• 제목/요약/키워드: Review Pattern

검색결과 947건 처리시간 0.03초

한국인 수면장애 환자의 최근 3년간 한방 진료 양태 (Oriental Medical Treatment Pattern of Korean Patients with Sleep Disorders)

  • 정선영;김재영;고영탁;안건상;이차로
    • 동의신경정신과학회지
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    • 제25권4호
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    • pp.389-400
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    • 2014
  • Objectives: Though there are many studies about sleep disorder, no research has been performed on the utilization of oriental medicine as a treatment. Therefore, the oriental medical treatment pattern of Korean patients with sleep disorders was examined herein using the Health Insurance Review and Assessment Service (HIRAS). Methods: The medical records of patients with sleep disorders (G47) or nonorganic sleep disorders (F51) as a main diagnosis were adopted from the HIRAS database from 2011 to 2013. Analysis was performed on the number of patients and cost per patient, with comparison between oriental and western medicine in terms of gender, age, patient care service type, and hospital type. Results: 1) Regarding sleep disorders, the medical visits and insurance charges have been increasing. Western medicine was utilized 8 times more often than oriental medicine during 3 years. 2) There were 2.5 times more women than men. 3) Among all ages, the 50~59 year group had the highest representation. 4) In comparison of average portions of patient care type over 3 years, outpatients were the majority, while the number of visits of outpatients and hospitalization has been increasing. 5) Comparison of average portion of oriental hospital type over 3 years revealed oriental clinics to be used most. The use of general hospitals was higher in western medicine treatment, while public health centers used oriental medicine more. 6) Regarding average oriental medical cost per patient over 3 years, the total was 88,000 won, with 353,000 won for hospitalization and 85,000 won for outpatients. The outpatient cost has been increasing. 7) In line with 6, oriental medical hospitals cost 126,000 won, local clinics were 85,000 won, and etc. was 95,000 won. Average costs of all types have increased during 3 years, except oriental medical hospitals in 2013. Conclusions: This study provided objective information about the epidemiologic characteristic of oriental medicine used for treatment of sleep disorder. For expansion of oriental medical demand for sleep disorder, this study would be helpful in understanding the recent status.

미분무 액적특성이 살수밀도에 미치는 영향 연구 (A Study on the Effects of Droplets Characteristics of Water Mist on the Spray Density on the Floor)

  • 김종훈;박원희;김운형;명상엽
    • 한국재난정보학회 논문집
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    • 제17권1호
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    • pp.120-127
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    • 2021
  • 연구목적: 본 연구는 미분무 소화설비의 FDS모델링 수행에 있어 액적과 관련된 변수의 설정 변화가 살수밀도에 미치는 영향을 알아보았다. 연구방법: 미분무 노즐의 살수 현상을 FDS에서 해석할 경우 액적과 관련하여 설정할 수 있는 항목 중 초당액적수, 액적속도, 입경분포함수, 분사패턴형태의 값을 입력하여 분석된 결과를 검토하였다 연구결과: 분석결과에서, 초당미립자 수 설정은 일정 값 이상이 되면 유사한 바닥면의 살수밀도를 보여주었다. 액적속도는 낮아짐에 따라 중심부분의 살수밀도를 높이지만 0.15m 이상 떨어진 거리에서는 낮아짐을 알 수 있었다. 입경분포함수의 변화에 대한 분석에서, 𝛾값의 증가는 중심부분의 살수밀도의 증가를 가져오지만, 떨어진 위치에서의 값은 감소를 가져온다는 점을 알 수 있었다. 가우시안 분포를 적용한 결과에 비하여 균등분포를 적용하는 경우 중앙값은 극적으로 낮아지지만 인접위치에서의 값은 증가함을 보여준다. 결론: FDS의 액적특성에 관련된 변수들은 각각 바닥면의 살수밀도에 영향을 준다. 그러므로 화재 진압이나 냉각 등의 해석에 들어가기 전 신뢰성을 확보하기 위하여 입력변수에 대한 면밀한 검토가 필요하다.

체계적 문헌 고찰을 통한 인지기능 개선에 도움을 주는 식사 관리에 대한 연구 (Criteria for diet pattern and meal management to improve cognitive function: A systematic review)

  • 박영숙;이현정;최귀정;허림;남예림;김윤하;김민지;신원선
    • 한국식품과학회지
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    • 제52권5호
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    • pp.450-458
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    • 2020
  • 본 논문에서는 인지기능과 식사중재 프로그램의 관련 효과를 확인하고자 체계적 고찰을 시행하였다. 2019년 데이터베이스 검색, 선별을 통해 총 21편의 연구를 비뚤림 평가하였다. 고혈압 예방 식사인 대시 식단(Dietary Approaches to Stop Hypertension, DASH diet) 1편, 지중해 식단(Med diet) 8편, 마인드 식단(Mediterranean-DASH Intervention for Neurodegenerative Delay, MIND diet) 2편이었다(Table 1). 그리고 그 외의 식이중재는 10편이였다(Table 2). 인지 기능 개선을 위해 대표되는 식단 대시 식단(DASH diet), 지중해 식단(Med diet), 마인드 식단(MIND diet) 비교해 본 결과 공통적으로 야채류, 너트류를 권장하고 붉은 육류는 제한한다. 전세계적으로 각 나라마다 고령자의 인지 개선을 위한 연구가 실행되고 있으며 중재 식사관리는 지중해 식단과 비슷한 식단으로 구성되어 있으며 연구 결과 식이교육, 식이중재 시 인지 개선 효과가 있었다. 이 연구를 통해 식이패턴과 식사의 질을 높이는 것이 중요하고 인지기능 개선에 높은 효과를 보인다는 것을 확인할 수 있었고 치매의 치료법은 아직 개발되지 않았으므로 치매의 진행을 예방하고 발병을 지연시키기 위해 식단 구성시 정제되지 않은 통곡물, 야채, 과일, 베리류, 생선, 올리브유, 너트류, 콩류 섭취를 권장한다. 이 고찰을 통해 인지기능 개선을 위해 단일 영양소, 단일 식품의 섭취의 한계를 확인하였고 한국 고령자에게 맞는 맞춤형 식사교육을 통한 식사관리 중재 프로그램이 필요하다는 것을 확인하였다. 그리고, 이 연구의 결과를 바탕으로 한국형 식사관리 중재 프로그램의 기초를 마련하고자 한다.

"만세보(萬歲報)" 소재(所載) <해동영언(海東永言)>의 텍스트성 연구 (Study on the textuality of Haedongyeongeon[해동영언] in Mansebo[만세보])

  • 이상원
    • 한국시조학회지:시조학논총
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    • 제25집
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    • pp.211-237
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    • 2006
  • [ $\ulcorner$ ]만세보$\lrcorner$에는 <해동영언>이라는 제목 하에 총 111수의 고시조 작품이 연재되어 있다. 이 글에서는 이 <해동영언>을 20세기 초반의 시조 텍스트로 간주하고 그것의 문헌학적 성격 및 가집 편찬사적 의미를 검토하였다. <해동영언>은 신문 연재물과 소규모 가집의 성격을 동시에 지닌다 이 연재물의 기본 형식은 '제목-음악적 표지-작가 정보-작품-단평'의 순으로 구성되어 있다. 이 가운데 이 연재물의 특징을 가장 잘 보여주는 것은 마지막의 단평이라 할 수 있다. 이 단평은 한문에 국문 토를 단 형식을 취하고 있으며. 신문의 독자층 확보를 위해 고안된 장치로 판단된다. 한편 <해동영언>은 연재된 작품 전체를 모아 놓고 보면 전반적 분류 체계나 동일 곡조 내의 작가 배열 방식 등에서 명백한 가집 편찬 의식을 엿볼 수 있어 소규모 가집으로 규정할 수 있다. 이 가집은 지나치다 싶을 정도로 형식적 완결성을 추구하고 있으며, 대중 보급용 독서물을 지향하는 의식이 강한 특징을 보인다는 점에서 20세기 가집의 특성을 명료하게 보여준다고 할 수 있다. <해동영언>이라는 연재물의 기획자 또는 이 가집의 편찬자는 $\ulcorner$만세보$\lrcorner$의 핵심 관계자-오세창, 이인직, 최영년. 신광희-중 한 명일 가능성이 큰 것으로 생각되며, 그 중에서도 여러 가지 정황으로 미루어 최영년일 가능성이 가장 높은 것으로 판단된다. 마지막으로 <해동영언>이 어떤 가집을 참조로 한 것인지에 대해서는 현재로선 밝힐 수 없어 그 판단을 유보하였다.

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전두동 골절 양상에 따른 치료 (Treatment of Frontal Sinus Fractures According to Fracture Patterns)

  • 하주호;김용하;남현재;김태곤;이준호
    • 대한두개안면성형외과학회지
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    • 제10권2호
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    • pp.91-96
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    • 2009
  • Purpose: Frontal sinus fractures are relatively less common than other facial bone fractures. They are commonly concomitant with other facial bone fractures. They can cause severe complications but the optimal treatment of frontal sinus fractures remains controversial. Currently, many principles of treatment were introduced variously. The authors present valid and simplified protocols of treatment for frontal sinus fractures based on fracture pattern, nasofrontal duct injury, and complications. Methods: A retrospective chart review was performed on 36 cases of frontal sinus fractures between January, 2004 and January, 2009. The average age of patients was 33.7 years. Fracture patterns were classified by displacement of anterior and posterior wall, comminution, nasofrontal duct injury. These fractures were classified in 4 groups: I. anterior wall linear fractures; II. anterior wall displaced fractures; III. anterior wall displaced and posterior wall linear fractures; IV. anterior wall and posterior wall displaced fractures. Also, assessment of nasofrontal duct injury was conducted with preoperative coronal section computed tomographic scan and intraoperative findings. Patients were treated with various procedures including open reduction and internal fixation, obliteration, galeal frontalis flap and cranialization. Results: 12 patients are group I (33.3 percent), 14 patient were group II (38.8 percent), group III, IV were 5 each (13.9 percent). Frontal sinus fractures were commonly associated with zygomatic fractures (21.8 percent). 9 patients had nasofrontal duct injury. The complication rate was 25 percent (9 patients), including hypoesthesia, slight forehead irregularity, transient cerebrospinal fluid leakage. Conclusion: The critical element of successful frontal sinus fracture repair is precise diagnosis of the fracture pattern and nasofrontal duct injury. The main goal of management is the restoration of the sinus function and aesthetic preservation.

한방진단시스템 DSOM을 활용한 사상체질에 따른 폐경(閉經)전후 중년여성(中年女性)의 변증연구(辨證硏究) (A Pattern Identification Study on the Middle-Aged Women between Sasang Constitution using DSOM)

  • 이인선;전수형;김종원
    • 사상체질의학회지
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    • 제25권4호
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    • pp.320-329
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    • 2013
  • Objectives We carried out this study to know that there is any differences on the health condition of the middle aged women between Sasang coustitution. We used Diagnosis System of Oriental Medicine(DSOM) for diagnosis and determining pattern identification. Methods This research was approved by the Dongeui University Oriental Hospital Institutional Review Board (certificate no. 2011-06). From March 2012 to October 2012, we examined Kupperman's index, the MENQOL, DSOM, and Sasang Constitution of 291 women from the general population, with ages ranging from 40 to 60 years. And we compared the results statistically by the chi-square test and F-test. Results and Conclusions We excluded 4 Taeyangin to analyze because they were few, and analyzed 287 subjects which were 53 Soyangin, 131 Taeeumin, and 103 Soeumin. 1. The pathogenic factors that showed significant differences were deficiency of qi, insufficiency of Yin, heat on the frequency of the output and deficiency of qi, heat, phlegm on the mean of pathogenic factor score. Deficiency of qi was higher in Soeumin, insufficiency of Yin and heat were higher in Taeeumin, and phlegm was higher in Taeeumin and Soeumin. Overall, Soyangin tended to be lower than others on both the frequency of the output and the mean of pathogenic factor score. 2. The middle aged women with ages ranging from 40 to 60 years tended to be dryness, kidney, damp and became to be blood-deficiency, stagnation of qi, heart easily. Soyangin was more health than others, Taeeumin tended to be heat, phlegm, insufficiency of Yang, and Soeumin tended to be deficiency of qi.

Glioblastoma Cellular Origin and the Firework Pattern of Cancer Genesis from the Subventricular Zone

  • Yoon, Seon-Jin;Park, Junseong;Jang, Dong-Su;Kim, Hyun Jung;Lee, Joo Ho;Jo, Euna;Choi, Ran Joo;Shim, Jin-Kyung;Moon, Ju Hyung;Kim, Eui-Hyun;Chang, Jong Hee;Lee, Jeong Ho;Kang, Seok-Gu
    • Journal of Korean Neurosurgical Society
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    • 제63권1호
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    • pp.26-33
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    • 2020
  • Glioblastoma (GBM) is a disease without any definite cure. Numerous approaches have been tested in efforts to conquer this brain disease, but patients invariably experience recurrence or develop resistance to treatment. New surgical tools, carefully chosen samples, and experimental methods are enabling discoveries at single-cell resolution. The present article reviews the cell-of-origin of isocitrate dehydrogenase (IDH)-wildtype GBM, beginning with the historical background for focusing on cellular origin and introducing the cancer genesis patterned on firework. The authors also review mutations associated with the senescence process in cells of the subventricular zone (SVZ), and biological validation of somatic mutations in a mouse SVZ model. Understanding GBM would facilitate research on the origin of other cancers and may catalyze the development of new management approaches or treatments against IDH-wildtype GBM.

CHEMICAL ABUNDANCE PATTERNS FOR SHARP-LINED STARS

  • YUSHCHENKO ALEXANDER;GOPKA VERA;KIM CHULHEE;KHOKHLOVA VERA;SHAYRINA ANGELINA;MUSAEV FAIG;GALAZUTDINOV GAZINUR;PAYLENKO YAKOY;MISHENINA TAMARA;POLOSUKHINA NINA;NORTH PITER
    • 천문학회지
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    • 제35권4호
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    • pp.209-220
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    • 2002
  • In order to increase the completeness of the investigations of stellar abundances, we can use spectrum synthesis method, new atomic data and observation of stellar spectra with resolution comparable to solar spectral atlases. We made a brief review of main problems of these three ways. We present new results of abundance determinations in the atmospheres of four stars. The first is the implementation of new atomic data to well known Przybylski's star. We show that the number of spectral lines, which can be identificated in the spectrum of this star, can be significantly higher. The second example is the investigation of $\zeta$ Cyg. We found the abundances of 51 elements in the atmosphere of this mild barium star. The third example is halo star HD221170. Our preliminary abundance pattern consists of 42 elements. The heaviest elements in this pattern are U and Th. The last star is the spectroscopic binary HD153720. The number of elements investigated in the spectra of components of this star is not large, but the results show that the components are Am-stars.

르네상스 후기(後期)의 Corset 제작(製作)에 관(關)한 연구(硏究) (A Study on the Production of a Corset in the Late Renaissance Age)

  • 김경희
    • 패션비즈니스
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    • 제7권1호
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    • pp.152-159
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    • 2003
  • The considerations on the costumes of the past, which have been conducted to the present for the purpose of creating a new design, are not just a simple imitation, but playing a role as a re-creation of fashion. A corset, one of the underwear items, has an important role to exaggerate, emphasize, or modify the beauty of a human body. It also contributes to form a beautiful silhouette of the outerwear. Specifically, the role of a corset today is more than a physical modification: making an underwear into an outerwear; using detailed decorations or materials of an underwear in the part of other garments. In doing these, decorative functions of costumes have been more and more emphasized. Therefore, a study on the composition or design of a corset would be an important study on the garment item that reflects fashions required by this age. The significance of the study is in its potential to provide reference materials needed in creating new underwear designs or the designs that can be made into outerwear products, by trying and producing a corset of the past. To make the corset, the definition of underwear and the characteristics of a corset were explored based on the review of the materials in the foreign museums, relevant photographs, and literature. The corset was made after understanding its minute details and examining its patterns. Pattern drawing was carried out using a Pattern CAD. As an intial phase of reproducing the corsets in the 17th, 18th, and 19th centuries, the scope of the present study was limited to the late Renaissance age, when corsets began to appear.

임부의 모유 수유에 대한 태도 유형 분석 (The Pattern of the Attitude of Pregnant Women on Breast Feeding)

  • 정혜경;이미라
    • 모자간호학회지
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    • 제3권2호
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    • pp.126-141
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    • 1993
  • The purpose of this study was to understand the pattern of the pregnant women' attitude on breast feeding. The research had been proceeded as follows ; 1. Delineation of the Q-population the statements of Q-population had been derived from review of the related literature and a open-ended questionnaire filled by nurses, nursing students, general public, and the pregnant women. Total number of concourse collected was 105. 2. Selection of the Q-sample : Among 105 concourse, those which has obscure or overlapped were deleted. 38 concourse were selected finally. 3. Selection of the P-sample : by the convenient sampling technique, 28 subjects had been deter mined among the pregnant women who visited a hospital affiliated with university for the antenatal care, from March to August, 1993. 4. Q-sorting : based on 1 to 9 point scale (forced normal distribution), the selected P-sample rated their operant definition of breast feeding. 5. Determination of Q-type : with Q-sorts, PC-Quanal program identified the three Q-types. 6. Analysis of Q-type : the characteristics of three different attitude had been analyzed based on the typal array, extreme comments, and subject$\sim$s demographic information. The results revealed that there are three different altitudes nth regard to breast feeding : Instinct oriented attitude, Science oriented attitude, and Convenience oriented altitude. Mothers with Instinct oriented attitude and Science oriented altitude are thought to have high possibility to breastfeed their infant willingly, and mothers with Convenience oriented attitude to breast feed under the favorable conditions. These findings can be used as the information giving data for the education to encourage breast feeding.

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