• Title/Summary/Keyword: 변증

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한방통계상담의 사례보고

  • Kim, Gyu-Gon
    • Proceedings of the Korean Statistical Society Conference
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    • 2002.11a
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    • pp.75-78
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    • 2002
  • We report several case of the statistical consulting in Oriental medicine. Recently, we are interested in the Oriental Gynecology. In this problem, the type of differentiation of symptoms and signs are classified based on a diagnostician in the questionnaire.

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Factors Affecting the Readmission Experience of Liver Cirrhosis Patients (간경변증 환자의 재입원 경험에 영향을 미치는 요인)

  • Yoon, Mi-Lim;Eun, Young
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.5
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    • pp.111-120
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    • 2020
  • This study examined the factors affecting the readmission of patients with liver cirrhosis, and focused on self-care, social support, and drinking refusal self-efficacy. The subjects were 75 cirrhosis patients who were admitted to medium-sized hospitals at S-city for two months from May 2019 to June 2019. The data was analyzed with the SPSS (Version 25) program, and logistic regression analysis was performed on the factors affecting readmission. The results were self-care (27.49±0.53 out of 60), social support (52.80±16.44 out of 90), and drinking refusal self-efficacy (42.39±22.76 out of 80). The readmission method was classified into planned and unplanned admissions. Unplanned readmission was found to differ depending on the drinking experience (OR: 4.16) and the presence of complications (OR: 5.11) within a month of discharge rather than that of the planned readmissions, accounted for 19.7%. It will be very important to reduce the occurrence of complications by early management of patients with cirrhosis, and increase the drinking refusal self-efficacy, and so reduce unplanned readmission and prevent the progression and deterioration of cirrhosis. The drinking experience and the occurrence of complications can be reduced through interventions that increase self-care, social support, and drinking refusal self-efficacy. Nursing interventions are needed to prevent patients with cirrhosis from drinking and to manage the complications due to relapse into alcoholism.

Factors Related Self-Care Behavior among Liver Cirrhosis Patients: Focusing on Disease Knowledge and Family Support (간경변증 환자의 자가간호 행동 관련 요인: 질병 지식과 가족지지를 중심으로)

  • Park, HaeJin;Shin, Yeonghee
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.18 no.5
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    • pp.647-656
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    • 2017
  • This study examined the associations among the factors related to self-care behavior in patients with liver cirrhosis, focusing on disease knowledge and family support. The subjects were 120 liver cirrhosis patients recruited from the medical out-patient clinic of ageneral hospital in the U metropolitan city during the period of June-August, 2015. The data were analyzed with SPSS(Version 21) program. The results showed that the average scores of disease knowledge was $12.64{\pm}2.16$ out of 18; family support was $23.28{\pm}5.68$ out of 32; and self-care behavior was $35.66{\pm}8.67$ out of 60. The study subjects had moderate levels of disease knowledge and family support, but low levels of self-care behavior. The data showedthat self-care behavior was positively correlated with disease knowledge (r=0.675, p<0.001) and family support (r=0.804, p<0.001) of the subjects. The best predictors for self-care behavior were family support, disease knowledge, frequency of alcohol consumption per week, having liver cirrhosis patients among family or relatives, and educational level, which accounted for 69.7% of the variance. In conclusion, promoting the self-care behavior of liver cirrhosis patients should be planned based on a consideration of the patient's educational level, knowledge of their own disease, and family support.

On the immanent Problems of Liberalism and Hegels Philosophy of Right (자유주의의 내재적 문제와 헤겔의 법철학)

  • Kwon, Young-woo
    • Journal of Korean Philosophical Society
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    • v.147
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    • pp.29-58
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    • 2018
  • The purpose of this article is to demonstrate that Hegel's philosophy of right is a dialectic critique of liberalism. The dialectical criticism in this article does not mean the formal logical denial, but a return to self by self-negation. Thus, if Hegel's philosophy of right is a dialectical critique of liberalism, Hegel's philosophy of right will be critical of liberalism and at the same time, it will not reject liberalism, but rather have aspects of liberalism. The criticism of liberalism implies that individual freedoms and rights can not be realized subjectively through individual free acts, but are realized intersubjectively through social mediums. And this is also found in controversies among modern liberalists because modern liberalism requires the government's role and institutional arrangements for the realization of individual freedoms and rights. We can find the aspects of liberalism in Hegel's philosophy of right since Hegel's ethical life entails ultimately the concrete realization and extension of individual freedom and rights.

Bibliographical study on formation process of the differentiation of syndrome of heart-disease (심병변증(心病辨證)의 형성과정(形成過程)에 대한 문헌적(文獻的) 고찰(考察))

  • Kim, Young-ju;Choi, Dal-yeung;Kim, Jun-ki;Park, Won-Hwan
    • The Journal of Dong Guk Oriental Medicine
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    • v.6 no.1
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    • pp.67-89
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    • 1997
  • The heart takes the top position as the monarch of the physiological activity in five viscera and six bowels. Activity to think and ponder, or harmony of the function of viscera and bowels and passing smoothly of qi and blood and so on, these depend on the function of heart. So it is called the center of life activity. This thesis studied bibliographically the process of formation of the system of differention of syndromes. First, in the classify of deficiency syndrome, insufficiency of the Heart is classified deficiency of the Heart-yin and insufficiency of the Heart-yang. After it classified insufficiency of the Heart-qi, insufficiency of the Heart-yang, dificiency of the 'Heart-blood and deficiency of the Heart-yin. At lately it classified more subdivide into insufficiency of the Heart-qi, insufficiency of the Heart-yang, dificiency of the Heart-blood, deficiency of the Heart-yin. Deficiency of the Heart-qi yin, deficiency of the Heart-qi blood, deficiency of the Heart-yin yang and sudden exhaustion of the Heart-yang. Second, It were the most important that the phlegm, fire and heat in the classify of excess syndrome. It classified various differentiation of syndrome. In the beginning of a period, it only classified phlegm syndrome and heat syndrome, but recently it classified not only phlegm syndrome and heat syndrome but also phlegm-fire. Also, It classified importantly gradually Heart-blood stasis caused by deficiency of the Heart-qi and the Heart-yang. Variety and subdivision of classify of differentiation of syndrome seemed resault of study to prepare various disease. And that after demanded more and more positive study.

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역사-발생적 원리에 따른 변증법적 방법의 수학학습지도 방안

  • Han, Gil-Jun;Jeong, Seung-Jin
    • Communications of Mathematical Education
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    • v.12
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    • pp.67-82
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    • 2001
  • 발생적 원리는 수학을 공리적으로 전개된 완성된 것으로 가르치는 형식주의의 결함을 극복하기 위하여 제기되어온 교수학적 원리로, 수학을 발생된 것으로 파악하고 그 발생을 학습과정에서 재성취하게 하려는 것이다. 특히, 수학을 지도함에 있어서 역사적으로 발생, 발달한 순서를 지켜 지도해야 한다는 것이 역사-발생적 원리로, 수학이 역사적으로 발생, 발달 되어온 역동적인 과정을 학생들이 재경험해 보게 하기 위해서는 이러한 일련의 과정을 효과적으로 설명할 수 있는 교수-학습 방법이 필요하다. 변증법적인 방법론은 헤겔에 의해서 꽃을 피운 철학으로, 정일반일합(正一反一合)의 원리에 따라 사물의 발생과 진화 과정을 역동적으로 설명할 수 있는 방법론이다. 따라서, 본 연구는 초등학교에서 역사-발생적 원리에 따라 수학을 지도할 수 있는 방법으로 변증법적인 방법을 고찰하여, 역사-발생적 원리의 수학 교수-학습 방법에 대한 시사점을 얻고자 한다.

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A study of factor analysis for clinical knowledge about cerebrovascular diseases (중풍변증에 관련된 임상지식에 대한 요인분석)

  • Kwon, Young-Kyu;Park, Chang-Gook;Kang, Hyo-Shin
    • The Journal of Korean Medicine
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    • v.18 no.2
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    • pp.73-81
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    • 1997
  • We have done factor analysis to study the effects of clinical knowledge on the diagnosis process. Clinical datas were made on 94 patients with cerebrovascular accident diagnosed by computed tomographic scan and who did not over 20 days after stroke. After analysis, totally 11 factors has been found. Among these factors, we interpreted significant 5 factors as oriental-medical meaning, Factor 1 meant Han-youl(寒熱) and factor 2 meant Huh-Shil(虛實). These were exactly corresponded with clinical experience.

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Bronchial Hyperresponsiveness in Liver Cirrhosis (간경변증 환자에서 기관지 반응성에 대한 연구)

  • Kim, Ki-Ryang;Kim, Min-Gu;Lee, Sang-Kab;Jang, Se-Ho;Park, Jong-Hwa;Lee, Jong-Deog;Hwang, Yung-Sil
    • Tuberculosis and Respiratory Diseases
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    • v.44 no.3
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    • pp.639-648
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    • 1997
  • Background : Arterial hypoxemia has been noted in patients with liver cirrhosis because of bronchial vessel dilatation. Cabenes et al. reported that bronchial hyperresponsiveness to the metacholine inhalation was observed in patients of left side heart failure, he suggested that one of the mechanism was bronchial vessel dilatation. We hypothesized that patients of liver cirrhosis might have bronchial hyperresponsiveness to metacholine inhalation due to portal hypertension. We evaluate the relationship between bronchial responsiveness and severity of liver cirrhosis, severity of portal hypertension. Methods : In the 22 patients of the liver cirrhosis with clinical portal hypertension, metacholine provocation test was done and determined $PC_{20}FEV1$. We classified liver cirrhosis according to Pugh-Child classification. Esophagogastroscopies were performed for the evaluation of the relationship between bronchial hyperresponsiveness and severity of esophageal varix. Results : In the 22 cases of the liver cirrhosis with clinical portal hypertension. The causes of liver cirrhosis, alcoholic hepatitis was 9 cases, hepatitis B virus was 12 cases, hepatitis C virus was 1 case, and 151 cases (68.18%) of total 22 cases were positive in metacholine provocation test. In positive cases. There was no significant relationship between $PC_{20}FEV1$ and severity of liver cirrhosis which were classified by Pugh-Child classification or severity of esophageal varix(p<0.05). Conclusion : we observed that bronchial responsiveness to metacholine increased in the patients of liver cirrhosis and there was no significant relationship between the severity of liver cirrhosis and the severity of esophageal varix.

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