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검색결과 131건 처리시간 0.074초

방약합편과 한의학 임상표현 (Clinical presentation with 『PangYakHapPyon(方藥合編)』 in Korean medicine)

  • 주다현;김병수
    • 대한한의학회지
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    • 제40권1호
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    • pp.1-11
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    • 2019
  • Objectives: The aim of this study is to introduce the Clinical presentation and announce the importance of developing Clinical presentation of Korean medicine and suggest about development direction of Clinical presentation of Korean medicine. Methods: To Investigate the Clinical presentation used in western medicine. I think that Clinical presentation of Korean medicine is a systematic list of Korean medicine symptoms and a standard syndrome differentiation and treatment(辨證論治). So I would like to offer "PangYakHapPyon(方藥合編)" as a basis for developing Clinical presentation of Korean medicine. Results: The clinical presentation term has become widespread in use at Calgary Medical college. Calgary Medical college created a list of 120 clinical presentations In 1991. In Korea, 101 clinical presentations were made in 2016. "PangYakHapPyon(方藥合編)" has been used effectively for over 130 years and widely used in the public. In addition, "PangYakHapPyon(方藥合編)" is summarized in the symptoms and prescriptions that occur frequently in Korea. Conclusions: For the globalization and standardization of Korean medicine, Clinical presentation of Korean medicine should be developed. The overall form of Clinical presentation of Korean medicine uses the form of Clinical presentation of Canada and a standard syndrome differentiation and treatment(辨證論治) for diagnosis and treatment is based "PangYakHapPyon(方藥合編)".

고려 수지침 요법의 항바이라스 및 세포재생 효과에 대한 탐색 (Exploration of Antiviral and Cell Regeneration Effects of the Korean Hand Acupuncture(Koryo Sooji Chim) Therapy)

  • 이형환
    • 한국자연치유학회지
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    • 제12권1호
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    • pp.31-34
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    • 2023
  • 배경: 고려수지침을 이용한 항바이러스성 치료에 관한 연구는 전혀 없는 상태이다. 목적: Herpesvirus-2에 감염된 환자에 대한 수지침 자극에 대한 효과를 관찰하는 것이 목적이었다. 방법: 환자에 대한 수지침의 자극은 압봉 1호와 지압봉을 이용하여 수지 혈 자리에 부착하고, 5일간을 지나서 환부의 변화를 관찰하였다. 결과: 대상자 3명에 수지침혈 자리에 자극하면서 매일 관찰한 결과 20대의 환자는 3일째, 50대는 4일째, 그리고 70대는 5일째에 완치가 되었다. 결론: 수지침 자극으로 바이러스 감염으로 파괴된 세포가 재생되었고, 세포 내의 바이러스의 증식도 사라졌다. 수지침을 이용한 항바이러스성 치료가 유효하다는 것을 의미한다.

Application and Development of astronomical STEAM program for Science Culture and Creative Education

  • 김하림;김형범;설아침
    • 천문학회보
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    • 제46권2호
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    • pp.73.3-73.3
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    • 2021
  • 이 연구의 목적은 PEST 방법론을 적용한 STEAM 프로그램 개발 및 적용에 대한 효과성을 알아보는 창의교육을 위한 연구이다. 특히, 이 연구는 과학문화 소외지역에 대한 이동천문대 활용 STEAM 프로그램을 개발하여 이에 대한 학생들의 수업효과 및 만족도를 알아보는 연구로, 과학 문화에 소외된 지역의 학생들에게 천문에 대한 흥미를 주어 향후 천문과학의 올바른 과학적 개념을 이해하고 미래 직업으로서 천문관련 분야에 관심을 갖도록 하는 데 있다. 이 연구에서 개발한 STEAM 프로그램은 관련분야 전문가 5명이 한국천문연구원을 통해 이동천문대 교육 프로그램에 대한 지속적인 연구와 PEST 방법론 적용 및 소외지역에 대한 현장 적합성 연구를 5회의 워크숍과 전문가 타당화회의와 Pilot test를 통해 최종 STEAM 프로그램을 개발하였다. 이 연구에서 개발된 STEAM 프로그램의 적용 결과는 다음과 같다. 첫째, 이 연구에서 개발된 이동천문대는 모든 학생들에게 천문에 대한 호기심을 자극하는 긍정적인 효과를 나타내었다. 둘째, 이 프로그램은 총 11시간의 PEST 방법을 적용한 프로그램으로, '상황제시 1차시, 감성적 체험 5차시, 창의적 설계 5차시로 구성되어 과학문화 소외지역 학생들에게 높은 수업 만족도를 나타내었다. 따라서 PEST 방법을 적용한 이동천문대 STEAM 프로그램은 학습자의 천문과학에 대한 과학적 소양과 과학적 본성을 불러일으키는데 매우 긍정적인 효과를 나타낼 것으로 사료되며, 추후 연구에서 다양한 학년과 지역 및 위계에 따른 프로그램의 개발과 적용될 필요가 있다.

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한방간호중재개발을 위한 이침요법(耳鍼療法)적용에 대한 문헌연구 (A Literature Review about Application of an Auricular Acupuncture Therapy for Independent Oriental Medical Nursing Intervention Development)

  • 문희자;김귀분;석소현;홍경화
    • 동서간호학연구지
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    • 제4권1호
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    • pp.66-76
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    • 1999
  • The auricular acupuncture therapy is stimulus treat method that acupuncts or moxibusts at the reaction blood vessel point of various diseases in the upper portion of ear. And this effects from the reaction blood vessel point of an ear to the meridian of whole body system through blood stream. The auricular acupuncture has cured and cared signs and symptoms of many diseases and pathologic problems. And this treatment heels abnormal reactions, nursing focuses so it was examined through literature review that nurses use many portions of the auricular acupuncture in their clinical cares of oriental medicine. This study was proved that the Mae-Chim acupuncture method among various methods of the auricular acupuncture is easy and simple so this method can be used by nurses. And the ear acupuncture site which controls diarrhea, insomnia, migraine, stress vomiting, dyspepsia, high fever, insufficient lactation, bowel dysfunction, menoxenia, anxiety, pruritus and can be found easily and is few the number of acupuncture so the oriental medicine nurses can apply easily to their clients. Therefore the independent oriental medicine nursing intervention can be developed by application of the auricular acupuncture therapy on the oriental medicine clinical nursing and home care in our community.

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진가추요(診家樞要)에 대한 연구(硏究) I (A Study on Gin Ga Chu Yo(診家樞要) I)

  • 김헌;박경
    • 대한한의진단학회지
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    • 제9권1호
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    • pp.1-22
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    • 2005
  • Background and purpose: Gin Ga Chu Yo(該家樞要) was written in the year 1359 by Hwal Su(滑壽) who was a famous oriental doctor between Won(元) and Myeong(明) dynasty. As specialized in sphygmology(脈學), this book was brought together most things about sphygmology(脈學) before Won(元) dynasty by the author. Moreover he added the self-realized things to this book. Methods: In this book, there are all 20 chapters; Chu Yo Hyeon Eon(樞要玄言), Jwa U Su Bae Jang Bu Bu Wi (左右手配臟腑部立), O Jang(五臟), Sa Si peong Maek(四時平脈), Nae Gyeong Sam Bu Maek Beop(內經三部脈法), Ho Heup Chim Bu Jeong O Jang Beop(呼吸沈浮定五臟法), In Ji Ha Gyeong Jung I Jeong O Jang Beop(因指下輕重以定五臟法), Sam Bu So Ju(三部所主), Ji Maek Su Beop(持脈手法), Maek Gwi Yu Sin(脈實有神), Maek Eum Yang Yu Seong(脈陰陽類成 ), Gyeom Hyeon Maek Ryu(兼見脈類), Je Maek Ui Gi Ryu(諸脈宜忌類), Heom Je Sa Jeung Ryu(驗諸死症類) , Sa Jeol Maek Ryu(死絶脈類), O Jang Dong Ji Maek(五藏動止脈), Bu In Maek Beop(婦人脈法), So A Maek Beop(小兒脈法), Maek Sang Tong Hoe(脈象統會), Maek Sang Ga(脈象歌) and an epilogue in the end. This treatise is made up of principal, notes, study and conclusion, we tried to make a translation faithful to the original. Results and Conclusion: Looking into this book, we can know that it is very detail in analyzing item by item, bright and simple in explaining and it is very useful in studying pulse evaluation(脈診). In his preface, Hwal Su(滑壽) expresses his opinion with firm confidence that 'Do(道) of the World scattered in several scholarships and books of method and technique(方術). Nothing of method and technique(方術 ) is more important than medicine. Nothing of medicine goes before pulse evaluation(脈診).' With such good reasons, as a student of sphygmology(脈學), I think this book is very valuable in studying pulse evaluation. So I add Hangul suffixes(吐) to a part of this book and translate it into Korean.

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진가추요(診家樞要)에 대한 연구(硏究) III (A Study on Gin Ga Chu yo(診家樞要)III)

  • 김헌;박경
    • 대한한의진단학회지
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    • 제10권1호
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    • pp.1-35
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    • 2006
  • Background and purpose: Giu Ga Chu Yo(診家樞要) was written in the year 1359 by Hwal Su(滑壽) who was a famous oriental doctor between Won(元) and Myeong(明) dynasty. As specialized in sphygmology (脈學), this book was brought together most things about sphygmology(脈擧) before Won(元) dynasty by e author. Moreover he added the self-realized things to this book. Methods: In this book, besides a author's preface, there are all 20 chapters which are Chu Yo Hyeon Eon(權要玄言), Jwa U Su Bae Jang Bu Bu Wi(左右手配臟腑部位), O Jang(五臟), Sa Si Peong Maek(四時平脈), Nae Gyeong Sam Bu Maek Beop(內經三部脈法), Ho Heup Chim Bu Jeong O Jang Beop(呼吸沈浮定五臟法), In Ji Ha Gyeong Jung I Jeing O Jang Beop(因指下重以定五腑法), Sam Bu So Ju(三部所主), Ji Maek Su Beop(持脈手法), Maek Gwi Yu Sin(脈貴有神), Maek Eum Yang Yu Seong(脈陰陽類成), Gyeom Hyeon Maek Ryu(兼見脈類), Je Maek Ui Gi Ryu(諾脈宜忌類), Heom Je Sa Jeung Ryu(驗諸死症類), Sa Jeol Maek Ryu(死絶脈類), O Jang Dong Ji Maek(五藏動止脈), Bu In Maek Beop(婦人脈法), So A Mrek Beop(小兒脈法), Maek Sang Tong Hoe(脈象統會), Maek Sang Ga(脈象歌) and an epilogue in the end. Result and Conclusion: Looking into this book, we can know that it is very detail in analyzing item by item, bright and simple in explaining and it is very useful in studying pulse evaluation(脈診). In his preface, Hwal Su(辨壽) expresses his opinion with firm confidence that 'Do(道) of the World scattered in several scholarships and books of method and technique(術). Nothing of method and technique(力術) is more important than medicine. Nothing of medicine goes before pulse evaluation(脈診).' With such good reasons, as a student of sphygmology(脈學), I think this book is very valuable in studying pulse evaluation.' So I add Hangul suffixes(吐) to a part of this book and translate it into Korean.

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Soft Tissue Reconstruction of Complete Circumferential Defects of the Upper Extremity

  • Ng, Zhi Yang;Tan, Shaun Shi Yan;Lellouch, Alexandre Gaston;Cetrulo, Curtis Lisante Jr;Chim, Harvey Wei Ming
    • Archives of Plastic Surgery
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    • 제44권2호
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    • pp.117-123
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    • 2017
  • Background Upper extremity soft tissue defects with complete circumferential involvement are not common. Coupled with the unique anatomy of the upper extremity, the underlying etiology of such circumferential soft tissue defects represent additional reconstructive challenges that require treatment to be tailored to both the patient and the wound. The aim of this study is to review the various options for soft tissue reconstruction of complete circumferential defects in the upper extremity. Methods A literature review of PubMed and MEDLINE up to December 2016 was performed. The current study focuses on forearm and arm defects from the level at or proximal to the wrist and were assessed based on Tajima's classification (J Trauma 1974). Data reviewed for analysis included patient demographics, causality, defect size, reconstructive technique(s) employed, and postoperative follow-up and functional outcomes (when available). Results In accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, 14 unique articles were identified for a total of 50 patients (mean=28.1 years). Underlying etiologies varied from extensive thermal or electrical burns to high impact trauma leading to degloving or avulsion, crush injuries, or even occur iatrogenically after tumor extirpation or extensive debridement. Treatment options ranged from the application of negative pressure wound dressings to the opposite end of the spectrum in hand transplantation. Conclusions With the evolution of reconstructive techniques over time, the extent of functional and aesthetic rehabilitation of these complex upper extremity injuries has also improved. The proposed management algorithm comprehensively addresses the inherent challenges associated with these complex cases.

높은 지하수위 지반 속에 설치된 지중연속벽의 인발저항력 (Uplift Capacity of a Diaphragm Wall Installed in Ground with High Groundwater Table)

  • 홍원표;침니타
    • 한국지반공학회논문집
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    • 제30권9호
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    • pp.5-17
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    • 2014
  • 지하수위가 높은 지역에 설치된 지중연속벽 주변지반 속에 발생되는 지중파괴면의 형상을 조사하기 위해 일련의 모형실험을 실시하였다. 모형실험에서 벽체가 인발될 때 발생하는 벽체 주변지반의 변형거동을 사진으로 촬영하여 관찰하였고 이 지반변형 결과를 분석하여 지중연속벽 주변지반에 발생되는 지중파괴면의 형상을 파악할 수 있었다. 이렇게 파악된 지중파괴면의 형상에 근거하여 지중연속벽의 인발저항력을 산정할 수 있는 이론해석을 실시하였다. 이 이론해석에는 벽체와 지반에 관한 주요 특성이 잘 반영되어 있다. 즉 벽체의 특성으로는 벽체의 길이, 두께 및 벽면조도가 포함되어 있으며 지반의 특성에 관하여는 흙의 내부마찰각 및 점착력과 같은 전단강도정수가 포함되어있다. 제안된 해석모델에 의거하여 예측된 지중연속벽의 인발저항력은 모형실험에서 측정된 실험치와 잘 일치하였다.

Aesthetic Design of Skin-Sparing Mastectomy Incisions for Immediate Autologous Tissue Breast Reconstruction in Asian Women

  • Tan, Bien-Keem;Chim, Harvey;Ng, Zhi Yang;Ong, Kong Wee
    • Archives of Plastic Surgery
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    • 제41권4호
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    • pp.366-373
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    • 2014
  • Background The advent of skin-sparing mastectomy has allowed for the reconstruction of the breast and nipple with improved cosmesis. However, the nipple-areolar complex (NAC) in Asian patients is more pigmented and scars easily. Therefore, commonly described incisions tend to result in poor aesthetic outcomes in Asian patients with breast cancer. Methods We describe an algorithmic approach to skin-sparing mastectomy incisions in Asian patients on the basis of the location of the biopsy scar and the tumor site and size. Four incision types are described: peri-areolar, a peri-areolar incision with a second distant skin paddle, "racquet handle," and peri-areolar with adjacent skin excision. Results 281 immediate breast reconstructions were performed between May 2001 and February 2012 after skin-sparing mastectomy. The mastectomy incisions used included the peri-areolar design (n=124, 44%), peri-areolar design with a second distant skin paddle (n=39, 14%), "racquet handle" (n=21, 7.5%), and peri-areolar design with adjacent skin excision (n=42, 14%). The traditional elliptical incision and other variants where the NAC outline was not preserved were performed in the remaining 55 patients. The average follow-up was 44.7 months during which there was 1 case of total flap loss and 7 cases of partial flap necrosis; all remaining flaps survived. 24% of the patients (68/281) underwent subsequent nipple reconstruction. Conclusions Our algorithm avoids breast incisions that are randomly placed or excessively long and prevents the unnecessary sacrifice of normal breast skin. This allows skin-sparing mastectomy and immediate breast reconstruction to be performed with a consistently achievable aesthetic result in Asian women without neglecting oncological safety.

이종 폐지 혼합 비율에 따른 종이 품질 및 초지 공정 변화 분석 (Analysis of Paper Qualities and Forming Process at Varied Mixing Ratios of Different Kinds of Recovered Paper)

  • 최도침;이광섭;김창근;조병욱;류정용
    • 펄프종이기술
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    • 제46권3호
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    • pp.28-36
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    • 2014
  • The kind and the mixing ratio of recovered papers would affect the quality of final recycled paper. In this study, effects of the mixing ratio of various domestic recycled papers (old news print (ONP), old corrugated container (OCC) and coated paper (CP)) on variations in physical properties of paper and its productivity were investigated. When the mixing ratio of CP grade increased, the freeness (CSF) of recycled pulp was increased while paper strength and white water turbidity was decreased. Paper strength was decreased as the percentage of OCC was higher than ONP. When ONP was mixed with OCC, no adverse effect was observed except the increased drainage resistance. It is expected that these results could be utilized as fundamental data to establish regulations for the recovered paper grades according to mixing ratios of different kinds of them.