• 제목/요약/키워드: National treatment principle

검색결과 126건 처리시간 0.033초

색전용 금속 코일 개발과 단백질 처리 후 혈전성에 대한 연구 (Study of the capability of metallic coils immersed with protein solution as embolic masterials)

  • 이윤신;김태성;신경민;김호철;박재형
    • 대한의용생체공학회:학술대회논문집
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    • 대한의용생체공학회 1997년도 추계학술대회
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    • pp.347-349
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    • 1997
  • In this study, we designed a vascular occlusion device based on the principle that slowing blood flow would induce thrombosis. Tungsten, stainless steel and platinum were tested for finding a good embolic metallic coil. The primary coil and the second coil were done with heat treatment or different time. The pitch distance and the shape retention capability of second coil were characterized by SEM. To increase thrombogenicity, we tried to treat different proteins on steel coils: thrombin, gelatin and both gelatin and thrombin. To verify protein materials treated on coils, the surface of coil treated with different proteins were characterized using Laser Raman Spectrophotometer. After observation of embolic coils, the peptides bonds on theirs' surface were found. In order to compare the thrombogenicity of different embolic agents, we measured whole blood clotting time.

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피크전류모드 제어를 적용한 고주파 심부발열 전원장치 설계 (Design of High Frequency Heating Power Supply System Using Peck Current Mode Control)

  • 허국성;정도;박성욱;구위경;김희제
    • 전기학회논문지
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    • 제66권1호
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    • pp.61-65
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    • 2017
  • In this paper a prototype of high frequency heating power supply system based on the high frequency heating principle is designed to take the place of acupuncture, moxibustion, warm dressing treatment and some other traditional physical therapy methods. Which possess the advantages of low cost, convenient, easy operation and good effect. The high frequency heating power supply can generate a pulse voltage of more than 1KV with 300KHz switching frequency to heat the patient's skin. The skin temperature can reach to $41{\sim}42^{\circ}C$. The peak current control method is used to maintain the skin temperature in the designed range. The design of the main circuit is based on the flyback converter topology. An easier and practical design method is proposed in this paper. The power supply system prototype is verified to be stable and reliable by both the simulation and experimental results.

군사사상의 학문적 고찰 (A Scientific Consideration of Military Thought)

  • 진석용
    • 안보군사학연구
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    • 통권7호
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    • pp.1-24
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    • 2009
  • This article deals with military thought in general. First I tried to distinguish 'thought' from 'theory', 'philosophy', and 'principle'. Thought means the act of thinking about or considering something, an idea or opinion, or a set of ideas about a particular subject, e.g. military affairs in the present discussion. Theory means a formal statement of the rules on which a subject of study is based or of ideas which are suggested to explain a fact or event or, more generally, an opinion or explanation. Philosophy means the use of reason in understanding such things as the nature of reality and existence, the use and limits of knowledge. Principle means a basic idea or rule that explains or controls how something happens or works. Chapter 3 summarized the characteristics of military thoughts into five points', (i) it is closely related with concrete experiences of a nation; (ii) it includes philosophical and logical arguments; (iii) it relies heavily on the political thought of a nation; (iv) it includes necessarily value-judgments; (v) it contains visions of a nation which are not only descriptions or explanations of military affairs, but also evaluations and advocacies. Chapter 4 considers the relation of international political thoughts to military thought. Throughout the history of the modem states system there have been three competing traditions of thought: the Hobbesian or realist tradition, which views international politics as a state of war; the Kantian or universalist tradition, which sees at work in international politics a potential community of mankind; and the Grotian or internationalist tradition, which views international politics as taking place within an international society. Chapter 5 considers the law of war, which is a body of law concerning acceptable justifications to engage in war (jus ad bellum) and the limits to acceptable wartime conduct (jus in bello). Among other issues, modem laws of war address declarations of war, acceptance of surrender and the treatment of prisoners of war, military necessity along with distinction and proportionality, and the prohibition of certain weapons that may cause unnecessary suffering.

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진료수가제도의 헌법적 한계와 정액수가제의 위헌성 -헌법재판소 2020. 4. 23. 선고 2017헌마103 결정을 중심으로- (Constitutional Limits of the Medical Fee Payment System and the Unconstitutionality of Fixed Payment System)

  • 현두륜
    • 의료법학
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    • 제21권1호
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    • pp.69-105
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    • 2020
  • 의료보장제도에서 진료수가는 의료보장체계의 근간을 이루는 매우 중요한 요소이다. 국민건강보험법은 진료수가의 결정방식에 관하여 계약제를 채택하였고, 그 계약의 내용은 상대가치점수에 대한 점수당 단가를 정하는 것이다. 그에 따라 건강보험 요양급여비용은 매년마다 물가상승이나 경제 상황의 변화에 따라 조정된다. 반면, 의료급여의 경우, 의료급여법에서는 진료수가의 결정방식에 관한 내용을 규정하지 않고, 모든 사항을 보건복지부 장관에게 위임하고 있다. 그에 따라 보건복지부 장관은 2001년부터 혈액투석 치료에 관하여 정액수가제를 채택하고 있다. 이러한 혈액투석 정액수가제에 대해서 2017년 헌법소원이 제기되었고, 헌법재판소는 2020년 헌법소원 심판 청구를 모두 기각하였다. 이 글에서는, 위 헌법소원 사건을 중심으로 진료수가제도의 의미와 내용을 살펴보고, 이에 대한 헌법적 한계로 3가지 원칙을 제시한다. 그 원칙의 첫째는 법률유보의 원칙, 둘째는 포괄위임금지의 원칙, 셋째는 비례의 원칙이다. 그러한 관점에서 검토해 보면, 혈액투석 정액수가제는 상당히 위헌적인 제도로 판단된다.

Pharmacological Treatment of Major Depressive Episodes with Mixed Features: A Systematic Review

  • Shim, In Hee;Bahk, Won-Myong;Woo, Young Sup;Yoon, Bo-Hyun
    • Clinical Psychopharmacology and Neuroscience
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    • 제16권4호
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    • pp.376-382
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    • 2018
  • We reviewed clinical studies investigating the pharmacological treatment of major depressive episodes (MDEs) with mixed features diagnosed according to the dimensional criteria (more than two or three [hypo]manic symptoms+principle depressive symptoms). We systematically reviewed published randomized controlled trials on the pharmacological treatment of MDEs with mixed features associated with mood disorders, including major depressive disorder (MDD) and bipolar disorder (BD). We searched the PubMed, Cochrane Library, and ClinicalTrials.gov databases through December 2017 with the following key word combinations linked with the word OR: (a) mixed or mixed state, mixed features, DMX, mixed depression; (b) depressive, major depressive, MDE, MDD, bipolar, bipolar depression; and (c) antidepressant, antipsychotic, mood stabilizer, anticonvulsant, treatment, medication, algorithm, guideline, pharmacological. We followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. We found few randomized trials on pharmacological treatments for MDEs with mixed features. Of the 36 articles assessed for eligibility, 11 investigated MDEs with mixed features in mood disorders: six assessed the efficacy of antipsychotic drugs (lurasidone and ziprasidone) in the acute phase of MDD with mixed features, although four of these were post hoc analyses based on large randomized controlled trials. Four studies compared antipsychotic drugs (olanzapine, lurasidone, and ziprasidone) with placebo, and one study assessed the efficacy of combination therapy (olanzapine+fluoxetine) in the acute phase of BD with mixed features. Pharmacological treatments for MDEs with mixed features have focused on antipsychotics, although evidence of their efficacy is lacking. Additional well-designed clinical trials are needed.

국제계약에서 투자가보호를 위한 최소보호요건에 관한 연구 (A Study on the Minimum Protection of Investor in International Contract)

  • 김재성
    • 무역상무연구
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    • 제58권
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    • pp.313-328
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    • 2013
  • Today FTA extends over the world and Korea as a main member of international trade is no exception. In the past Korea, as the developing countries, has made endlessly effort to induce foreign investment from foreign enterprise and/or government to be a truly OECD countries today and made it. Korea's trade economy was reached 1 trillion dollars in 2012. Now we have to find a new way to produce, process, procure goods from foreign investment and also need to protect our profit and/or rights within foreign judicial territory. There are two method to protect foreign enterprise or government. First they rely on general principles in WTO or Bilateral Investment Treaty that the principle of equality, national treatment, and most-favored-nation treatment, you can create a predictable environment to protect foreign enterprise and/or government. Second they need to incorporate contractual clauses in their agreement such as stabilization clause, force majeure, arbitration, governing law or sovereign immunity. Of course there are many things left behind to consider I hope it will be helpful to those who prepare foreign investment contract.

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연명의료결정법의 시행과 제도적 실현을 위한 방안 (Act on hospice-palliative care and life-sustaining treatment decision-making and institutional measures for its implementation)

  • 허정식;김기영
    • Journal of Medicine and Life Science
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    • 제16권3호
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    • pp.80-83
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    • 2019
  • First of all, this study shows the legal issues of hospice and palliative care, and the legal basis for lifelong medical practice is generally derived from medical, civil and criminal law regulations, and is applied to patients who are severely ill and dying in principle. In addition, those what is particularly meaningful about hospice and palliative care in terms of legal aspects are discussed the determination of the purpose of care and the provision of medical adaptability and adult guardianship, in particular the legal criteria for the work and status of patient representatives. As such, the purpose of care is to form part of the contract of care and to be agreed between the patient and the physician. In addition, the patient may not write to his/her agent in advance, and the patient may admit discretionary powers to his/her agent, but the patient's will is to be considered. In conclusion, the medical institutional ethics committee should play an active role, especially in the case of no-agents/family or no intention of the patient.

정신신체의학 역사의 재조명 (History of Psychosomatic Medicine Revisited)

  • 정도언
    • 정신신체의학
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    • 제1권1호
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    • pp.3-13
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    • 1993
  • Since the onset of modern psychosomatic medicine decades ago. it has made significant at contribution to general medicine in terms of understanding the patient as a whole person suffering from an illness rather than as a disease per se. However, initial expectation of delineating specific psychogenesis and developing specific treatment modality has not been fulfilled. Consequently, it has raised substantial concern about the continuing utility of psychosomatic medicine in modem medicine. The author attempted to review critically the evolution of psychosomatic medicine from the perspective of the present and to make projections into the near future. It is concluded that psychosomatic medicine in the future will continue to contribute to development of modem medicine not only as the scientific principle but also as the practical methodology, working as creative interface among disciplines and fusing ideas from rapidly developing molecular biology and neuroscience with psychosomatic concepts. Finally, suggestions for further developing psychosomatic medicine in Korea are made.

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도시 경관향상을 위한 경전철 교각의 시각적 특성 (Visual Characteristics of Light Rail Transit Pier for Improving Urban Landscape)

  • 정성관;신재윤;김경태;임은나
    • 한국환경복원기술학회지
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    • 제16권4호
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    • pp.65-81
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    • 2013
  • Urban sprawl has been the limits of traffic accommodate and the supply road. Thus, Light Rail Transit(LRT) has been proposed as the best alternative. Owing to landscape damage from construction of LRT, landscape planning should be considered seriously in the urban planning step. This paper therefore seeks to determine landscape improvement direction of LRT pier. First, the methods in this study shared landscape improvement direction type of LRT pier through previous studies such as planting of surface(30%, 60%, 90% planting of surface), graphic(character, commercial advertising, symbol), and surface treatment type(exposed concrete, white painting, pattern dies). Next, respondent evaluated 3D simulated landscape image accordingly shared types by preference and landscape adjectives using in streetscape evaluation. As a result, visual preference was the highest in planting type of surface and the lowest in the surface treatment type. Covering 60%(4.48) in planting type of surface was the highest. Because it is similar to the golden ratio considering the visual principle, we will need to take advantage through the result of this paper. Also, most landscape improvement direction which satisfied with significant level showed a positive effect from landscape improvement. Comprehensively based on these results, it suggests desirable landscape improvement direction of LRT pier in the city for solution of landscape inhibition problem.

융기성 피부섬유육종의 외과적 절제연 (Surgical Margins for Excision of Dermatofibrosarcoma Protuberans)

  • 배용찬;문재술;남수봉
    • Archives of Plastic Surgery
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    • 제32권4호
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    • pp.454-460
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    • 2005
  • Dematofibrosarcoma protuberans(DFSP) is a moderate-degree malignant tumor with high recurrence rate and low metastasis rate, from soft tissue. Principle of treatment is wide excision or Mohs micrographic surgery(MMS). Although wide excision has been performed with surgical margins of 2-5 cm until nowadays, there are problems of preservation of surrounding normal tissue. Therefore the authors tried to identify desirable surgical margins and operative method. From January 1999 to April 2003, 12 patients with DFSP were operated. We applied different surgical margins and operative methods according to the location of lesions. On the face, we performed MMS with surgical margin of 3-4 mm in 2 cases although there are problems of operation time and expense. But on the extremities and trunk, we performed authors' method to begin excising with surgical margins of 1 cm and excise extensively with MMS by 1 cm in 4 cases after April, 2001 although we had performed wide excision with surgical margin of 3 cm in 6 cases before. There was no recurrence or metastasis in the follow-up period. So we think that author's method is effective in surgical excision of DFSP