• 제목/요약/키워드: freeing

검색결과 45건 처리시간 0.032초

계지탕(桂枝湯) 방후주문(方後註文)에 관한 연구(硏究) (A study on post-formula instruction of Kyejitang(桂枝湯))

  • 김강;맹웅재
    • 한국의사학회지
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    • 제23권1호
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    • pp.23-41
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    • 2010
  • Greater yang disease(太陽病) is a syndrome induced by peripheral obstruction. One of them is "wind stroke(中風)" with the obstruction in lymphatic system. The other obstruction appearing on circulatory system is called "cold damage(傷寒)." Kyejitang(桂枝湯) is the formula prescribed for greater yang wind stroke pattern(太陽中風證) which is caused by peripheral lymphatic duct obstruction. Ramulus Cinamoni acts as a vasodilator and Radix Paeoniae relieves the abdominal tension. They make blood move to the internal organ and this can remove the retention of peripheral lymphatic system. Covering the patient with a blanket and getting him/her to have hot and thin rice gruel causes slight Diaphoresis, contributing to relieving the retention of lymphatic system. Disharmony between nutrient and defense(營衛不和) means that pressure becomes different between lymphatic system and vascular system. Kyejitang(桂枝湯) is called releasing muscles formula(解肌劑) because it can resolve such pressure difference. Diaphoresis is not a means to eliminate pathogenic qi(邪氣) from the body. That is the syndrome proving that the body fluid has moved around when disordered fluid distribution is corrected. Therefore, diaphoresis should be induced weakly all the time. If diaphoresis is induced excessively, body fluid will move more than desired and then illness cannot be cured. In Sanghanlun(傷寒論), dispersing drugs aim at addressing the retention in the exterior field, but it actually applies to the entire exterior and interior to make body fluid move. Therefore, diaphoresis does not just act on exterior field, and freeing the stool does not only apply to interior field. Distribution of body fluid changed by pathogenic qi(邪氣) influences the whole body because the human body has a closed circulatory system. Sanghanlun(傷寒論) has included treatments for pathogenic disease. However, its value should not be limited to pathogenic disease. It is because controlling blood flow by sending body fluid to the place a doctor wants is certainly worth using for treatment of non-exogenous disease or chronic illnesses.

한국산 잡견에서의 단일 폐 이식술에 관한 실험적 연구 (I) (Study on the experimental single lung transplantation in the mongrel dogs(I))

  • 김주현
    • Journal of Chest Surgery
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    • 제24권6호
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    • pp.533-540
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    • 1991
  • We have performed 14 single lung transplantation in mongrel dogs transplanting the left lung exclusively from December 1989 to January 1991, in the department of thoracic surgery of Seoul National University Hospital. In the donor dogs, the main pulmonary artery was divided proximal to its bifurcation, and the left atrium was incised freeing the left veins with a generous atrial cuff. We used cold saline in the first 7 transplantation[group I ] and a Euro Collins solution in the remaining 7 transplantations[group II ] as a lung preservatives. The bronchus was divided at two cartilage rings proximal to the upper lobe bronchus take off. In the recipient procedure, we used a Fogarty catheter as a bronchus block. Left atrial anastomosis was performed first using 5 - 0 prolene and the pulmonary artery was anastomosed using 6 - 0 prolene. The bronchus was anastomosed next with 4 - 0 Vicryl interruptly and covered with a greater omentum which had been prepared previously. In group I the three dogs died at eleven hours, 5 days, and 14 days, postoperatively and the remaining four doings were killed at 5 days, 5 days, 6 days, and 12 days, respectively. In group II the two dogs died during the operation, one dog died at 6 hours, two dogs died at 6 days postoperatively. Two dogs were killed at 5 days, and 7 days. No significant difference was noted between the two groups in survival time, lung infiltration of transplanted lungs, and perfusion defects in perfusion lung scans. Of the 8 dogs which died naturally, the causes of death were as follows: 2 cases of sepsis, 2 cases of ventricular fibrillations, 2 cases of malnutrition, and 2 cases of respiratory failures.

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한국산 잡견에서의 단일 폐이식술후 조직학적 고찰 (Histologic Investigation on Canine Single Lung Transplantation)

  • 이정상
    • Journal of Chest Surgery
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    • 제25권3호
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    • pp.220-231
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    • 1992
  • We have performed 28 single lung transplantation in mongrel dogs transplanting the left lung exclusively from November 1989 to September 1991, in the department of thoracic surgery of Seoul National University Hospital. In the donor dogs, the main pulmonary artery was divided proximal to its bifurcation, and the left atrium was incised freeing the left veins with a generous atrial cuff. We used cold saline in the first 7 transplantations and Euro-Collins or modified Euro-Collins solution in the remaining 17 transplantations as a lung preservatives. The bronchus was divided at two cartilage rings proximal to the upper lobe bronchus take off. In the recipient procedure, we used a Fogarty catheter as a bronchus block. Left atrial anastomosis was performed first using 5-O prolene and the pulmonary artery was anastomosed using 6-O prolene. The bronchus was anastomosed next with 4-O vicryl interruptedly and covered with a greater omentum which had been prepared previously. All dogs received cyclosporin A and azathioprine as immunosuppressants and were divided into two group. In the 10 Group I dogs, they survived within 6 days, mean survival time was 66.8$\pm$53.4 hours. In remainder 14 Group lI dogs, they survived above 6 days, mean survival time was 9. 5$\pm$5.6 days. The cause of death were as follows: 2 cases of sacrifice, 2 cases of respiratory insufficiency during operation, 2 cases of arrhythmia immediate postoperatively, 2 cases of bleeding, others in Group I, and 6 cases of sacrifice, 4 cases of sepsis, 3 cases of bleeding, others in Group lI. Results of bronchoscopic findings were obstruction above 50% in 12 cases of 16 performance cases within 5th day. Early chest radiologic haziness were showed, and total lung perfusion defect was frequently showed in both group within 7th day. Main autopsy findings were left atrial and pulmonary arterial thrombi and bronchial obstruction The major histologic findings of Group I were pleural exudate, hemorrhagic infarct, pulmonary congestion, and interesting histologic findings of Group II were 3 cases of perivascular or peribronchial lymphocyte infiltration, 3 cases of hemorrhage infarct, 2 cases of interstitial pneumonitis. The structual change of bronchioles, suggesting bronchiolitis obliterans was not observed due to improper preparation of proximal pulmonary tissue and short term survival times.

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가로환경디자인에 있어서 디지털미디어의 활용에 관한 연구 (A Study of Applied Digital Media in Street Environmental Design)

  • 이혁수;홍관선
    • 디자인학연구
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    • 제18권1호
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    • pp.115-124
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    • 2005
  • 최근 디지털 기술의 급속한 발전은 정치, 경제, 사회, 문화 등 우리 사회의 거의 모든 분야에 엄청난 영향을 미치고 있다. 우리가 살고 있는 도시가로는 역시 예외는 아니다. 디지털 기술의 발달은 도시가로의 물리적 구조와 성장 패턴, 그리고 그동안 도시가로가 수행해 왔던 기능과 역할을 새롭게 변모시키고 있다. 지금의 도시가로는 그동안의 합리적이고 효율적이라는 목적아래 추구되어 온 똑같은 모습의 기능주의 적인 형태에서 벗어나야 할 때이다. 디지털 기술을 도시가로에 공간적으로 담아내고, 동시에 그 문화의 생성과 지속을 위해, 현재 우리가 살아가고 있는 도시공간의 구체적 맥락 속에서 독특하게 형성되고 있는 디지털 생활양식, 즉 디지털 도시가로문화에 대한 성찰이 필요하다. 본 연구에서는 도시가로에서의 가로의 기능을 -최근 디지털기술의 발전이 새로운 형태의 교류의 장을 열게 되는데 따른-인간을 위한 소통의 중심지로 보고자 한다. 또한 디지털 기술로 인해 앞으로의 도시가로의 물리적 환경은 어떠한 형태와 기능으로 진화해 나갈 것인가에 관심의 초점을 두고, 아울러 이러한 도시의 진화를 선도해야 하는 도시계획 및 환경디자인 분야가 디지털 기술을 어떻게 수용해야 하고, 앞으로 어떠한 역할을 담당해야 할 것인가를 살펴보고자 하였다.

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안와골파열골절 정복술 후 지속되는 안구함몰 환자에서 정상측 안구의 안구 감압술의 치험례 (Correction of Persistent Enophthalmos after Surgical Repair of Blow Out Fracture Using Orbital Decompression Technique of Contralateral Eye)

  • 이준호;박원용;남현재;김용하
    • 대한두개안면성형외과학회지
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    • 제9권2호
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    • pp.101-104
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    • 2008
  • Purpose: Diplopia and cosmetically unacceptable enophthalmos are the major complications of blow out fracture. Prolapse of orbital tissue into the sinuses, enlarged orbital volume, atrophy of orbital fat and loss of support of orbital walls play a role in the pathogenesis of enophthalmos. To correct post-traumatic enophthalmos, freeing of incarcerated orbital contents combined with reduction of bony orbital volume and reconstruction of suspensory support of globe is necessary. But remained enophthalmos after surgical treatment is difficult to correct completely. In this case, the authors performed implant insertion for affected orbit and endoscopic orbital decompression for unaffected orbit for correction of late enophthalmos. Method: We reviewed a girl patient with right inferomedial orbital wall blow out fracture, right zygoma fracture treated at our hospital for correction of enophthalmos. An 18-year-old female had sustained posttraumatic enopthalmos. Two surgical management was performed for correction blow out fracture at the other hospital. But residual diplopia, enophthalmos, cheek drooping were found. And then she transferred to our hospital. She had severe enophthalmos(5 mm) also had diplopia and extraocular muscle limitation. We performed operation for correction of enophthalmos. After operation, she showed minimal improvement of diplopia and enophthalmos(3 mm). The authors make plan for operation for correction enophthalmos due to cosmetical improvement. Implant insertion was performed for affected orbit. For unaffected orbit, nasoendoscopic medial orbital wall decompression was proceeded. Result: Correction of enophthalmos was found after operation and was maintained for nine years follow-up. Patient expressed satisfaction for the result. Conclusion: To correct persistant enophthalmos, we could have satisfactory result with orbital wall reconstruction on affected eye and decompression on unaffected eye.

20세기 후반 MIT의 건축설계 교육과 기요르기 케피쉬의 기초디자인 프로그램의 특성과 변화에 관한 연구 (Teaching Architectural Design in Post-War America - Gyorgy Kepes' Basic Course at MIT's Department of Architecture -)

  • 배형민
    • 건축역사연구
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    • 제15권2호
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    • pp.39-54
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    • 2006
  • Focusing on the emergence of the basic course in American schools of architecture, in particular Gyorgy Kepes' courses at MIT, this paper studies the transformation of architectural pedagogy during the years after World War II. Kepes centered his architectural pedagogy on the picture plane, which was to function as the primary media for applying the principles of Gestalt psychology, that is the identification of the whole and its parts and the reciprocity between the internal human organism and the outside world. Kepes hence introduced a set of unconventional visual practices that were not readily assimilated to architectural conventions. Paralleling the establishment of the basic course, MIT also formulated a functionalist and spatial pedagogy with its two initial design studios, courses 4.721 and 4.722. These studios shared the notion that architectural design evolved from the inside toward the outside, an idea that took hold not just in the pragmatic environment of MIT's studios but also in conservative academic programs as well as in popular magazines, picture books, and exhibitions for the consumer public. The architectural surface became inseparable from the objects of art, furniture, and design, all of which were to be the generators of space. Hence, during the 1950s, the architectural surface provided a specific locus of intersection between the visual fundamentals of the basic course and the working principles of architectural design. Kepes, however, had by this time become disillusioned with architecture's potential as the medium of unity. Though he maintained the Gestalt logic of identity, he expanded it toward the goal of grander synthesis of society and consciousness freeing himself from the constraints of disciplinary instruction. In the case of Kepes, the mediating role of the picture plane was foregone in a regressive turn toward a primal, innocent, and direct experience.

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빅토리아시대 유행복식과 반유행복식 운동에 나타난 여성성과 인체미에 관한 연구 (II) (STUDY ON FEMINITY AND THE IDEAL BEAUTY OF BODY IMPLIED IN THE FASHION AND THE ANTI-FASHION MOVEMENT IN THE VICTORIAN PERIOD (II))

  • 김정선;김민자
    • 복식
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    • 제51권6호
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    • pp.5-24
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    • 2001
  • This paper is intended to explore femininity the ideal beauty of body and the features in fashion pursued in the Fashion system and the Anti-Fashion Movement in the Victorian period, on which the modern fashion is based. For the informative facts needed in this paper, books on history, fashion history, feminism, art history of aestheticism and the ideal beauty of body are referred to. On the part Ⅱ of this paper, the femininity and the ideal beauty of body implied in the Aesthetic Movement and Rational Dress Movement as the anti-fashion movement in the Victorian period will be reviewed. Following are the conclusion : First, the works in Aesthetic Movement mainly include the image of sensual female. The essence of femininity is categorized by cultural value, poetic spirit. appetite for sex and self-expression. The ideal beauty of body pursued in this movement is the beauty of immatured body, which means rejection of maternity as well as appetite for sex in the form of metaphor of the power and enthusiasm of female. The features of Aesthetic Movement emphasize the image of sensual and characteristic woman. These features are expressed in the natural waist line and the vertical H silhouette of high waist, natural exposure of body by means of drapery, simplicity and decency by design without fixed forms and seemingly faded colors. Second, Rational Dress Movement attempted to evaluate the femininity in a different way and ultimately pursued masculinity. Therefore, morality, liberty, intelligence, spirituality, self-control, willingness, which had been believed to exclusively belong to male, are added to the categories of femininity. The ideal beauty of body is expressed in the form of Venus Coelestic which is refined and strong. This symbolizes woman's freeing from the fate of reproduction and subordinate relationship with male, morality, decision of one's own and willingness. The features of Rational Dress Movement represent the image of strong-willed and moral woman in its internal meaning. The features of its fashions represent the concealment of the body, emphasis on activeness in pants without decoration and simplicity in its external form. All these features resulted from the pursuit of masculinity.

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터널 청소장비의 고찰 및 개선된 모델에 관한 연구 (A Study on Tunnel Cleaning Automation Equipment & Introducing Advanced Tunnel Cleaning Automation Equipment)

  • 이태식;장경수;구자경;박경순
    • 한국건설관리학회:학술대회논문집
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    • 한국건설관리학회 2006년도 정기학술발표대회 논문집
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    • pp.669-673
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    • 2006
  • 터널 청소는 현장작업이기 때문에 대단히 열악한 근로조건에 놓여있다. 시공되는 터널의 증가로 청소해야 할 터널이 점점 많아지고 있다. 하지만 터널의 증가에 비해 청소 분야에서 숙련공에 대한 구인난과 고령화는 해소되지 않고 있으며, 이들에 대한 임금 상승이 지속되는 것으로 조사되었다. 이에 대응하여 해결방안으로 제시된 것들 중의 하나가 바로 자동화${\cdot}$기계화이다. 최근 산업로봇의 발달로 인해 인력으로 해왔던 일들이 점차 줄어들고 신속하고 쾌적한 환경에서 작업할 수 있게 되었다. 하지만 건설로봇이 개발되기 시작한 것은 불과 10년 정도로 지금까지 개발된 전 세계 건설로봇은 90여종 200여대 정도에 지나지 않는다. 이중 터널 청소 분야에서는 장비는 개발되었더라도 완벽한 자동화를 이루지 못해 추가로 인력이 투입되는 실정이다. 터널 청소는 직업의 안정성, 임금, 안전, 쾌적한 작업 환경 등을 만족시키지 못하고 작업자의 생명을 위협하는 수준에까지 이르고 있어 터널청소장비의 개선이 시급하다. 본 연구는 기존의 터널청소의 문제점 및 기존 터널장비의 문제점을 분석하고 이를 바탕으로 개선된 터널청소 장비를 제안하고자 한다.

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융복합시대에 디지털문화와 시의 효용성 연구 (Digital Culture and the Utility of Poetry in a Convergence Age)

  • 서혜련;김경순
    • 디지털융복합연구
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    • 제16권1호
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    • pp.343-350
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    • 2018
  • 이 연구의 목적은 디지털문화에 잠재한 폐해들 중 하나인 지각의 자동화에 대한 대응전략으로서 지각의 자동화 현상에 대한 시의 지각의 낯설게 하기 효과, 시의 치료적 기능과 시적 장치로서 은유 등을 포함한 시의 효용성을 고찰하는 것이다. 따라서 이 연구는 디지털 문화의 속성과 그 폐해, 특히 디지털문화의 부정적인 영향인 지각의 자동화현상의 원인과 결과를 분석하고 시는 이에 대한 해결책으로서 유용한 도구가 될 수 있는지를 분석하였다. 디지털시대의 급격한 기술혁신의 결과 우리는 다양한 경험과 많은 기회를 얻게 되고 장밋빛 미래를 전망한다. 그러나 우리는 인공지능과 디지털기기에 대한 무의식적이고 습관적인 의존으로 지각의 자동화의 위험에 빠질 수 있다. 시는 사물들을 낯설게 하며 형식을 까다롭게 하여 지각의 자동화를 막고 상상력, 문학능력과 창의성을 증진시킨다. 또한 시의 치료적 기능은 새로운 경험을 하며 공감능력을 키우게 하고 때로는 상처 받은 마음에 위안과 평화를 주어 정신건강을 회복하게 한다. 전통적인 시뿐만 아니라 디지털 융합기술로 탄생한 하이퍼텍스트시 등을 포함한 다양한 형태의 다지털시에 대해 앞으로 체계적이고 심도 있는 분석과 연구가 필요하다.

Regulations of Reversal of Senescence by PKC Isozymes in Response to 12-O-Tetradecanoylphorbol-13-Acetate via Nuclear Translocation of pErk1/2

  • Lee, Yun Yeong;Ryu, Min Sook;Kim, Hong Seok;Suganuma, Masami;Song, Kye Yong;Lim, In Kyoung
    • Molecules and Cells
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    • 제39권3호
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    • pp.266-279
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    • 2016
  • The mechanism by which 12-O-tetradecanoylphorbol-13-acetate (TPA) bypasses cellular senescence was investigated using human diploid fibroblast (HDF) cell replicative senescence as a model. Upon TPA treatment, protein kinase C (PKC) ${\alpha}$ and $PKC{\beta}1$ exerted differential effects on the nuclear translocation of cytoplasmic pErk1/2, a protein which maintains senescence. $PKC{\alpha}$ accompanied pErk1/2 to the nucleus after freeing it from $PEA-15pS^{104}$ via $PKC{\beta}1$ and then was rapidly ubiquitinated and degraded within the nucleus. Mitogen-activated protein kinase docking motif and kinase activity of $PKC{\alpha}$ were both required for pErk1/2 transport to the nucleus. Repetitive exposure of mouse skin to TPA downregulated $PKC{\alpha}$ expression and increased epidermal and hair follicle cell proliferation. Thus, $PKC{\alpha}$ downregulation is accompanied by in vivo cell proliferation, as evidenced in 7, 12-dimethylbenz(a)anthracene (DMBA)-TPA-mediated carcinogenesis. The ability of TPA to reverse senescence was further demonstrated in old HDF cells using RNA-sequencing analyses in which TPA-induced nuclear $PKC{\alpha}$ degradation freed nuclear pErk1/2 to induce cell proliferation and facilitated the recovery of mitochondrial energy metabolism. Our data indicate that TPA-induced senescence reversal and carcinogenesis promotion share the same molecular pathway. Loss of $PKC{\alpha}$ expression following TPA treatment reduces pErk1/2-activated SP1 biding to the $p21^{WAF1}$ gene promoter, thus preventing senescence onset and overcoming G1/S cell cycle arrest in senescent cells.