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"상한론(傷寒論)"의 "중풍(中風)"과 "상한(傷寒)"에 대한 고찰(考察);대우(對于) "상한론(傷寒論)" 지(之)"중풍(中風)"화(和) "상한(傷寒)"적고찰(的考察)

  • Bang, Jeong-Gyun
    • Journal of Korean Medical classics
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    • v.19 no.4
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    • pp.136-146
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    • 2006
  • 파(把) "상한론(傷寒論)" 지중풍여상한적발병원인(之中風與傷寒的發病原因), 인위구분성풍사여한사(認爲區分成風邪與寒邪), 시불태적당(時不太適當). 우시(于是), 논자이사기적경중여체질(論者以邪氣的輕重與體質)(양기(陽氣))적성쇠(的盛衰), 진행중풍여상한적분석(進行中風與傷寒的分析), 득도료여하적결론(得到了如下的結論). 기일시(基一是), 중풍시양기허적인감수료경적풍한사(中風是陽氣虛的人感受了輕的風寒邪), 소이사기침입우기육(所以邪氣侵入于肌肉). 상한시양기성적인감수료중적풍한사(傷寒是陽氣盛的人感受了重的風寒邪), 소이사기유우부표(所以邪氣留于膚表). 기이시(其二是), 중풍인정사적대치상태소완(中風因正邪的代置狀態疎緩), 소이기맥위부완(所以其脈爲浮緩). 상한시정사대치우부표이집중우피모(傷寒是正邪代置于膚表而集中于皮毛), 소이기맥위부긴(所以其脈爲浮緊). 기삼시(其三是), 중풍지사기직접거영향우인체(中風之邪氣直接去影響于人體), 소이위(所以爲)“즉발열(卽發熱)”. 상한적(傷寒的) “혹미발열(或未發熱)”시(是), 성적양기가이억제사기적상태(盛的陽氣可以抑制邪氣的狀態). “혹기발열(或己發熱)” 시양기수성이부가이억제중사적상태(是陽氣雖盛而不可以抑制重邪的狀態). 기사시(其四是), 중풍시인양기허이불가이고섭(中風是因陽氣虛而不可以固攝), 소이위자한(所以爲自汗). 상한시강성적정사도취우부표이울폐(傷寒是强盛的正邪都聚于膚表而鬱閉), 소이위무한(所以爲無汗). 기오시(其五是), 중풍감수료경적사기(中風感受了輕的邪氣), 소이견풍이재손양기(所以見風而再損陽氣), 재회유악풍한적증상(才會有惡風寒的症狀). 상한시감수료중적사기(傷寒是感受了重的邪氣), 소이수거밀실이유악풍한적증(所以雖居密室而有惡風寒的症). 기육시(其六是), 계지탕유해기적효능(桂枝湯有解肌的效能), 소이능치중풍증(所以能治中風證). 마황탕유축부표지사기적효능(麻黃湯有逐膚表之邪氣的效能), 소이치상한증(所以治傷寒證). 기칠시(其七是), “발어양(發於陽)”시당우상한(是當于傷寒), “양(陽)”적의사상당시최표층부적부표(的意思相當是最表層部的膚表). “발어음(發於陰)”시당우중풍(是當于中風), “음(陰)”적의사상당우비부표교심부적기육(的意思相當于比膚表較深部的肌肉). 기팔시(其八是), “풍가(風家)”시인양허이역환중풍적인(是因陽虛而易患中風的人).

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특수의료장비의 설치 및 운영에 관한 규칙에 의한 정도관리 시행

  • 정해조;김희중;김기황
    • Proceedings of the Korean Society of Medical Physics Conference
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    • 2003.09a
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    • pp.51-51
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    • 2003
  • 국민건강보험재정건전화특별법 (제정 2002.1.19 법률 제 6620호)은 건강보험의 재정적자를 조기에 해소하고 재정수지의 균형을 이루도록 함으로써 건강보험제도의 발전과 국민건강 증진 도모를 그 목적으로 하며, 제14조(특수의료장비의 설치ㆍ운영)에서 의료기관은 보건복지부장관이 고시한 특수의료장비를 설치ㆍ운영하고자 하는 때에는 보건복지부령이 정하는 바에 따라 이를 등록하여야 하며 설치 인정 기준에 적합하게 설치ㆍ운영하여야 하고 정기적인 품질관리를 받아야한다고 명시하였다. 특수 의료장비의 설치 및 운영에 관한 규칙 (제정 2003.1.14 보건복지부령 제235호)은 국민건강보험재정건전화특별법이 제정됨에 따라 특수의료장비의 적정 한 설치와 활용을 위하여 의료기관에서 설치ㆍ운영하는 특수의료장비의 등록절차 설치인정기준 및 품질관리 절차 등을 정하고 특수의료장비에 대한 관리체계를 확립하려는 것이다. 특수의료장비의 설치 및 운영에 관한 규칙의 주요 골자는 가. 의료기관에서 특수장비를 설치ㆍ운영하고자 하는 경우 보건복지부장관 또는 시ㆍ도 지사에게 등록하도록 하였는바, 이 등록에 대한 절차와 특수의료장비의 설치인정기준을 정함, 나. 특수의료 장비에 대한 정기적인 품질관리검사를 서류검사와 정밀감사로 구분하여 서류검사는 1 년마다, 정밀검사는 3 년마다 받도록 함, 다. 품질관리검사기관의 장은 특수의료장비품질관리검사성적서를 신청인에게 교부하고, 보건복지부 또는 시ㆍ도지사 및 건강보험심사평가위원장에게 검사결과를 통보하도록 함, 라. 특수의료정비를 설치ㆍ운영하는 의료기관의 개설자 또는 관리자 및 품질관리검사기관의 장이 작성ㆍ비치ㆍ보존하여야할 서류를 정함이다. 보건복지부장관에게 등록하여야할 특수의료장비는 자기공명영상촬영장치와 전산화단층촬영 장치이며, 시ㆍ도지사에게 등록하여야할 특수의료장비는 유방촬영용장치이다. 본 발표에서는 특수의료장비의 설치 및 운영에 관한 규칙에 대한 개요와 연세의료원 세브란스병원에서 시행하고 있는 특수의료장비의 정도관리 검사, 팬텀영상검사, 그리고 임상영상검사를 소개하고자한다.

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Comparison of the Trauma Outcome Between Secondary and Tertiary Hospitals (2차와 3차 병원에서 외상 치료의 적정성 비교)

  • Hong, Suk Hyun;Han, Gap Su;Jung, Sang Hun;Chun, Chung Min;Choi, Sung Hyuk;Lee, Sung Woo;Hong, Yun Sik
    • Journal of Trauma and Injury
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    • v.18 no.1
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    • pp.33-40
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    • 2005
  • Background: This study compared the performance of trauma care in an urban and a suburban hospital before and after the enhancement of emergency and intensive care. Method: The medical records of patients who were admitted to the intensive care unit following trauma from 1994 to 1995 and from 2002 to 2003 were examined. The standardized W (Ws), the 95% confidence interval (CI) of the Ws, and the predicted survival rate (Ps) were calculated. During each period, each hospital's actual survival rate was compared with the 95% CI of the Ps according to the revised trauma score (RTS) and injury severity score (ISS). Spell out RTS and ISS. Result: From 1994 to 1995, 225 and 121 records from the urban and the suburban hospitals were reviewed, respectively. The 95% CI's of the Ws were -2.30 to 2.73 and -11.40 to -5.90, respectively. The actual survival rate of the suburban hospital was significantly lower than the predicted survival rate at all RTS. From 2002 to 2003, 315 and 268 records from the urban and the suburban hospitals were reviewed, respectively. The 95% CI's of the Ws was -3.56 to 0.24 and -3.73 to 0.26, respectively. There was no difference between the actual survival rate and the predicted survival rate. Conclusion: An enlargement of the capacities of emergency and intensive care may improve the performance of trauma care at a small suburban hospital.

Bacterial Phosphate Homeostasis: Role of Phosphate Transporters (세균의 인산 항상성: 인산 수송 단백질들의 역할)

  • Park, Yoon-Mee;Bang, Iel-Soo
    • Korean Journal of Microbiology
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    • v.48 no.2
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    • pp.57-65
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    • 2012
  • Phosphorous is an essential element for the synthesis of various biomolecules including phospholipids, carbohydrates and nucleic acids. Bacterial cells can uptake it as forms of phosphate and phosphate-containing nutrients from extracellular environments, and reserve extra phosphate to polyphosphate inside the cell. Among five phosphate transport systems, Pst plays central roles in phosphate transport, and its expression is coordinated by the regulation of PhoB-PhoR two component signal transduction system in response to extracellular levels of phosphate. Genomic studies on the response regulator PhoB reveal many genes independent of phosphate metabolism. Based on recent findings on phenotypes of bacteria lacking proper function of each phosphate transport system, this review discusses roles of phosphate transporters in maintaining optimum intracellular phosphate levels, and presents diverse phenotypes of phosphate transporters related with other environmental signals as well as phosphate, then finally points out functional redundancy among phosphate transport systems or their regulators, which emphasize importance of phosphate homeostasis in governing metabolism, adaptation, and virulence of bacteria.

Evaluating Appropriateness of Medication Use in the Operating Rooms of a Tertiary Hospital: Based on Survey (일개 병원의 수술실 약제관련 업무 적정화 방안연구: 설문조사를 중심으로)

  • Lee, Ye Ji;Jeong, Kyeong Hye;Kim, Young Nam;Kim, Eun Young
    • Korean Journal of Clinical Pharmacy
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    • v.26 no.3
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    • pp.230-237
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    • 2016
  • Background: Since the use of opioid analgesics is frequent in operation rooms (OR), the risk of medication error is high; however the use of medication in the OR has been operating independently with the hospital pharmacy. Therefore, the assessment on management of medication use in operation and the pharmacist's role is needed. Methods: We conducted the literature review and survey from anesthesiologists, operating nurses at Chung-Ang Hospital on management of medication for operation use, awareness on need for medication management efficiency, need for satellite pharmacy in the operating room and its effect. Results: 56% of medical staffs responded that management of medication in the operating room is efficient; however, 82.6% responded that they felt the inconvenience in medication delivery to the OR when additional prescription was ordered. 51.5% also responded that extra time was required for management of narcotics and inventory/record keeping. 80% agreed that there could be lost costs due to prescription missed. Medical staffs responded improving the drug management system could increase the OR efficiency (87%), and eventually bring the increase in hospital revenue (80.4%). Those who responded that implementation of OR satellite pharmacy was needed include physicians (84.6%), nurses (63.6%), and also responded that it'd bring more profit to the hospital by increasing the efficiency in OR (60.9%). Conclusion: For efficient management of medications, implementation of OR satellite pharmacy would lead to improved drug management and increased efficiency in OR and reduced cost and improved patient care.

Statistical Analysis Based on ICT for the Satisfaction and Service Evaluation of Patients Admitted to a Nursing Care Integrated Service Ward (간호간병통합서비스 병동 입원 환자의 만족도와 서비스 평가를 위한 ICT 기반 통계분석)

  • Nam, Soon-Yeul
    • The Journal of the Korea institute of electronic communication sciences
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    • v.12 no.1
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    • pp.229-236
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    • 2017
  • The Nursing Care Integrated Service is an inpatient service provided in a ward equipped with all kinds of professional nursing services, nursing environment improvement, and patient safety management through team nursing staff placement through appropriate nursing staff placement. The subjects of the study were 92 patients who agreed to understand and participate in the research purpose as the inpatient ward of a general hospital in Gyeonggi Province, for the study method, frequency, percentage, mean, standard deviation, t-test, ANOVA were applied using SPSS/WIN 21.0 program and the post test was Scheffe test. In addition, the correlation between nursing satisfaction and service evaluation was analyzed by Pearson's correlation. This paper is meaningful in that it reaffirms the importance of satisfaction and presents basic data for improving the quality of service of nursing care integrated service ward inpatients.

Microbiological Evaluation for HACCP Implementation of Wholesale Bakery Products (제빵업체의 HACCP 모델 적응을 위한 미생물학적 위해도 평가)

  • Kim Hye Young;Park Jae Young;Chung Duck Hwa;Oh Sangsuk
    • Journal of Food Hygiene and Safety
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    • v.19 no.4
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    • pp.185-192
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    • 2004
  • Generic HACCP models for bakery products may help HACCP implementation at the wholesale bakery production lines easier. When baking, the internal temperature of bakery products went up to $85^{\circ}C$, which resulted in gelatinization of starch. Considering the characteristics of bakery products, general sanitation control procedures are the main target tool to keep bakery products safe. Monitoring of pathogenic microorganisms at bakery plant environment including production lines was carried out. At the wholesale bakery environment pathogenic microorganisms were detected. It gave a clue that general sanitation control procedures should be implemented for safe bakery products supply. Hazard analysis of raw materials and processing of bakery products, and determination of critical control points and critical limits at the wholesale bakeries lead to present generic model of bakery product HACCP plan. CCPs for the wholesale bakery products may be applied and modified for the implementation of HACCP plan at the wholesale bakery plant.

Measurements of Mid-arm Circumference(MAC) and Mid-arm Circumference/Head Circumference (MAC/HC) Ratio as Indices of Nutritional Status in Newborn Infants (신생아 신체 발육지표로서의 중앙 상완위 및 중앙 상완위와 두위비의 측정)

  • Lee, Jae-Jun;Lee, Kyung-A;Lee, Young-Hwan;Shin, Son-Moon
    • Journal of Yeungnam Medical Science
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    • v.11 no.1
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    • pp.160-166
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    • 1994
  • Mid-arm circumference and mid-arm circumference/head circumference ratio(MAC/HC) were measured in 207 AGA(appropriate for gestational age) infants delivered at 26 to 42 weeks of gestation from January 1990 to December 1993 in Yeungnam University Hospital, Taegu, Korea. There were linear relationships between MACs and MAC/HC ratios and gestational age(MAC : y=0.3181x - 2.2069, r=0.81, p<0.001 ; MAC/HC ratio : y=0.0049x+0.1128, r=0.62, ; < 0.001). Using standard curves of MAC and MAC/HC ratio according to the gestational age, measurement of MAC or MAC/HC ratio can be a noninvasive, simple method to evaluate the intrauterine growth of newborn infants and the nutritional status of growing premature infants.

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Factors Affecting Medical Treatment and Expenses for the Inpatients under Coverage of Car Insurance by Traffic Accident (교통사고로 인한 자동차보험 입원환자의 진료현황과 진료비 특성 분석)

  • Ko, Min-Seok;Choi, Joon-Young;Kim, Seung-Hee
    • The Journal of the Korea Contents Association
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    • v.11 no.11
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    • pp.274-285
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    • 2011
  • This study deals with an analysis into the details of medical treatment and expenses by items of treatment as well as the factors related to the ratio between the medical treatment and expenses for 1583 patients who were hospitalized in and discharged from 2 general hospitals located at a city under the coverage of car insurance during the year 2009. As a result, there was statistically significant difference in the details of medical treatment and expenses by items of treatment as well as their composition ratio depending on the individual characters as sex, age and the number of days staying in hospital. Each medical institution should conduct a close analysis of its patients under the car insurance program as well as the factors related to medical expenses with a view to utilize them as basic data for mapping out plans for effective operation of its organization in consideration of the characters as a medicalinstitution.

The Effects of Controlling the Aphis gossypii Glover (Homoptera, Aphididae) on Cucumber of Entomopahtogenic Fungus, Beauveria bassiana

  • Kang, Min-Ah;Youn, Young-Nam
    • Korean Journal of Agricultural Science
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    • v.35 no.2
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    • pp.127-136
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    • 2008
  • Beauveria bassiana can be used as a biological insecticide to control a number of pests. It has been known as that B. bassiana TBI-1 have a insecticidal effect on the twospotted spider mite (Teranychus urticae) and the greenhouse whitefly (Trialeurodes vaporariorum) these days. The biological pest control agent, B. bassiana, showed somewhat insecticidal activities against the cotton aphid, Aphis gossypii, too. After treatment with biological insecticide, the mean of increasing rate of aphids was at around recorded at around 0.21 while at around 0.24 in non-treated TBI-1 biological insecticide condition during 1 week. Consequently, it was found that treatment of Beauveria bassiana reduced an increasing rate of aphid population. Also, we could visually observe dead aphids changed as a reddish mold due to this insecticidal fungus. B. bassiana TBI-1 can significantly reduce an increasing rate of aphid population, so effective biological control against the cotton aphid are possible.

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