• 자원환경지질
• /
• 제2권4호
• /
• pp.73-90
• /
• 1969

The area studied is a southwestern part of Okcheon geosynclinal zone which streches diagonally across the Korean peninsula in the mid-central parts of South Korea, and is bounded by Charyeong mountain chains in the north and by Sobaek mountain chains in the south. The general trend of the zone is of NE-SW direction known as Sinian direction. Okcheon system of pre-Cambrian age occupies southwestern portion of Okcheon geosynclinal zone, and Choseon and Pyeongan systems of Cambrian to Triassic age in northeastern portion of the zone. It was defined by the writer that the former was called "Okcheon Paleogeosynclinal zone" and the latter "Okcheon Neogeosynclinal zone," although T. Kobayashi named them "Metamorphosed Okcheon zone" and "Non-metamorphosed Okcheon zone" respectively and thought that sedimentary formations in both zones were same in origin and of Paleozonic age, and C.M. Son also described that Okchon system was of post-Choseon (Ordovician) and pre-Kyeongsang (Cretaceous) in age. According to the present study two zones are separated by great fault so that the geology in both zones is not only entirely different in origin and age, but also their geolosical structures are discontinuous. Stratigraphy and structure of Okcheon system are clearly established and defined by the writer and its age is definitely pre-Cambrian. It is clarified by present study that the meta-sediments in and at vicinity of Charyeong mountain chains are correlated to Weonnam series of pre-Cambrian age which occupies and continues from northeast to southwest in and at south of Sobaek mountain chains, and both metasediments constitute basement of Okcheon system. Pyeongan, Daedong and Kyeongsang systems were deposited in few narrow intermontain basins in Okcheon paleogeosynclinal zone after it was emerged at the end of Carboniferous period. Granites of Jurassic and Cretaceous ages and volcanics of Cretaceous age are cropped out in the zone. Jurassic granite is aligned generally with the trend of Okcheon geosynclinal zone, whereas Cretaceous granite lacks of trend in distribution. Many isoclinal folds and thrust faults caused by Taebo orogeny at the end of Jurassic period are also parallel with Sinian directieon and dip steeply to northwest. Charyeong, Noryeong, Sobaek, and Deogyu mountain chains are located in areas of anticlinorium, and Kyongsang system in narrow synclinal zones. Folds in Okcheon neogeosynclinal zone are generally of N 70-80W direction but deviate to Sinian direction at the western parts of the zone. This phenomena is interpreted by the fact that the folds were originated by Songrim disturbance at the end of Triassic period and later partly modified by Taebo orogeny. Thrust faults of Taebo orogeny coentinue from Okcheon paleogeosynclinal zone into neogeosynclinal zone, forming imbricated structure as previously described. Strike-slip faults perpendicular to Sinian direction and shear faults diagonally across it by 55 degrees also prevail in neogeosynclinal zone. It is concluded from viewpoints on geology and geological structure that l)Okchon geosyncline had changed its location and affected by numerous disturbances through geologic time, and 2)mountain chains in the area such as Charyeong, Noryeong, Sobaek, and Deogyu were originated as folded mountains. Differing from others, however, Sobaek range was probably formed at the time of Songrim disturbance and modified later by Taebo orogeny. It is cut by Danyang-Jeomchon fault at the vicinity of Joryeong near Munkyeong village and does not continue to southwest beyond the fault, whereas southwestern portion of erstwhile Sobaek range continues to Taebaek rangd northeastward from Deogyusan passing through Sangju, Yecheon, and Andong. From these evidences, the writer has newly defined the erstwhile Sobaek range in such a way that Sobaek range is restricted only to northeastern portion and Deogyu range is named for the southwestern portion of previous Bobaek range.

• 한국잡초학회지
• /
• 제12권1호
• /
• pp.61-69
• /
• 1992

도전(稻田)의 서지(鋤地)(중경제초(中耕除草))법(法)은 서구(西歐)나 또는 중국(中國)과도 달리 우리 현실에 맞도록 일찍부터 체계화되고 있었으며, 가장 대표적인 서지법(鋤地法)은 배수(排水)한 후에 손제초(除草)와 서지법(鋤地法)을 순서대로 조화 있게 집행해 가는 3-4회 반복(反復)의 고도집약적(高度集約的) 농법(濃法)에 따랐다. 또한 묘종법(苗種法)으로의 전환과정(轉換過程)이나 직조파(直條播)하는 요령 자체부터 제초관리(除草管理)를 효율적으로 하려는 데 목적이 있었던 것으로 재배양식(栽培樣式)의 발전은 곧 서지(鋤地)와 직결된 관련을 가졌다. 또한 17세기(世紀)부터 고대(古代) 중국(中國)의 심경법(深耕法)(심경역누(深耕易耨)의 원리(原理) 때문), 화누법(황지(荒地)의 기숙잡초관리(旣熟雜草管理)를 효율적(效率的)으로 하기 위한 화경수누법에서 유래(由來))을 새롭게 인용하여 보급을 강조한 것은 당시의 실정(實情)에 기인하겠지만, 이로 인한 광작농(廣作農)의 실현은 곧 이들 방법과 기술적용(技術適用)의 결과라 하겠다. 18-19세기(世紀)에도 서지법(鋤地法)에 큰 차이는 없었으나 경작법(耕作法)의 변화에 맞추어 제초회수(除草回數)가 감소될 수 있었고, 특히 수도건파재배기술(水稻乾播栽培技術)은 북부조지(北部早地)에서 도작(稻作)을 하는 데 제한인자(制限因子) 역할을 하였던 물의 이용성(利用性)을 향상시킴과 동시에 잡초문제(雜草問題)를 쉽게 관리할 수 있도록 이상적인 서지방법( 鋤地方法)을 창안(創案)하여 완성시킨 경작법(耕作法)이었다. 이와 함께 조방적(粗放的) 광작농(廣作農)의 제초관리요령(除草管理要領)을 현실적으로 비평하여 반종(反種)이나 화누법의 기술(技術)들을 취사선택(取捨選擇)케 유도했던 ‘천일록(千一錄)’의 우하영(禹夏永)은 당시의 광작농기술(廣作農技術) 위에 집약농기술(集約農技術)을 접목시켜 선말(鮮末)의 '집약적광작농(集約的廣作農)'을 실현케 하고 이를 통하여 국가(國家) 농업생산력(農業生産力)을 5배(倍) 증가시키는데 크게 기여한 것으로 평가된다.

• 한국조경학회지
• /
• 제41권6호
• /
• pp.72-83
• /
• 2013

본 연구는 옛 문헌과 그림에 담긴 탁족(濯足)의 문화현상과 그 기저에 담긴 배경 및 의미를 고찰함으로써 탁족 문화를 계승하기 위한 조경적 대안을 제안해 보고자 한 것으로 주요 결과는 다음과 같다. 자연 질서에 순응하고 세속으로 부터 초연(超然)한 삶을 비유한 '탁영탁족(濯纓濯足)'의 고사는 '은일(隱逸)'을 통해 유유자적하는 탁족지유(濯足之遊)로 승화되었다. 선비가 유연(柔軟)한 계류에 발을 담그는 것은 자연과 물아일체(物我一體) 함으로써 도(道)와 상합(相合)되고자 하는 것으로 이러한 모습은 자유로운 정신세계인 '유(遊)'의 경지이자 본질과 상통한다. 탁족의 문화현상은 고려 말 이후 조선시대 전래경관에서도 잘 드러나는데 팔경시(八景詩)에 나타난 탁족은 고답적(高踏的)인 것이라기보다는 일상에 깃든 생활경이기도 하였다. 탁족도에 묘사된 맑은 물이 흐르는 계류[淸溪]와 바위, 그리고 소나무 등 교목이 우점(優占)하는 산수는 뜻 높은 선비의 은일공간으로 기호화되고, 그 정신세계는 더욱 부상되었다. 중국의 탁족도에서는 '청계(淸溪)'와 '창랑(滄浪)'을 강조함으로써 더러움에 대비되는 청류(淸流)의 이미지와 상고성(尙古性)이 강하게 부각되고 있는 반면, 조선시대 그것은 상대적으로 은일과 탁족지유라는 내면적 즐거움이 더욱 부각되고 있다. 탁족도에 나타난 자연관은 자연의 섭리를 그림 속에 그려진 선비의 상황 및 태도로 비유하여, 산수에 대한 사랑과 그 속에서 여유를 즐기는 가운데 무위자연(無爲自然)의 도를 깨닫게 하는 도가적(道家的) 관점의 표현이 잘 드러난 것으로 이는 중국은 물론 조선의 시대정신과 미의식의 한 단초를 보여준다. 요컨대 양국의 '탁족지유'는 인격수양이나 처신, 또는 은둔과 고답(高踏)의 상징으로 해석되면서 한편으로는 현실세계에서 납량의 수단으로 수용되어 왔다. 탁족 행위에는 선비들의 이상과 상고주의(尙古主義) 정신이 깃들어 있을 뿐 아니라, 일반 서민의 더위를 이기는 지혜가 담겨 있음은 깊이 되새겨 봐야 한다. 이러한 관점에서 환경적 지원성에 입각한 수공간과 탁족바위 그리고 물의 활용은 휴양 레크레이션 공간에서 새롭게 조명되어야 할 대상이며, 탁족 행위에 깃든 정신이야말로 고전적 치유(治癒)의 정신문화였음을 일깨워 준다.

• 핵의학기술
• /
• 제22권1호
• /
• pp.51-54
• /
• 2018

본 연구는 타우 PET용 방사성의약품으로 개발된 $^{18}F-THK5351$의 임상적용을 위하여 상용화된 자동 합성장치에 적용한 표지방법을 개발하고자 하였다. $^{18}F-THK5351$의 표지법 개발은 HPLC 분리정제 전 표지반응물의 유기용매, 불순물 및 미반응 물질을 제거하기 위해 고체상 추출 카트리지를 사용하여 정제하는 과정을 포함한 방법(method I)과 전처리 정제과정을 포함하지 않은 방법(method II)으로 나누어 진행하였다. $^{18}F-THK5351$ 표지는 $Sep-Pak^{(R)}$ QMA 카트리지를 사용하여 흡착한 불소-18 음이온을 $K_{2.2.2}/K_2CO_3$으로 용출한 후 $100^{\circ}C$에서 진공상태와 헬륨의 흐름하에 건조한 후 표지 전구체와 $110^{\circ}C$에서 10분간 반응시켰다. 반응 후 1 N HCl을 첨가하여 보호기를 제거한 후 0.8 M $CH_3COOK$를 사용하여 표지 반응물을 중화하였다. 이후 전처리 정제의 유무에 따라 method I과 method II로 진행하였다. Method I에서 전처리 정제 과정의 최적화를 위해 $Sep-Pak^{(R)}$ tC18과 $Oasis^{(R)}$ HLB 고체상 추출 카트리지를 사용하여 비교한 결과 $Sep-Pak^{(R)}$ tC18 카트리지는 57.2%의 표지 반응물이 빠져 나갔고, $Oasis^{(R)}$ HLB 카트리지는 40.6%의 표지 반응물이 빠져나가는 것을 확인할 수 있었다. Method I 표지방법의 방사화학적 수율은 $23.8{\pm}1.9%$(decay-corrected, n=4) 이었고, method II 표지방법의 방사화학적 수율은 $31.9{\pm}6.7%$(decay-corrected, n=10) 이었다. 본 연구를 통해 전처리 정제과정을 거쳐 HPLC로 분리정제하는 방법과 전처리 정제과정을 거치지 않고 표지반응물을 바로 HPLC 정제하는 표지방법을 상용화된 자동합성장치를 사용하여 성공적으로 개발하였다. 하지만 전처리 정제과정을 포함한 표지방법은 표지반응물의 손실이 많아 방사화학적 수율이 낮아지는 단점을 발견하였다. 본 연구에서 개발된 전처리 정제과정이 생략된 $^{18}F-THK5351$의 표지방법은 향후 통상적으로 생산 시 보다 유용한 표지방법으로 사용될 것으로 기대된다.

• 한국재료학회:학술대회논문집
• /
• 한국재료학회 2011년도 춘계학술발표대회
• /
• pp.5-5
• /
• 2011

The research and development of hybrid electric vehicle (HEV), plug-in hybrid electric vehicle (PHEV) and electric vehicle (EV) are intensified due to the energy crisis and environmental concerns. In order to meet the challenging requirements of powering HEV, PHEV and EV, the current lithium battery technology needs to be significantly improved in terms of the cost, safety, power and energy density, as well as the calendar and cycle life. One new technology being developed is the utilization of composite cathode by mixing two different types of insertion compounds [e.g., spinel $LiMn_2O_4$ and layered $LiMO_2$ (M=Ni, Co, and Mn)]. Recently, some studies on mixing two different types of cathode materials to make a composite cathode have been reported, which were aimed at reducing cost and improving self-discharge. Numata et al. reported that when stored in a sealed can together with electrolyte at $80^{\circ}C$ for 10 days, the concentrations of both HF and $Mn^{2+}$ were lower in the can containing $LiMn_2O_4$ blended with $LiNi_{0.8}Co_{0.2}O_2$ than that containing $LiMn_2O_4$ only. That reports clearly showed that this blending technique can prevent the decline in capacity caused by cycling or storage at elevated temperatures. However, not much work has been reported on the charge-discharge characteristics and related structural phase transitions for these composite cathodes. In this presentation, we will report our in situ x-ray diffraction studies on this mixed composite cathode material during charge-discharge cycling. The mixed cathodes were incorporated into in situ XRD cells with a Li foil anode, a Celgard separator, and a 1M $LiPF_6$ electrolyte in a 1 : 1 EC : DMC solvent (LP 30 from EM Industries, Inc.). For in situ XRD cell, Mylar windows were used as has been described in detail elsewhere. All of these in situ XRD spectra were collected on beam line X18A at National Synchrotron Light Source (NSLS) at Brookhaven National Laboratory using two different detectors. One is a conventional scintillation detector with data collection at 0.02 degree in two theta angle for each step. The other is a wide angle position sensitive detector (PSD). The wavelengths used were 1.1950 ${\AA}$ for the scintillation detector and 0.9999 A for the PSD. The newly installed PSD at beam line X18A of NSLS can collect XRD patterns as short as a few minutes covering $90^{\circ}$ of two theta angles simultaneously with good signal to noise ratio. It significantly reduced the data collection time for each scan, giving us a great advantage in studying the phase transition in real time. The two theta angles of all the XRD spectra presented in this paper have been recalculated and converted to corresponding angles for ${\lambda}=1.54\;{\AA}$, which is the wavelength of conventional x-ray tube source with Cu-$k{\alpha}$ radiation, for easy comparison with data in other literatures. The structural changes of the composite cathode made by mixing spinel $LiMn_2O_4$ and layered $Li-Ni_{1/3}Co_{1/3}Mn_{1/3}O_2$ in 1 : 1 wt% in both Li-half and Li-ion cells during charge/discharge are studied by in situ XRD. During the first charge up to ~5.2 V vs. $Li/Li^+$, the in situ XRD spectra for the composite cathode in the Li-half cell track the structural changes of each component. At the early stage of charge, the lithium extraction takes place in the $LiNi_{1/3}Co_{1/3}Mn_{1/3}O_2$ component only. When the cell voltage reaches at ~4.0 V vs. $Li/Li^+$, lithium extraction from the spinel $LiMn_2O_4$ component starts and becomes the major contributor for the cell capacity due to the higher rate capability of $LiMn_2O_4$. When the voltage passed 4.3 V, the major structural changes are from the $LiNi_{1/3}Co_{1/3}Mn_{1/3}O_2$ component, while the $LiMn_2O_4$ component is almost unchanged. In the Li-ion cell using a MCMB anode and a composite cathode cycled between 2.5 V and 4.2 V, the structural changes are dominated by the spinel $LiMn_2O_4$ component, with much less changes in the layered $LiNi_{1/3}Co_{1/3}Mn_{1/3}O_2$ component, comparing with the Li-half cell results. These results give us valuable information about the structural changes relating to the contributions of each individual component to the cell capacity at certain charge/discharge state, which are helpful in designing and optimizing the composite cathode using spinel- and layered-type materials for Li-ion battery research. More detailed discussion will be presented at the meeting.

• 트랜스-
• /
• 제7권
• /
• pp.19-48
• /
• 2019

본 연구는 대규모 인터뷰 작업을 통해 한민족이 가진 집단적 의식의 지형도를 담아내고자 하는 미디어전시작업 <70mK>의 의미를 고찰하기 위해 기술되었다. <70mK>는 개별 존재자들의 인터뷰 영상들을 마치 모자이크와 같은 배치와 형태로 편집, 구성된 영상전시물을 만들고 전시회를 개최하고 있다. 분할된 프레임 속의 개체들은 저마다의 생각과 개성을 드러내는 차이의 연속성을 보여준다. 이것은 개체들의 내재성이 동시다발적이고 총체적인 이미지로 구현된 공시적이고 의식적인 집단적 타자의 형상이다. 인터뷰 영상들은 실제 존재자로서의 자신의 형태를 드러내고 자신이 가진 특유의 내재성을 구술적인 정보로서 발산한다. <70mK>는 특정 집단이라는 동일선의 연장에서 이런 생명적 개체들의 형태와 정보를 미학적으로 구조화하여 새로운 개체화를 이루어낸다. 프레임 속의 존재자들, 각 개체들은 서로가 대화를 나누거나 소통하는 것이 아니라 카메라를 향한 전면 응시, 즉 작품을 관람하는 사람들을 향해 그들이 가진 전개체적 실재로서의 관계성과 개성을 전달한다. 그것은 각 개체들이 보여주는 이질성과 차이의 반복적 배치와 구성인 동시에 그 이면에 집단적 동일성을 내포한 연쇄 작용이다. <70mK>는 개성을 드러내는 인터뷰이들의 직접적인 이미지와 소리를 구조화하여 전시영상작품이라는 새로운 정보전달 방식의 형태를 이루어낸다. 이러한 점은 정신적이고 집단적인 개체화의 의미와 관개체적인 관계성의 의미와 과정을 은유하게 하고 지각하게 한다. 이것은 개체화라는 생성의 과정과 관계의 의미를 현대 기술과 함께 사유한 질베르 시몽동의 개체화론으로 설명하기 적합한 사례이다. <70mK>가 구축한 전시공간은 특정 집단의 개체들 사이를 관통하여 연결되는 정신적이고 집단적인 의미와 그 관계성을 미학적인 방법론으로 함의하고 있다. 시몽동은 개체화라는 과정에 대한 사유와 생성의 의미를 고찰하며 현대의 기술이 가진 가능성과 잠재력을 긍정한 철학자이다. <70mK>는 현대의 기술 매커니즘과 네트워크적 행위들이 매개되어 구조화되고 생성된 윤리적 실재성으로서의 새로운 개체이다. 그것은 기술이 협업 된 개체화 과정에 인터뷰가 어떻게 '변환' 작용으로 기능하는지에 대한 미학적이고 실천적인 방법론을 보여주는 사례이다. <70mK>가 보여주는 직접적인 이미지와 소리는 생명적 개체의 정보들이 운반, 증폭, 축적되며 발산하는 정보의 체계이자 정신적이고 집단적인 풍경으로서의 새로운 개체이다. 그것은 복수의 개체화를 통해 새롭게 생성된 전시예술작품에 내포된 개체초월적인 의미작용과 과정에 대한 하나의 표상이기도 하다. 개체화된 준안정적 상태로서의 미디어전시예술은 작품을 관람하는 이들이 동일한 전개체적 실재를 인지하고 정념적 감정을 느끼는 새로운 관계 맺기를 이끌어낸다. <70mK>의 전시공간은 의미작용의 표상을 넘어 관개체적 집단의 실질적인 가능성을 예비하는 무대가 된다.

• 대한간호학회지
• /
• 제22권4호
• /
• pp.636-652
• /
• 1992

This study identified the impact of childhood cancer on the Korean family. The purpose was to contribute knowledge for family nursing and pediatric hospice care practice with sick children and their families. This descriptive study was conducted during a 6 month period with children who were being treated for cancer at six university hospitals in Seoul. The data were gathered from members of 68 families ; 24(Group A), with a child newly diagnosed with cancer : 27(Group B), with a child under treatment and without complications, and 17 (Group C), with a child in relapse. Medical records, structured questionnaires and interviews were used for data collection. The questionnaires and interview schedules had been used previously in Martinson's research in the USA and China. The findings, conclusions, and suggestions are as follows. 1. The impact of childhood cancer on the family. Members of the family experienced fear, helplessness, guilty feelings, and anger at the time of the initial diagnosis and at relapse. Mothers complained of headache, anorexia and poor appetite, weight loss, sleep disturbance, and bad dreams. Many of the fathers either lost or changed jobs, and all working mothers stopped working. Half the parents reported changes in their marital relationships such as frequent quarrels but also stronger unity. Family members perceived cancer as the most frightening disease. Change in their world view was expressed as living on faith understanding suffering, determining to live a better life, wanting to live an upright life and valuing health as the most important. Religious activities are found most helpful through this difficult experience. Financial debt due to the treatment and care of the sick child, burdened 22 families. The above mentioned impact was most evidant in Group B(those presently undergoing treatment) and Group C(those in relapse). Findings indicate that nursing care should embrace the family of a child who is being treated for cancer. 2. Characteristics of the child with cancer The majority of the children in this sample had a diagnosis of leukemia. Their mean age was 6.8 and the ratio of boys to girls was 1.12 ; 1. The mean hospitalization frequency was 13.5 times and the mean duration of illness was 16.8 months. Most of 1.he children perceived cancer as the most frightening disease ; 32.7% of the children described their sickness as serious. Children in Group C were hospitalized more frequently, stayed in hospital for longer periods, and expressed their sickness as quite serious more often than the other two groups. These findings indicate how much comprehensive pediatric hospice nursing care services are needed along with relevant research and nursing education. 3. Characteristics of the families. The mean age of the father was 39.5 and the mother, 36,6 ; they are in their most productive life period. Mothers especially expressed feelings of financial uneasiness and powerlessness about giving up their jobs, and guilty feelings for not providing enough care and concern to other children due to taking care of the sick one. The burden of caring for the sick child can bring negative changes in family dynamics which they think provoke potential health problems in members of the family These findings suggest a need for nursing support and counselling resources. Findings also suggest the need for ethical inquiry about such questions as who should give information to the child in regard to diagnosis and prognosis, when, and how. Other suggestions included : 1) Quality health care for childhood cancer such as home care and pediatric hospice programs should be established. 2) Special and practical consideration for long-term patients should be made in the present insurance coverage. The reimbursement period for long-term patients should be lengthened. 3) Further in-depth qualitative studies are needed. 4) Education programs including guided practice experience for pediatric hospice care practitioners are needed.

• 한국양식학회지
• /
• 제20권2호
• /
• pp.96-105
• /
• 2007

해수관상어의 한 종인 maroon clownfish, Premnas biaculeatus의 안정적인 종묘생산기술개발의 일환으로 자연산란 후 난 발생과 초기생활사를 구명하였다. 짝짓기 및 산란 후 수컷과 암컷은 가슴지느러미와 입을 이용하여 알 관리를 하였으며, 주로 수컷이 하였다. 수정란은 진홍색을 띤 분리 침성부착란으로, 장경 1.95-2.01 mm ($1.99{\pm}0.03\;mm$), 단경 0.83-0.91 mm ($0.88{\pm}0.03\;mm$)의 타원형이었다. 수온 $27.0{\pm}0.5^{\circ}C$ 조건하에서 수정 1시간 10분경과 후에 최초 난할이 시작되어 2세포기가 되었다. 수정 후 23시간 40분에는 배체가 형성되었고, 부화는 120-150시간 사이에 이루어졌다. 부화 직후의 자어는 전장 3.10-3.44 mm (평균 $3.22{\pm}0.07\;mm$)로 타원형의 적갈색 난황(평균 장경 $0.58{\pm}0.08\;mm$, 평균 단경 $0.46{\pm}0.04\;mm$)을 복부 전반부에 가지고 있었으며, 근절 수는 9+17=26개이고 입과 항문은 열려있었다. 부화 후 10일째 치어는 전장 5.64-6.89 mm (평균 $6.21{\pm}0.69\;mm$)로 성장하였고, 등지느러미 28개, 뒷지느러미 17개, 꼬리지느러미에 28개의 기조수를 보였다. 부화 후 19일째 치어의 전장은 8.32-10.98 mm (평균 $9.34{\pm}1.11\;mm$)이었고, 3개의 백색 가로띠가 주황색 몸체에 생기기 시작했다.

• 대한한방내과학회지
• /
• 제31권1호
• /
• pp.1-10
• /
• 2010

Objectives : It is necessary that the international classification of diseases (ICD) be examined in order to comprise the third revision of the Korean Classification of Disease on Oriental Medicine (KCD-OM) and disease classification in the oriental internal medicine field. It is essential that the selection, classification and definition of disease and pattern names of oriental concepts in internal medicine be clear. Since 2008, the fifth revision of the Korean Classification of Disease (KCD-5) has been used in Korea. It was required to use the reference classification from the Oriental medicine area based on the ICD-10. Methods : In this review, the necessity for, meaning of and content of the third revision are briefly described. The ICD system was reviewed and KCD-OM was reconstructed. How diagnosis in the oriental internal medicine area had changed is discussed. Review and Results : In 1973, the disease classification of oriental medicine was established the basis on the contents of Dongeuibogam. It was irrespective of the ICD. As to the classification system in the Oriental internal medicine field, systemic disease was comprised of wind, cold, warm, wet, dryness, heat, spirit, ki, blood, phlegm and retained fluid, consumptive disease, etc. Diseases of internal medicine comprised a system according to the five viscera and the six internal organs and followed the classification system of Dongeuibogam. The first and second revisions were of the classification system based on the curriculum in 1979 and 1995. In 1979, in the first revision, geriatric disease and idiopathic types of disease were deleted, and skin disease was included among surgery diseases. This classification was expanded to 792 small classification items and 1,535 detailed classification items to the dozen disease classes. In 1995, in the second revision, it was adjusted to 644 small classes and 1,784 detailed classification items in the dozen disease classes. KCD-OM3 did KCD from this basis. It added and comprised the oriental medical doctor's concept names of diseases considering the special conditions in Korea. KCD-OM3 examined the KCD-OMsecond revised edition (1994). It improved the duplex classification, improper classifications, etc. It is difficult for us to separate the disease names and pattern names in oriental medicine. We added to the U code and made one classification system. By considering the special conditions in Korea, 169 codes (83 disease name codes, 86 pattern name codes) became the pre-existence classification and links among 306 U codes of KCD-OM3. 137 codes were newly added in the third revision. U code added 3 domains. These are composed of the disease name (U20-U33, 97 codes), the disease pattern name (U50-U79, 191 codes) and the constitution pattern name of each disease (U95-U98, 18 codes). Conclusion : The introduction of KCD-OM3 conforms to the diagnostic system by which oriental medical doctors examine classes used with the basic structure of the reference classification of WHO and raises the clinical study and academic activity of the Korean oriental medicine and makes the production of all kinds of nation statistical indices possible. The introduction of KCD-OM3 promotes the diagnostic system by which doctors of Oriental medicine examine classes using the association with KCD-5. It will raise the smoothness and efficiency of oriental medical treatment payments in the health insurance, automobile insurance, industrial accident compensation insurance, etc. In addition, internationally, the eleventh revision work of the ICD has been initiated. It needs to consider incorporating into the International Classification of Diseases some of every country's traditional medicine.

• International Journal of Vascular Biomedical Engineering
• /
• 제4권2호
• /
• pp.19-24
• /
• 2006

Background: Pulse wave velocity (PWV), which is inversely related to the distensibility of an arterial wall, offers a simple and potentially useful approach for an evaluation of cardiovascular diseases. In spite of the clinical importance and widespread use of PWV, there exist no standard either for pulse sensors or for system requirements for accurate pulse wave measurement. Objective of this study was to assess the reproducibility of PWV values using a newly developed PWV measurement system in healthy subjects prior to a large-scale clinical study. Methods: System used for the study was the PP-1000 (Hanbyul Meditech Co., Korea), which provides regional PWV values based on the measurements of electrocardiography (ECG), phonocardiography (PCG), and pulse waves from four different sites of arteries (carotid, femoral, radial, and dorsalis pedis) simultaneously. Seventeen healthy male subjects with a mean age of 33 years (ranges 22 to 52 years) without any cardiovascular disease were participated for the experiment. Two observers (observer A and B) performed two consecutive measurements from the same subject in a random order. For an evaluation of system reproducibility, two analyses (within-observer and between-observer) were performed, and expressed in terms of mean difference ${\pm}2SD$, as described by Bland and Altman plots. Results: Mean and SD of PWVs for aorta, arm, and leg were $7.07{\pm}1.48m/sec,\;8.43{\pm}1.14m/sec,\;and\;8.09{\pm}0.98m/sec$ measured from observer A and $6.76{\pm}1.00m/sec,\;7.97{\pm}0.80m/sec,\;and\;\7.97{\pm}0.72m/sec$ from observer B, respectively. Between-observer differences ($mean{\pm}2SD$) for aorta, arm, and leg were $0.14{\pm\}0.62m/sec,\;0.18{\pm\}0.84m/sec,\;and\;0.07{\pm}0.86m/sec$, and the correlation coefficients were high especially 0.93 for aortic PWV. Within-observer differences ($mean{\pm}2SD$) for aorta, arm, and leg were $0.01{\pm}0.26m/sec,\;0.02{\pm}0.26m/sec,\;and\;0.08{\pm}0.32m/sec$ from observer A and $0.01{\pm}0.24m/sec,\;0.04{\pm}0.28m/sec,\;and\;0.01{\pm}0.20m/sec$ from observer B, respectively. All the measurements showed significantly high correlation coefficients ranges from 0.94 to 0.99. Conclusion: PWV measurement system used for the study offers comfortable and simple operation and provides accurate analysis results with high reproducibility. Since the reproducibility of the measurement is critical for the diagnosis in clinical use, it is necessary to provide an accurate algorithm for the detection of additional features such as flow wave, reflection wave, and dicrotic notch from a pulse waveform. This study will be extended for the comparison of PWV values from patients with various vascular risks for clinical application. Data acquired from the study could be used for the determination of the appropriate sample size for further studies relating various types of arteriosclerosis-related vascular disease.