• Title/Summary/Keyword: 기초의학

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Lee Jema's Theory of Cultivating the Self (이제마의 수신론)

  • Choi, Dae-woo
    • Journal of Korean Philosophical Society
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    • v.141
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    • pp.287-311
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    • 2017
  • The major purpose of this article is to analyze Lee Jema's idea of 'cultivating the self,' and therefore reveal a difference between his idea and 'cultivating and nurturing (the mind)' shown in traditional medicine and Neo-Confucianism. For this purpose, I first analyzed 'cultivating and nurturing (the mind)' of traditional medicine and Neo-Confucianism and showed Lee Jema's originality by studying philosophical foundations of Sasang constitutional Medicine. The idea of 'cultivating and nurturing (the mind)' is transcendental in that it pursues the unity between humans and the principle of natural changes or the Heaven. However, Lee Jema developed his own medical theory by analyzing an ontological structure of human beings and nature and life, and reinterpreting four beginnings on the basis of experience. He reinterpreted humans as a being in the structure of time and space, and relationships with others. In addition, he reinterpreted nature and life and four beginnings as the capability of wisdom and action and the function of mind and body. Therefore, he tried to overcome a transcendental thinking to aim for the unity of humans with the Heaven. Also, he discovered that the most important reason for disease is biased emotions (moral/private) because biased emotions influenced the function of mind and body. The causal relationship is the basis of his medical theory. Therefore, his idea of cultivating the self is focused on being careful not to make emotions biased. This reveals that even though Sasang constitutional theory came from the traditional medical theory and Confucian morality, it developed on a different philosophical foundation. In this regard, I tried to differentiate Lee Jema's idea of cultivating the self from 'cultivating and nurturing (the mind)' which aims for the unity between humans and the principle of changes or the Heaven.

The Introduction of Western Medicine and The Change of Body Conception (서양 의학의 수용과 신체관의 변화 - 최한기의 『신기천험(身機踐驗)』을 중심으로 -)

  • Kim, Moon-Yong
    • (The)Study of the Eastern Classic
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    • no.37
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    • pp.345-375
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    • 2009
  • In relation to body conception, the introduction of western medicine to Joseon Korea started off some points in disputes: the one was whether the western anatomy was positive or not, the other was whether the cognition was ruled by heart or brain. In the long run of these disputes, that who had clarified the change of body conception was Choi Han Kee. His new conception of body was characterized as follow: on the one hand, it emphasized the mechanical conception of body; on the other hand, it emphasized the cognitive ability of body. But that his conception of body had obscure points: that is, its mechanical conception was intervened by chi(神氣), and his doctrine of cognition searched for the origin of cognition in balance of chi of the body. He had set up this conception of body by the combination of western medicine and chi, but the combination did not seem to be perfect. This point had appeared again in his conception of physics that he thought the basis of medicine. He had pursed the combination of chemical element and chi, but it could not be accomplished successfully unless he had abandoned the organicist conception of chi. In conclusion, his new conception of body was not free from the suspicion of a incomplete tentative construction.

Useful Ultrasound Findings of Pediatric Patients with Equivocal Results of Appendicitis: Analysis Based on a Structured Report Form (애매한 초음파 결과를 보인 소아 환자에서 충수돌기염을 감별하는데 유용한 초음파 소견: 구조화 판독문에 기초한 분석)

  • Jiyoung Choi;Hyuk Jung Kim;Suk Ki Jang;Hyun Jin Kim;Jae Woo Yeon
    • Journal of the Korean Society of Radiology
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    • v.82 no.1
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    • pp.182-193
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    • 2021
  • Purpose To identify the features that can be used for differentiating appendicitis from non-appendicitis in pediatric patients with equivocal ultrasound (US) results. Materials and Methods A total of 53 pediatric patients (≤ 18 years old) with equivocal results on US examination for suspected appendicitis between November 2012 and October 2017 were included. US evaluation was conducted based on information retrieved from a predefined structured report form. Then, the likelihood of appendicitis was prospectively classified into five categories. The equivocal results were considered as grade 3 (indeterminate) and grade 4 (probably appendicitis). Results Of the 53 patients, 25 (47.2%) and 28 (52.8%) were classified into grade 3 and 4 groups, respectively. Among the individual US findings, increased vascularity of the appendiceal wall and peri-appendiceal fat infiltration were independent findings associated with the diagnosis of appendicitis (p = 0.005, p = 0.045, respectively) in the multivariate logistic regression analysis and showed the highest diagnostic accuracy (69.8% and 62.3%, respectively). Conclusion Increased vascularity within the appendiceal wall and peri-appendiceal fat infiltration were significant predictors of appendicitis in patients with equivocal US findings.

Basic experimental research study on Rats in oriental medicine (한의학(韓醫學)에서의 Rat에 대한 실험적(實驗的) 연구(硏究)를 위(爲)한 기초연구(基礎硏究)( I ))

  • Chi, Gyoo-Yong
    • Journal of The Association for Neo Medicine
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    • v.1 no.2
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    • pp.15-30
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    • 1996
  • In the study about the logical basis and interpreting methods of animal experiments using rats in traditional medicine, several conclusions are obtained and summarized as following. 1. The logical basis of the animal experiments in traditional medicine is the essential homogeneity between human and rat defined as various transformation of one Qi(一氣) packed the cosmos. 2. Morphologically, the rat has abundant Yin(陰) and less Yang(陽) in most of anatomical characteristics. 3. Physiologically, the rat has unstable heart and mild temper with good fertility, which shows the features of Yin animal. 4. Pathologically, the rat shows the pathology of injury of viscera by stresses(氣激傷臟) and pathological transformations of internal water(痰飮水濕) mainly. 5. Constitutionally, the rat is alike to water type man(水形人) or Soeumin(小陰人) out of Yin Ren(陰人). 6. So, the rat is the proper experimental animal for diseases of sputum and water, emotional stimulations, endocrine system, heart, kidney, Yin syndrome(陰證) etc..

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Comparison of Depression and Cognitive Function between Elderly Welfare Recipients and Non-Elderly Welfare Recipients in a Public Health Center (한 보건기관에 내원한 기초생활수급노인과 비 수급노인의 우울 및 인지기능 상태 비교)

  • Park, Jung-Ah;Cho, Young-Chae
    • Journal of agricultural medicine and community health
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    • v.32 no.1
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    • pp.1-12
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    • 2007
  • Objectives: This study was performed to provide the fundamental data available in the field of the elderly health of the low-income bracket by researching and comparing related factors for the assessment of the degree of depression and cognitive function between elderly welfare recipients and non-elderly welfare recipients. Methods: The study subjects, 402 elderly person over 65-year-old in Daejeon were interviewed, during the two-month from May to June 2006, about their general characteristics, depression and cognitive function. Results: elderly welfare recipients was higher than non-elderly welfare recipients in degree of depression on the other hand, in cognitive function is lower. Also, the depression and cognitive function were related with not only socio-demographic characteristics like the age, the degree of education, the presence of spouse or not and the health status but also health behavior characteristics like the sleeping time, the drinking and the exercise. Conclusions: The project of health promotion and programs that can improve the related factors to the depression and cognitive function for elderly welfare recipients should be developed and practiced.

의료용 선형가속기의 안전관리 기준 개발

  • 김진기;오영기;신교철;김정기;정동혁;김기환;조문준;김귀야;박기정
    • Proceedings of the Korean Society of Medical Physics Conference
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    • 2003.09a
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    • pp.54-54
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    • 2003
  • 목적 : 방사선치료는 복잡하고 다양한 장비를 이용하여 고에너지 고선량의 방사선을 다루기 때문에 세심한 정도관리를 바탕으로 기술적 관점에서의 적절한 방사선치료장비 사용과 실제 환자치료시의 절차들에 대한 완벽한 지침서가 마련되어야 할 필요가 있다. 본 연구의 목적은 의료용 선형가속기에 연관된 방사선사고와 잠재적 사고유형들을 분석하여 환자와 종사자의 안전을 보장하고 사고를 예방키 위한 안전관리 기준을 개발하고자 하였다. 대상 및 방법 : 본 연구에서는 국내 13 개 방사선치료기관에 대한 안전관리 실태를 자체 개발한 100 여 문항의 설문으로 조사, 분석하였다. 또한, 국제적으로 사용하고 있는 안전관리기준들과 보고된 방사선 사고사례 들을 조사하였고, 방사선치료 전 과정을 통해 잠재적 사고유형을 추정함으로서 방사선치료의 안전관리를 위 해 필요한 요구사항들을 도출하고 이를 바탕으로 의료용 선형가속기에 관련된 안전관리 기준을 마련하였다. 결과 : 본 연구에서는 방사선치료 시 환자와 종사자의 안전을 보장하고 사고방지를 위하여 단계별 안전관리 기준을 개발하였으며, 방사선 치료과정에서 일어날 수 있는 다양한 실수나 사고들을 일목요연하게 관리 할 수 있는 흐름도를 구축하였다. 결론 : 본 연구 결과는 방사선치료에 사용되는 선형가속기에 대한 방사선의 안전과 품질보증을 개선하게 될 것으로 생각된다. 또한, 잠재적 방사선 사고의 예방뿐 아니라 국내의 방사선치료 안전관리 기준 마련에 기초자료로 활용될 수 있을 것이다.

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고선량율 근접치료의 위험도 분석

  • 최진호;이레나;이상훈;이세병;이희석
    • Proceedings of the Korean Society of Medical Physics Conference
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    • 2003.09a
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    • pp.57-57
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    • 2003
  • 목적 : 미국 NRC 의 위험도 평가 방법론(NUREG/CR-6642)에 국내에서 시행되는 고선량율 근접치료의 표준입력 자료를 대입하여 고선량율 근접치료시 위험도를 정량적으로 산출하고 그 값을 비교하고자 한다. 대상 및 방법 : 고선량율 근접치료 시스템에 대한 위험도 평가를 위해 국내에서 고선량율 근접치료를 시행하고 있는 17개 의료기관으로부터 방사성동위원소의 설치와 폐기시의 방사능, 선원의 유형, 연간 총 치료회수 등 기초 자료를 수집하였다. 이로부터 방사성동위원소의 평균세기 연간 치료회수 등을 미국 NRC의 위험도 평가 방법론의 데이터베이스에 입력하여 고선량율 근접치료의 직무별, 피폭인의 종류, 정상상태와 사고 등의 형태에 따라 그 위험도를 구하였다. 결과 : 국내 고선량율 근접치료의 위험도는 미국 NRC의 위험도 평가 방법론에 따른 데이터베이스의 입력 결과 일반인의 정상상태와 사고 그리고 방사선종사자의 정상상태와 사고 시에 따라 그 위험도가 1.52-01, 2.96-03, 8.64-01, 3.32-02 rem/yr로 산출되었고 그 값을 미국 NRC의 값과 비교하였다. 결론 : 고선량율 근접치료 시 미국 NRC의 위험도 결과보다는 국내의 경우 수배 정도 높게 계산되었고 일반인과 방사선종사자, 정상상태와 사고, 직무별 패턴 등은 동일한 것으로 간주된다.

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A Study of T1 Relaxation and Data Management of Animal Images based on Marquardt Algorithm for MRI (비선형 Marquardt 알고리듬을 기초로 활용하는 동물실험을 위한 T1 영상의 예비연구)

  • Yoon, Seong-Ik;Choe, Bo-Young
    • Proceedings of the Korean Society of Medical Physics Conference
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    • 2004.11a
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    • pp.56-58
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    • 2004
  • MRI analysis and weights of molecular differences of Volume of Interest(VOI) was studied in animal. The appearance of tiny voxels significant objects for evaluate of disease or irregular function of cells is simplified remodeling before making image. The method of Marquardt, A method of Non-linear mathematical approach can be used to get a quick calculations in arbitrary space. Results shows the relationships between accurate vivo signal and biochemical molecular solutions,

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반월(半月), 구로(九老), 여주(驪州) 지역주민(地域住民)의 보건의료행태(保健醫療行態)에 관한 기초연구(基礎硏究)

  • Jo, Byeong-Hui;Cha, Cheol-Hwan;Yeom, Yong-Tae
    • Journal of agricultural medicine and community health
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    • v.6 no.1
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    • pp.44-60
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    • 1981
  • In Korea, the position of health among the sectors of everyday life lies behind the others. The inhabitants don't consider health so important and immediate as food and shelter. Primarily, it seemed more important for them to eat something and to educate their children than to secure health. Under this situations we must take into consideration their health status and health problems in terms of the social system. Health cannot be maintaned by itself. It inter acts with a set of social conditions such as income, knowledge about health, health institution, health insurance, social class, culture and etc. But the community health projects which have carried out in Korea since the beginning of 1970s focused mainly on the medical care and medical delivery itself regardless the background of health care. According to the existing results of socio-epidemiological and medico-sociological researches, a set of social conditions has a great effect on the inhabitants' health status and health care. So, such conditions will be considered primarily in Korea University Health Project. This paper is prepared as a preliminary step for such a program. In this paper we mainly inquired into the relationship between health and the attitudes of inhabitants.

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The Survey on the Health Status of an Islands-District Residents II. The Medical Utilization Pattern and Recognition of Medical Facilities (일부 도서지역의 보건의료에 대한 기초조사 II. 주민의 의료이용양상 및 의료기관에 대한 인식도)

  • Ko, Kee-Ho;Moon, Gang;Sohn, Seok-Joon;Choi, Jin-Su
    • Journal of agricultural medicine and community health
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    • v.17 no.2
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    • pp.113-121
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    • 1992
  • In order to estimate the pattern of medical care utilization and recognition for health factor among the inhabitants in Wan-do district which is located off the southern seashore from mainland Korea, household interview survey was performed from January 15 to 30, 1990 in Wan-do Gun area. The results observed were following: 1. Among the users of medical facilities 40.8% used public health facility as first contact facility. Lower the income level was and longer the residency duration was, the utilization rate of public health facilities was higher. By age groups and medical security status the utilization pattern was likely to disperse to local clinic and secondary contact medical resources. 2. Medical expense and access time were significantly different between primary contact and secondary contact medical resources. 3. Public health facility was recognized as the favoured institute having advantage of geographic and economic accessibility. 4. Statistically significant determinants in public health facility utilization among total medical service were the region, the medical expense, and the access time.

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