will be studied into categories as follows : 1. Pure multi-issue situations, 2. Pure multi-party situations, 3. Pure multi-contract situations. A Pure Multi-Issue arbitration basically includes a plural number of claims between the two parties concerned. A Pure Multi-party case classically presupposes an arbitration clause which involves a plural number of parties concerned. After Party A takes a legal proceeding and then Party B institutes a request to Party C in the above proceeding. In that case the problem arises on whether it is allowed to do so or not. A Pure Multi-Contract case presupposes that when Party A and Party B have independent arbitration clauses based on separate contract relations, respectively, the problem is whether both above-mentioned proceedings can be unified into one or not. As for the above-mentioned complex arbitration, though international treaties are being formed, including the WTO treaties, the NAFTA treaties, the Mercosur treaties and others, legal regulations and customs have not yet been formed domestically. The institutional preparations will be necessitated in consideration of national legal status as well as international treaty relations.

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Filaments and Dense Cores in Perseus Molecular Cloud

  • Chung, Eun Jung;Lee, Chang Won
    • 천문학회보
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    • 제41권2호
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    • pp.38.2-38.2
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    • 2016
  • How dense cores and filaments in molecular clouds form is one of key questions in star formation. To challenge this issue we started to make a systematic mapping survey of nearby molecular clouds in various environments with TRAO 14m telescope equipped with 16 beam array, in high ($N_2H^+$, $HCO^+$ 1-0) and low ($C^{18}O$, $^{13}CO$ 1-0) density tracers (TRAO Multi-beam Legacy Survey of Nearby Filamentary Molecular Clouds, PI: C. W. Lee). We pursue to dynamically and chemically understand how filaments, dense cores, and stars form under different environments. We have performed On-The-Fly (OTF) mapping observations toward L1251, southern part of Perseus molecular cloud, and Serpens main molecular cloud from January to May, 2016. In total, ~3.5 square degree area map of $^{13}CO$ and $C^{18}O$ was simultaneously obtained with S/N of >10 in a velocity resolution of ~0.2 km/s. Dense core regions of ~1.7 square degree area where $C^{18}O$ 1-0 line is strongly detected were also mapped in $N_2H^+$ 1-0 and $HCO^+$ 1-0. The L1251 and Perseus MC are known to be low- to intermediate-mass star-forming clouds, while the Serpens MC is an active low-mass star-forming cloud. The observed molecular filaments will help to understand how the filaments, cores and eventually stars form in a low- and/or intermediate-mass star-forming environment. In this talk, I'll give a brief report on the observation and show preliminary results of Perseus MC.

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황룡사지 출토 금동난간편 검토 (Research of Geumdongnanganpyeon excavated from Hwangyongsa temple site)

  • 김동열
    • 건축역사연구
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    • 제23권6호
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    • pp.47-54
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    • 2014
  • Hwangrong Temple was the center of the Buddhist culture of Silla dynasty. It was built in the 14th year of King Jinheung in Silla dynasty, and completely burnt out when the Mongol Army invaded the Korean peninsula during the reign of King Gojong of Koryeo dynasty. 8-year excavation of the site from 1976 as part of the Gyeongju Tourism Comprehensive Plan revealed many things about the Hwangrongsaji. Recently, a book introduced 'Geumdongnanganpyeon' among relics found in the site, but omitted in the Excavation Report published at that time. Though 'Palgak Geumdongnanganpyeon' has numerical signs 六, 七(six, seven), there was no clear explanation of the signs. Thus, this paper examines it. We can guess, through the remaining iron fragment, that the side of Geumdongnanganpyeon is octagonal, and the width of the side S13 fragment belongs to is about 400mm. The overall form of the face is similar to the Geumdong Palgaktop stored in the Museum of Dongguk University, but, in detail, it is similar to the Zhuanlunzang Pavilion of Longxing Temple and the Sakyamuni Pagoda of Fogong Temple in China. And, numerical signs can be understand to designate the numbers of story and face. The reason why the number might indicate the number of story is that fragments which are presumed to be used for the same purpose contain different measurement values, and the basis of the concept of face can be found in efficiency of manufacturing and manufacturing techniques of artifacts of the time. The two aspects mentioned above cannot be confirmed because of not sufficient relics and related researches. But, the overall form may have been multi-story tower of at least two stories. If more studies in various fields are done in the future, it is expected that the original form will be recovered more accurately.

스트레스 감도 향상을 위한 턴 온 직후의 조름 효과를 이용한 얇은 질화막 폴리실리콘 전계 효과 트랜지스터 압력센서 (A Polysilicon Field Effect Transistor Pressure Sensor of Thin Nitride Membrane Choking Effect of Right After Turn-on for Stress Sensitivity Improvement)

  • 정한영;이정훈
    • 센서학회지
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    • 제23권2호
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    • pp.114-121
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    • 2014
  • We report a polysilicon active area membrane field effect transistor (PSAFET) pressure sensor for low stress deflection of membrane. The PSAFET was produced in conventional FET semiconductor fabrication and backside wet etching. The PSAFET located at the front side measured pressure change using 300 nm thin-nitride membrane when a membrane was slightly strained by the small deflection of membrane shape from backside with any physical force. The PSAFET showed high sensitivity around threshold voltage, because threshold voltage variation was composed of fractional function form in sensitivity equation of current variation. When gate voltage was biased close to threshold voltage, a fractional function form had infinite value at $V_{tn}$, which increased the current variation of sensitivity. Threshold voltage effect was dominant right after the PSAFET was turned on. Narrow transistor channel established by small current flow was choked because electron could barely cross drain-source electrodes. When gate voltage was far from threshold voltage, threshold voltage effect converged to zero in fractional form of threshold voltage variations and drain current change was mostly determined by mobility changes. As the PSAFET fabrication was compatible with a polysilicon FET in CMOS fabrication, it could be adapted in low pressure sensor and bio molecular sensor.