• 제목/요약/키워드: Manipulation

검색결과 2,313건 처리시간 0.037초

요폐환자(尿閉患者) 1례(例)에 대한 임상적(臨床的) 고찰(考察) (Clinical Study on 1 Case of patient with Urinary Retention)

  • 김재형;조충식;김철중
    • 혜화의학회지
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    • 제14권1호
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    • pp.43-49
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    • 2005
  • One case of patient with urinary retention was reported in this clinical study. After the study, the results were as follows: 1. Anulesis belongs to l$\acute{o}$ng-bi(癃閉) in oriental medicine and the patient of this case belongs to chronic anulesis. 2. The patient of this case was thought as broke out anuresis by vesical nerve palsy of diabetic bladder pathy and sequela of stroke, and ischuria of long lie down 3. The patient of this case changeable process is supposed to urinary frequency, 'bi(閉)', 'l$\acute{o}$ong(癃)', urinary incontinence and urinary frequency. 4. First time of drug treatment is GAMIPHALJENG-SAN(ji$\bar{a}$-w$\grave{e}$i-b$\bar{a}$-h$\bar{e}$ng-s$\check{a}$n) by oral administration that action of alleviate a fever, water utilization and metaphase, convalescence time of drug treatment is PHALMIWANGAMI (b$\bar{a}$-w$\grave{e}$i-w$\acute{a}$n-ji$\bar{a}$-w$\grave{e}$i), YIKLUENG-TANG(yi-ling-t$\bar{a}$ng), CHUKYOO-TANG(s$\grave{u}$-ni$\grave{a}$o-t$\bar{a}$ng) that action of recreation. 5. Accupuncture treatment is s$\bar{a}$n-x$\bar{i}$ng-xuw$\acute{e}$, zw$\acute{u}$-s$\bar{a}$n-li, qi-h$\check{a}$i, gu$\bar{a}$n-yu$\acute{a}$n, zh$\bar{o}$ng-ji by mild supplementing and reducing manipulation of needle and heat accupuncture is qi-h$\check{a}$i, gu$\bar{a}$n-yu$\acute{a}$n, zh$\bar{o}$ng-ji-xu$\acute{e}$. 6. The other treatment is a sitz bath that prevent of urinary tract infection, and relieve of initial acute auresis by using of urethral catheterization.

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수학사를 활용한 수학수업이 수학과 학습 태도에 미치는 영향

  • 유금순;남영만
    • East Asian mathematical journal
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    • 제28권4호
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    • pp.383-401
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    • 2012
  • The purpose of mathematics education includes two important areas; cognitive area that emphasizes mathematical knowledge and understanding and affective area that stresses mathematical interest and attitude. The purpose of mathematics education is not only in acquiring the contents and knowledge but also rousing up interest and attention toward mathematics. Therefore, effort to accomplish this affective purpose has to be made. Introducing history of mathematics to teaching can be a important method for the students to arouse interest and attention toward mathematics. History of mathematics can help the students who are familiar to only manipulation of the symbols to develop a new way of thinking and mathematical thoughts arousing reflective thinking. According to the survey, although the effect of using mathematics history has been recognized, the mathematics history has neither been developed as teaching materials nor reflected in the courses of study. The purpose of this research is to develop the reading materials into suit for the mathematics curriculum to extract contents of the mathematics valuable in using in elementary mathematics teaching, and to investigate the effect of reading materials using the history of mathematics on learning attitude in elementary school. The way of developing materials in this study is as follows. First, to select the interesting and instructive subject for the elementary students such as the story and life of a mathematician, developmental stages of mathematical theory and calculation currently used and finding the patterns of the rules that requires mathematical thoughts. Second, to classify the selected items according to mathematics curriculum. Third, to reorganize the classified items of the appropriate grade with the reading materials of dialogue pattern in order to draw attention and interest from the students I developed 18 kinds materials in accordance with the above procedure and applied 5 materials among them to one class in 4th grade. Analysing the student's responses, First, using history of mathematics helps the students to arouse interest and confidence on mathematical learning attitude. And the students became better attitude of studying by oneself and attention on class. Second, as know by opinions after lesson, most students have a chance refresh one's thinking of mathematics, want to know the other content of history of mathematics and responded to study hard in mathematics. As a result, the reading materials on the basis of the history of mathematics motivates students for mathematics and helps them become confident in mathematics. If the materials are complemented properly, they will be useful and effective for students and teachers.

악교정 수술을 위한 디지털 모형 수술의 정확성 평가 (ACCURACY OF DIGITAL MODEL SURGERY FOR ORTHOGNATHIC SURGERY: A PRECLINICAL EVALUATION)

  • 김봉철;박원서;강연희;이충국;유형석;강석진;이상휘
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제29권6호
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    • pp.520-526
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    • 2007
  • The accuracy of model surgery is one of important factors which can influence the outcome of orthognathic surgery. To evaluate the accuracy of digitalized model surgery, we tried the model surgery on a software after transferring the mounted model block into a digital model, and compared the results with that of classical manual model surgery. We could get the following results, which can be used as good baseline analysis for the clinical application. 1. We made the 3D scanning of dental model blocks, and mounted on a software. And we performed the model surgery according to the previously arranged surgical plans, and let the rapid prototyping machine produce the surgical wafer. All through these process, we could confirm that the digital model surgery is feasible without difficulties. 2. The digital model surgery group (Group 2) showed a mean error of $0.0{\sim}0.1mm$ for moving the maxillary model block to the target position. And Group 1, which was done by manual model surgery, presented a mean error of $0.1{\sim}1.2mm$, which is definitely greater than those of Group 2. 3. Remounted maxillary model block with the wafers produced by digital model surgery from Group 2 showed the less mean error (0.2 to 0.4 mm) than that produced by manual model surgery in Group 1 (0.3 to 1.4 mm). From these results, we could confirm that the digital model surgery in Group 2 presented less error than manual model surgery of Group 1. And the model surgery by digital manipulation is expected to have less influence from the individual variation or degree of expertness. So the increased accuracy and enhanced manipulability will serve the digital model surgery as the good candidate for the improvement and replacement of the classical model surgery, if careful preparation works for the clinical adjustment is accompanied.

성견에서 Acelluar dermal matrix가 1면 골내낭 결손부의 치주조직 재생에 미치는 영향 (The effects of Acellular dermal matrix on the healing of 1 wall intrabony defects in dogs)

  • 박주언;김병옥;박주철;장현선
    • Journal of Periodontal and Implant Science
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    • 제36권1호
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    • pp.27-37
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    • 2006
  • Although the main purpose of periodontal treatment to regenerate is the complete regeneration of periodontal tissue due to periodontal disease, most of the treatment cannot meet such purpose because healing by long epithelial junction. Therefore, diverse materials of resorbable and non-resorbable have been used to regenerate the periodontal tissue. Due to high risk of exposure and necessity of secondary surgical procedure when using non-resorbable membrane, guided tissue regeneration using the resorbable membrane has gain popularity, recently. However, present resorbable membrane has the disadvantage of not having sufficient time to regenerate date to the difference of resorption rate according to surgical site. Meanwhile, other than the structure stability and facile manipulation, acellular dermal matrix has been reported to be a possible scaffold for cellular proliferation due to rapid revascularization and favorable physical properties for cellular attachment and proliferation. The purpose of this study is to estimate the influence of acellular dermal matrix on periodontal ligament, cementum and alveolar bone when acellular dermal matrix is implanted to 1-wall alveolar bone defect. 4 dogs of 12 to 16 month old irrelevant to sex , which below 15Kg of body weight, has been used in this study. ADM has been used for the material of guided tissue regeneration. The 3rd premolar of the lower jaw was extracted bilaterally and awaited for self-healing. subsequently buccal and lingual flap was elevated to form one wall intrabony defect with the depth and width of 4mm on the distal surface of 2nd premolar and the mesial surface of 4th premolar. After the removal of periodontal ligament by root planing. notch was formed on the basal position. Following the root surface treatment, while the control group had the flap sutured without any treatment on surgically induced intrabony defect. Following the root surface treatment, the flap of intrabony defect was sutured with the ADM inserted while the control group sutured without any insertion. The histologic specimen was observed after 4 and 8 weeks of treatment. The control group was partially regenerated by periodontal ligament, new cementum and new alveolar bone. the level of regeneration is not reached on the previous formed notch. but, experimental group was fully regenerated by functionally oriented periodontal ligament fiber. new cementum and new alveolar bone. In conclusion, we think that ADM seems to be used by scaffold for periodontal ligament cells and the matrix is expected to use on guided tissue regeneration.

부위 및 조리방법에 따른 가지의 Glycoalkaloid와 Ascorbic Acid 함량 변화 (The Changes on Ascorbic Acid and Glycoalkaloid Contents of Eggplant by Parts and Cooking Methods)

  • 소궤신행;한재숙;최수근;변광인;서봉순;최석현;박미란
    • 한국조리학회지
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    • 제12권4호
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    • pp.247-258
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    • 2006
  • 최근 건강에 대한 관심이 고조되고 있는 시점에서, 항암작용 등의 기능성을 지닌 가지의 부위별, 조리 방법에 따른 glycoalkaloid와 ascorbic acid의 함량을 측정한 결과는 다음과 같다. 1. 가지의 부위별 glycoalkaloid의 함량은 solamargine의 함량은 꼭지부분인 (A)가 $35{\mu}g$으로 가장 많았고, Solasonine의 함량 또한 (A)가 $31.1{\mu}g$으로 가장 많은 것으로 나타났다. 2. 조리 방법에 따른 가지의 solamargine, solasonine의 함량 변화는 조리전의 가지, 즉 대조군의 solamargine 함량은 $11.4{\mu}g$이었으며, solasonine은 $4.88{\mu}g$으로 solasonine에 비하여 solamargine의 함량이 현저히 많은 것으로 나타났다. 또한 조리 후 가지의 solamargine의 함량은 boiling이 $7.0{\mu}g$으로 가장 많았고 microwave 처리는 $2.0{\mu}g$로 가장 적었다. Solasonine의 함량은 steaming이 $3.4{\mu}g$으로 가장 많은 것으로 나타났다. 3. 시판 가지의 부위별 ascorbic acid 함량은 꼭지부분인 (A)가 가장 많은 $2.31{\mu}g$이었고, 다음은 중간부분인 (B), 끝부분인 (C)순이었다. 즉, 꼭지에서 아래로 내려갈수록 ascorbic acid의 함량은 감소하였다. 4. 조리 방법별 가지의 ascorbic acid의 함량은 다른 채소류와 마찬가지로 조리조작에 의하여 크게 감소하였는데, 잔존량은 control(before cooking) > sauteing > microwave > boiling > steaming의 순이었다.

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The Comparative Analysis of the Internal Control According to Economic Changes in Korean Companies

  • Park, Cheol-Soo
    • Journal of Information Technology Applications and Management
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    • 제21권3호
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    • pp.119-133
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    • 2014
  • Prior to the 2000s, internal control had not been among the high priority issues in the management's agenda. Since then, however, it has become one of the hottest issues, and has received a significant attention as the means of improving the transparency, sustainability, and competitiveness of a company. The objectives of this paper are to examine if there has been any noticeable changes in the level of internal controls of Korean companies before and after the 2010, and to analyze the underlying drivers and issues thereto. Accounting manipulation and moral hazard were among the factors to cause the Korean financial crisis in 1997 and 2008. Since then, the capital market has had a strong pressure on Korean companies to enhance the transparency of management and accounting while the government has made the laws, requirements, and recommendations to alleviate the moral hazard problems of management and enhance the accounting transparency. Both market and government have driven companies to put more priority on the reliability of financial reporting and the compliance of applicable laws and regulations. Thereby, the market and governmental forces has led companies to enhance the level of internal controls which contribute to the reliability of financial reporting and the compliance The pressure on companies to enhance the level of internal controls may be different across industries. The capital market and government experiencing the severe financial crisis in 1997 and 2008 put even more pressure on financial companies such as banks to upgrade the reliability of financial reporting and the compliance of regulations to the global level than on non-financial companies. A survey is performed on the changes in the level of internal controls of 54 major companies consisting of 10 financial and 44 non-financial companies in Korea. The survey results show that the average level of internal controls of Korean companies has noticeably improved and that the change in the level of control environment factor is higher than that of IT control factor. The analysis on the industry differences shows that financial companies increased the level of control environment factor more than non-financial companies did while non-financial companies upgraded the level of IT control factor more than financial companies did relatively. Among internal control categories, the most improved area since the economic crisis is "Risk Assessment." The global best practices for risk management have been developed primarily in the financial industry and then spread to other industries. The general level of control practices of Korean companies has been improving significantly, but still appears below the global advanced practices.

메이거의 성취 행위 유형 분류 기준에 따른 열처리와 인장시험의 실무능력 하위요소 추출 (The constituents of competence for the practical duty through the classify criteria of the Mager's five performance type : About the heat treatment and the tensile strength test)

  • 김익수;문대영;류창열
    • 대한공업교육학회지
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    • 제31권1호
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    • pp.63-85
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    • 2006
  • 본 연구는 공업계 고등학교 금속과 금속처리 전문교과에서 열처리 및 인장시험 관련 직무 또는 작업을 수행할 때 요구되는 지식, 기능, 태도 및 수행절차별 하위요소들의 총합인 실무능력은 무엇인가에 대한 질문에서 시작되었다. 본 연구에서는 실무능력 하위요소를 메이거가 직업 교육의 주요 대상인 일에 근거를 두고 분류한 다섯 가지 성취 행위 유형분류 기준에 따라 분류하였다. 이들 실무능력의 하위요소 분류 기준에 따라 금속 열처리 장치 조작원과 인장시험검사원의 직무분석과 기능위계 분석을 바탕으로 공업계 고등학교 열처리 실무능력과 인장 시험 실무능력의 하위 요소를 추출하고 전문가 집단에게 그 타당도를 검증받았다. 열처리와 인장시험의 실무능력 하위 요소들은 공업계 고등학교 교육목표인 인지적 영역, 기능적 영역, 정의적 영역, 즉 지식, 기능, 태도의 성취행위에 모두 포함되는 요소이며 열처리와 인장시험의 직무 및 작업을 완성하기 위해 상호작용하는 유기적 관계임을 확인할 수 있었다. 본 연구에서 시도한 메이거의 성취 행위 유형 분류기준에 따른 실무능력 하위 요소 도출은 해당 직무와 작업에서 학습자에게 최종적으로 목표로 하는 바가 무엇인가를 명확하게 해주고, 그 기준을 제시해 준다는 측면과, 교육성과를 평가하는데 분명한 기준을 제시해 준다는 측면에서 의의가 있다고 여겨진다.

전신 방사선치료(Total Body Irradiation, TBI)를 위한 한국인에 맞는 환자 고정장치에 관한 연구 (Development of Patient-Immobilizing Device for Total Body Irradiation (TBI))

  • 김명세
    • 한국의학물리학회지:의학물리
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    • 제13권3호
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    • pp.114-119
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    • 2002
  • 조사 선량의 분포를 저해하지 않으면서 정확한 차폐가 가능하며, 짧은 시간 내에 쉽게 환자를 고정할 수 있으며, 치료 중에 환자가 의식을 잃는 경우에도 다치지 않고 지지될 수 있는, 한국인의 체형에 맞는 전신방사선치료를 위한 고정장치를 개발하고 그 효과를 평가하였다. 230 cm의 키, 100 kg의 체중을 가진 성인 환자도 지지될 수 있도록 지름 5 cm의 스텐레스 원형 봉을 사용하여 프레임을 제작하였고, 의자는 환자가 서 있는 상태에서 환자의 키, 몸의 두께에 맞추어 위치 조절이 가능하도록 고안하였다. 가슴부위의 전면 지지대는 1 cm 두께의 아크릴을 사용하여 지지의 기능과 차폐물의 고정 기능을 겸하게 하였고, 등면의 지지대는 1 cm 두께의 아크릴을 5 mm 두께, 3 cm 넓이의 스텐레스 스틸로 테를 둘러 환자의 지지와 엑스선 필름 카세트 고정장치를 겸하도록 고안하였으며 2개의 상부 도르래와 측면의 핸들로 쉽고 정확하게 조절할 수 있도록 하였다. 머리 고정장치는 비닐과 특수 스펀지를 사용하여 쇠약한 환자의 작은 흔들림도 방지할 수 있도록 하였다. 환자를 원하는 위치에 고정하는데 평균 4분 25초가 소요되었고 반복되는 분할조사의 검교정 필름에서 폐의 차폐물의 위치에 차이가 없었으며, 펜텀 실험과 환자치료에서 $\pm$5%의 선량차이를 보였다. 치료중 환자가 의식을 잃은 경우도 수차 있었으나 쓰러지지 않고 지지할 수 있었다.

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예비 초등교사들의 도형 문제에 대한 SMK와 PCK 강화를 위한 DGE 활용 (Using DGE for Enhancing SMK and PCK of Pre-service Elementary Teachers for the Figure Problem)

  • 강정기;김민정;정상태;노은환
    • 한국학교수학회논문집
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    • 제17권2호
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    • pp.139-166
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    • 2014
  • 수학 교육에서 교사의 SMK와 PCK에 대한 역량은 대단히 중요하다. 그들의 SMK와 PCK에 대한 현황 파악과 그에 따른 강화방안이 있다면 더 없이 좋을 것이다. 그러나 교사를 대상으로 교수 역량 강화에 대한 연구를 수행하는 것은 현실적으로 많은 어려움이 있다. 이에 본 연구에서는 23명의 예비 초등교사를 대상으로, 이들의 SMK와 PCK에 대한 현황 파악과 그에 따른 강화방안으로 DGE 탐구활동을 활용하였다. 그 결과 3명의 예비 초등교사가 초기 SMK에서 오류를 나타내었으며, 초기 PCK에서는 설명 및 시각적 확인 위주의 교수 방법으로 문제해결에 필요한 성질을 지도하는 것에 중점을 두었다. 또한 DGE 탐구활동의 실제는 역동성 개념 이해 및 구현의 어려움, $75^{\circ}$ 작도에 집착 및 결과의 일반화, '접는 활동'의 수학적 해석의 어려움, 무난한 GSP 구현의 네 가지로 분류되었다. 이후 초기 SMK에서 나타난 하나의 오류가 수정되었으며 PCK의 방법적 측면에서 GSP를 활용한 시각적 확인이 추가되었다. 이러한 결과로부터 DGE가 예비교사의 SMK와 PCK 강화 도구로 활용될 수 있도록 돕는 몇 가지 교수학적 시사점을 추출할 수 있었다.

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요통 환자에 대한 물리치료방법의 적용 시간을 중심으로 한 기술적 연구 (Physical Therapy Session Duration in patients with low Back Pain: Descriptive Research)

  • 김선엽;채정병;권재확
    • 대한정형도수물리치료학회지
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    • 제7권1호
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    • pp.51-66
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    • 2001
  • Objective: The purpose of study was to compare physical therapy duration in relation tohealth care organization system in patients with low back pain. Subjects: Subjects of this study were 759 patients who are receiving physical therapy at 56 health care organization. Methods: Data were collected by questionnaire that had been completed by patients and physical therapist for two months. Physical therapy procedures consisted of modality application, manual therapy, active therapeutic exercise, and patient education. Physical therapy session duration was investigated for each physical therapy procedure. Data were analyzed in relation to the university hospital, hospital, and clinic. Results: The mean age of subjects was $42.84{\pm}15.46$. There were no significant differences in age among three groups. The number of patients diagnosed with herniated disc were 244(32.15%) and with mechanical low back pain was 187(24.64%). The mean treatment duration per day was 53.22 minutes, and the longest treatment duration was 61.28 minutes at the university hospitals (p<0.001). The mean modality application duration was 42.17 minutes, and the longest application duration was 46.26 minutes at the university hospitals (p<0.001). The mean duration for manual therapy was 5.11 minutes, and the longest treatment duration was 5.97 minutes at clinics. The mean duration for active therapeutic exercise was 4.16 minutes. It was 7.60 minutes at the university hospitals, and 2.48 minutes at clinics. There was a significant difference in active therapeutic exercise duration between university hospitals and clinics(p<0.001). For modalities, hot packs(89.33%) and interferential current therapy(60.87%) were mostly applied. For manual therapy, Soft tissue mobilization(32.93%) and manipulation(14.10%) were mostly applied. In general, treatment application duration was longer at University hospital (p<0.05). For therapeutic exercise, exercise without equipment(18.84%) and muscle strengthening (16.73%) were mostly performed. The longest treatment duration for therapeutic exercise was 7.60 minutes at the university hospital(p<0.05). Conclusion: physical therapy session duration for low back pain was 53.22 minutes. Modality application constitutes 79%, manual therapy 10%, active therapeutic exercise 8% of total treatment duration. It is concluded that patients do not participate actively in treatment procedures.

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