• 제목/요약/키워드: Form of management and treatment

검색결과 230건 처리시간 0.025초

서울시 일반폐기물의 통합적 관리체계에 관한 연구 (A Study on the Integrated Management System of Municipal Solid Waste from Seoul Metropolitan City)

  • 우세홍;홍상균
    • 한국환경보건학회지
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    • 제19권4호
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    • pp.51-58
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    • 1993
  • The integrated solid waste management for Seoul Metropolitan city can be established on the basis of the following hierarchy of priorities: 1. Efforts for source reduction should be propelled by both government and citizens to achieve the effects of resource conservation. The adequate production and consumption which are environmentally amenable and sustainable can be induced by the reasonable imposition of deposit money for waste treatment to one-time use products. To accomplish source reduction effectively, the induction of legal and institutional regulation of producer and consumer participation is requisite. 2. For resource recovery, wastes generated should be recycled as far as practicable. Community residents are responsible to separate discharge, the authorities concerned have responsibility of separate collection, and recycling industry should be assissted through tax reduction and financing. Resource separation facilities can be constructed at Kimpo Metropolitan landfill site for wastes not separately collected due to some unavoidable circumstances. 3. Garbage should be composted. Garbage is uneconomical for incineration, because it has high moisture content and low calorie, thus there is no reason for the incineration of garbage even though garbage is classified into combustibles. Composting facilities can be located at sites which are not densely populated and easily accessible to transportation, for example, Kimpo Metropolitan landfill site. Compost produced can be managed by the authorities for the use of fertilizer to a green tract of suburban land and farms. 4. Nonhazardous combustible wastes not recyclable can be utilized for thermal recovery at the incinerators which are completely equipped with pollution control devices. According to the trend of local autonomy and the equity principle of local autonomous entities, incineration facilities of minimal capacity required can be constructed at each districts of Seoul Metropolitan city which have organized local assembly. In case of Yangcheon district, the economically combustible waste quantity is about 260 tons/day which exceeds 150 tons/day, the incineration capacity of existing facility. But, from now on, waste quantity can be reduced substantially by the intensive efforts of citizens for source reduction and recycling and the institutional support of administrative organizations. Especially, it is indispensable for the government to constitute institutional and technological bases that can recycle paper and plastics form 43% of waste generated. A good time for constructing of incineration facilities for municipal solid waste can be postponed to the time that pollution control technologies of domestic enterprises are fully developed to satisfy the standards of air pollution prevention, because the life expectancy of Kimpo Metropolitan landfill site is about 25 years. Within this period, institutional improvements and technological advancements can be attained, while the air qual. ity of Seoul Metropolitan city can be ameliorated to the level to afford incineration facilities. 5. For final disposal, incombustibles and ash are landfilled sanitarily at Kimpo Metropolitan landfill site.

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밀기증후군을 가진 뇌졸중 환자에 대한 임상 실기와 문서화: 사례보고 (Physical Therapy Clinical Practice and Documentation for Pusher Syndrome in Stroke Patients: Case Report)

  • 황기경;송수영;두영택;윤세원;이정우
    • 대한임상전기생리학회지
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    • 제9권1호
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    • pp.41-49
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    • 2011
  • This study purposes to conduct visual feedback and body posture control training on stroke patients with pusher syndrome in order to reduce their pusher syndrome. This study also examines changes resulting from the training and applies the guidelines necessary for documentation of patient/customer management. The participant for this study was one patient with pusher syndrome. The study progressed from a medical examination of the subject followed by evaluation, diagnosis, prognosis, intervention and treatment plan, and finally re-examination in order of precedence. Problems in the participant's functional activities, difficulties in changes from sitting postures into standing postures, and maintaining standing postures were determined as primary restrictions on activities and the improvement of these activities was set up as a goal through discussions with the patient. Interventions were mainly implemented to reduce the pusher syndrome with visual feedback provided using mirrors and exercises focusing on leaning in order to maintain posture while sitting. Changes from supine postures to sitting postures and the degree of changes in maintaining standing postures were compared between before and after the intervention by measuring times in the same environment and the degree of pusher syndrome was measured using the SCP tool. The process of this clinical practice was documented. The SCP score that indicates the degree of changes in the participant's pusher syndrome changed from 3.75 points to 0.8 point indicating a decrease in pushing. Among functional activities, posture changes from sitting postures to standing postures and maintaining standing postures were improved. In addition, since the patient could maintain standing postures, the patient could walk indoors. In this case study, mirrors and body posture control training used as interventions to relieve pusher syndromes can be easily applied in clinics to examine the form of functional recovery. The results indicated that these intervention methods were effective and thus it is thought that the results can be used as basic data to utilize these intervention methods diversely. In addition, the documentation of patient/client management was applied as actual documentation in Korean and based on the results, we could show decision making processes for patients' functional goals and objectively explain problems, prognoses and changes made through the interventions.

치은 변연을 고려한 상악 전치부의 심미 수복 증례 (The esthetic prosthodontic treatments in maxillary anterior area, considering the gingival margin)

  • 손다흰;백장현;우이형;김형섭
    • 대한치과보철학회지
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    • 제54권4호
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    • pp.438-444
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    • 2016
  • 상악 전치부의 보철 수복은 치과 영역의 심미 치료에 있어서 매우 중요한 치료이다. 상악 전치부의 보철 수복을 통해 치아의 형태나 배치, 색상 등을 대체함으로써 심미성의 개선이 가능하다. 이러한 치료를 계획할 때, 안모 및 치아와 입술과의 관계 분석, 치아와 치은의 분석 등을 통해 환자마다 개별적인 고려 사항에 대한 접근이 필요하다. 이러한 고려 사항 중 치아 주위 치은 구조를 적절히 형성하는 것은 매우 중요한데, 치은 변연의 높이, 치은 정점의 위치, 치간 유두의 재건, 출현 윤곽, 좌우 측의 대칭성 등을 고려해야 한다. 하지만 치은 구조가 항상 적절히 형성되어 있는 것은 아니기 때문에, 보철 치료 시 비심미적인 치은 구조의 개선을 위한 처치를 계획해야 하는 경우가 많다. 이 증례에서는 치은 외형의 결함으로 인한 비심미성을 개선하기 위해 치료를 시행한 환자들에서 외과적 처치 없이 각각 pink porcelain, 치은 연하 형태의 형성, 가공치 기저부 형태의 조정을 통해 만족할만한 심미적인 결과를 얻었기에 보고하고자 한다.

Kinetic models에 의한 딸기 중 농약의 생물학적 반감기 비교와 생산단계잔류허용기준 설정 (Field tolerance of pesticides in the strawberry and comparison of biological half-lives estimated from kinetic models)

  • 박동식;성기용;최규일;허장현
    • 농약과학회지
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    • 제9권3호
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    • pp.231-236
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    • 2005
  • 본 연구는 생산단계의 딸기에 4가지 살균제(tolclofos-m, folpet, procymidone, triflumizole)를 수확 10일전 안전사용 기준량으로 처리한 후 잔류량을 파악하였고, 이것을 근거로 6 가지 kinetic models(first order, zero order, second order, power function model, elovich model, parabolic model)에 따른 반감기를 비교하였다. 최적의 모델로 판명된 first order kinetic model로부터 구한 반감기를 이용하여 생산단계잔류허용기준(field tolerance)을 설정, 제시하였다. 잔류분석법의 적합성 판단을 위한 회수율 실험에서는 $85.1{\sim}105.0%$ 범위를 보였으며, 4 가지 약제 모두 약제 처리 5일 후 평균 73% 이상 소실되었다. 잔류량과 시간과의 상관관계는 first order kinetic model에서 가장 높은 결정계수값을 보였으며, 이를 이용하여 산출한 반감기로 생산단계 잔류허용기준(안)을 설정하였다. 이와 같은 결과는 최적의 kinetic model로 반감기를 산출해야 한다는 이론적 근거를 제시하는 것이며, 수확 후 또는 유통 중의 잔류허용기준뿐만 아니라 생산단계에서도 허용기준을 마련하여 부적합 품목을 사전에 차단할 수 있는 기준설정의 예로서 안전 농산물 공급과 농가소득에 크게 기여할 수 있는 기초자료가 될 것이라 사료된다.

내항상선 승선 외국인선원의 관리에 관한 연구 (A Study on the Management of Foreign Crew in Domestic Merchant Vessel)

  • 김영모
    • 해양환경안전학회지
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    • 제18권2호
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    • pp.123-129
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    • 2012
  • 카보타지는 동일한 국가 내의 두 지점간 화물이나 여객을 다른 국가에 등록한 선박이나 항공기가 수송하는 것을 말한다. 카보타지규제는 경제적으로는 보호주의 측면에서, 국방의 관점에서는 국가안전보장 측면에서 정당화되어 왔으며, 미국, 일본, EU(역외(域外)국가간) 등 세계 주요국가들이 카보타지를 실시하고 있다. 우리나라는 세계 5위의 지배선단을 가진 해운국으로 성장하였으나, 선원공급 부족과 내항선선원의 고령화는 내항선박의 정상적인 운항을 저해하는 요인으로 대두되고 있다. 이에 따라 정부는 카보타지라는 기본적인 원칙을 고수하면서도 2004년부터 외국인선원들의 내항상선 승선을 허용하여 2011년 8월 현재 530명의 미얀마 및 인도네시아 부원선원이 국적 내항선박에 승선하고 있다. 우리나라 법적으로는 내항선에 외국인선원을 승선시키는 것이 가능하나, 카보타지규제를 받는 선박에 외국인선원을 승선시키는 것은 카보타지 본래의 취지를 훼손시킨다고 볼 수 있으므로, 그로 인해 발생할 수 있는 내항해운의 문제점을 해소하기 위한 조치가 필요하다. 외국인선원 승선으로 인한 문제점을 최소화하기 위해서는 첫째, 의사소통과 문화적차이를 극복할 수 있는 외국인선원 관리기법의 도입이 필요하며, 둘째, 외국인 선원의 고충상담을 위한 외국인선원지원센터의 설립이 필요하고, 셋째, 적정 관리능력을 갖춘 외국인선원관리회사를 육성하며, 넷째, 외국인선원의 근로조건 개선을 통하여 안정적인 선원공급을 가능하게 할 필요가 있다. 마지막으로 송출국가의 행정당국과의 무단이탈자 행정제재에 대한 협정체결이 필요하다.

구강 편평세포암종의 반대측 예방적 경부치료 (Management of Contralateral Node Negative Neck in Oral Cavity Squamous Cell Carcinomas)

  • 구본석;이욱진;나경원;정의석;김유석;이진석;임영창;최은창
    • 대한두경부종양학회지
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    • 제21권2호
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    • pp.196-200
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    • 2005
  • Objectives: The purpose of this study was to evaluate the incidence and predictive factors of contralateral occult lymph node metastasis in oral cavity squamous cell carcinomas to form a rational basis for elective contralateral neck management. Materials and Methods: We performed a retrospective analysis of 66 N0-2 oral cavity cancer patients undergoing elective neck dissection for contralateral clinically negative necks from 1991 to 2003. Results: Clinically negative but pathologically positive contralateral lymph nodes occurred in 11%(7 of 66) . Of the 11 cases with a clinically ipsilateral node positive neck, contralateral occult lymph node metastases developed in 36%(4 of 10, in contrast with 5%(3/55) in the cases with clinically ipsilateral node negative necks(p<0.05). Based on the clinical staging of the tumor, 8%(3 of 37) of the cases showed lymph node metastases in T2 tumors, 25%(2 of 8) in T3, and 18%(2 of 11) in T4. None of the T1 tumors(10 cases) had pathologically positive lymph nodes. The rate of contralateral occult neck metastasis was significantly higher in advanced stage cases and those crossing the midline, compared to early stage or unilateral lesions(p<0.05). Patients with no evidence of contralateral nodal cancer had significantly improved disease-specific survival over patients with any pathologically positive nodes(5-year disease-specific survival rate was 79% vs. 43%, p<0.05). Conclusion: The risk of contralateral occult neck involvement in the oral cavity squamous cell carcinomas above the T3 stage or those crossing the midline with unilateral metastases was high. Therefore, we advocate an elective contralateral neck treatment with surgery or radiotherapy in oral cavity squamous cell carcinoma patients with ipsilateral node metastases or tumors that are greater than stage T3 or crossing the midline.

보건진료소 고혈압 관리사업의 실태 (A Study on Hypertension Management of Community Health Practitioner Posts)

  • 권명순
    • 농촌의학ㆍ지역보건
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    • 제28권2호
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    • pp.155-169
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    • 2003
  • 본 연구는 농촌지역의 고혈압 관리실태를 파악하기 위하여 전국의 보건진료소 1,849개소를 모집단으로 하여 비례층화표출법에 의해 700개소의 보건진료소를 선정하여 자가보고식 설문지를 2003년 3월 13일부터 5월 13일까지 두 달간 실시하여 수집된 205개의 설문지를 분석하여 다음과 같은 결론을 얻었다. 첫째, 보건진료원의 평균 연령은 42세였고, 근무경력은 11년에서 20년 사이가 62%를 차지하였고 20년 이상의 근무경력자도 17.2%로 나타났다. 교육수준은 간호대 3년제 졸업이 61.3%이고 대학원이상이 7.0%였다. 둘째, 조사대상지역의 생업별 지리적 특성은 농촌인 곳이 77.3%, 어촌이 14.7%이고, 행정적 관할인구는 501-1,000명이 44.3%였고, 실제적 관할인구는 501-1,000명이 53.3%였다. 65세 이상인구의 비율은 평균 26.7%이고, 담당하고 있는 리는 평균 4개이고, 마을건강원의 수는 평균 6명인 것으로 응답하였다. 셋째, 기타 고혈압 사업과 관련된 특성으로는 월평균 혈압측정자 비율은 평균 25.4%, 월평균 방문가구 중 고혈압 관리를 위해 방문하는 가구 비율은 평균 42.4%, 월평균 내소자 중에서 혈압으로 인해 보건진료소를 내소하는 비율은 평균 15.6%였다. 고혈압 사업을 하는데 있어서 운영협의회의 역할이 있다고 응답한 곳은 15.7%였고, 사업을 수행하는데 마을건강원이 도움된다고 응답한 곳이 52.7%이고 보건진료원 자신이 고혈압 사업을 수행하는데 능력이 충분하다고 응답한 곳이 76.2%였다. 보건지소와의 협조는 잘 된다고 한 곳이 43.4%, 안 된다고 한 곳이 56.7%인 것으로 나타났다. 넷째, 일반주민을 대상으로 한 고혈압환자 예방사업 중에서 보건교육과 관련된 항목 중 보건교육내용선정과 교육시간선정은 보건진료원의 판단 하에 결정하는 경우가 50% 이상이었고, 1년 동안 4회 이상의 보건교육을 실시하는 곳이 56.7%이며, 교육방법은 강의와 시청각 매체를 이용하고 주로 사용하는 시청각 매체는 비디오라고 83.6%가 응답하였다. 교육자료는 보건소에서 배부 받아 사용하는 경우가 64.5%였고 교육 후에 평가를 실시하는 곳은 22.1%였다. 고혈압환자 조기발견은 96.1%가 보건진료소를 내소하는 경우에 혈압측정을 통해 발견하였고, 89.3%는 가정방문을 통해 환자를 발견, 49.1%는 지역사회 보건의료기관 및 일반자원으로부터 의뢰를 통해 환자를 발견하였다. 그 외에 집단 행사를 통해 환자를 발견하는 경우는 39.5%이고, 기존 자료를 통해 환자를 발견하는 경우는 35.7%였다. 다섯째, 고혈압환자를 대상으로 한 고혈압환자 등록 및 관리사업에서 고혈압 환자만을 위해 전용기록지를 사용하는 곳이 35.6%이고, 50% 이상이 타의료기관에서 관리받는 환자까지 보건진료소에 등록해서 관리하고 있었다. 고혈압관리수첩은 사용하지 않는 경우가 34.8%였고 고혈압환자 관리를 위해 전산프로그램을 사용하는 경우는 68.5%이고, 사용용도는 월보작성이나 환자치료 및 추구관리를 위해 사용한다고 60%이상이 응답하였고 10.6%는미치료자를색출하는데사용한다고응답하였다. 여섯째, 모든 의뢰환자에게 의뢰서를 발급하는 경우가 22%이고, 반드시 회신서를 확인해서 환자기록지에 보관하는 경우가 26.2%였다. 그외에 민간의료기관과의 공식적, 비공식적인 의뢰체계를 구축한 곳이 64.7%였다. 고혈압환자 치료 및 추구관리에서 투약관리와 혈압 상태관리는 95% 이상이 수행하고 있었으나 생활요법 중에서 스트레스나 비만관리, 식이관리는 약 7%정도가 전혀 확인을 안 하고 있다고 응답하였다. 또한 작년 한해 동안 고혈압환자 및 가족을 대상으로 교육을 실시한 경우가 약 30%였고, 고혈압 환자만을 대상으로 교육을 실시한 곳은 70.7%였다.

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『황제내경소문(黃帝內經素問)·칠편대론(七篇大論)』 왕빙 주본(注本)을 통(通)한 운기학설(運氣學說) 관(關)한 연구(硏究)

  • 김기욱;박현국
    • 동국한의학연구소논문집
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    • 제4권
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    • pp.109-140
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    • 1995
  • As we considered in the main subjects, investigations on the theory of 'Doctrine on five elements' motion and six kinds of natural factors(運氣學說)' through 'Wang Bing's Commentary(王氷 注本)' of 'The seven great chapters in The Yellow Emperor's Internal Classic Su Wen' ("黃帝內經素問 七篇大論") are as follows. (1) In The seven great chapters("七篇大論")' Wang Bing supplement theory and in the academic aspects as a interpreter, judging from 'forget(亡)' character. expressed in the 'The missing chapters("素問遺篇")', 'Bonbyung-ron("本病論")' and 'Jabeob-ron(刺法論)', 'The seven great chapters("七篇大論")' must be supplementary work by Wang Bing. Besides, he quoted such forty books as medical books, taoist books, confucianist books, miscellaneous books, etc in the commentary and the contents quoted in the 'Su Wen(素問)' and 'Ling Shu("靈樞")' scripture nearly occupy in the book. As a method of interpreting scripiure as scripture, he edited the order of 'Internal Classic("內經")' ascended from the ancient time and when he compensated for commentary, with exhaustive scholarly mind and by observing the natural phenomena practically and writing the pathology and the methods of treatment. We knew that the book is combined with the study of 'Doctrine on five elements motion and six kinds of natural factors(運氣學說)' (2) When we compare, analyze the similar phrase of 'The seven great chapters in The Yellow Emperor's Internal Classic Su Wen'("黃帝內經素問ㆍ七篇大論") through 'Wang Bing's Commentary(王氷 注本)', he tells abouts organized 'five elements(五行)' and 'heaven's regularly movement(天道運行)' rather than 'Emyangengsangdae-ron("陰陽應象大論")' in 'The seven great chapters("七篇大論")'. Also the 'Ohanunhangdae-ron("五運行大論")' because the repeated sentences with 'Emyangengsangdae-ron("陰陽應象大論")' is long they are omitted. And in the 'Youkmijidae-ron("六微旨大論")', 'Cheonjin ideology(天眞四象)' based on the 'Sanggocheonjin- ron("上古天眞論")', 'Sagijosindae-ron("四氣調神大論")' is written and in the 'Gigoupyondae-ron("氣交變大論")', the syndrome and symptom are explained in detail rather than 'Janggibeobsi-ron("藏氣法時論")', 'Okgijinjang-ron ("玉機眞藏論")' and in the 'Osangieongdae-ron("五常政大論")', the concept of 'five element(五行)' of the 'Gemgwejineon-ron("金櫃眞言論")' is expanded to 'the five elements' motion concept(五運槪念)' and in the 'Youkwonjeonggidae-ron("六元正紀大論")', explanations of 'The five elements' motion and six kinds of natural factors(運氣)' function are mentioned mainly and instead systematic pathology is not revealed rather than 'Emyangengsangdae-ron("陰陽應象大論")'. And in the 'Jijinyodae-ron("至眞要大論")', explanations of the change of atmosphere which correspond to treatment principle by 'The three Yin and Yang(三陰三陽)' as a progressed concepts are revealed. Therefore there are much similarity between the phrase of 'Emyangengsangdae-ron("陰陽應象大論")' and 'chapters of addition(補缺之篇)'. Generally, the doctrine which 'The seven great chapters("七篇大論")' are added by Wang Bing(王氷) is supported because there are more profound concepts rather than the other chapter in 'The seven great chapters("七篇大論")'. (3) When we study Wang Bing's(王氷) 'Pattern on five elements motion and six kinds of natural factors(運氣格局)' in 'The seven great chapter("七篇大論")', in the 'Cheonwongi-dae-ron("天元紀大論")', With 'Cheonjin ideology(天眞思想)' and the concepts of 'Owang(旺)'${\cdot}$'Sang(相)'${\cdot}$'Sa(死)'${\cdot}$'Su(囚)'${\cdot}$'Hu(休)' and 'Cheonbu(天符)'${\cdot}$'Sehwoi(歲會)' are measured time-spacially to the concept of 'Three Sum(三合)' the concept of 'Taeulcheonbu(太乙天符)' is explained. In the 'Ounhangdae-ron("五運行大論")', 'The calender Signs five Sum(天干五合)' is compared to the concepts of 'couples(夫婦)', 'weak-strong(柔强)' and in the 'Youkmijidae-ron("六微旨大論")', 'the relationship of obedience and disobedience(順逆關係)' which conform to the 'energy status(氣位)' change and 'monarch-minister(君相)' position is mentioned. In the 'Gikyobyeondae-ron("氣交變大論")', the concept of 'Sang-duk(相得)', 'Pyungsang(平常)' is emphasized but concrete measurement is mentioned. In the 'Osangieongdae-ron("五常政大論")', the detailed explanation with twenty three 'systemic of the five elements' motion(五運體系)' form and 'rountine-contrary treatment(正治. 反治)' with 'chill-fever-warm-cold(寒${\cdot}$${\cdot}$${\cdot}$凉)' are mentioned according to the 'analyse and differentiate pathological conditions in accordance with the eight principal syndromes(八綱辨證)'. In the 'Youkwonjeonggidae-ron("六元正紀大論")', Wang Bing of doesn't mention the concepts of 'Jungwun(中運)' that is seen in the original classic. In the new corrective edition, as the concepts of 'Jungwun, Dongcheonbu, Dongsehae and Taeulcheonbu(中運, 同天符, 同歲會, 太乙天符)' is appeared, Wang Bing seems to only use the concepts of 'Daewun, Juwun, and Gaekwun(大運, 主運, 客運)'. In the 'Jijinyodaeron("至眞要大論")', Wang Bing added detailed commentary to pathology and treatment doctrine by explaining the numerous appearances of 'Sebo, sufficiency, deficiency(歲步, 有餘, 不足)' and in the relation of 'victory-defeat(勝復)', he argued clearly that it is not mechanical estimation. (4) When we observe the Wang Bing's originality on the study of 'the theory of Doctrine on five elements' motion and six kinds of natural factors(運氣學說)', he emphasized 'The idea of Jeongindogi and Health preserving(全眞導氣${\cdot}$養生思想)' by adding 'Wang Bing's Commentary(王氷 注本)' of 'The seven great chapters("七篇大論")' and explained clearly 'The theory of Doctrine on five elements' motion and six kinds of natural factors(運氣學說)' and simpled and expanded the meaning of 'man, as a microcosm, is connected with the macrocosm(天人相應)' and with 'Atmosphere theory(大氣論)' also explained the meaning of 'rising and falling mechanism(升降氣機)'. In the sentence of 'By examining the pathology, take care of your health(審察病機 無失氣宜)'. he explained the meaning of pathology of 'heart-kidney-water-fire(心腎水火)' and suggested the doctrine and management of prescription. In the estimation and treatment, by suggesting 'asthenia and sthenia(虛實)' two method's estimation, 'contrary treatment(反治)' and treatment principals of 'falling heart fire tonifyng kidney water(降心火益腎水)', 'two class of chill and fever(寒熱二綱)' were demonstrated. There are 'inside and outside in the illness and so inner and outer in the treatment(病有中外 治有表囊)'. This sentence suggests concertedly. 'two class of superfies and interior(表囊二綱)' conforming to the position of disease. Therefore Wang Bing as an excellent theorist and introduced 'Cheoniin ideology(天眞思想)' as a clinician and realized the medical science. With these accomplishes mainly written in 'The theory of Doctrine on five elements' motion and six kinds of natural factors(運氣學說)' of 'The seven great chapters("七篇大論")', he interpreted the ancient medical scriptures and expanded the meaning of scriptures and conclusively contributed to the development of the study 'Korean Oriental Medicine(韓醫學)'.

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물리치료 임상실습 교과내용 개선을 위한 조사연구 (The Survey for Improvement in Clinical Practice Curriculum of Physiotherapy)

  • 장수경
    • 대한물리치료과학회지
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    • 제5권3호
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    • pp.659-674
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    • 1998
  • This Study was to investigate elaborated research themes and direction through specifying the problems of clinical practice education and looking for the direction of improvement. It was in the basis of the viewpoint of the educators that professors and therapists who were the subjects of this study. Perform this study, the 15 colleges' professors and the 55 hospitals' therapists was made up questionnaire, and the data was analysing by Chi-square test and percentage. The results were as follow : ${\cdot}$ In a personal history among the general qualities, professors have little clinical practice history(l-5 years, 53.3%), and therapists have little lecture career(1-5 years, 43.6%, have no 49.0%), ${\cdot}$ The 78.6% subjects were unsatisfied of clinical practice systems. ${\cdot}$ The correlation between clinical history, school career and lecture career and the satisfaction level of clinical practice systems has no(P<.005), ${\cdot}$ The subjects were agreed to that clinical practice curriculum should be changed(67.1%), reinforced(82.9%), and specified(90.0%). ${\cdot}$ The clinical practice credits are 11 points averagely. ${\cdot}$ In the clinical practice curriculum, it made no difference in the practicum of diseases, modality, and the therapeutic techniques between professors and therapists. ${\cdot}$ The 100% professors said that the practicum of the patients' assessment is necessary, and the 63.6% therapists were training for that. ${\cdot}$ The 66.7% professors said that the practicum of the clinical psychology is necessary, and only the 20.0% therapists were training for that. ${\cdot}$ The 93.3% professors said that the practicum of the patients' management is necessary, and the 50.9% therapists were training for that. ${\cdot}$ The 66.7% professors said that the practicum of the medical ethics is necessary, and the 34.5% therapists were training for that. ${\cdot}$ The 46.7% professors said that the practicum of the hospital administration is necessary, but the 54.5% therapists have not training. ${\cdot}$ The 33.3% professors said that the practicum of the pharmacology is necessary, but the 81.8% therapists have not training. ${\cdot}$ The 86.7% professors said that the practicum of the patient's education is necessary, and the 43.6% therapists have training. ${\cdot}$ The 66.7% professors said that the practicum of the prosthesis and brace is necessary, but the 14.5% therapists have not training. ${\cdot}$ The 60.0% professors said that the practicum of the exercise prescription is necessary, but the 25.5% therapists have not training. ${\cdot}$ The 53.5% professors said that the practicum of the emergency treatment is necessary, but the 52.7% therapists have not training. ${\cdot}$ Drawing up the plan about the curriculum of clinical practice, the professors (46.7%) were agreed to national master plan framing by an expert advisor, but the therapists (58.2%) said that the plan that make the most of hospitals' characteristics should be specified. ${\cdot}$ It was found that a clinical special therapists(54.5%) was good as a person in charge of clinical practice education, in that each therapist's own good time (34.5%) was. ${\cdot}$ It made use of the form framing by college(40.0%) as the clinical practice textbook, the form framing by hospital (42.9%) and each therapist(22.9%) as the plan, and the form framing by college (74.3%) as the measurement. ${\cdot}$ The most difficult point in clinical practice education was the lacks of the theory-praciticum linkage(78.2%). ${\cdot}$ It was found that the period of clinical practice was in the second semester-third grade (40.0%) and the desirable period was in the first semester-third grade(50.0%). ${\cdot}$ Professors (53.3%) were agreed that the desirable clinical practice duration was from four months to six months(60.0%), and the therapists (60.0%) were agreed that from one month to three months. ${\cdot}$ This study presented the lacks of rearing the experts, the lacks of cultural education, and the lacks of the theory-clinical practice linkage. There were need to develop the systematic programs, clinical practice textbooks, the measurements and the special hospital for clinical practice. And it was need to reduce the gab between of the hospitals for clinical practice, to cut down the costs. and to improve the labour conditions of leaders. In view of this findings, it takes notice of that both professor and therapist were dissatisfied at the present clinical practice systems. These results point out the problems of clinical practice systems, and do not make expect to us the successive and positive clinical practice. The general, specific and intensive plan about the problems and the direction of improvement that establishing the level of hospital for clinical practice and physiotherapy can be elaborated.

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몇 발근환경인자(發根環境因子)가 주목삽수(揷穗) 발근(發根)에 미치는 효과(効果) (Effects of Some Environmental Factors on Japanese Yew (Taxus cuspidata Sieb. et Zucc.))

  • 김창호;남정칠
    • 한국산림과학회지
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    • 제70권1호
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    • pp.1-6
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    • 1985
  • 주목(朱木)(Taxus cuspidata Sieb. et Zucc)의 휴안지삽수(休眼枝揷穗)를 1982년(年) 4월(月) 20일(日)에 온실내(温室內)와 포지조건(圃地條件)에서 삽목(揷木), 당년(當年) 10월(月) 31일(日)에 발근개체(發根個體)를 가지고 평균발근율(平均發根率)을 계산(計算)하여 통계분석(統計分析)하였다. 본(本) 실험(實驗)의 목적(目的)은 원예적(園藝的)으로 가치(價値)를 평가(評價)받고 있음에 착안하여 가장 합리적(合理的)인 삽목조건(揷木條件)을 찾아내는 데 있다. 결과(結果)를 요약(要約)하면 다음과 같다. 1) 온실내삽목(温室內揷木)은 포지삽목(圃地揷木)에 비해 평균발근율(平均發根率)이 높았다. 이것은 처리별(處理別)의 차이(差異)에 불구하고 같은 경향(傾向)을 나타내었다. 2) IBA처리구(處理區)는 무처리구(無處理區)에 비해 더 높은 평균발근율(平均發根率)을 보였다. 온실내삽목(温室內揷木)의 경우 IBA처리구(處理區)는 평균발근율(平均發根率) 86%, 무처리구(無處理區) 23%, 포지삽목(圃地揷木)인 경우 IBA처리구(處理區) 53%, 무처리구(無處理區) 11%이다. 이것은 모두 삽수장(揷穗長) 20cm, 그리고 사토배지(砂土培地)에 삽목(揷木)되었을 경우이다. 3) 삽목배지(揷木培地)로서 사토(砂土), 양토(壤土), 갈색토(褐色土) 중(中) 온실내삽목(温室內揷木)이나 포지삽목(圃地揷木) 공히 사토구(砂土區)가 가장 높은 발근율(發根率)을 보였다. 4) 삽수장(揷穗長)이 발근(發根)에 마치는 영향을 분석(分析)한 바 15~20cm가 발근(發根)에 적당하고 25cm 이상은 발근율(發根率)이 떨어지는 것으로 나타났다. 5) 고찰(顧察)에 의한 발근양식(發根樣式)은 삽수하단절단면(揷穗下端切斷面)에 켈루스세포괴(細胞塊)가 생기고 그 안에 근기(根基)가 만들어져 근계형성(根系形成)에 관여하는 경우와 삽수(揷穗)의 경부(莖部)에 측근(側根)모양으로 나타나는 불정근(不定根)의 경우이다.

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