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부유식 해상풍력발전기용 반잠수식 계류 풀리의 강도 성능평가를 위한 구조해석과 축소 모형시험 (Structure Analysis and Scale Model Test for Strength Performance Evaluation of Submersible Mooring Pulley Installed on Floating Offshore Wind Turbine)

  • 송창용
    • 해양환경안전학회지
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    • 제29권5호
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    • pp.479-487
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    • 2023
  • 최근 지구 온난화의 영향으로 태풍의 파괴력이 증가함에 따라 부유식 해상풍력발전기의 막대한 유실과 붕괴에 대한 우려가 깊어지고 있다. 부유식 해상풍력발전기의 안전한 운영을 위해 새로운 형태의 탈착형 계류 시스템 개발이 요구되고 있다. 본 연구에서 고려한 새로운 반잠수식 계류 풀리는 기존의 탈착형 계류 장치에 비해 계류 라인으로 부유식 해상풍력 터빈을 보다 쉽게 탈부착할 수 있도록 고안되었다. 8MW급 부유식 해상풍력발전기에 적용 가능한 반잠수식 계류 풀리의 초기 설계에 대한 구조적 안전성을 검토하기 위해 3D 프린터를 이용하여 축소구조모형을 제작하고, 이 모형에 대한 구조시험을 수행하였다. 축소 모형의 구조시험을 위해 3D 프린팅에 사용된 ABS 소재의 인장 시편을 제작하고 인장시험을 수행하여 소재의 물성을 평가하였다. 인장시험에서 얻은 재료 특성과 축소모형 구조 시험과 동일한 하중 및 경계 조건을 적용하여 반잠수식 계류 풀리의 유한요소해석을 수행하였다. 유한요소해석을 통해 반잠수식 계류 풀리의 구조적 취약 부분을 검토하였다. 반잠수식 계류 풀리의 주요 하중조건을 고려하여 구조모형시험을 수행하였으며, 재료의 최대인장응력 이상이 발생하는 위치에 대해 유한요소해석과 시험 결과를 비교하였다. 유한요소해석과 모형시험의 결과로부터 작동조건에서는 Body와 Wheel의 연결부 구조가 취약한 것으로 파악되었고, 계류조건에서는 Body와 Chain stopper의 연결부 구조가 취약한 것으로 검토되었다. 축소모형 구조시험에서 나타난 SMP의 구조 취약부는 구조해석의 결과와 일치하는 것으로 나타났다. 연구 결과를 통해 반잠수식 계류 풀리의 초기 설계에 대한 구조적 안전성을 실험적으로 검증할 수 있었다. 또한, 본 연구 결과는 상세설계 단계에서 반잠수식 계류 풀리의 구조 강도를 향상시키는데 유용하게 활용될 수 있을 것으로 판단된다.

월드뮤직에서 "상상된 민족"의 정치학 (Politics of "Imagined Ethnicity" in World Music)

  • 김희선
    • 공연문화연구
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    • 제22호
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    • pp.223-252
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    • 2011
  • 세계역사가 서구의 식민지배와 근대를 통해 엘리트적 서구예술음악이 중심으로 부상되는 과정에서 지역의 음악들은 전근대적, 주변적 지위로 위치지워졌다. 20세기의 대중음악은 서구의 자본주의, 상업주의, 음반산업, 대중매체, 기술과 정보의 확산을 통해, 새로운 중심의 지위를 차지하였고 21세기 들어 다양한 글로컬리제이션과 초문화적 초국경적 문화현상을 첨예하게 보여주는 장이 되어가고 있다. 전 지구적 자본, 시장, 경계의 넘나듦을 실천하고 문화산업, 대중음악, 공연예술시장에서 매력적인 분야로 성장하고 있는 월드뮤직은 식민지와 근대를 통해 '서구'에게 발견되었던 '비서구'의 '민속적' '전통적'인 음악들이 가장 탈근대적인 방식으로 '차용' '적합화' '혼종'된 음악으로, 글로컬리제이션을 실천하고 있다. 흥미로운 점은 포스트 모던시대를 대표하는 음악현상인 월드뮤직도 기본적으로는 근대적이었던 음악인류학의 전제와 마찬가지로 '다름'과 '차이'를 기반으로 구성하고 있다는 점이다. 탈영토화된 월드뮤직은 다양한 방식을 통해 타자의 이국적인 음악으로 민족적인 것으로 재현되고, 재현된 민족성은 글로벌시대 다양한 맥락을 가진 로컬의 청중들에게 각기 다른 방식으로 체험된다. 혼종을 실현한 월드뮤직에서도 민속적 악기들, 민속적 보컬스타일들은 월드뮤직의 민족적 음악풍경을 구성하면서 구체화한다. 또한 월드뮤직의 청중은 음악적 '다름'과 '상상된 민족'을 소비하는 글로벌 대중으로 일상의 음악적 소비와 체험을 통해 다층적 사회적 의미들을 구성하고 있다. 월드뮤직의 초문화적 음악적 실천은 기본적으로 민족의 상상을 기반으로 한다. 더 나아가 이러한 상상은 구체적으로 음악의 양식을 뛰어넘어 글로벌 정치, 경제, 문화의 특정조건들 속에서 자신만의 방식으로 민족을 상상하는 생산자와 매개자, 그리고 로컬적 삶의 경험속에서 '다름'과 '차이'를 다시 민족적으로 구성하여 인식하는 해석자의 다양한 상상력에 의해 "구성된 복수의 세계"로서의 전 지구를 상상하고 민족성의 새로운 의미를 "주조하고 동원"한다. 월드뮤직은 다층적인 "상상된 민족들"의 세계가 교차되어 만들어진 구성물로 수많은 초문화적인 의미들을 생산해 내고 있다.

한정된 O-D조사자료를 이용한 주 전체의 트럭교통예측방법 개발 (DEVELOPMENT OF STATEWIDE TRUCK TRAFFIC FORECASTING METHOD BY USING LIMITED O-D SURVEY DATA)

  • 박만배
    • 대한교통학회:학술대회논문집
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    • 대한교통학회 1995년도 제27회 학술발표회
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    • pp.101-113
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    • 1995
  • The objective of this research is to test the feasibility of developing a statewide truck traffic forecasting methodology for Wisconsin by using Origin-Destination surveys, traffic counts, classification counts, and other data that are routinely collected by the Wisconsin Department of Transportation (WisDOT). Development of a feasible model will permit estimation of future truck traffic for every major link in the network. This will provide the basis for improved estimation of future pavement deterioration. Pavement damage rises exponentially as axle weight increases, and trucks are responsible for most of the traffic-induced damage to pavement. Consequently, forecasts of truck traffic are critical to pavement management systems. The pavement Management Decision Supporting System (PMDSS) prepared by WisDOT in May 1990 combines pavement inventory and performance data with a knowledge base consisting of rules for evaluation, problem identification and rehabilitation recommendation. Without a r.easonable truck traffic forecasting methodology, PMDSS is not able to project pavement performance trends in order to make assessment and recommendations in the future years. However, none of WisDOT's existing forecasting methodologies has been designed specifically for predicting truck movements on a statewide highway network. For this research, the Origin-Destination survey data avaiiable from WisDOT, including two stateline areas, one county, and five cities, are analyzed and the zone-to'||'&'||'not;zone truck trip tables are developed. The resulting Origin-Destination Trip Length Frequency (00 TLF) distributions by trip type are applied to the Gravity Model (GM) for comparison with comparable TLFs from the GM. The gravity model is calibrated to obtain friction factor curves for the three trip types, Internal-Internal (I-I), Internal-External (I-E), and External-External (E-E). ~oth "macro-scale" calibration and "micro-scale" calibration are performed. The comparison of the statewide GM TLF with the 00 TLF for the macro-scale calibration does not provide suitable results because the available 00 survey data do not represent an unbiased sample of statewide truck trips. For the "micro-scale" calibration, "partial" GM trip tables that correspond to the 00 survey trip tables are extracted from the full statewide GM trip table. These "partial" GM trip tables are then merged and a partial GM TLF is created. The GM friction factor curves are adjusted until the partial GM TLF matches the 00 TLF. Three friction factor curves, one for each trip type, resulting from the micro-scale calibration produce a reasonable GM truck trip model. A key methodological issue for GM. calibration involves the use of multiple friction factor curves versus a single friction factor curve for each trip type in order to estimate truck trips with reasonable accuracy. A single friction factor curve for each of the three trip types was found to reproduce the 00 TLFs from the calibration data base. Given the very limited trip generation data available for this research, additional refinement of the gravity model using multiple mction factor curves for each trip type was not warranted. In the traditional urban transportation planning studies, the zonal trip productions and attractions and region-wide OD TLFs are available. However, for this research, the information available for the development .of the GM model is limited to Ground Counts (GC) and a limited set ofOD TLFs. The GM is calibrated using the limited OD data, but the OD data are not adequate to obtain good estimates of truck trip productions and attractions .. Consequently, zonal productions and attractions are estimated using zonal population as a first approximation. Then, Selected Link based (SELINK) analyses are used to adjust the productions and attractions and possibly recalibrate the GM. The SELINK adjustment process involves identifying the origins and destinations of all truck trips that are assigned to a specified "selected link" as the result of a standard traffic assignment. A link adjustment factor is computed as the ratio of the actual volume for the link (ground count) to the total assigned volume. This link adjustment factor is then applied to all of the origin and destination zones of the trips using that "selected link". Selected link based analyses are conducted by using both 16 selected links and 32 selected links. The result of SELINK analysis by u~ing 32 selected links provides the least %RMSE in the screenline volume analysis. In addition, the stability of the GM truck estimating model is preserved by using 32 selected links with three SELINK adjustments, that is, the GM remains calibrated despite substantial changes in the input productions and attractions. The coverage of zones provided by 32 selected links is satisfactory. Increasing the number of repetitions beyond four is not reasonable because the stability of GM model in reproducing the OD TLF reaches its limits. The total volume of truck traffic captured by 32 selected links is 107% of total trip productions. But more importantly, ~ELINK adjustment factors for all of the zones can be computed. Evaluation of the travel demand model resulting from the SELINK adjustments is conducted by using screenline volume analysis, functional class and route specific volume analysis, area specific volume analysis, production and attraction analysis, and Vehicle Miles of Travel (VMT) analysis. Screenline volume analysis by using four screenlines with 28 check points are used for evaluation of the adequacy of the overall model. The total trucks crossing the screenlines are compared to the ground count totals. L V/GC ratios of 0.958 by using 32 selected links and 1.001 by using 16 selected links are obtained. The %RM:SE for the four screenlines is inversely proportional to the average ground count totals by screenline .. The magnitude of %RM:SE for the four screenlines resulting from the fourth and last GM run by using 32 and 16 selected links is 22% and 31 % respectively. These results are similar to the overall %RMSE achieved for the 32 and 16 selected links themselves of 19% and 33% respectively. This implies that the SELINICanalysis results are reasonable for all sections of the state.Functional class and route specific volume analysis is possible by using the available 154 classification count check points. The truck traffic crossing the Interstate highways (ISH) with 37 check points, the US highways (USH) with 50 check points, and the State highways (STH) with 67 check points is compared to the actual ground count totals. The magnitude of the overall link volume to ground count ratio by route does not provide any specific pattern of over or underestimate. However, the %R11SE for the ISH shows the least value while that for the STH shows the largest value. This pattern is consistent with the screenline analysis and the overall relationship between %RMSE and ground count volume groups. Area specific volume analysis provides another broad statewide measure of the performance of the overall model. The truck traffic in the North area with 26 check points, the West area with 36 check points, the East area with 29 check points, and the South area with 64 check points are compared to the actual ground count totals. The four areas show similar results. No specific patterns in the L V/GC ratio by area are found. In addition, the %RMSE is computed for each of the four areas. The %RMSEs for the North, West, East, and South areas are 92%, 49%, 27%, and 35% respectively, whereas, the average ground counts are 481, 1383, 1532, and 3154 respectively. As for the screenline and volume range analyses, the %RMSE is inversely related to average link volume. 'The SELINK adjustments of productions and attractions resulted in a very substantial reduction in the total in-state zonal productions and attractions. The initial in-state zonal trip generation model can now be revised with a new trip production's trip rate (total adjusted productions/total population) and a new trip attraction's trip rate. Revised zonal production and attraction adjustment factors can then be developed that only reflect the impact of the SELINK adjustments that cause mcreases or , decreases from the revised zonal estimate of productions and attractions. Analysis of the revised production adjustment factors is conducted by plotting the factors on the state map. The east area of the state including the counties of Brown, Outagamie, Shawano, Wmnebago, Fond du Lac, Marathon shows comparatively large values of the revised adjustment factors. Overall, both small and large values of the revised adjustment factors are scattered around Wisconsin. This suggests that more independent variables beyond just 226; population are needed for the development of the heavy truck trip generation model. More independent variables including zonal employment data (office employees and manufacturing employees) by industry type, zonal private trucks 226; owned and zonal income data which are not available currently should be considered. A plot of frequency distribution of the in-state zones as a function of the revised production and attraction adjustment factors shows the overall " adjustment resulting from the SELINK analysis process. Overall, the revised SELINK adjustments show that the productions for many zones are reduced by, a factor of 0.5 to 0.8 while the productions for ~ relatively few zones are increased by factors from 1.1 to 4 with most of the factors in the 3.0 range. No obvious explanation for the frequency distribution could be found. The revised SELINK adjustments overall appear to be reasonable. The heavy truck VMT analysis is conducted by comparing the 1990 heavy truck VMT that is forecasted by the GM truck forecasting model, 2.975 billions, with the WisDOT computed data. This gives an estimate that is 18.3% less than the WisDOT computation of 3.642 billions of VMT. The WisDOT estimates are based on the sampling the link volumes for USH, 8TH, and CTH. This implies potential error in sampling the average link volume. The WisDOT estimate of heavy truck VMT cannot be tabulated by the three trip types, I-I, I-E ('||'&'||'pound;-I), and E-E. In contrast, the GM forecasting model shows that the proportion ofE-E VMT out of total VMT is 21.24%. In addition, tabulation of heavy truck VMT by route functional class shows that the proportion of truck traffic traversing the freeways and expressways is 76.5%. Only 14.1% of total freeway truck traffic is I-I trips, while 80% of total collector truck traffic is I-I trips. This implies that freeways are traversed mainly by I-E and E-E truck traffic while collectors are used mainly by I-I truck traffic. Other tabulations such as average heavy truck speed by trip type, average travel distance by trip type and the VMT distribution by trip type, route functional class and travel speed are useful information for highway planners to understand the characteristics of statewide heavy truck trip patternS. Heavy truck volumes for the target year 2010 are forecasted by using the GM truck forecasting model. Four scenarios are used. Fo~ better forecasting, ground count- based segment adjustment factors are developed and applied. ISH 90 '||'&'||' 94 and USH 41 are used as example routes. The forecasting results by using the ground count-based segment adjustment factors are satisfactory for long range planning purposes, but additional ground counts would be useful for USH 41. Sensitivity analysis provides estimates of the impacts of the alternative growth rates including information about changes in the trip types using key routes. The network'||'&'||'not;based GMcan easily model scenarios with different rates of growth in rural versus . . urban areas, small versus large cities, and in-state zones versus external stations. cities, and in-state zones versus external stations.

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가잠(家蠶)으로부터 분리(分離)된 새로운 Microsporidia S80의 특성(特性) (Characteristics of New Microsporidia S80 Isolated from Silkworm, Bombyx mori L. in Korea)

  • 임종성;조세연
    • Current Research on Agriculture and Life Sciences
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    • 제1권
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    • pp.67-83
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    • 1983
  • 1980년(年) 한국(韓國)에서 발견(發見)된 Microsporidia S 80은 포자(胞子)의 길이가 $2.9{\pm}0.28{\mu}$ 폭(幅)이 $1.7{\pm}0.29{\mu}$으로 난원형(卵圓形)인데 그 크기가 형태(形態)로 보아 누에에 기생(寄生)하는 Microsporidia로서 지금까지 한국(韓國)이나 일본(日本)에서 알려진 것 들과는 다른 것이다. 과산화수소(過酸化水素) 원액(原液)으로 처리(處理)하였을때에 추출(抽出)된 극사(極絲)의 길이는 평균(平均) $26{\mu}$이었고 극사(極絲)의 선단(先端)에서 둥근 모양의 sporoplasm이 돌출(突出)되어 있는 것이 관찰(觀察)되었다. 한편 포자(胞子)는 Giemsa, Safranin-O, Gram 등(等)의 염색(染色)에서 부분적(部分的)으로 염색(染色)되는 특징(特徵)이 나타났으며, 전자현미경(電子顯微鏡)으로 관찰(觀察)한 포자(胞子)의 미세구조(微細構造)는 제일 바깥 부분(部分)이 전자밀도(電子密度)가 높고 요철(凹凸)이 있는 얇은 exospore로 둘러싸여 있고 그 안쪽에는 투명(透明)하고 두꺼운 endospore가 있는데 endospor는 포자(胞子)의 정단부(頂端部)가 다른 부위(部位)보다 상당히 얇은데 이곳으로 극사(極絲)가 추출(抽出)되는 것으로 생각된다. endospore와 cytoplasm과의 경계부(境界部)에는 세포질(細胞質)을 싸고 있는 한층(層)의 한계막(限界膜)인 inner limitting layer가 있다. 세포질(細胞質)의 전단부(前端部)에는 polar cap이 있고 그 밑에는 lamellar 구조(構造)의 발달(發達)된 polaroplast가 있으며 polaroplast의 후부(後部)는 vesiculate part로 되어 있는 것으로 보인다. polar filament는 anchoring disc인 polar cap에서 곧게 뻗어 나아가다가 포자(胞子)의 내벽(內壁)을 따라 돌면서 용수철 처럼 말려 있는데 polar filament의 coiled part 중앙(中央)에 2중막(重膜)에 싸여진 전자밀도(電子密度)가 높은 후형질(厚形質)로된 2핵(核)이 인접(隣接)하여 있으며 포자(胞子)의 부단부(部端部)에는 posterior vacuole이 있을 것이다. 이러한 포자(胞子)의 크기와 형태(形態) 및 미세구조(微細構造)로 보아 Microsporidia인 것을 확인(確認)할 수 있으며 분류학(分類學) 상(上)의 위치(位置)는 Microsporea 강(綱), Microsporidia 일(日)에 소속(所屬)시킬 수 있고 아목(亞目) 및 속(屬)을 규명(糾明)하기 위(爲)해서는 그 생활사(生活史)가 밝혀져야 한다. Mcrosporidia S80을 2령(齡) 기잠(起蠶)에 경구접종(經口接種)한 경우(境遇)의 LD50은 $7.1{\times}10^7/ml$로서 $1.2{\times}10^7/ml$인 Nosema bombycis와 비교(比較)할때 병원성(病原性)이 낮은 것으로 나타났으나 그 발생지역(發生地域)이 경기도(京畿道)를 중심(中心)으로 인접지역(隣接地域)인 강원(江原), 충북(忠北) 충남(忠南) 및 전남(全南)에서도 발생(發生)되고 있는 점(點)과 4령기(齡期) 접종시(接種時) 전견중(全繭重)과 견층중(繭層重)에 나쁜 영향(影響)을 미칠뿐 아니라 화아비율(化蛾比率)이 낮고, 감염(感染)된 모아(母蛾)는 물론 감염(感染)된 웅아(雄蛾)와 교미(交尾)한 모아(母蛾)에서도 산란불능아(産卵不能蛾)가 발생(發生)하거나 산란수(産卵數)가 건전구(健全區)에 비(比)하여 떨어지는 동시(同時)에 부수정란(不受精卵) 비율(比率)도 높은 것으로 볼 때 사견양잠(絲繭養蠶)은 물론 종견양잠(種繭養蠶)에 있어서도 피해(被害)를 입고 있을 것으로 본다. 감염모아(感染母蛾) 21마리에서 얻은 차대잠(次代蠶)의 검사결과(檢査結果) 경란전달(徑卵傳達)은 되지 않는 것으로 나타났으나 혹시 경란전달(徑卵傳達)이 된다고 해도 그 빈도(頻度)는 매우 낮을 것이며 1/21 미만(未滿)일 것으로 생각된다.

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On-X$^{circledR}$ 기계판막을 이용한 대동맥판 치환술의 조기 임상 경험 (Early Clinical Experience in Aortic Valve Replacement Using On-X$^{circledR}$Prosthetic Heart Valve)

  • 안병희;전준경;류상완;최용선;김병표;홍성범;박종춘;김상형
    • Journal of Chest Surgery
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    • 제36권9호
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    • pp.651-658
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    • 2003
  • On-X 기계판막은 1997년 처음으로 사용된 이후 전 세계적으로 사용빈도가 증가하고 있다. 본 연구는 이 새로운 기계판막에 대한 유용성과 안전성, 그리고 술 후 혈역학적 변화에 대해 알아보고자 시행되었다. 대상 및 방법: 1999년 4월부터 2002년 8월까지 전남대학교병원 흉부외과에서 On-X 판막을 사용하여 대동맥판막 치환술을 시행했던 52명의 환자를 대상으로 분석하였다. 환자 중 52%가 남자였으며 평균연령은 50$\pm$13세였다. 연구는 판막수술 후 결과보고에 대한 AATS/STS 지침에 따라 분석하였다. 술 전 뉴욕 심장병학회의 기능분류상 class III 이상의 환자가 32명(61.5%)이였으며, 2명의 환자는 이전에 대동맥판막 수술을 받았던 환자였다. 71.1%의 환자에서 동반된 질환에 의해 대동맥판막 치환술과 함께 동반 수술을 시행하였고, 이식된 판막의 크기는 19 mm 13명, 21 mm 26명, 23 mm 10명과 25 mm 3명이었다 평균 외래 추적관찰 기간은 16.6$\pm$10.5 (1∼39)개월이었다. 수술 전과 수술 직후 그리고 3, 6, 12개월에 심초음파를 반복 시행하여 술 후 혈역학적 변화양상을 분석하였다. 결과: 평균 체외순환시간과 대동맥 차단시간은 각각 191$\pm$94.7분과 142$\pm$51.7분이었다. 술 후 조기 및 만기 사망은 없었다. 술 후 12개월간 event-free rate는 혈전색전증 95.6$\pm$6%; 출혈성 합병증 90.2$\pm$4%: 판막 주위누출 92.3$\pm$4%이었으며 전체적인 event-free rate는 76.6$\pm$3%이었다. 수술 후 판막혈전이나 심내막염, 구조적 판막부전은 발생하지 않았다. 술 후 12개월의 평균심박출량은 62.7$\pm$9.8%로 수술 전(55.8$\pm$15.9%)에 비해 의미 있는 증가를 보였다(p=0.006). 좌심실 체적지수와 최대 판막압력차는 수술 전에 247.3$\pm$122.3 g/$\textrm{cm}^2$, 62.5$\pm$38.0 mmHg을 보였으나 술 후 12개월에 각각 155.5$\pm$58.2 g/$\textrm{cm}^2$(p=0.002), 18.0$\pm$10.8 mmHg (p<0.0001)로 감소하는 소견을 보였다. 결론: On-X 기계판막을 이용한 대동맥판막 치환술은 임상적 및 혈역학적으로 만족스러운 조기 결과를 보여주었다. 그러나 대상 환자들에 대한 장기간의 외래 추적관찰과 함께 기존 판막과의 비교가 이루어짐으로써 이 새로운 판막에 대한 유용성과 안정성이 확립될 수 있을 것으로 생각한다.

엡스타인 기형의 20년 수술 치험 (20 Years Surgical Experiences for Ebstein's Anomaly)

  • 이삭;박한기;이창영;장병철;박영환
    • Journal of Chest Surgery
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    • 제40권4호
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    • pp.280-287
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    • 2007
  • 배경: 엡스타인 기형 환자들에서 수술적 치료의 임상적 결과를 살펴보기 위해 후향적 조사를 실시하였다. 대상 및 방법: 1984년 2월부터 2006년 6월까지 엡스타인 기형으로 수술적 치료를 시행 받은 50명의 환자들을 대상으로 후향적 연구를 시행하였다. 환자들의 평균 연령은 26.9세였고, 남자가 19명이었다. 동반 심질환으로는 심방중격결손(33), 동맥관개존(2), 심실중격결손(1), 폐동맥협착(4) 등이 있었고 90% (45/50)의 환자에서 중증도 이상의 삼첨판막 폐쇄부전을 동반하였다. Carpentier type은 A형 6명, B형 26명, C형 14명, D형 4명이 속하였고 10명의 환자에서 WPW증후군을 동반하였다. 수술방법으로는 31명의 환자에서 보존적 수술(삼첨판 성형술, 심방화 우심실 주름잡기술(plication of atrialized RV) 등)이 가능하였으며, 폰탄씨 수술은 4명, 삼첨판막 치환술 12명, 고식적 수술은 2명의 환자에서 시행되었다. 13명의 환자에서 양방향성 상대정맥-폐동맥 단락술을 시행하였고(one and a half ventricular repair), WPW 증후군을 동반한 10명의 환자와 심방세동의 4명의 환자에서 부정맥에 대한 수술적 치료가 함께 시행되었다. 걸과: 술 후 뉴욕심장학회 기능분류(New York Heart Association Functional Class) (중간값 3 (범위: $1{\sim}4$)${\rightarrow}\;(1{\sim}3)$)와 평균 심흉비$(0.65{\rightarrow}0.59)$는 술 전에 비해 통계학적으로 의미 있게 감소하였다(P<0.001, p=0.014). 평균 산소포화도$(86.6{\rightarrow}94.1%)$와 삼첨판막역류 정도(중간값 4 (범위: $1{\sim}4$)${\rightarrow}1\;(0{\sim}4)$) 역시 술 전에 비해 술 후 통계학적으로 의미 있게 향상되었다 (p=0.004, p<0.001). 양방향성 상대정맥-폐동맥 단락술과 보존적 수술간의 비교에서는 수술 전 우심실 압력(33.0 vs 41.3 mmHg), 중환자실 기간(2.86 vs 1.89일), 입원기간(10.6 vs 16.8일), 그리고 수술 후 좌심실 구축률(64.3 vs 72.8%)이 통계적으로 의미 있는 차이를 보였다. 술 후 조기사망이 3명(6%)의 환자에서 있었는데 2명은 양심실 부전, 나머지 1명은 패혈증으로 사망하였다. 평균 추적관찰 기간은 101.5개월이었으며 추적 조사 결과, 심장관련사망이 1명(폰탄 실패)이 있었고 6명의 환자에서 재수술을 요하였다(조직판막 퇴행성 변화(2), 폰탄 전환술(4)). 수술 후 10년 생존율은 90.2%였고, 10년 재수술 자유도는 78.9%, 심장관련 합병증의 자유도는 49.2%이었다. 걸론: 엡스타인 기형의 수술적 치료는 비교적 안전하게 시행될 수 있으며 양방향성 상대정맥-폐동맥 단락술의 추가가 고위험군에서는 도움이 되는 것으로 생각한다. 적절한 술기의 적응이 결국 장기 생존율의 호전과 재수술의 감소를 기대할 수 있을 것으로 생각한다.

지속적 관여도 및 인지된 위험이 소비자의 온라인 상인선택 프로세스에 미치는 영향에 관한 연구: 요구신뢰 수준 개념을 중심으로 (How Enduring Product Involvement and Perceived Risk Affect Consumers' Online Merchant Selection Process: The 'Required Trust Level' Perspective)

  • 홍일유;이정민;조휘형
    • Asia pacific journal of information systems
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    • 제22권1호
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    • pp.29-52
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    • 2012
  • Consumers differ in the way they make a purchase. An audio mania would willingly make a bold, yet serious, decision to buy a top-of-the-line home theater system, while he is not interested in replacing his two-decade-old shabby car. On the contrary, an automobile enthusiast wouldn't mind spending forty thousand dollars to buy a new Jaguar convertible, yet cares little about his junky component system. It is product involvement that helps us explain such differences among individuals in the purchase style. Product involvement refers to the extent to which a product is perceived to be important to a consumer (Zaichkowsky, 2001). Product involvement is an important factor that strongly influences consumer's purchase decision-making process, and thus has been of prime interest to consumer behavior researchers. Furthermore, researchers found that involvement is closely related to perceived risk (Dholakia, 2001). While abundant research exists addressing how product involvement relates to overall perceived risk, little attention has been paid to the relationship between involvement and different types of perceived risk in an electronic commerce setting. Given that perceived risk can be a substantial barrier to the online purchase (Jarvenpaa, 2000), research addressing such an issue will offer useful implications on what specific types of perceived risk an online firm should focus on mitigating if it is to increase sales to a fullest potential. Meanwhile, past research has focused on such consumer responses as information search and dissemination as a consequence of involvement, neglecting other behavioral responses like online merchant selection. For one example, will a consumer seriously considering the purchase of a pricey Guzzi bag perceive a great degree of risk associated with online buying and therefore choose to buy it from a digital storefront rather than from an online marketplace to mitigate risk? Will a consumer require greater trust on the part of the online merchant when the perceived risk of online buying is rather high? We intend to find answers to these research questions through an empirical study. This paper explores the impact of enduring product involvement and perceived risks on required trust level, and further on online merchant choice. For the purpose of the research, five types or components of perceived risk are taken into consideration, including financial, performance, delivery, psychological, and social risks. A research model has been built around the constructs under consideration, and 12 hypotheses have been developed based on the research model to examine the relationships between enduring involvement and five components of perceived risk, between five components of perceived risk and required trust level, between enduring involvement and required trust level, and finally between required trust level and preference toward an e-tailer. To attain our research objectives, we conducted an empirical analysis consisting of two phases of data collection: a pilot test and main survey. The pilot test was conducted using 25 college students to ensure that the questionnaire items are clear and straightforward. Then the main survey was conducted using 295 college students at a major university for nine days between December 13, 2010 and December 21, 2010. The measures employed to test the model included eight constructs: (1) enduring involvement, (2) financial risk, (3) performance risk, (4) delivery risk, (5) psychological risk, (6) social risk, (7) required trust level, (8) preference toward an e-tailer. The statistical package, SPSS 17.0, was used to test the internal consistency among the items within the individual measures. Based on the Cronbach's ${\alpha}$ coefficients of the individual measure, the reliability of all the variables is supported. Meanwhile, the Amos 18.0 package was employed to perform a confirmatory factor analysis designed to assess the unidimensionality of the measures. The goodness of fit for the measurement model was satisfied. Unidimensionality was tested using convergent, discriminant, and nomological validity. The statistical evidences proved that the three types of validity were all satisfied. Now the structured equation modeling technique was used to analyze the individual paths along the relationships among the research constructs. The results indicated that enduring involvement has significant positive relationships with all the five components of perceived risk, while only performance risk is significantly related to trust level required by consumers for purchase. It can be inferred from the findings that product performance problems are mostly likely to occur when a merchant behaves in an opportunistic manner. Positive relationships were also found between involvement and required trust level and between required trust level and online merchant choice. Enduring involvement is concerned with the pleasure a consumer derives from a product class and/or with the desire for knowledge for the product class, and thus is likely to motivate the consumer to look for ways of mitigating perceived risk by requiring a higher level of trust on the part of the online merchant. Likewise, a consumer requiring a high level of trust on the merchant will choose a digital storefront rather than an e-marketplace, since a digital storefront is believed to be trustworthier than an e-marketplace, as it fulfills orders by itself rather than acting as an intermediary. The findings of the present research provide both academic and practical implications. The first academic implication is that enduring product involvement is a strong motivator of consumer responses, especially the selection of a merchant, in the context of electronic shopping. Secondly, academicians are advised to pay attention to the finding that an individual component or type of perceived risk can be used as an important research construct, since it would allow one to pinpoint the specific types of risk that are influenced by antecedents or that influence consequents. Meanwhile, our research provides implications useful for online merchants (both online storefronts and e-marketplaces). Merchants may develop strategies to attract consumers by managing perceived performance risk involved in purchase decisions, since it was found to have significant positive relationship with the level of trust required by a consumer on the part of the merchant. One way to manage performance risk would be to thoroughly examine the product before shipping to ensure that it has no deficiencies or flaws. Secondly, digital storefronts are advised to focus on symbolic goods (e.g., cars, cell phones, fashion outfits, and handbags) in which consumers are relatively more involved than others, whereas e- marketplaces should put their emphasis on non-symbolic goods (e.g., drinks, books, MP3 players, and bike accessories).

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우리나라 답토양(畓土壌)의 실용적분류(実用的分類)에 관(関)한 연구(硏究) -제1보(第一報) 사질답(砂質畓) 분류(分類)에 관(関)하여 (Studies on the Interpretative Classification of Paddy Soils in Korea I : A Study on the Classification of Sandy Paddy Soils)

  • 정연태;양의석;박래경
    • 한국토양비료학회지
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    • 제15권2호
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    • pp.128-140
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    • 1982
  • 저위(低位) 생산답중(生産畓中)에서 분포면적(分布面積)이 가장 넓고 개량(改良)의 효과(効果)가 큰 사질답(砂質畓)의 분포상태(分布状態) 및 실용적(実用的) 분류(分類)와 더불어 현재(現在) 널리 쓰이고 있는 답류형별(畓類型別) 분류체계(分類体系)의 개선(改善)을 위한 사질답(砂質畓) 유형분류(類型分類) 시안(試案)을 시도(試圖)하여 본 결과(結果)는 다음과 같다. 1. 현재(現在) 이용(利用)되고 있는 기준(基準)에 의(依)한 사질답(砂質畓)의 잠재생산력(潜在生産力)은 보통답(普通畓)의 86%이었고 생산력(生産力)의 변이정도(変異程度)가 커서 유형재분류(類型再分類)의 필요성(必要性)이 있었다. 2. 현재(現在) 이용(利用)되고 있는 답유형(畓類型) 구분기준중(区分基準中) "사질답(砂質畓)"은 토성(土性)이 사질(砂質)이더라도 습답(湿畓)인 경우(境遇)와 염농도(塩濃度)가 높은 경우(境遇)에는 제외(除外)되고 있으므로 "객토대상지(客土対象地)" 추천(推薦)이 복잡(複雜)하고 제염(除塩)되거나 배수조건(排水條件) 변화시(変化時)에 유형(類型)을 변경분류(変更分類)해야 하였다. 3. 본(本) 연구(硏究)에서 제안(提案)한 사질답분류(砂質畓分類) 시안(試案)에서는 토성(土性)이 사질(砂質)인 모든 답토양(畓土壌)을 포함(包含)시켰으며 수량(收量)에 영향(影響)이 큰 특성(特性)을 기준(基準)하여 개(個)의 아형(亜型)(산화용탈형(酸化溶脫型) 사질답(砂質畓); 건답형(乾畓型), 산화환원중간형(酸化還元中間型) 사질답(砂質畓); 반습답형(半湿畓型), 환원집적형(還元集積型) 사질답(砂質畓); 습답형(湿畓型), 환원염해형(還元塩害型), 사질답(砂質畓), 염해형(塩害型))으로 재분(再分)하였고 각아형(各亜型)은 토성계별(土性系別)로 토양통(土壌統)과 연결(連結)할 수 있었다. 그러므로 시안(試案)의 분류단계(分類段階)는 형(型)(사질답(砂質畓))-아형(亜型)(4개(個))-토성계(土性系)(5등급(等級))-토양통(土壤壌)(48개통(個統))으로 되었다. 4. 시안(試案)과 같이 사질습답(砂質湿畓)과 사질염해답(砂質塩害畓)을 사질답(砂質畓)의 일부(一部)에 포함(包含)시켜 생산력(生産力)의 변이정도(変異程度)를 검정(検定)해 본 결과(結果)는 현행(現行) 체계(体系)에 의(依)한 것보다 개선(改善)되엇다. 5. 전국(全国)의 사질답(砂質畓) 면적(面積)은 409,902ha로서 총(総) 답면적(畓面積)의 32.3%에 해당(該当)되며 시안(試案)대로 분류(分類)하면 38.9%(492,982ha)에 달(達)하였고 절대면적(絶対面積)이 많은 지역(地域)은 경기(京畿)(88,923ha), 전북(全北)(69,717ha), 경북(慶北)(55,390ha) 순(順)이었고 답면적(畓面積) 전체(全体)에 대(対)한 상대적(相対的) 비율(比率)이 높은 지역(地域)은 강원(江原)(58.9%), 경기(京畿)(50.5%), 충북(忠北)(48.5%), 전북(全北)(41.0%)의 순(順)이며 시안(試案)에 의(依)하면 사질답(砂質畓) 면적(面積)은 더욱 높아져서 강원도(江原道)의 경우(境遇)에는 71.4%가 사질질답(砂質質畓)에 해당(該当)되었다. 6. 사질답(砂質畓)은 답토양(畓土壌) 적성등급(適性等級)의 3급지(級地)(69.1%)와 4급지(級地)(29.2%)에 대부분(大部分)이 해당(該当)되었으며 3급지중(級地中)에서는 "3사질(砂質)"(53.3%), 4급지중(級地中)에서는 "4경사(傾斜)"(16.0%)에 해당(該当)하는 토양(土壌)이 가장 많았다. 토성계(土性系)(Texture family)별(別)로는 사양질계(砂壌質系)(Coarse loamy family)가 59.2%로 대부분(大部分)이었고 징사(徵砂) 사양질계(砂壌質系)(Coarse silty)인 것도 전체(全体)의 16.1%에 달(達)하였다. 7. 시안(試案)에 의(依)한 사질답(砂質畓) 아형별(亜型別) 면적(面積)은 반습답형(半湿畓型) 사질답(砂質畓)(酸化還元中間型)이 49.6%(245,012ha)로 가장 많았고 그 다음으로 건답형(乾畓型) 사질답(砂質畓)(산화용탈형(酸化溶脫型))이 33.5%(64,890ha)이었고 습답형(湿畓型)(14.0%)과 염해형(塩害型)(2.9%)도 그 분포면적(分布面積)은 83,081ha에 달(達)하였다.

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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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조선시대(朝鮮時代) 전기(前期)의 의료제도(醫療制度)에 대한 연구(硏究) (A study of the Medical System in the Early Chosun-Dynasty)

  • 한대희;강효신
    • 대한한의학원전학회지
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    • 제9권
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    • pp.555-652
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    • 1996
  • Up to the present the scholastic achievements in the history of the medical system have been rather scare despite its importance in the Korean History. Hence, this dissertation attempts to examine the significance of the institute in the Korean History, covering the period from the ancient times through the early Chosun-Dynasty. In the ancient times, the medical practice relied primarily upon human instincts and experiences at the same time, shaman's incantations were widely believed to cure diseases, the workings of evil spirits supposedly. For the period from the Old Chosun through Samhan(巫堂), Chinese refugees brought a long medical knowledge and skills of the continent. New Chinese medicine, traditional practices and incantations were generally used at this time. Medicine and the medical system were arranged by the period of the Three Countries(三國時代). No definite record concerning Koguryo remains now. As for Paekje, however, history shows that they set up the system under the Chinese influence, assigning medical posts such as Euibaksa(medical doctor), Chaeyaksa(pharmacist), and Jukeumsa(medicine man) within Yakbu(department of medicine). Scientifically advanced, they sent experts to Japan, giving a tremendous influence on the development of the science on ancient Japan. After the unification of the three countries, Shilla had their own system after the model of Dang(唐). This system of the Unified Shilla was continued down to Koryo and became the backbone of the future ones. In the ancient time religion and medicine were closely related. The curative function of the shaman was absolute. Buddhism played a notable part in medical practice, too, producing numerous medical monks. The medical system of Koryo followed the model of Dang with some borrowings from Song(宋). Sangyakkuk(尙藥局) was to deal exclusively with the diseases of the monarch whereas Taeeuigam(太醫監) was the central office to handle the national medical administration and the qualification test and education for doctors. In addition, Dongsodaebiwon(東西大悲院), Jewibo(濟危寶), and Hyeminkuk(惠民局) were public hospitals for the people, and a few aristocrats practiced medicine privately. In 987, the 6th year of Songjong(成宗), local medical operations were installed for curing the sick and educating medical students. Later Hyonjong(顯宗), established Yakjom(clinics, 藥店) throughout the country and officials were sent there to see patients. Foreign experts, mainly from Song, were invited frequently to deliver their advanced technology, and contributed to the great progress of the science in Korea. Medical officials were equipped with better land and salary than others, enjoying appropriate social respect. Koryo exchanged doctors, medicine and books mainly with Song, but also had substantial interrelations with Yuan(元), Ming(明), Kitan(契丹), Yojin(女眞), and Japan. Among them, however, Song was most influential to the development of medicine in Koryo. During Koryo Dynasty Buddhism, the national religion at the time, exercised bigger effect on medicine than in any other period. By conducting national ceremonies and public rituals to cure diseases, Taoism also affected the way people regarded illness. Curative shamanism was still in practice as well. These religious practices, however, were now engaged only when medication was already in use or when medicine could not held not help any more. The advanced medical system of Koryo were handed down to Chosun and served the basis for further progress. Hence, then played well the role to connect the ancient medicine and the modern one. The early Chosun followed and systemized the scientific and technical achievement in medicine during the Koryo Dynasty, and furthermore, founded the basis of the future developments. Especially the 70 years approximately from the reign of Sejong(世宗) to that of Songjong(成宗) withnessed a termendous progress in the field with the reestablishment of the medical system. The functions of the three medical institute Naeeuiwon(內醫院), Joneuigam(典醫監), Hyeminkuk(惠民局) were expanded. The second, particualy, not only systemized all the medical practices of the whole nation, but also grew and distributed domestic medicaments which had been continually developed since the late Koryo period. In addition, Hyeminso(惠民局, Hwarinwon(活人院)) and Jesaenwon(濟生院)(later merged to the first) played certain parts in the curing illness. Despite the active medical education in the capital and the country, the results were not substantial, for the aristocracy avoided the profession due to the social prejudice against technicians including medical docotors. During the early Chosun-Dynasty, the science was divided into Chimgueui (acupuncturist), Naryogeui(specialist in scrofula) and Chijongeui (specialist in boil). For the textbooks, those for the qualification exam were used, including several written by the natives. With the introduction on Neoconfucianism(性理學) which reinforced sexual segregation, female doctors appeared for the female patients who refused to be seen by male doctors. This system first appeared in 1406, the sixth year of Taejong(太宗), but finally set up during the reign of Sejong. As slaves to the offices, the lowest class, female doctors drew no respect. However, this is still significant in the aspect of women's participation in society. They were precedents of midwives. Medical officials were selected through the civil exam and a special test. Those who passed exams were given temporary jobs and took permanent posts later. At that time the test score, the work experience and the performance record of the prospective doctor were all taken into consideration, for it was a specialized office. Most doctors were given posts that changed every six months, and therefore had fewer chances for a goverment office than the aristocracy. At the beginning the social status of those in medicine was not that low, but with the prejudice gradully rising among the aristocracy, it became generally agreed to belong to the upper-middle technician class. Dealing with life, however, they received social respect and courtesy from the public. Sometimes they collected wealth with their skills. They kept improving techniques and finally came to take an important share in modernization process during the late Chosun-Dynasty.

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