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Investigation of the Transforming Theories of Diseases and the Need of Teaching Them in the Pathology Class (동의병리학에서의 병리전변이론(病理傳變理論) 고찰 및 교육의 필요성)

  • Chi Gyoo-Yong
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.19 no.5
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    • pp.1105-1111
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    • 2005
  • In order to investigate the meanings and bases of transforming theories of diseases(病傳論), several relevant theories were collected from medical books since . The outside-to-inside changing process(pyoree jeon) was the fundamental pattern in febrile diseases regardless of slang han and wen bing after Han dynasty. But in case of numb disease the three exogenous pathogenic factors of wind, cold and dampness got into each viscera through five tissues like skin, vessesl, flesh, tendons, bones respectively. It was called corresponding changing process(sanghap jeon) here. The pathogenic changing process(byungsa jeon) had complicated details to explain pathologic processes, but could give useful informations on evaluating relative strength of pathogens and tendency ahead. The changing process of diseases of internal injuries were explained in case of emotional distress which is outbroken abruptly didn't follow regular order of viscera-emotion relations. So it was named random changing process(bulcha jeon) after 's usage. And marasmus and asthenic disease followed top-to-down or down-to-top changing process(sangha jeon) based on . There are many types of changing process of diseases between viscera and viscera or viscera and bowels like generation changing process, restriction changing process, changing process between couple, changing process of mutual transmission based on attributions of each element by the theory of 5 phases(五行論). And changing process to a neighbor doesn't have any special relations within two organs but has anatomical contiguity and physiological continuity between them. The transforming theories of diseases bring forth useful understanding on comings and goings of pathogenic factors and tendency and prognosis of disease, so they are needed to be taught in the course of pathology class.

A Case of Budd-Chiari Syndrome Which Shows Space Occupying Lesion on Liver Scan (간 스캔상 공간점유병소의 소견을 보인 Budd-Chiari증후군 - 1예 보고 -)

  • Lee, Jeong-Hae;Lee, Youn-Ha;Seo, Dae-Won;Jang, Tae-Jong;Hwang, In-Shup;Kim, Young-Jung;Kim, So-Yon;Lee, Gwon-Jun
    • The Korean Journal of Nuclear Medicine
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    • v.28 no.3
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    • pp.397-401
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    • 1994
  • A twenty-one-year-old man visited our hospital due to abdominal distension for a month. On the physical examination, there was severe abdominal distension with fluctuation and shifting dullness. The routine laboratory results were within normal range. On the Magnetic Resonace angiography, there wasn't any blood flow within the right and middle hepatic vein. So we concluded that the etiologic disease was Budd-Chiari syndrome. On the liver scan, there was cold area(absence of radiouptake) on entire right lobe of the liver, increased uptake on the bone marrow and showed splenomegaly. This finding was similar to the liver mass occupying right lobe with underlying chronic liver disease. On the previous reports, it is quite uncommon finding that Budd-Chirari syndrome shows lesion like space occupying one on the liver scan. So we report this case with a review of the literature.

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A Study on the Effect of Ceiling Type Air Conditioner on Sprinkler Head Operation (천장형 에어컨이 스프링클러 헤드 작동에 미치는 영향에 관한 연구)

  • Yi, Sunyoung;Yoon, Myong O;Lee, Youngju;Lee, Jun
    • Journal of Korean Society of Disaster and Security
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    • v.13 no.1
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    • pp.51-58
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    • 2020
  • This paper analyzes the effect of airflow of ceiling air conditioner on the operation of sprinkler head using a simulation program. The simulation space is 10 m × 7 m × 3 m, and the size of the fire is 0.8 m × 0.8 m × 0.6 m. The cold air flow from the air conditioner is at 25℃ and the wind speed is divided into three cases : 10 ㎧, 8.5 ㎧, and 7.5 ㎧. Simulation results show that all cases had operating delays compared to when the air conditioner was not running, and the sprinkler head did not operate until 10 minutes had elapsed at 10 ㎧ wind speed. These results confirmed that the sprinkler head was delayed in the air conditioning space and the worst result of early evolution failure was observed in strong winds such as 10 ㎧.

Thyroid Carcinoma in Children (소아에 발생한 갑상선 악성 종양)

  • Lee, Seung-Joo;Kim, Dae-Yeon;Kim, Seong-Chul;Kim, In-Koo
    • Advances in pediatric surgery
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    • v.6 no.2
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    • pp.95-99
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    • 2000
  • Thyroid carcinoma is relatively rare in children. Eight cases of thyroid carcinoma were among 18 patients operated upon for thyroid tumors at Pediatric Surgery, Asan Medical Center in 11 years' period between 1989 and 2000. Five patients were boys and three were girls. The age distribution ranged from 10 to 14 years with a median age of 11.6 years. We studied clinical presentations, diagnostic workup, pathology, treatment, and follow-up (recurrence, mortality, and survival). All patients presented with anterior neck mass but one with multiple cervical lymph nodes enlargement. Familial history of thyroid cancer was seen in one case. All patients had a cold nodule by 1-131 thyroid scan. Fine needle aspiration (FNA) biopsy was performed in all patients. The right lobe was involved in four patients and the left lobe in two. Two had both lobes involvement. Pathologically, six cases were papillary carcinoma, one was follicular carcinoma, and one insular carcinoma. Four patients underwent unilateral lobectomy and isthmectomy. Total thyroidectomy was performed in three patients. The insular carcinoma case was preoperatively diagnosed as follicular neoplasm by FNA. After confirmation of the pathology by initial right thyroid lobectomy, total thyroidectomy was subsequently done. Cervical lymph node metastases were presented in three cases (37.5%), and lung metastasis in two cases (25%). Three patients received postoperative I-131 ablation. After a median follow-up of 53 months, all patients were alive without evidence of recurrence. In conclusion, thyroid carcinoma in children is frequently associated with lymph nodes involvement and distant metastasis, however, the prognosis is relatively good.

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Repair of Left Ventricular Free Wall Rupture after Acute Myocardial Infarction: Application of Pericardial Patch Covering and Fibrin Glue Compression A case report (급성심근경색 후 발생한 좌심실벽 파열에서 소심낭과 Fibrin Glue 압박을 이용한 치험 - 1예 보고 -)

  • 김상익;금동윤;원경준;오상준
    • Journal of Chest Surgery
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    • v.36 no.5
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    • pp.363-366
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    • 2003
  • Background: Left ventricular rupture after acute myocardial infarction is a serious complication with high mortality. Emergency operation is usually the only available treatment. A 76-year-old female with persistent chest pain and syncopal attacks was admitted. Transthoracic echocardiography showed the pericardial effusion and generalized hypokinesia of the inferolateral wall of left ventricle. Coronary angiography revealed a total occlusion of the first diagonal branch. After percutaneous transluminal coronary angioplasty with coronary stent and insertion of intraaortic balloon pump, emergency operation was performed. Under cardiopulmonary bypass and cardiac arrest with cold blood cardioplegia, coronary artery bypass graft with saphenous vein, pericardial patch covering on the rupture area with 6-0 polypropylene running sutures, and fibrin glue compression under the patch were performed. We present a case of left ventricular (free wall) rupture after acute myocardial infarction.

A Study on The Disease Mechanism and Treatment of The So-eumin Exterior Disease of "Dong-uisusebowon(東醫壽世保元)" -On Ikgi(益氣) and Seung-yang(升陽)- ("동의수세보원(東醫壽世保元)" 소음인(少陰人) 표병(表病)의 병기(病機) 및 치법(治法)에 대한 고찰(考察) - 익기(益氣)와 승양(升陽)을 중심으로 -)

  • Park, Su-Hyun;Jeong, Chang-Hyun;Jang, Woo-Chang
    • Journal of Korean Medical classics
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    • v.23 no.2
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    • pp.235-270
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    • 2010
  • This paper studies the main treatment methods, Ikgi(益氣) and Seung-yang(升陽) applied frequently by Lee Jema(李濟馬) on the exterior disease of So-eumin(少陰人), one of the four constitutions. The methodology of this paper is to understand the pharmacology of "Dong-uisusebowon(東醫壽世保元)" by examining the formulas applied by Lee Jema. I have examined the organization of formulas in "Dong-uisusebowon(東醫壽世保元)" beforehand to categorize the formulas applicable in this study according to an objective standard. I have analyzed the prescriptions applied to So-eumin exterior disease. As a result, I could see that in the case of Ulgwang(鬱狂) syndrome, Ikgi(益氣) and Seung-yang(升陽) methods were mainly applied, but as the disease progressed, Seung-yang(升陽) was withdrawn while Ikgi(益氣) was stressed. Likewise, in the case of Mang-yang(亡陽), both methods were mainly adopted, but as the patients got worse, the level of Seung-yang(升陽) was maintained and that of Ikgi(益氣) was elevated with the addition of Buja(附子). Through this process, we could verify the overall action of Ikgi(益氣), Seung-yang(升陽) and Buja(附子). Originally, the two methods of Ikgi(益氣) and Seung-yang(升陽) are intimately related, but by analyzing the overall functions of the two methods, we could see that Seung-yang(升陽) and Buja(附子) support the Yang gi of the interior of So-eumin, while Ikgi(益氣) resolves inner stagnation of Yang gi and emits the cold pathogen of the exterior. Also, in the course of treatment, Ikgi(益氣) could only be realized after securing Seung-yang(升陽).

Effect of Seedling and Division Nursery Stock Size on Growth and Yield in Water Culture Condition of Wasabia japonica Matsum (고추냉이 물재배시 묘크기가 생육 및 수량에 미치는 영향)

  • 변학수
    • Korean Journal of Plant Resources
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    • v.10 no.4
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    • pp.375-381
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    • 1997
  • This study was conducted to determine the effect of seedling and division nursery stock size on the growth and yield of Wasabia japonica cultivated with cold water from Soyang Dam. As seedling and division nursery stock size were enlarged, their growth and yield were higher. In the case of division nursery stock, the rhizome yield per 10a were 782kg for large one, 723kg form medium one and 567kg for small one, and commercial rates - the percentage of rhizomes that weigh over 40g - were 87% for large one,80% for medium one and 55% for small one. In the case of seedling, large one brought out yield of 575kg/10a while medium and small one brought out low yield of 408kg/10a, and 421kg/10a, respectively. And the commercial rates from seedling were 60% for large one. 13% for medium one and 20% for small one.

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Development of a Conversion Unit converting the existing air conditioner to Heat Pump System for the Emergency Shelter (재해임시주거 냉난방을 위하여 기존 에어컨을 열펌프로 전환하는 변환기 개발)

  • Song, Heon
    • Journal of the Korean Solar Energy Society
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    • v.31 no.5
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    • pp.77-84
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    • 2011
  • Korea and some other countries located in the northern hemisphere employ the air conditioner for the space cooling in the hot summer season and also some kinds of heaters for the space heating in the cold winter season. Especially in Korea, a great number of air conditioners of about 12,700,000 sets have been used these days. However, they are used for a short operation period of only 58 days a year, which results in the material and economic losses. To solve this problem and employ this system for the emergency shelter, a new conversion unit which could convert the existing air conditioner to a heat pump system for simultaneous heating and cooling was developed in this study, and the thermal performance was tested. The results indicated that the indoor air could be heated from $27^{\circ}C$ to $39^{\circ}C$ by the air conditioner converted to a heat pump system with the ambient temperature variation of $-10^{\circ}C{\sim}10^{\circ}C$, and cooled from $20^{\circ}C$ to $15^{\circ}C$ by the converted system with the ambient temperature variation of $20^{\circ}C{\sim}35^{\circ}C$. And also the heating COP increased from 3.3 to 5.3 in case of the heat exchange of the super cooling(HESC) circuit and from 3.0 to 4.0 in case of the By-pass with the ambient temperature variation of $-10^{\circ}C{\sim}10^{\circ}C$, respectively, whereas the cooling COP decreased from 3.1 to 2.1with the increase of the ambient temperature from $20^{\circ}C$ to $35^{\circ}C$.

Treatment of Glomus Tumor (사구종양의 치료)

  • Song, Seok-Whan;Woo, Young-Kyun;Rhee, Seung-Koo;Lee, Hwa-Sung;Lee, Sang-Hoon
    • The Journal of the Korean bone and joint tumor society
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    • v.3 no.2
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    • pp.105-111
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    • 1997
  • From 1988 to 1997, we experienced 11 cases of glomus tumor in fingers(10 cases) and toe(1 case). All patients were female, and showed typical pain, tenderness, and cold sensitivity of the lesions. The locations were subungal in nine cases and in pulp from distal phalangeal bone in two cases. Three patients had histories of one or two failed previous operations, and two patients had another glomus tumor in their bodies. All except one had satisfactory results subjectively and without complications. One patient was operated by the excision of the tumor including germinal matrix and surrounding tissues of nail bed, and had a nail deformity in follow-up. The glomus tumor is not malignant to recur or metastasize in the case of complete excision. However, the surgeon should be alert not to injure or repair the nail bed meticulously after the excision of the tumor to prevent a late deformity of nail.

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The Determinants of Fisheries Firms' Capital Structure : Comparative Analysis of Financing Behavior in Pre and Post the Asian Financial Crisis (수산기업의 자본구조 결정 요인에 대한 실증분석: 외환위기 전후의 자본조달 행태 비교)

  • Nam, Soo-Hyun;Lee, Kwang-Min;Hong, Jae-Bum
    • The Journal of Fisheries Business Administration
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    • v.42 no.2
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    • pp.1-14
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    • 2011
  • We try to find the determinants of fisheries firms' capital structure during the years from 1992 to 2007 in this paper. We also have a comparative analysis of capital raising behavior in pre and post-IMF financial crisis. Regression analysis is used for this empirical study. Dependent variable is leverage ratio and independent variables are firm size, operating risk, proportion of tangible asset, non-debt tax shield effect, sales growth ratio, profitability and dummy variable. We compared the characteristics of fisheries industry with that of manufacturing industy. The determinants of fisheries firms' capital structure and correlation between pre and post-IMF financial crisis are roughly same as the hypothses except a little difference. As a peculiar difference, corrlation between fisheries firms' operating risk and leverage ratio is (+) in the pre-IMF financial crisis, but (-) in the post-IMF financial crisis. Proportion of tangible asset has a (+) correlation with leverage ratio in pre and post-IMF financial crisis, but in case of manufacturing industy, (-) correlation shows in the pre-IMF financial crisis. Because, in the pre-IMF financial crisis, high proportion of tangible asset doesn't play a role of a collateral, but only increase the bankruptcy probability. Non-debt tax shield effect and leverage ratio have (-) correlation in all industry and all period, but only (+) correlation in case of fisheries industry in the pre-IMF financial crisis. Sales growth ratio has no significant relationship with leverage ratio in fisheries industry, and this is not coincide with our hypothsis. We have a limitation of the sample size of fisheries firms and sample period in this study. Further study is required to classify the fisheries industry with in-shore fisheries, deep sea fisheries and cold storage industry.