• Title/Summary/Keyword: History taking

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

  • Jeong Ki-Jin;Jo Hyeon-Seok;Yoon Jong-Hwa
    • Journal of Korean Medical Ki-Gong Academy
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    • v.2 no.2
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    • pp.185-199
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    • 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.

The Characteristics of Spinal Injury in Skiing and Snowboarding Injuries (스키와 스노보드 사고에서 척추손상의 특징)

  • Cha, Yong Sung;Lee, Kang Hyun;Kim, Sun Hyu;Jang, Yong Su;Kim, Hyun;Shin, Tae Yong;Hwang, Sung Oh
    • Journal of Trauma and Injury
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    • v.20 no.1
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    • pp.33-39
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    • 2007
  • Purpose: Few studies have been done for spinal injuries after skiing and snowboarding accidents. Assuming that the riding patterns of skiing and snowboarding were different, we analyzed the differences between the mechanisms, diagnoses and levels of spinal injuries caused by them. The purpose of this study was to gain a better understanding of spinal hazards associated with skiing and snowboarding in order to educate skiers and snowboarders. Methods: We conducted a prospective study of 96 patients who had sustained spinal injuries as a result of skiing and snowboarding accidents from January 2003 to March 2006. We used a questionnaire, radiological studies, history taking, and physical examinations. We analyzed the mechanism of injury, the level of spinal injury, the severity of spinal injury, and the Abbreviated Injury Scale scores (AIS score). We used the t-test and the chi-square test. Results: The skiing and the snowboarding injury group included in 96 patients. The skiing injury group included 30 patients (31.2%), and the snowboarding injury group included the remaining 66 patients (69.8%). The primary mechanism of injury in skiing was collisions and in snowboarding was slip downs (p=0.508). The primary level of spinal injury in skiing and snowboarding was at the L-spine level (p=0.547). The most common athlete ability of the injured person was at the intermediate level (p=0.954). The injured were most commonly at the beginner or the intermediate level (p=0.302). The primary diagnosis of spinal injury in skiing and snowboarding was back spain (p=0.686). The AIS scores did not differed between the two groups (p=0.986). Conclusion: The most common spinal injury after skiing and snowboarding accidents was back sprain. There was no difference in the severity of spinal injury between skiing and snowboarding accidents.

Assessment of Systemic Arterial Thromboembolism with Multi-Slice Spiral CT in a Dog (개에서 다중나선형 CT촬영에 의한 동맥혈전색전증의 평가)

  • Shin, Seung-Ho;Lee, Ki-Chang
    • Journal of Veterinary Clinics
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    • v.24 no.2
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    • pp.208-213
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    • 2007
  • A 15 kg 6-year-old intact male Jindo dog with a history of a respiratory distress, hindlimb paralysis with necrosed skin of dorsal digit for three weeks was referred to Animal Medical Center, Chonbuk National University. Heartworm infection was identified by kit examination. In plain thoracic radiographs, dilated pulmonary arteries reverse D sign and focal interstitial pattern was compatible with heartworm infection and possible pulmonary thromboembolism. Abdominal radiographs showed poor serosal detail indicating fluid accumulation within peritoneal cavity. No evidence of musculoskeletal abnormalities was found. Ultrasonography presented focal wedge-shaped hyperechogenecity on the both poles of left kidney, weak or absent pulse on the distal to the external iliac artery as well as ascites and irregular liver margin. Multi-organ failure was strongly supposed by blood profile including leukocytosis, anemia, hemoglobinuria bililubinemia, hypoalbuminemia, imbalance of electrolytes, and increased hepatic and renal function values. Interestingly, the glucose level is remarkably lower in pelvic limb compared to thoracic limb. Suspected pulmonary thromboembolism, renal infarction and femoral arterial embolization causing hindlimb paralysis and dermatic necrosis were confirmed by 3D reconstructed CT imaging. Prior to taking a consideration of euthanasia, interventional radiology was experimentally attempted but failed due to not recovered from general anesthesia. Early and accurate diagnosis of thromboembolism is valuable and 3D reconstructed CT images might be very useful to show the correct way to treat effectively.

Evaluation on the Practicum Using Standardized Patients for Nursing Assessment to Articular Disease (표준화 환자를 이용한 관절질환 간호사정 실습교육의 평가)

  • Yi, Yeo-Jin;Lim, Nan-Young;Lee, Eun-Hee;Han, Hye-Ja;Kim, Joo-Hyun;Son, Haeng-Mi;Park, Young-Sook;Kang, Hyun-Sook;Cho, Kyung-Sook;Kim, Dong-Oak;Kwon, Sung-Bok;Lee, In-Ok
    • Journal of muscle and joint health
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    • v.14 no.2
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    • pp.137-148
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    • 2007
  • Purpose: This study was performed to evaluate of practicum by using standardized patient(SP) for nursing assessment. Method: This study had 2 steps. The 1st-step was pre-intervention stage including selection of a learning title, formation of case scenario, training of SP and developing the evaluation tools for students' clinical competence to assessment, 6 categories 29 items. The 2nd-step consisted of intervention and evaluation stages. 34 nursing students divided 2 groups participated in assessing the SP. Evaluation of each group was performed by 2 nursing professors. All students recorded their feelings after assessing the SP. The SP also evaluated about nursing students' attitude toward the SP. Results: ICC(Interclass correlation coefficient) between 2 groups was over 0.7 all categories. Students' assessing score(range 0-1) was muscular-joint function status(0.41), nutritional status(0.39), history taking(0.38), IADL(0.18), ADL(0.15), and emotional status (0.07). The mean scores of the nursing students' attitude by SP was 4.03(range 1-6). Also most students showed positive reactions to the education using SP because they had the chance to experience what they could not practice in clinical setting. Conclusion: The evaluation tool revealed high reliability. Nursing students' clinical competence was below average. But they took a good attitude to SP. We recommended further research using SP with various disease.

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Multi-Level Anterior Interbody Fusion with Internal Fixation in Cervical Spine (다분절 경추 유합 및 내고정 수술결과)

  • Jeon, Woo-Youl;Bae, Jang-Ho;Jung, Byoung-Woo;Kim, Seong-Ho;Kim, Oh-Lyong;Choi, Byung-Yon;Cho, Soo-Ho
    • Journal of Korean Neurosurgical Society
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    • v.30 no.sup1
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    • pp.55-60
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    • 2001
  • Objective : The purpose of the present study was to examine neurologic changes, fusion rate and degree of kyphosis from the surgical results of those patients who underwent multi-level anterior interbody fusion and internal fixation. Methods : Among 63 cases of the patients who received multi-level anterior interbody fusion and internal fixation in 5 years between 1995 to 1999 at the neurosurgery department, we performed a retrospective study in 52 cases that could be followed up with dynamic view imaging ; the results were compared and analyzed. The analysis was based on the results of history taking, physical findings and radiologic findings, and Odom criteria were used to classify those cases with neurologic changes. Results : Among those 52 cases in whom the follow-up was possible for at least a year and dynamic view imaging was possible, bone fusion was seen in 93% of the trauma cases and 95% in the non-trauma cases and overall bone fusion was observed in 94% of the cases. Bone fusion was seen in 93% of the autobone cases, 95% of the allobone cases, and 94% of the Mesh cases. Radiologic changes were observed by comparing the lateral view after surgery ; kyphosis was seen in 53% of the autobone cases, in 70% of the allobone cases, and in 35% of Mesh cases ; in 45% and 60% of the non-trauma cases and trauma cases, respectively ; and in 55% of the 2 level fusion cases and 46% of the 3 level fusion cases. Neurologic changes classified according to Odom criteria showed excellent result in 48% of all the cases, good in 23%, fair in 4%, and poor in 25%. Conclusion : Even those cases with multi-level fusion, a high fusion rate could be obtained by performing anterior interbody fusion and internal fixation ; those cases with kyphosis were related more with the presence or absence of posterior compartment injury rather than the fusion level ; and those trauma cases showed not much difference in the fusion rate compared with non-trauma cases but had a high possibility of kyphosis.

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A Study on Monumental Expression of Korean War Memorials in Korea (6.25전쟁 기념공간에 나타난 기념적 표현)

  • Lee, Sang-Suk
    • Journal of the Korean Institute of Traditional Landscape Architecture
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    • v.28 no.2
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    • pp.98-108
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    • 2010
  • The purpose of this study was to analyze the monumental expression of Korean War Memorials(KWM) in Korea(KWMK). Through site survey and internet searching, the researcher selected 17 KWMK and analyzed four analysis categories: contents, spatial form, landscape elements, sculptures and architectural elements. The results are as follows: 1. The analysis revealed that main contents of KWMK were to cherish victims of the Korean War, honor military merit, and explain Korean War. 2. Most KWMK built battlefield had the form of symmetry and spatial axis arranged monuments and sculptures for solemnity and heroism. Though the sites were terraced by traditional spatial order, spatial sequence wasn't seen except Yang-gu KWMK and Chumomyeongbi in United Nations Memorial Cemetery in Korea. 3. Stone monument-like towers, tablets, podium, monoliths, cenotaphs, and exhibit halls to explain Korean War and combat history were used as main elements of KWMK and also, war weapons were often displayed the flags of countries taking part in Korean War were raised with Taegeukgi and the United Nations flag. 4. Most sculptures were used as important media to represent the Korean War and assumed realistically the form of heroic combat. But a few architectural memorial built in recent were designed in contemporary style to have spatial sequence and represent Korean War symbolically and narratively. 5. In memorial culture, KWMK were strongly influenced by ideology and patriotism, impacted by conventional value, and designed by some sculptors and designers in a certain circle. Further study will be required to analyze the characteristics of KWMK in the point of design style and diachronic.

A discourse semiotics analysis on Hwang Sun-won's short story "Bulls" (황순원의 단편소설 「황소들」에 대한 담화 기호학적 분석)

  • Hong, Jeong-Pyo
    • 기호학연구
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    • no.56
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    • pp.137-158
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    • 2018
  • In 1999, the French semiotician Jacques Fontanille published his work on discourse semiotics as an attempt to overcome the limitations of structuralism. Discourse semiotics has expanded the realm of semiotics by taking a phenomenological approach that examines the structure of consciousness. Phenomenology pays special attention to the operation of human consciousness, which, instead of staying put, moves from one place to another-unbeknownst to its agent. This paper examines "Bulls" through a phenomenological approach as the short story depicts the stream of consciousness that unfolds within the inner world of Pau, the young male protagonist. The rhetorical approach to literary analysis works at the level of the speech act and directly relates to speech act theory. In rhetorics, figures and tropes are dominated by speech acts. Whereas conventional rhetorical analysis lacks a kinetic perspective as it revolves around flat semantic inspections, the discourse semiotics approach applied in this paper allows for an indepth multidimensional analysis where the analyses of ${\acute{e}}nonc{\acute{e}}$ and ${\acute{e}}nonciation$ complement each other. Presenting a peasant movement to the reader through the eyes of the young male protagonist Pau, "Bulls" is considered a significant literary feat in the history of Korea's New Literature as the work is highly regarded for its impressive depiction of a communal movement. This paper reinterprets and reevaluates the story under a new light, mainly through a rhetorical approach and a phenomenological approach that hinges on discourse semiotics.

Personalized Travel Path Recommendation Scheme on Social Media (소셜 미디어 상에서 개인화된 여행 경로 추천 기법)

  • Aniruddha, Paul;Lim, Jongtae;Bok, Kyoungsoo;Yoo, Jaesoo
    • The Journal of the Korea Contents Association
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    • v.19 no.2
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    • pp.284-295
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    • 2019
  • In the recent times, a personalized travel path recommendation based on both travelogues and community contributed photos and the heterogeneous meta-data (tags, geographical locations, and date taken) which are associated with photos have been studied. The travellers using social media leave their location history, in the form of paths. These paths can be bridged for acquiring information, required, for future recommendation, for the future travellers, who are new to that location, providing all sort of information. In this paper, we propose a personalized travel path recommendation scheme, based on social life log. By taking advantage, of two kinds of social media, such as travelogue and community contributed photos, the proposed scheme, can not only be personalized to user's travel interest, but also be able to recommend, a travel path rather than individual Points of Interest (POIs). The proposed personalized travel route recommendation method consists of two steps, which are: pruning POI pruning step and creating travel path step. In the POI pruning step, candidate paths are created by the POI derived. In the creating travel path step, the proposed scheme creates the paths considering the user's interest, cost, time, season of the topic for more meaningful recommendation.

The Installation of Royal Kilns in Joseon Dynasty and Its Impact on Local Kilns (음각운문청자의 제작현황으로 본 조선시대 관요의 설치와 지방 가마)

  • Oh, Young-In
    • Korean Journal of Heritage: History & Science
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    • v.50 no.4
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    • pp.38-63
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    • 2017
  • This study sets out to investigate the installation of royal kilns and its impact on local kilns, taking note of celadon vase with inlaid cloud pattern in Joseon Dynasty. For that purpose, it determined the kilns and period to produce celadon vases with inlaid cloud pattern, and compared them with the pattern, design, and deformity of the celadon vases produced in the royal kilns in the 15th centuries. The celadon vase with inlaid cloud pattern was superior in quality than the porcelain for tribute ware manufactured together in Jeolla Province before the installation of royal kilns. And then a majority of sagijangs at local kiln had difficult time securing enough supply of manpower and resources, and discontinued manufacturing the celadon vase with inlaid cloud pattern. En revanche, celadon vases with inlaid cloud pattern produced from specially fixed royal kilns reflected the local sagijang's skill. Local kilns were strongly influenced by the installation of royal kilns. Those could not freely use high-quality white clay, limited to the market. Besides, most of the skillful sagijangs were assigned to royal kilns. Celadon vases with inlaid cloud pattern can be used as evidence to show that the manufacturing technique was transferred from local kilns to the royal kilns as well as to show that their production in royal kilns soon became stabilized.

Revisiting of ancient tombs in Neungsan-ri, Buyeo (부여(扶餘) 능산리고분군(陵山里古墳群) 성격(性格)에 대한 재고(再考))

  • Kim, Gyu-un;Yang, Suk-ja
    • Korean Journal of Heritage: History & Science
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    • v.49 no.2
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    • pp.104-121
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    • 2016
  • Royal tombs in Neungsan-ri had been studied several times during the Japanese Colonial era. But, conceiving the general complexion of them is difficult for lack of data and analysis of previous studies are still insufficient. Thus, necessity of new approach and understanding in Royal tombs in Neungsan-ri are emphasized by the reviewing existing studies and conservation history. The Serial numbers of the Royal tombs in Neungsan-ri has been registered arbitrarily without clear guidelines from Japanese Colonial era until present time. It means previous studies were devoid of consideration for serial number changes. And, research has shown that Royal tombs in Neungsan-ri counts at least twenty, taking No.8 tomb of recent study into consideration. Moreover, in case of eastern tombs it needs changes in the existing perception that Royal tombs in Neungsan-ri consist of only six-tombs because there was no difference between eastern tombs and central sixtombs considering the burial chamber and lacquered wooden(koyamaki) Coffin. Ultimately, current state of Royal tombs in Neungsan-ri doesn't have authenticity because they had been found and regulated in the Japanese Colonial era. Consequently, it is required to overall study into entrance to burial chamber and covered burial stone marker and exaggerated mounds, ignored another tombs other than six-tombs in the center.