• Annals of Clinical Neurophysiology
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• 제4권2호
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• pp.137-139
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• 2002

Background : Subtle status epilepticus (SE) is an end-stage of convulsive SE. This phenomenon might be a clinical expression of neuronal exhaustion caused by sustained electrical discharges. As subtle SE may show diverse clinical features, early detection depends on clinical suspicion. Case : A 68-year-old woman was presented with repetitive involuntary movement of right limbs after two generalized tonic-clonic seizures. She experienced right middle cerebral artery infarction 4 months ago, and after the event, left side hemiplegia sustained. These seizures were first-ever after the cerebral infarction. Orientation and verbal responses were fairly preserved but general cognitive function was minimally slowed. During the video-EEG monitoring, repetitive sharp waves were noted in the right hemisphere and these sharp waves occasionally spread to the contralateral side. Her right side involuntary movement was identifiable when the epileptic discharges were found on her right hemisphere. Conclusion : We suggested that this unexpected convulsive movement is a reflection of earlier exhaustion in the right hemisphere or deefferentation of right hemisphere because of preexisting neuronal damage.

• 농촌계획
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• 제16권4호
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• pp.23-32
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• 2010

Recently, there are many people who live in rural keep getting away from their town. The reason why become aging and reducing society in Rural is weakness of agricultural competition, education, culture and welfare. Thereupon, we need counter plans to make boom in exhaustion rural landscape counter plan, losing consciousness of citizenship, over developing from city planners who are giving serious damage to rural landscape. However, there are many promotions going on to cover weakness of rural. In this research, to set up the right view of rural which considered the different cognitions, it is important to derive each preference or non-preference scenery, and countrified or non countrified scenery. From different cognition, finding preserved and improved factors is necessary to preserve, reform, and improve the countryside scenery. Based on this, to investigate natural characters of viewpoint is providing right direction for future rural landscape.

• 한국산업보건학회지
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• 제4권2호
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• pp.198-207
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• 1994

In order to evaluate the effectiveness of environmental intervention of work place, metal mercury concentration in air and in urine of the total 43 workers for 3years from December 1991 to October 1993 in a fluorescent lamp manufacturing industry exposed to mercury, was measured before and after implementation of controls such as establishing exhaust ventilation at the department of exhaustion, coating the floor of work place with epostane, cleaning of the floor, improved housekeeping, and etc. The results were as follows. 1. Before the intervention(December 1991) 39.0% exceeded metal mercury Threshold Limit Value(TLV, $0.05mg/m^3$). After the intervention(October 1993) 10.0% exceeded TLV and geometric mean of mercury in air was $0.1mg/m^3$, and showed effectiveness rate of intervention to be 74.4% 2. After the intervention, geometric means of mercury concentrations in air were 0.013, $0.019mg/m^3$ and showed effectiveness rate of intervention to be 76.6%, 65.5% in A factory(right tube lamp)and at exhaustion department, respectively, A follow up survey fround statistically significant reductions in mercury concetration in air three years later. 3. Mercury concentration in urine of 11 workers(29.7%) exceeded warning level of $100{\mu}l/l$ before the intervention. After the intervention, of 3workers(8.8%) exceeded warning level and geometric mean of mercury concentration($26.5{\mu}l/l$) in urine was 2.4 times than that of before the intervention. Geometric means of mercury concentrations in urine of workers at exhaustion department, at sealing and aging department were 44.0, $77.7{\mu}l/l$, respectively and they decreased 2.3, 3.2 times than that of before the intervention.

• 사상체질의학회지
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• 제7권2호
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• pp.129-134
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• 1995

Lee Je Ma (1837~1900) wrote the DongEuSuSeBoWon in 1894. Constitutional Medicine what is called Sasang Medicine has originated from him. In this book he refers to mild, serious, intractable, incurable and fatal disease. In the sight of his Medical theory each state of disease deserves to be researched. 1. In the case of Soumin exhaustion of Yang, Taeyang-Kwolum, noxious Yin, Yang is kept in the exterior by excessive Yin in the interior, middle diabetes and swelling belong to intractable disease and solid mass in the right epigastric zone belongs to fatal disease. 2. In the case of Soyangin exhaustion of Yin, lower diabetes, afternoon fever due to deficiency of Yin, spitting blood and swelling belong to intractable disease and distention of abdomen with gas or fluid belongs to fatal disease. 3. In the case of Taeumin syncope due to chills, dryness-heat, diabetes, pain of chest and abdomen and swelling belong to intractable disease and apoplexy with dosed eyes belongs to fatal disease. 4. In the case of Taeyangin vertebral disease makes flaccidity of lower limbs and dysphagia with vomiting of frothy fluid belongs to fatal disease.

• 혜화의학회지
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• 제8권2호
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• pp.171-189
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• 2000

By Literatural studying on migraine, The results were obtained as fallow : 1. A different name on migraine were called hemicrania(頭偏痛, 邊頭痛, 偏頭風). 2. In the cause of a disease in migraine, the cases were clasified into the fallowing kind : internal cause were a decline in energy and blood(氣血具虛), external cause were outside evil(外邪) in wind cold heat wetness(風寒暑濕), non internal, external cause were exhaustion. The right side migraine were concerned phlegm heat, the right side migraine were concerned wind decline in blood. 3. Migraine is appeared on the side, For the reason, liver function in excess of normal limits(肝陽上亢), a sudden of liver fire(肝火) is becomeed of invasion upon soyangkuong(少陽經) in internal external cause 4. Usage method of medicines is appeared that order underclothes theraphy(內服法), to pump out in nose theraphy, to join head theraphy(頭點法), heating smoke theraphy(熏煙法) 5. CNIDII RHIZOMA(川芎) is in mostly general use for migraine, in that order LEDEBOURIELLAE RADIX(防風) ANGELICAE DAHURICAE RADIX(白芷) ASARI HERBA CUM RADICE(細辛) NOTOPTERYGII RHIZOMA(羌活) GLYCYRRHIZAE RADIX(甘草) CHRYSANTHEMI FLOS(菊花) BUPLEURI RADIX(柴胡) SCUTELLARIAE RADIX(黃芩) ANGELICAE GIGANTIS RADIX(當歸) GYPSUM FIBROSUM(石膏) MENTHAE HERBA(薄荷) GLYCYRRHIZAE RADIX(炙甘草) VITICIS FRUCTUS(蔓荊子), nature is in mostly general hot warm(辛溫), bitter cold(苦寒), guikuong(歸經) is in mostly general liver gall kuong(肝膽經), efficacy is in mostly general to remove wind pain (祛風止痛) and to down fire(瀉火).

• 통상정보연구
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• 제16권4호
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• pp.79-102
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• 2014

병행수입은 진정상품을 제3자가 국내의 상표권자 또는 전용사용권자의 허락 없이 수입하는 행위를 말한다. 이는 국가 간 가격 차이에 의해서 발생하게 되고 일반적으로 국제무역과 지적재산권에 영향을 주게 된다. 본 논문은 한국과 중국의 병행수입제도에 대해 특허권, 상표권, 저작권 등 지적재산권법을 중심으로 살펴보고 양국의 병행수입 허용여부와 그 기준을 비교분석한다. 양국 모두 지적재산권법 상에서 병행수입제도를 규정하고 있지 않으나 법원의 판례를 통해 병행수입이 허용되고 있다. 중국은 특히 상표법과 저작권법과 달리 특허법상에 병행수입의 이론의 근거가 되는 권리소진에 대해 최초로 규정하고 있다. 한국은 권리소진에 대한 규정 또한 두고 있지 않지만 관세청고시를 통해 병행수입의 허용과 상표에 있어서 그 기준을 고시하고 있다. 그러나 양국의 이러한 규정은 병행수입의 지적재산권 침해 여부의 실체법적인 기준이 되지 못하는 한계가 있다. 향후 양국에 있어 병행수입이 더욱 확대될 것으로 예상될 때 무역마찰을 피하고 지적재산권을 보호하기 위해 이에 대한 대책이 필요하다. 즉 지적재산권법상 병행수입에 대한 정의, 절차, 책임문제와 상대방의 구제 등에 대한 규정이 마련되어야 할 것이며, 병행수입의 활성화를 위해 독점수입대리점의 권리남용을 억제할 수 있어야 하고 소비자 보호를 위한 사후서비스 관리 등의 조치가 필요하다. 나아가 병행수입에 대한 양국의 실무적인 논의의 장이 마련될 수 있도록 하여야 할 것이다.

• 한국정보통신학회논문지
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• 제14권10호
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• pp.2317-2323
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• 2010

근경직으로 인한 질병을 판단하기 위한 새로운 비침습적 초음파 근경직도 측정 시스템을 검증하기 위해 근경직 발생시 근전도의 변화를 분석하였다. 근경직 유발을 위해 하지 대퇴직근에서 등척성 운동을 실시하였다. 실험 프로토콜에 따라 실험을 반복 실시하였다. 이때 바이오시스템3를 이용하여 무릎관절토크의 크기 및 토크를 실시간으로 측정하였다. 또한 대퇴직근에서 근전도 측정 시스템으로 근전도를 측정하였다. 피검자는 실험 프로토콜에 따라 최초 무릎관절 토크의 최대수의적 등척성수축(MVC : maximal voluntary contraction)을 측정하고,. MVC의 50%에서 -5%로 떨어질때까지 등척성 운동을 지속하였다. 근경직 유발시 근전도 신호를 신호처리 과정을 거쳐 중앙주파수변동과 실효값 변화로 나타내었으며, 이러한 결과가 근경직도 측정 시스템의 결과와 유의함을 보였다.

• 수면정신생리
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• 제8권2호
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• pp.129-137
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• 2001

목 적 : 일상생활에서 하루 밤의 수면박탈은 흔히 있을 수 있다. 저자들은 전산화 신경인지검사를 통하여 38시간의 수면 박탈이 상지의 미세 운동수행능력에 어떠한 변화를 주는지를 연구하고자 하였다. 방 법 : 고려대학교 의과대학에 재학중인 학생중 정신적, 신체적으로 건강한 지원자 24명(M:F=21:3, mean age : $24.67{\pm}1.37$)을 대상으로 하였으며 모두 오른 손잡이었다. 또한 수면일지를 작성하게 하여 평소에 수면부족을 보이는 군은 배제하였다. Vienna Test System에서 나타날 수 있는 학습효과를 최소화하기 위하여 검사 하루 전에 미리 같은 검사를 시행하였다. 검사 전날 밤에 피험자들은 충분한 수면을 취하였으며, 검사 당일 오전 6시경에 기상하였다. 실험 첫날 오전 6시부터 다음날 오후 8시까지 38시간동안 수면을 박탈하였으며, 검사 첫날과 둘째 날의 오전 7시와 오후 7시, 총 4차례 Vienna Test System중 Motor Performance Series를 시행하였다. 실험기간 중에 모든 피험자에게 수면에 영향을 줄 수 있는 약물의 복용은 금지되었으며, 과도한 운동도 금지되었다. 자료는 SPSS를 이용하여 피험자당 4회 시행한 검사 결과를 Repeated ANOVA를 시행하였으며, 일중리듬을 고려하여 각 아침, 저녁 session끼리의 검사 결과를 paired t-test를 시행하여서 비교하였다. 결 과 : Motor Performance Series에서 수면박탈에 따라서 상지의 오른손의 운동 기능에 있어 수행능력의 저하가 나타났다. 각 소검사를 보면 tapping의 total number(p<.005), line tracking의 number of misses(p<.05), length of misses (p<.05), inserting short pin의 total length(p<.01), inserting long pin의 total length(p<.05), aiming의 number of misses (p<.05)에서 통계적으로 유의미한 기능의 저하가 나타났다. 결 론 : 이상의 결과는 38시간의 수면박탈만으로도 유의미한 운동기능의 저하가 나타난다는 것을 보여준 것이며, 특히 가장 예민하게 미세 운동기능을 발휘할 수 있는 우세한 오른손에서 기능저하가 나타났다. Inserting long pin보다는 inserting short pin 검사에서 기능이 저하되었고, line tracking, aiming에서 검사 결과의 수행 저하가 두드러진 것으로 보아서, 미세한 운동기능일수록 영향을 많이 받는다고 할 수 있겠으며, line tracking에서 전체 검사 시간은 감소되며, 수행에서 실수가 늘어난 것으로 보아, 수면박탈에 따라서 조급한 수행이 이루어진다고 보여진다. 또한 주어진 32초간의 시간 안에 최대한의 속도로 펜을 두드리는 tapping 검사에서 두드러진 저하를 보인 점에서, 수면박탈에 의하여 근육의 피로가 쉽게 나타난다고 생각 할 수 있겠다.

• 근관절건강학회지
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• 제5권2호
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• pp.238-252
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• 1998

Reumatic arthritis is a disease with joint pain being one of the key symptoms. The patient suffers from the pain, stiff sensation and edema due to the inflammation taking Place In one or more joints. Accompanying these problems are fatigue, unusual exhaustion, fever, tachycardia and weakness. Inaddition, joints are often deformed and muscles shrink along with the progress of edema, coupled with depression and psychological instability resulting from the loss of the mobile function and limitations on the daily life. Some patients become fed up with the long and hard flight with the disease and just give up, which aggravates the symptoms. Others come to the hospital only when the conditions have become serious. We need to prevent these and guide the patients in the right direction. Against this backdrop, this study aims to look into the relations between the knowledge on the part of the patients together with their feeling of self-efficacy and the compliance. The results are expected to help the patients improve their life, In addition to providing useful materials for setting up appropriate plan for nursing intervention. The study was conducted by distributing questionnaire to 88 patients selected from the out-patient department of a university hospital in Inchon, from April 6 to 27, 1998. The following tools were used the yardstick of self-efficacy, developed in 1997 by the Society for the Health of Rheumatism Patients, was used for measuring the levels of knowledge and the feeling of self-efficacy. The degree of compliance was measured by the data collected from documents in addition to the results of the analysis of the interviews with the patients. The reliability of the tools was confirmed. In the analysis, the general characteristics were expressed in figures and percentages. The levels of knowledge, feeling of self-efficacy, and compliance were expressed in the average values and standard deviations. The relations among the variables following the general characteristics were analysed by the t-test and one-way ANOVA. The Pearson correction coefficient was used for the analysis of factors. Multiple-loop analysis was used to identify the variables affecting the compliance. The following are the results of this study. 1. Among the 88 patients, 18 were men and the remaining 70 were women, with a ratio 1 : 3.87. Regarding the age groups, 23 were between 50 and 59 years old, with those between 50 and 69 accounting for 51.1% of the total. High school graduates or higher amounted to 58%. Religious patients was 67% or 59 persons. Fifty nine percent were unemployed, and 58.3% (49 persons) had two children or fewer. The period of suffering from rheumatism varied between 2 months and IS years, with 70% less than years. 2. The average figure In relation to the of knowledge was 17.63 points over 30 or 58. 76%, which means a medium level. 3. The average figure of the feeling of self-efficacy was 60.06 points. 4. The level of compliance was 3.26, which was above average. 5. The relation between the feeling of self-efficacy and compliance showed an "r" value of 0.37, which was significant. It means that the higher the feeling, the greater the compliance points. 6. The analysis of the knowledge level revealed that the difference is found only between the college graduates and junior-high graduates or lower. 7. The feeling of self-efficacy varied along with the age and education level. 8. The general characteristics of patients as discussed above did not show significant difference with the compliance. 9. Regarding the elements influencing the compliance, the number of children, period of suffering, income, age, feering of self-efficacy, knowledge, and compliance had 54% of significance. In conclusion, rheumatism victims can lead a better life if they are appropriately educated, based on efficient training program from the early days of the disease ; if they become able to manage themselves thanks to the training ; and if they are helped by a program focusing on the increase of the feeling of self-efficacy aimed at changing patient's behavior.