• 제목/요약/키워드: Back treatment

검색결과 1,973건 처리시간 0.035초

방글라데쉬 농촌 개발을 위한 케이디에이비 농업 개발사업의 평가 (The Review of KDAB Agriculture Project for the Rural Development in Bangladesh)

  • 권병희
    • 농촌지도와개발
    • /
    • 제3권2호
    • /
    • pp.197-209
    • /
    • 1996
  • Bangladesh that is known as the poorest country of the world has the large land of fertile soil and very good environment to live, even though we think she may be very bad to live. People being habituated to that good environment, the population explosion made the people to be starven, but the treatment has been simple support without deep analysis of the root of poverty. As the result it is general that the poverty is severer and severer in spite of continuous support. For the last century Korea changed from the country of poverty and despair to that of development and hope, to be model mid vision of under development countries including Bangladesh. At this point it is necessary to look back the way of development to help them to solve their poverty problem. That is the goal of this project, and this thesis is the result of it. It is evaluated for the 1st 5 years work of the project to apply the result to the next 5 years plan. This project had been proceeded from 1. Jul. 1990 to 30. Jun. 1995 at Chilmari area of Bangladesh, with teaching and training to wake up the mentality of the people, demonstration farming and cooperative association. It was proceeded as the Agriculture project of KDAB(Korean Development Association in Bangladesh, an NGO registered to Bangladesh) supported by Good Neighbors, KOICA and many churches and individuals. Especially the teaching and training work was proceeded as the branch of the Canaan Farmer`s School of Korea with instruction and support. After the basic survey for project, the confirmation of working place and the preparation of training facility, 10 times of long term training(3 months worse, boarding) was completed, with many times of short term training, informal training, demonstration farm, various demonstrating works. The results of the work are understanding of the not of problem by participatory observation, making plan to solve it, getting the trust from the people and beginning the practical work with the trainees for development of economy and living situation. The biggest problem of Bangladesh is being understood losing the desire to solve the poverty problem and the self-confidence to be able to do it. It is the conclusion that after solving the problem of thought and mentality, the education, technology and money can be effective for development. So the 1st 5 year project is evaluated as the basic work to analyse the root of problem, to chance mentality of people and to search income source. The next goal is to promote practical living level of people. For that it is necessary to develope die mentality of people including responsibility and self-confidence by teaching and training, to educate cooperative association and technology for economical development, to proceed integrated rural development work with economical development, educational improvement and reformation of environment. It is very important result that they decided to grow poultry for main economical source of Chilmari area, to do economical development work by joint operation of poultry through cooperative association.

  • PDF

"한국의 연명의료정책과 기술 거버넌스: 사회에 책임지는 기술혁신(RRI)의 적용 한계와 생명윤리" (Technological Governance Regarding Life-Sustaining Technologies: The Limitations of RRI and Bioethics)

  • 이준석
    • 한국과학기술학회:학술대회논문집
    • /
    • 한국과학기술학회 2015년도 후기 학술대회
    • /
    • pp.247-278
    • /
    • 2015
  • 최근 한국에서도 DNR(소생거부)이 확산됨에 따라 의료적으로 무의미한 연명치료에 대한 논의가 심화되고 있다. 이와 연관된 법원의 판례도 생명윤리와 연관된 정책적 거버넌스적 측면에서 주목을 받고 있는데, 가령 '무의미한연명치료장치제거등'에 관한 대법원 선고(대법원 2009.5.21, 선고, 2009다 17417, 전원합의제 판결) 등은 언론에서도 소개되었을 정도로 시민사회의 공공영역에서 많은 논쟁을 촉발하였다. 이런 사례들은 이전의 의료기술로는 생명유지가 어려운 환자에 대한 신기술 개발 및 적용을 통한 소생과 연명치료가 가능해지면서, 이와 연계된 기술적 거버넌스의 논의가 필요함을 우리에게 보여준다. 본 연구는 첫째, 한국 사회에서 최근 이루어지고 있는 존엄사 및 연명의료와 관련된 정책적, 법적 이슈들을 40여 편의 선행연구를 분석하여 메타적으로 정리한다. 둘째, 생명윤리정책적 관점에서 연명의료기술의 거버넌스가 새로운 윤리적(thanatoethics), 정책적(thanatopolitics) 함의를 우리에게 제시함을 보인다. 이런 관점의 연장선상에서 바라보면, 연명의료 중단을 통한 자발적 존엄사의 선택은 타나토권력(thanatopower)을 주체에게 복속시키는 행위로도 볼 수 있다. 연명 소생기술이 극단적으로 발전하면서 기술의 정책적 함의를 분석함에 있어 이처럼 새로운 개념을 도입할 필요성도 요청된다. 마지막으로 기술 거버넌스 영역에서 최근 주목받는 사회에 책임지는 기술(responsible research and innovation, RRI)은, 연명 및 소생기술의 혁신에도 적용된 바 있다. '간펀화된 자동제세동기(AED)'의 개발이 한 사례이다 기술의 사용주체인 시민사회에서 DNR등을 통해 해당 기술의 사용을 거부하는 경우, 이는 RRI의 한계로 드러나게 된다. 그럼에도 불구하고 아직까지 RRI의 기술혁신을 진행함에 있어 이런 측면은 그다지 고려되지 않는다. 연명의료기술을 개발하고 정책적으로 적용하는 단계에서 앞으로 이런 점은 함께 고려될 필요가 있다.

  • PDF

폐와 후복강에 발생한 림프관평활근종증 1예 (A Case of Pulmonary and Retroperitoneal Lymphangioleiomyomatosis)

  • 곽남주;박남규;김혜영;최기원;엄재호;김동운;조명찬;윤세진;김승택;이상도
    • Tuberculosis and Respiratory Diseases
    • /
    • 제42권4호
    • /
    • pp.600-604
    • /
    • 1995
  • 저지들은 캐나다 방문당시 복부 팽만감을 주소로 그곳 병원을 림프관평활근 종증을 진단받고 귀국 후 본 병원에서 매달 Depo provera를 근주하고 매달 폐기능 검사등을 실시하여 추적관찰하고 있는 폐와 후복강에 발생한 림프관평활근종증의 1예를 경험하였기에 문헌고찰과 함께 보고하는 바이다.

  • PDF

소아 급성 췌장염의 임상적 고찰 (Acute Pancreatitis in Children)

  • 조재호;이태석;고영관;오수명
    • Advances in pediatric surgery
    • /
    • 제2권1호
    • /
    • pp.17-25
    • /
    • 1996
  • Acute pancreatitis(AP) in children is not common but can be associated with severe morbidity rates and its diagnosis is often delayed. Thus, reported mortality rates range from 0 to 78%. We have treated 26 patients with AP from 5 to 17 years of age over the past 17 years. We are intended to assess the relevance of the prognostic criteria used to assess severity of adult AP and to review the etiology, clilical presentation, diagnosis, and management of AP in children. The authors retrospectively reviewed 26 children with AP managed in Kyung Hee University Hospital from 1978 to 1995. Among 26 patients with AP, male were 12, and female were 14. And the mean age of patients was 11.8 years. In 9(34.6%), no definitive cause was identified. Common causes of AP were trauma(23.1%) and biliary tract disease(23.1%). Other etiologies were viral infection(15.4%) and post ERCP(3.8%). The presenting features were abdominal pain(92.3%), vomiting(61.5%), fever(19.2%), submandibular pain(11.5%), and abdominal mass(7.6%). Back pain was rare(3.8%). Abdominal ultrasonographic findings were abnormal in 10 of 16 patients(62.5%) and abdominal CT findings were abnormal for 9 of 9 patients(100%). Seventeen patients(65.3%) were managed conservatively, and nine patients(34.6%) required surgical treatment. There was no mortality. To evaluate the severity of disease, we used the Imrie prognostic criteria used to assess the severity in adult AP. The number of positive criteria was correlated to the duration of hospitalization(r2=0.91) but statistically insignificant(p>0.05). But, the number of positive criteria was correlated to the operative incidence(r2=0.93) and statistically significant(p<0.05). The common causes of AP in children were unknown origin(34.6%), trauma(23.1%), and biliary tract disease(23.1%). Ultrasonography and computed tomography were useful imaging tools of AP in children. The Imrie criteria used to evaluate the severity in adult AP were suspected to be valuable to assess the severity of AP in children.

  • PDF

해간전(解肝煎)이 생쥐의 Immobilization-Stress 및 Cold-Stress에 미치는 영향(影響) (Effects of Haeganjeon on Immobilization-Stress or Cold-Stress in Mice)

  • 황태원;심호철;김송백;유심근;조한백
    • 대한한방부인과학회지
    • /
    • 제18권3호
    • /
    • pp.51-66
    • /
    • 2005
  • Purpose : Investigate the effects of Haeganjeon water extract (HGJ) on immobilization-stress or cold-stress in C57BL/6J mice. Methods : Male C57BL/6J 30 mice of weighting 18${\pm}$2g, were divided into sixs groups including the immobilization-stress group(5heads), after immobilization-stress HGJ oral administration(500mg/kg) groups(5heads), cold-stress group(5heads) and after cold-stress HGJ oral administration(500mg/kg) groups(5heads). then we observed changes in the serum histamine and corticosterone level and changes immune system. Results : HGJ decreased the serum level of histamine and corticosterone increased by immobilization-stress or cold-stress. HGJ inhibited the release of histamine from mast cells. In addition, HGJ enhanced the cell viability of thymocytes decreased by immobilization-stress or cold-stress and decreased DNA fragmentation of thymocytes increased by immobilization- stress or cold-stress. Also, HGJ increased the cell viability of splenocytes decreased by cold-stress and decreased DNA fragmentation of splenocytes increased by cold-stress. HGJ decreased the population of thymic CD4+ cells increased by immobolization-stress. HGJ increased the population of B220+ cells decreased by immobilization-stress and decreased the population of Thy1+ cells increased by immobilization-stress. Also, HGJ decreased the population of splenic CD4+ cells increased by immobolization-stress. HGJ enhanced the production of ${\gamma}-interferon$ decreased by immobilization-stress or cold-stress and increased the production of interleukin-4 decreased by immobilization-stress. Furthermore, HGJ enhanced the phagocytic activity decreased by immobilization-stress or cold-stress and enhanced the level of nitric oxide decreased by immobilization-stress or cold-stress. Conclusion : HGJ may be useful for the prevention and treatment of stress via suppression of serum histamine and corticosterone level and enhancement of immune response.

  • PDF

두통(頭痛)의 원인에 따른 형상의학적(形象醫學的) 고찰 -동의보감(東醫寶鑑) 두문(頭門)을 중심으로 (Review on the Causes of Headache in Hyungsang Medicine)

  • 이동민;박성하;이용태
    • 동의생리병리학회지
    • /
    • 제21권4호
    • /
    • pp.835-841
    • /
    • 2007
  • The followings are concluded from the treatment of headache in Hyungsang medicine, focussed on 11 kinds of headaches in Donguibogam. Headache is classified into overall headache and migraine according to the affected region. The causes are divided into exogenous affection and internal injury; The former brings on headache due to Wind-Cold and headache due to Damp-Heat. The latter, reversal headache, headache due to adverse rising of phlegm, headache due to regurgitation of Gi, headache due to excessive Heat, headache due to excessive Damp, true headache, and alcoholic headache. Headache due to internal injury generally tends to show deficiency syndrome with external affection. Headache due to exogenous affections is common to those who have big head or white skin and to Bangkwang type, and woman. The primary causes are Wind-Cold and Wind-Heat. When the body is observed in the perspective of eight phases, Damp-Heat is to be produced in the front, and Dry-Damp, in the back. Headache due to Damp-Heat is susceptible to Yangmyeong meridian type whose body develops more in the front and to woman. In the perspective of the upper and the lower, Yangdu(that is, head) is related to Eumdu(that is, glans of penis). Headache is also caused by the problems of Eumdu ,such as deficiency of Essence in man, pathologic change of uterus in women, and San syndrome in lower abdomen. In the case of man, headache is frequently severe and difficult to treat because head is a root for man. Disharmony of Gi and blood between the right and the left brings out migraine and headache due to regurgitation of Gi. Migraine is usually accompanied by symptoms of exogenous affection and often afflicts Gi-type, Shin-type, Soyang meridian type, deer type, and Dam-type. Headache due to regurgitation of Gi is brought by Gi deficiency or blood deficiency so that symptoms of exogenous affection do not show. It is mainly common with old people and those who have sunken eyes induced by deficiency of stomach Gi. In the perspective of the upper, the middle, and the lower, the pathologic change of head, chest and abdomen also bring about headache. The pathologic cause of head is Wind-Heat ,which triggers overall headache, migraine, headache due to Wind-Cold, headache due to excessive Heat, The pathogen of chest is phlegm-Fire and brings out headache due to Damp-Heat and headache due to adverse rising of phlegm. The pathologic factor in abdomen is Cold-Damp and produces headache due to adverse rising of phlegm and headache due to excessive Damp. In case of women, headache is generally caused by phlegm-Fire and retention of undigested food.

허리 근골격계질환 예방 보조 조끼의 효과에 대한 실험적 연구 (An Experimental Study on the Effect of Supporting Vest for Musculoskeletal Disorders in Low Back)

  • 김윤정;장지훈;조요한;정진형;정하영;이상식
    • 한국정보전자통신기술학회논문지
    • /
    • 제13권3호
    • /
    • pp.219-225
    • /
    • 2020
  • 인구고령화에 따라 노인의 근골격계질환의 유병률이 계속해서 증가하고 있다. 또한 근골격계질환은 2015년 기준으로 산재보험 보상급여에서 업무상질병 중 상위 세 번째로 사회 및 경제적 손실을 초래한 질환으로서 근로자들에게도 많이 발생하는 질병이다. 본 연구에서는 허리의 근골격계질환의 예방과 치료에 보조할 수 있는 조끼를 제작하여 실험을 통해 그 효과의 유무를 확인하고자 한다. 허리부분의 질환은 코어근육과 밀접한 연관이 있다. 따라서 제작한 조끼는 코어근육을 지지해 주는 형태로 제작하였다. 효과 검증을 위해 조끼의 착용 전과 후에 허리 신전 운동인 멕켄지 운동을 10회 실시하면서 코어근육에 해당되는 배속빗근(내복사근, Internal oblique), 배곧은근(복직근, Rectus abdominis), 척추세움근(척추기립근, Erector spinae)의 근전도 데이터를 수집하고 수집한 데이터를 근전도 분석 프로그램인RM-3를 통해 분석하여 각 근육의 10회 측정 시 RMS값을 구하고 그 평균값을 비교하는 실험을 진행했다. 데이터비교 이후 유의성 검증을 위해 PASW ver18.0을 통해 측정결과의 기술통계치 산출과 평균차를 검증하고, 실험 결과치에 대응표본 T검정을 시행하여 통계 처리를 했다. 통계분석의 유의 수준은 α=.05로 설정하고 통계처리를 진행하였다.

당뇨가 유발된 햄스터 창상치유에 미치는 벼세포 유래 GM-CSF의 효과 (Rice Cell Origin Recombinant Human Granulocyte Macrophage Colony-Stimulating Factor (rrhGM-CSF) Could Improve the Wound Healing in Diabetic Hamster)

  • 한규범;허시현;정진주;한만덕;김완종;신길상
    • Applied Microscopy
    • /
    • 제39권3호
    • /
    • pp.253-260
    • /
    • 2009
  • 상처치유는 growth factor와 cytokine들의 복합적인 작용에 의해 일어나는 과정이다. GM-CSF는 호중구와 대식세포를 분화시키고 각질세포를 증식시키는 다면발현성 사이토카인으로 여러 세포에서 재조합되어 사용되고 있다. (주)핸슨바이오텍에서 개발한 rice cell 유래의 재조합 rrhGM-CSF는 다른 세포에서 유래된 GM-CSF들보다 탄수화물 측쇄가 많은 것이 특징이다. rrhGM-CSF의 창상치유효과를 알아보기 위하여 햄스터에 만성 당뇨를 유도하여 상처치유가 어려운 동물모델을 만든 후, 등쪽에 인위적으로 피부 전 층을 제거하여 창상을 유발하였다. 실험군에는 rrhGM-CSF가 포함된 연고를 적용하고, 대조군에는 base cream만을 적용하여 재상피화되는 과정과 피부조직의 구조 및 PCNA 반응을 통한 세포증식 정도를 비교하였다. 육안 및 조직학적 관찰 결과, rrhGM-CSF를 적용한 그룹의 재상피화 속도가 더 빨랐으며, PCNA 면역조직화학적 조사에서도 증식하는 각질세포의 수가 대조군보다 상대적으로 많은 것으로 나타남으로써, rrhGM-CSF에 의한 피부상처 치유 효과를 관찰할 수 있었다. 이러한 결과들로 미루어 보아 벼세포 유래의 rrhGM-CSF는 국소적인 피부 창상 치유에 효과적인 것으로 보이며, rrhGM-CSF의 풍부한 당화 사슬은 이 단백질이 상처부위에 안정된 상태로 기능을 나타냄으로써 효과를 오랫동안 지속시킬 수 있었던 것으로 사료된다.

섬유질배합사료 급여가 거세한우의 발육 및 도체특성에 미치는 영향 미치는 영향 (Effects of Total Mixed Rations on Growth Performance and Carcass Charcteristics of Hanwoo Steers)

  • 조영무;권응기;장선식;김태일;박병기;강수원;백봉현
    • Journal of Animal Science and Technology
    • /
    • 제50권3호
    • /
    • pp.363-372
    • /
    • 2008
  • 본 연구는 거세한우 비육시 섬유질배합사료의 급여가 발육, 사료이용성 및 도체특성에 미치는 효과를 구명하고, 기존의 분리급여 방법과의 경제성을 비교검토코자 실시하였다. 생후 약 6개월령(평균체중 153kg 내외)의 거세 한우 60두를 공시하였으며, 사양시험은 생후 6개월령부터 28개월령까지 약 22개월간 실시하였다. 시험설계는 배합사료와 볏짚 분리급여구(Control), 습식 섬유질배합사료 급여구(TMRⅠ), 맥강 20%(TMRⅡ) 및 40%(TMRⅢ) 함유 건식 섬유질배합사료 급여구 등 4처리로 하여 각 처리당 15두씩 완전 임의배치하였다. 일당증체량은 맥강 20%를 첨가한 건식 섬유질배합사료구가 0.70kg으로 모든 처리구에서 가장 높았으나 처리간에 유의적인 차이는 없었다(p>0.05). 전기간 kg 증체당 사료요구량은 대조구가 11.63kg 이었고, 섬유질배합사료 급여구인 TMRⅠ, TMRⅡ 및 TMRⅢ구는 각각 9.29, 10.46 및 10.71kg 이었다. 도체율과 거래정육율은 모든 처리구가 각각 59% 및 63% 내외로 처리간 유의적인 차이가 없었으며(p> 0.05), 배최장근 단면적, 등지방 두께, 육색 및 지방색 역시 처리간 차이가 없었다(p>0.05). 근내지방도는 TMRⅠ구가 5.0으로 분리급여구의 3.4보다 유의적으로 높았고(p<0.05), 육질 1등급 이상 출현율은 TMRⅠ구와 TMRⅡ구에서 높게 나타났다. 경제성 분석 결과 분리급여구에 비해 TMRⅡ구가 사료비는 25% 정도 절감되었고, 소득은 19% 정도 향상되는 것으로 나타났다. 이상의 결과로 보아 거세한우 비육시 섬유질배합사료 급여가 비육우의 생산성 및 도체특성 개선과 생산비 절감에 효과가 있을 것으로 사료된다.

구침(九鍼)에 관(關)한 연구(硏究) (The study of the usage of Jiu-Zhen (九鍼))

  • 정기진;조현석;윤종화
    • 대한의료기공학회지
    • /
    • 제2권2호
    • /
    • pp.185-199
    • /
    • 1998
  • Going back to long chinese medical history, there were many different methods of treatment according to the origin of local chinese areas, such as Bian-Shi(?石) from east, herbal therapy from west, acupuncturing from south, moxibustion from north, and mainpulating therapy from middle china. In the midst of these therapies, acupuncture needling had developed very much both in theories, shapes, usages and also in theraputic boundray. Historical books dealing with acupuncture had introduced and used Jiu-Zhen as a tool for acupuncture needling in common. But there are some differences between each texts about in shape, use, and there are also another different point of view about the interrelationship between Bian-Shi and Ji-Zhen. So the author, in this research, tried to look for how Jiu-Zhen had took on its real kinds, adaptive usages, theraputic boundaries, many different skills of needing. By researching over ${\ulcorner}$ Ling-Shu, Jiu-Zhen(靈樞,九鍼)${\lrcorner}$, ${\ulcorner}$ Ling-Shu, Jiu-Zhen-Shi- Yi-Yuan(靈樞,九鍼十二原)${\lrcorner}$, ${\ulcorner}$ Ling-Shu, Guan-Zhen(靈樞,官鍼)${\lrcorner}$, and by compar- ing them with the contents of Jiu-Zhen in ${\ulcorner}$ Zhen-Jiu-Yi-Jing(鍼灸甲乙經)${\lrcorner}$ ${\ulcorner}$Zhen-Jiu-Da-Cheng (鍼灸大成)${\lrcorner}$, the author discovered small conclusions such as following. 1. Taking Jiu-Zhen in a narrow sense, it only repesents nine different needle used in different cases. But in large sense, this means nine different deedling methods using each different needles which is represented in the form of Wu-Ci ( 五剌 ), Shi-Yi-Ci ( 十二剌 ) in ${\ulcorner}$ Ling-Shu, Guan-Zhen ${\lrcorner}$ 2. Jin-Zhen has been first originated from stone age as a substitute for Bian-Shi and through bronze and iron age, it followed a process of it's own shape and applicating functions. As an example, the moxibustional therapies shown in ${\ulcorner}$ Zu-Bi-Shi-Yi-Mai- Jiu-Jing ( 足臂十一脈灸經 )${\lrcorner}$ ${\ulcorner}$ Yin-Yang-Shi-Yi-Mai-Jiu-Jing ( 陰陽十一脈灸經)${\lrcorner}$ in ahead of ${\ulcorner}$ Nei-Jing ( 內經 )${\lrcorner}$ era, was relationship in acupuncturing skills and shape. So Jiu-Zhen had been originated on the base of Bian-Shi in ancient times to develop into delicate shape, skill, and theraputic foundation of modern oriental medicine.