• 제목/요약/키워드: deficiency point

검색결과 177건 처리시간 0.022초

경락경혈 의학정보의 시각화 방법에 대한 역사적 고찰 (A History of Visualization for Biomedical Information of Meridian)

  • 이순호;이인선;조희진;정원모;이아름;김송이;박히준;이혜정;황롱샹;채윤병
    • Korean Journal of Acupuncture
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    • 제29권3호
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    • pp.371-384
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    • 2012
  • Objectives : The meridian system is a systematic complex of empirical knowledge, which functions as a basis of acupuncture treatment. In this article, we reviewed the visualization methods of meridian and acupuncture points through the investigation of the characteristics of Diagram of Meridians, Mingtang Diagram, Diagram of Meridians and Collaterals, Bronze Statues and Diagram of Bronze Statue. Methods : We investigated the characteristics of Diagram of Meridians, Mingtang Diagram, Diagram of Meridians and Collaterals, and Bronze Statues. We reviewed the visualization methods of meridian and acupuncture points in those classical Diagrams and analyzed their relationships among them. Results : In order to explain the meridian and acupuncture points easily, ancient people usually used drawings which are named Mingtang Diagram, Diagram of Meridians and Collaterals, by their own characteristics. Owing to their limitations of drawings on the 2 dimensional plane, Chinese people designed the Bronze Statue for Acu-moxibustion and its first invention was invented in Tiansheng age of Song dynasty. For several decades and centuries, these models and drawings were inherited, also reflecting variations of meridian system. As the Bronze Statue has a deficiency in the educational use because of its limitations of mass production, Diagram of Bronze Statue drawn on the 2 dimensional plane was invented. At the beginning of Mingtang Diagram, Diagram of Meridians and Collaterals, Diagram of Bronze Statue and Bronze Statue, their own characteristics were significantly differed with other diagrams and statues. We found that both diagrams and statues were gradually combined with description of the relationship between internal organs and the skeletal structure and the meridian system. Conclusions : Our findings suggest that Diagram of Meridians, Mingtang Diagram, Diagram of Meridians and Collaterals, and Bronze Statues are the basic form of data visualization, one of the infographics. We suggest that ancient Chinese people intend to explain the empirical knowledge using the ancient infographics of meridian system, but have limitations on reflecting theorical or abstractional meaning.

치료중단행위에 대한 의료형법적 고찰 -의학적 충고에 반한 퇴원 사례를 중심으로- (A Study on Medical-criminal Problem of Withdrawing Life-Sustaining Treatment)

  • 조인호
    • 의료법학
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    • 제9권1호
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    • pp.319-382
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    • 2008
  • As a withdrawing care's study, the purpose of this study is searching about withdrawing care's acceptance and circumstances through Bora-mae hospital case(chapter 1). Withdrawing life-sustaining treatment has various forms. Though the meaning of euthanasia, death with dignity, natural death, physician assisted suicide are duplicated, the meaning of those are different slightly. Firstly, this study looks about the difference of the those meaning and acceptance range(condition) by withdrawing care's forms(chapter 2). Bora-mae hospital case sentenced guilty about physician who discharged incompetent patient who was after surgery by patient's wife determination. This Bora-mae case that sentenced guilty about discharge against medical advise(DAMA) that is regarded to custom has brought intensive confliction of legal, social, medical aspect, Bora-mae hospital case has many legal problems. First, as to criminal law rule 250(murder), the problem is whether discharge and withdrawing life-sustaining treatment is commission or omission. this study concluded omission(district court: omission, appeal, supreme court: commission). Because legal denounce point of discharge and medical treatment withdrawing is omission that physician who is obligatory on patient to cure. If physician's act is regarded omission, it is necessary to determine whether he has guardian status and obligation. Without guardian status and obligation, omission crime can't exist. This study decided that physician had guardian status and obligation and foundation of guardian status was pre-action or acceptance of emergency patient. Physician's medical treatment duty finished when patient(or patient's guardian) demands discharge. But when patient death is foreseen and other possible treatment does not exist, his duty of life prolonging treatment does not finish. This originate from physician's social responsibility and public status that limits patient's private liberty. This study regarded physician's action as accomplice about whether physician's discharging action is accomplice or the principal offender(district court: the principal offender, appeal, supreme court: accomplice). Though the principal offender needs criminal determination and action, there is no this common determination and functional action control of physician in Bora-mae case(chapter 3). Bora-mae hospital case partly originated from deficiency of legal, institutive system including medical security system shortage, the instruction is 1. medical security system strengthening, 2. hospital ethical committee's activity strengthening, 3. institutionalization of withdrawing life-sustaining treatment, 4. acceptance of pre-decision making system, 5. sufficient persuasion of physician for patient and faithful writing of medical paper, 6. respect for patients' self-determination and rights, 7. consciousness's changing for withdrawing life-sustaining treatment and persistent education about medical ethics(chapter 4). Considering Bora-mae case, medical sector is not the dead ground of a criminal punishment. Intervention of criminal law in medical sector give rise to ill effect, that is, excess medical examination and treatment, safeguard treatment, delay of discharge from a hospital. Because sufficient guarantee of life becomes mere empty slogan under situation that impose a burden of heavy cost to family or hospital, public and systematic solution should be given(chapter 5).

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뽕나무 접목묘에 관한 연구 I. 활착불량상묘 발생 묘포지의 토양특성에 관한 연구 (Studies on the Mulberry Sapling 1. Soil Characteristics of Nursery Garden Producing Nonsprouting Sapling.)

  • 이원주;정광영;김영택
    • 한국잠사곤충학회지
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    • 제27권1호
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    • pp.12-17
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    • 1985
  • 1982년 충남 부여와 충북 옥천, 1983 경북 상주에서 생산된 묘목의 활착율이 불량한 사례가 발생하여 그 원인을 구명하기 위해 묘포지 토양의 이화학성을 조사하는 한편, 1984년 충북의 상묘생산업자 21개, 115개 포장의 토양분석을 행한 결과 다음과 같았다. 1. 죽은 상묘를 증상별로 구분한 결과 붕소부족 증상이 59%였으며, 아무런 외형적인 증상이 없이 발아가 안 되는 경우가 34.9%, 그리고 연폐 증상을 보인 묘목은 6.1%였다. 2. 상묘의 활착율이 나빴던 포장은 하천부지의 논토양으로 유효토심이 20cm 내외이었으며 그 밑에는 거친 모래 또는 자갈층이 있었다. 3. 토양의 화학성은 강산성이었으며, Ca, Mg의 함량이 낮았으며, 특히 B의 함량이 매우 낮았다. 유효인산과 칼리는 높은 경우도 있었다. 4. 논토양에 묘포는 설치한 경우에는 객토를 하였거나, 붕사를 준 경우에 활착율이 높은 것으로 나타났다. 5. 충북의 상묘포지 토양은 전면적 60.8ha 중 52.8%를 논토양이 점유하였고, pH6.5인 필지가 90.5%, 칼리 0.5me/100g 이하가 87.0% Ca은 6.5me/100g 이하가 40.8%, Mg은 2.00me/100g 이하가 94.8%, B은 0,3ppm 이하가 99.1%나 되었다.

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육미지황탕 효능의 동의보감과 실험연구결과의 비교고찰 -한의학과 중의학을 중심으로- (The Comparative Effects of Yugmijihwangtang in Donguibogam and Experiment Research Results -Focusing on the Korean Medicine and Traditional Chinese Medicine-)

  • 한유창;김명동;이선동
    • 대한한의학방제학회지
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    • 제25권2호
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    • pp.223-251
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    • 2017
  • Objectives : A lot of experiment results of Yugmijihwangtang(YM) are reported in various kinds of journals. Many of them report on the new effects that are not recorded in the traditional medical texts. So it is necessary to take it into consideration that newly reported effects could be of help to clinical practice, because this process of comparison of Donguibogam and scientific experiment results will have basis to lead into the evidence based medicine. Methods : We compared the effects of in Donguibogam and the experiment results of YM. Results : The effects of YM in Donguibogam are to replenish essence and marrow, and to treat red wen, fatigue, treat hypouresis, urinary sediment, urinary urgency, hematuria, hydrocephalus, speech and movement retardation, yin-deficiency, diabetes mellitus, nonalcoholic fatty liver, melanoma, disability to see near and far sight, tinnitus, hearing loss, alopecia, angiogenesis, cough, cough at night, trachyphonia, and, infantile convulsion. The experiment results of YM since 2000 in both Korea and China are to inhibit atopic dermatitis, renal interstitial fibrosis, anti-oxidant, emphysema, stress, glomerulosclerosis, diabetic nephropathy, chronic glomerulonephritis, hemorrhage, plantar sweating, dermal aging, kidney aging, bone loss, breast cancer, pathological myocardial cell, primary liver cancer, thrombosis, osteoporosis, intrauterine growth retardation, chronic renal failure, IgA nepropathy, slow cerebral development, and hippocampal tissue lesions on the one hand, and to help bone formation, renin-angiotensin- aldosterone system, cerebral recovery, cognitive function and expression, osteoblast proliferation and differentiation, learning and memory, cold-tolerance and oxygen deficit-tolerance and anti-fatigue, endometrial formation, humoral and cell-mediated immunity, immune regulation effect, Hypothalamus-Pituitary-Ovary Axis, and spermatogenesis, on the other hand. Conclusion : When we compared the effects of YM with the experiment results of YM, there existed a considerable gap between them. So, from now on, it is expected that a great effort and consideration are needed to solve these gaps from an academic and clinical point of view.

대기 중 극미량의 벤젠, 톨루엔 및 자일렌의 신속한 분석을 위한 휴대용 농축-기체 크로마토크래피 시스템 개발 (Development of Portable Preconcentration-Gas Chromatography System for Fast Analysis of Trace Benzene, Toluene and Xylene in Air)

  • 정영림;김만구
    • 분석과학
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    • 제14권5호
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    • pp.432-441
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    • 2001
  • 본 연구에서는 Tenax-GR을 이용한 고체흡착관과 curie-point식 열탈착 장치로 구성된 농축장치와 자동시료채취장치를 short column GC/PID의 주입구에 연결하여 대기압 이하에서 작동되는 자동화된 휴대용 농축-기체 크로마토그래프 시스템을 개발하였다. 이 시스템은 농축-열탈착-분석 및 세정의 3과정이 한 단위로 작동되며 1~2 min 주기로 연속적인 단위조작이 가능하였다. 톨루엔 표준기체로 검토한 농축장치는 $0.405{\sim}4.05mg/m^3$의 농도범위에서 $94.7{\pm}6.6{\sim}103.8{\pm}3.1$의 높은 회수율을 나타냈고, 7% 이내의 RSD로 좋은 재현성을 나타냈다. 4 m의 짧은 모세관 컬럼을 사용한 본 시스템에서는 벤젠, 톨루엔 및 자일렌(BTX)의 혼합표준기체를 30 sec 이내에 신속하게 분리할 수 있었다. 그리고 컬럼출구의 압력이 입구보다 낮은 진공 GC로 작동되기 때문에 일반 GC에 비해 컬럼의 단위길이당 분리능을 높일 수 있었다. 본 시스템의 벤젠, 톨루엔, o-자일렌 표준기체의 검출한계는 각각 41, 49, $472ng/m^3$로 나타났다. 따라서, 본 시스템은 환경대기 중 저농도의 BTX를 수 분 이내의 주기로 연속모니터링하는 장치로 현장에 적용할 수 있을 것이라 생각된다.

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항암화학요법 유발 말초신경병증 변증평가도구 개발을 위한 기초연구 (Preliminary Study to Develop an Instrument for Pattern Identification and Evaluation for Chemotherapy-induced Peripheral Neuropathy (CIPN))

  • 박지혜;정인철;이석훈;이진선;배겨레;조종관;유화승
    • 대한한방내과학회지
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    • 제37권1호
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    • pp.77-89
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    • 2016
  • Objectives: The aim of this study was to develop a standard instrument of pattern identification and evaluation for chemotherapy-induced peripheral neuropathy (CIPN).Methods: The advisory committee for this study was organized by 12 professors of traditional Korean medicine from the Korean Association of Traditional Oncology. The items and structure of the instrument were designed based on a review of previous publications. We revised the instrument in consultation with the advisory committee and received additional advice via email.Results: We divided the symptoms and signs of CIPN into four pattern identifications: wind arthralgia (風痺), cold arthralgia (寒痺), dampness arthralgia (濕痺), and arthralgia of the deficiency type (虛痺). We obtained the mean weights to reflect the standard deviations from each symptom of the four pattern identifications, which were scored on a 5-point scale by the advisor committee. After we obtained the answers to discrimination between variable symptoms (變症) and ordinary symptoms (素症) from the 12 experts, we gained the final weight from the combination of the ratio of pattern identification to the number of total answers of the advisory committee and the mean weight.Conclusions: The Instrument on Pattern Identification and Evaluation for CIPN was developed through a discussion between 12 experts. There was a limitation that the validity and reliability of this instrument have not been proven. However, the significance of this study was that it is the first Instrument on Pattern Identification and Evaluation aimed at assessing CIPN in traditional Korean medicine.

고수압 해저터널 건설을 위한 동결공법 적용성에 관한 연구 - 사례를 중심으로 - (Studies of application of artificial ground freezing for a subsea tunnel under high water pressure - focused on case histories -)

  • 손영진;이규원;고태영
    • 한국터널지하공간학회 논문집
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    • 제16권5호
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    • pp.431-443
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    • 2014
  • 본 연구는 고수압 해저터널의 차수를 위한 동결공법 적용성 평가를 위해 국내 적용사례가 없는 동결공법의 해외 시공사례를 조사하였으며, 지반 동결공법에서 보편적으로 사용하는 냉매인 브라인(brine)과 액체질소($LN_2$)에 대한 분석을 수행하였다. 고수압 조건의 해수는 순수한 물에 비하여 어는 점이 더 낮기 때문에 지상에서보다 동결시간이 더 길 수 있고 해저터널과 같이 폐쇄된 공간에서의 적용 시 냉매는 안정성을 확보할 수 있어야 하고 공기 단축이 가능해야 한다. 브라인은 재사용이 가능하고 독성이 적어 인체에 미치는 영향이 적으나, 동결에 상대적으로 장시간 필요하고 동결장비가 복잡한 특징을 가지고 있으며, 액체질소는 냉매의 재사용이 불가하며 기화 시 공기 중 질소농도 증가로 질식의 위험성이 있으나, 상대적으로 동결시간이 짧으며, 동결장비가 간단한 특징을 가지고 있는 것으로 파악되었다. 또한 향후 추가적인 연구가 필요한 해저터널 연결구 및 막장면 주변 지반에 대한 동결공법의 주요 설계요소를 도출하였다.

하법(下法)의 발전 과정에 대한 연구(硏究) -상한론(傷寒論)에서 사상의학(四象醫學) 까지- (The Study on the History of Pugation therapy From -'Treatise on Febrile Diseases' to 'Longevity and Life Presservation In Oriental Medicine'-)

  • 최의권;김경요
    • 대한한방내과학회지
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    • 제19권1호
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    • pp.524-552
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    • 1998
  • Purgation therapy has played an important role as a influential remedy from the begining of the Chinese medicine. Especially purgation therapy is raised as the effective remedy on the acute infectious disease in the book of 'Treatise on Febrile Disease'. But It was inclined to cold-nature and available only in the excess syndrome. Nevertheless it is evident that the book has showed an example of this therapy. During the middle age, purgation therapy is classified into several subtype; hydrogogue therapy, laxation with lubricants, purgation with cold-natured drugs and purgation with warm-natured drugs. Comparing with the ancient times, it must be a progression. It was investigated earnestly by a school leaded by Zhang Congzheng. They were not restricted to several diseases, but applied it to the wide range of diseases. They thought as following. 'One is ill from pathogenic factor so that you should eliminate it from the human body'. Hence, they frequently used three major remedies such as diaphoresis, emesis and purgation. In this process, purgation therapy had showed eye-opening progress. But opposition to it was not little. Li Gao was a representative man on the opposite side. He expressed a critical opinion and placed great importance on the genuine energy, the natural healing force. Under his influence, a large number of doctors evaded purgation and put it under taboo. On account of these trend, purgation therapy had took a backward step and retrograded. Therefore cathartics such as Rhei Radix et Rhizoma, Rharbitidis Semen, cold drugs such as Gypsum Fibrosum, etc. had been excluded for preservation of the genuine energy, and came about an obnoxious custom to value only 'tonity deficiency', or 'warm and tonify'. As it had came into fashion to approach most disease from the point of view, purgation therapy was merely fall into a remedy of constipation. After the eighteenth century purgation therapy encountered the new period of rivival. It was introduced by them who strived for the study of Epidemics to the new current of thought, so called '增水行舟'. It was because 온병 was apt to dissipate one's Yin fluid. Therefore purgation therapy of this period was characterized by establishing nourishment Yin and body fluid with or without use of timely purgation of accumulation of heat. From the time of Zhang Congzheng, it was accomplished by Lee Je-ma to the most epoch-making change. He caused an improvement in the use of purgation therapy by regarding innate constitutional contradiction as importance than representing clinical symptoms. He warned that existing remedies that depend only upon symptoms and signs, not upon individual characteristics including constitutional features didn't bring round to but kill them. And he understood all the pathologic processes in his constitutional theory, investigated specific drugs on four constitution, made indications of each prescriptions clear. For giving to differentiation of constition before differentiation of syndrom, his new slant on the pathologic phenomena overcome the limitations of 변증시치, and revaluate purgation therapy from remedy impaire the genuine energy to that restore it by recover the balance between the internal organ. It is the product of him to fundamentally upset the cause to be in disregard of purgation therapy.

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국내외 산업장 근로자의 AIDS(Acquired Immune Deficiency Syndrome)예방교육을 위한 소고 (Studies on AIDS(Acquired Immune Defficiency Syndrome) Preventive Educational Programs Intended for Domestic and Foreign Industrial Workers)

  • 정문희;조정민
    • 한국보건간호학회지
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    • 제10권1호
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    • pp.12-22
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    • 1996
  • Currently. exchanges of industrial workers between countries are more active than ever. and the problem of AIDS in connection with the operation of preventive educational programs has reached a point where the issue cannot be limited to native people alone any more. Based on such judgement. this research has been carried out to provide basic study materials by grasping the latent factors representing the difference between countries in the levels of right knowledge. attitude and behavior with respect to AIDS maintained by workers who have grown in different social and cultural living background. During the period from Apr. 1. 1995 to Jun. 30. questionnaires. written both in Korean and English, were distributed to Korean and Malaysian employees working at certain Korean video manufacturers. and the results of replies. given by 80 workers who were analyzed through matched sampling· method where ages and sex matched by country. were used as the research materials. The gathered materials were analyzed through the SPSS package t-test. ANOVA. factor analysis and multiple stepwise regression methods. and the following results were obtained. 1. The 2 extracted latent factors could be named 'common. social' knowledge factor and 'in-depth. psychological' knowledge factor respectively. 2. The percentile points of 'external. social' knowledge factor. in the case of Korean workers. howed 90.0 at average. a figure 13.75 points higher than those of Malaysian workers. 76.25. On the other hand. the percentile points of the 'in-depth. psychological'knowledge factor showed 70.80 at average in the case of Korean workers. a figure 7.47 points lower than those of Malaysian workers. 78.33. Meanwhile. the difference in percentile points between the 2 latent factors was 8.54 at average. indicating that the points of 'in-depth. psychological' knowledge factor was lower than those of the 'external. social' knowledge factor. 3. As for Korean workers. the percentile points of the 'in-depth. psychological' knowledge factor showed higher points in office workers than in non-office workers. and such variables exhibited in the position of workers can explain the $7\%$ of the latent factor. The percentile points of the 'in-depth. psychological' knowledge factors. in the case of Malaysian workers. showed higher points in groups who had religion than in groups who did not. and higher points in groups who obtained information from newspapers than in groups who obtained from televisions or other sources; and with these 2 variables. $26\%$ of this latent factor can be explained. The results. of analysis described so far suggest that while Korean workers possessed general level of knowledge on AIDS. they had low level of practical knowledge as far as its depth is concerned. and that they had social prejudice on patients as well as on the AIDS infection route. In addition. because the overall knowledge level of Malaysian workers. is lower than that of Korean workers. it suggests that separate programs intended for Malaysian workers are required prior to executing integrated programs.

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전신 질환을 동반한 환아에서 나타난 제1대구치 이소맹출의 처치 (TREATMENT OF ECTOPICALLY ERUPTING FIRST PERMANENT MOLAR IN CHRONIC MYELOGENOUS LEUKEMIA)

  • 김현정;김민정;노홍석;김신;정태성
    • 대한장애인치과학회지
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    • 제7권1호
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    • pp.33-37
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    • 2011
  • 제1대구치의 이소맹출은 국소적 원인과 유전적 원인의 조합에 의한 다양한 요소에 의해서 유발된다. 주기적인 검진과 방사선학적 검사를 통해 비가역적 이소맹출로 판단 될 경우, 제2유구치 조기 상실에 의해 제1대구치의 근심경사나 회전 및 복잡한 교정적인 문제를 일으킬 수 있으므로 적절한 개입이 필요하다. 본 증례는 항암치료의 기왕력이 있는 만성 골수성 백혈병 환아에서 나타난 제1대구치의 이소맹출을 Halterman appliance를 이용하여 정상적인 맹출로 유도할 수 있었다.