• 제목/요약/키워드: Oriental Medical Health Examination

검색결과 90건 처리시간 0.027초

간호교육 개선을 위한 교과과정 비교분석 - 서울$\cdot$경인지역 전문대학을 중심으로 - (A Study on the Curriculums of the Nursing Department of Junior Colleges in Seoul and Kyungin Area)

  • 이애경;김정애;방숙명;주미경;김영희;정안순;최나영;장은정
    • 한국보건간호학회지
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    • 제11권2호
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    • pp.180-193
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    • 1997
  • This study was designed to set up more developed curriculum in Nursing department of a junior college. The sample for the study were fifteen curriculums of fifteen selected junior colleges in Seoul and Kyunggi area. The credits and hours of each curriculum were analyzed into means and compared with the one of the example college. The data were categorized into seven sections; cultural subject, basic medical science, major subjects such as Nursing, Fundamental Nursing, electives, teaching and non-teaching subjects, and clinical practice. The data were analyzed by means of descriptive statistics. The results of the study were as follows; 1. Credit hours of Cultural subjects of each college ranges from $5.8\%\;to\;25.7\%$ of the total graduate credit hours; most commonaly lectured subjects are English 05 colleges), Korean (11 colleges), psychology (10 colleges), and computer (10 colleges). 2. In the case of the example college, Anatomy and Psychology were jointed as one subject, Basic Nursing Science, and some more study in depth should be made to develop more of this type of conjunction among related subjects on basic medical science. 3. As for the mendatory subjects of the example college, subjects on Adult Nursing was fourteen credits (14 hours), which was higher than the average 12.9 hours of other colleges compared. 4. Credit hours of Basic Nursing Laboratory were eight to ten credits (12-18 hours), which was higher than actual class hours. As more and more hospitals test clinical aptitude when recruiting nurses, more emphasis should be paid to the clinical practice. 5. Among fifteen sample curriculums six to twelve electives were offered with twelve to twenty-three credits. Most commonly opened subjects were Physical Examination (5), Nursing English (14). and Geriatrics Nursing (13). Nursing English are considered to be more important in the view of clinical practice. and Oriental Nursing, Nursing Information and Health Insurance Management should be considered as specialized subjects. 6. Teaching and Non-teaching subjects In case of the example school. Clinical Emergency Medicine, Introduction to Emergency Medicine were offered for these non-teaching class students so they could prepare for the qualification examination. 7. Clinical Practice The average credit hours for clinical practice of the sample college were 20.9 credit hours $(66.5\%)$ and the example school offered twenty credit hours which was slightly lower than the other forteen.

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농촌 재가 장애인의 가정방문 재활서비스 욕구도 분석 (Needs Analysis for Home Rehabilitation Services by Disabled Person in the Rural Areas)

  • 이충휘;이현주;박경희;안덕현
    • 한국전문물리치료학회지
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    • 제9권2호
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    • pp.61-81
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    • 2002
  • The purposes of this research were to investigate home care rehabilitation services in rural areas and to collect basic data about disabled persons necessary when for carrying out rehabilitation services. Respondents were selected from six of a total of eight townships (Myon) and one town (Eup) in the Wonju city area. Wonju is in Kangwon Province (Do). Of a total of 338 names provided by the Myon offices, 298 persons were located and included registered and non-registered persons. Conditions included stroke, spinal cord injury, and cerebral palsy in addition to disabilities classified as first, second or third degree, in the case of registered cases. Respondent demographic characteristics, medical characteristics, rehabilitation service needs, willingness to receive rehabilitation service and individual opinions regarding rehabilitation services were analysed by frequency and percentage. The results were as follows: 1) Rehabilitation services received by disabled persons living at home in the rural areas surrounding Wonju city were medical rehabilitation (41.7%), diagnosis (36.5%), rehabilitation assistive devices (7.6%), social assistance (7.1%), rehabilitation counseling (3.0%), vocational rehabilitation (1.8%), educational rehabilitation (1.6%) and housekeeping services (0.5%). The majority of rehabilitation services were medical rehabilitation provided at hospitals and oriental medicine hospitals. 2) Sixty point eight percent of respondents expressed their willingness to receive home care rehabilitation services. Needs expressed were highest for medical rehabilitation (27.0%), followed by social assistance (19.4%), medical examination (12.4%), physician-generated diagnosis in the home setting (11.6%), sociopsychological rehabilitation (9.3%), vocational rehabilitation (7.6%), rehabilitation engineering (6.0%), educational rehabilitation (3.3%), and housekeeping services (3.3%). 3) Rehabilitation service needs were analyzed by severity classification: 65.8% of first degree, 62.7% of second degree and 55.6% of third degree disability classification, and 62.7% of non-registered disabled individuals responded that rehabilitation service was necessary. 4) Rehabilitation service needs were also analyzed by diagnosis: 62.6% of stroke, 85.5% of amputation, 60.0% of spinal cord injury and 52.4% of traumatic brain injury respondents answered positively that they were willing to receive rehabilitation service if it were to be provided. Rehabilitation service utilization data of disabled individuals living at home in rural areas were investigated and their rehabilitation needs analyzed. This critical information can be used when community-based rehabilitation programs for disabled persons living at home are planned for provision out of a public health center or when community-based rehabilitation welfare policy is formulated.

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보건소내(保健所內) 한방의료(漢方醫療)에 대(對)한 임상통계연구(臨床統計硏究) (전주시(全州市) 완산구(完山區) 보건소(保健所) 중심으로) (A Study on the Clinical Statistics of Oriental Medicine Service in the Health Center)

  • 송범용;육태한
    • 대한한의학회지
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    • 제18권1호
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    • pp.40-57
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    • 1997
  • 연구배경(硏究背景) 및 목적(目的) 최근(最近) 한방공중보건사업(韓方公衆保健事業)에 대(對)한 연구(硏究)와 제도개선(制度改善)이 이루어지면서, 한방의료시혜(韓方醫療施惠)를 통(通)해 국민(國民)들의 보건지도(保健指導) 및 건강증진(健康增進) 향상(向上)에 많은 영향(影響)을 끼칠 것으로 보인다. 1995년(年)부터 1년여(年餘)에 걸쳐 한방병원(韓方病院)과 보건소(保健所)가 함께 보건소내(保健所內) 한방의료(韓方醫療)를 실시(實施)하면서 주민(住民)들로부터 많은 호응(呼應)을 받았다. 이에 보건소(保健所)에 내원(來院)하여 한방진료(韓方診療)를 받은 환자(患者)들의 일반적(一般的)인 특징(特徵)과 질환(疾患)의 특성(特性) 및 치료효과(治療效果) 등(等)에 대(對)하여 조사(調査)하였다. 대상(對象) 및 방법(方法) 1996년(年) 1월(月) 4일(日)부터 1996년(年) 12월(月) 26일(日)까지 1년간(年間) 전라북도(全羅北道) 전주시(全州市) 완산구(完山區) 보건소(保健所)에서 주(週) 1회(回) 또는 3회(回)에 걸쳐 총(總) 60회(回)동안 실시(實施)한 한방진료(韓方診療)를 받은 환자(患者) 234명(名)의 질환(疾患) 234건(件)을 대상(對象)으로 통계연구(統計硏究)하였다. 결과(結果) 및 결론(結論) 1. 환자(患者)의 남녀비율(男女比率)은 1 : 6.8로 여성(女性)이 월등(越等)히 많았다. 2. 환자중(患者中) 51세이상(歲以上)이 88.89%로 고령환자(高齡患者)가 대부분(大部分)을 차지했다. 3. 총질환(總疾患) 238건중(件中) 근골격계(筋骨格系) 및 결합조직질환(結合組織疾患)이 82.77%로 대부분(大部分)을 차지했다. 4. 병력기간(病歷期間)은 1년(年)에서 5년(年)사이가 32.35%로 가장 높아 관련질환(關聯疾患)이 만성화(慢性化)상태임을 알려준다. 5. 초진시(初診時) 증상(症狀)은 심(甚)한 자각증상(自覺症狀)을 갖고 생활(生活)에 많은 지장을 초래(招來)하는 경우(境遇)(Grade III)가 55.88%로 가장 많았다. 6. 양호이상(良好以上)의 치료효과(治療效果)를 보인 경우(境遇)는 62.18%였고, 저효이상(抵效以上)의 효과(效果)는 78.99%로 나타났다. 7. 치료기간(治療期間)을 2회(回)에서 5회(回) 내원(來院)하여 치료(治療)받은 경우(境遇)가 34.03%로 가장 높았고, 1회(回)만 내원(來院)한 경우(境遇)에 비(比)하여 2회(回)에서 10회(回) 내원(來院)하여 치료(治療)받은 환자(患者)들이 4배정도(倍定度)의 높은 치료율(治療率)을 보였다. 8. 처방(處方)은 오적산(五積散), 팔미환(八味丸), 향사평위산(香砂平胃散), 소경활혈탕(疎經活血湯), 육미지황탕(六味地黃湯) 등(等)의 순(順)으로 많이 사용(使用)되었다. 9. 침(針)은 1일평균(日平均) 22.58명(名)을 시술(施術)하였고, 구(灸)(뜸)는 1일평균(日平均) 0.58명(名)을, 사혈(瀉血)은 1일평균(日平均) 2.28명(名)을 시술(施術)하였다. 10. 한양방향시치료시(韓洋方同時治療時) 양호이상(良好以上)의 효과(效果)를 보인 경우(境遇)가 30건중(件中) 21건(件)으로 70%의 치료효과(治療效果)를 보여 한방단일진료시(韓方單一診療時)보다 다소 높은 치료효과(治療效果)를 나타냈다. 11. 1일평균(日平均) 한방진료건수(韓方診療件數)는 26.95명(名)이었고, 1일평균(日平均) 한방초진환자수(韓方初診患者數)는 3.9명(名)으로 나타났으며, 한방진료(韓方診療)가 양한방(洋韓方) 총진료(總診療)의 23.20%를 차지했고, 1일(日) 평균(平均) 한양방(韓洋方) 총진료건수(總診療件數)에 대(對)해 1일(日) 평균(平均) 한방초진건수(韓方初診件數)가 21.51%를 차지하는 것으로 나타났다.

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설진 유효 영역 추출의 시스템적 접근 방법 (Systematic Approach to The Extraction of Effective Region for Tongue Diagnosis)

  • 김근호;도준형;유현희;김종열
    • 전자공학회논문지SC
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    • 제45권6호
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    • pp.123-131
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    • 2008
  • 한의학에서 혀의 상태는 인체 내부의 생리적 병리적 변화와 같은 건강 상태를 진단하는 중요한 지표로 활용된다. 혀의 상태를 진단하는 방법(설진)은 편리할 뿐 아니라 비침습적이므로, 한의학에서 널리 활용되고 있다. 하지만, 설진은 광원이나 환자의 자세, 의사의 건강 조건과 같은 검사 환경에 따라 많은 영향을 받는다. 객관적이고 표준화된 진단을 위한 자동 설진 시스템을 개발하기 위하여 촬영된 얼굴 영상으로부터 혀를 영역분할하고 설태를 분류하는 것은 필수적이지만 혀와 입술, 입 근처의 피부색이 서로 유사하므로 쉽지 않은 일이다. 제안된 방법은 전처리 과정과 영역분할, 혀의 구조로부터 발생하는 음영 영역의 지역 최소값 위치 검색, 지역 최소값의 교정, 컬러의 차이를 최대로 하는 위치를 찾는 컬러 경계면 탐색, 척의 기하적인 특성에 일치하는 경계면 선택, 경계면 평활화로 구성되어 있으며, 여기서 전처리 과정은 계산량의 감소를 위한 부 표본화, 히스토그램 평활화, 경계면 강화를 수행한다. 이러한 시스템적인 과정을 거치면, 영역분할된 혀를 획득할 수 있게 된다. 제안된 방법으로 분할된 영역은 초과적으로 혀가 아닌 영역을 제외해 낼 뿐 아니라 정확한 진단을 위해 중요한 정보를 제공함을 한의사의 진단 유효도 평가점수를 통해 확인할 수 있었다. 제안된 방법은 진단의 객관화와 표준화에 기여할 뿐만 아니라 u-Healthcare 시스템에도 활용 가능하다.

장거리 전송을 위한 맥파의 특성 파라미터 검출 (A Special Character Parameter Detection of mac Wave for a long-Distance Transmission)

  • 강명구
    • 한국정보통신학회논문지
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    • 제6권4호
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    • pp.610-615
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    • 2002
  • 한의학에서는 맥은 심장을 포함한 오장육부 전신의 상태를 파악하는 매개체로서 혈관의 탄력성과 혈액의 흐름 상태를 나타내고 있으며, 의사는 환자의 진단과 맥파의 진찰에 의해서 얻어지는 정보를 가지고 주관적으로 건강 상태를 판단한다. 따라서 오진을 막기 위해서 의사의 판단은 객관적인 기록물의 증거에 의해서 결심하는 것이 필요하다. 본 논문은 건강상태 판단의 기초 자료를 검출하는 맥파 해석의 3차원 시각화하는 방식과 시뮬레이션을 통해서 맥파의 특성 파라메터를 검출하는 것을 제시한다.

한국인(韓國人)의 사상인(四象人) 분포(分布)에 관한 연구(硏究) (A Study on the Distributional Rate of Sasangin in Korea)

  • 이태규;황민우;함통일;이수경;최봉근;고병희;송일병
    • 사상체질의학회지
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    • 제17권3호
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    • pp.12-21
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    • 2005
  • 1. Objectives Though the distributional rate of Sasangin was mentioned in ${\ulcorner}$Dongyi Suse Bowon${\lrcorner}$, there were few studies on the distributional rate of Sasangin in Korea. So, this study was conducted to estimate the distributional rate of Sasangin in Korea. 2. Methods The medical records of 1,423 subjects who have taken diagnosis of Sasang constitution from January 2003 to June 2003 at a health examination center of a hospital in Seoul were reviewed. Then distributional rate of Sasang constitution were analyzed and age sex-adjusted standardized distributional rate were estimated by direct standardization using a reference population of 2000 aged from 20 to 70 years. 3. Results and Conclusions (1) The total number of subjects were 1,423(Males : 704(49.5%) / Females : 719(50.5%)). And the mean age of the subjects was $46.3{\pm}11.4$ years(males : $45.4{\pm}11.3$ / females $47.1{\pm}11.4$). (2) Among the 1,423 subjects, distributional rate of Taeumin, Soyangin, and Soeumin were 46.9%, 29.1% and 24.0%(Male : Taeumin 48.2%, Soyangin 37.9%, Soeumin 13.9% / Female: Taeumin 45.6%, Soyangin 20.4%, Soeumin 33.9%). (3) Age sex-adjusted standardized distributional rate of Taeumin, Soyangin, and Soeumin were 45.4%, 28.2% and 26.4%(Male : Taeumin 50.8%, Soyangin 35.1%, Soeumin 14.1% / Female: Taeumin 39.5%, Soyangin 21.0%, Soeumin 39.4%) (4) The rate of Soeumins was higher than that mentioned in ${\ulcorner}$Dongyi Suse Bowon${\lrcorner}$,and the distributional rate of Sasangin according to sex was different. (5) So it was thought that the distributional rate of Sasangin in Korea was different from that mentioned in ${\ulcorner}$Dongyi Suse Bowon${\lrcorner}$.

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대학생 체질량지수와 혈액검사결과 상 비만 분류군간 특성 및 비만 연관 요인 분석에 대한 연구 (The Characteristics in Obesity Classification Group of College Student by Analyzing Their BMI and Blood Test and the Association between Factors Contributing to Obesity and Obesity according to BMI)

  • 박정식;이중재;오현숙;임형호
    • 한방재활의학과학회지
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    • 제24권4호
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    • pp.61-70
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    • 2014
  • Objectives The purpose of this study was to investigate the characteristics in obesity classification group of college students having health checkup by analyzing their BMI and blood test and determine the association between factors contributing to obesity and obesity according to BMI. Methods A group of 2992 test subjects took their medical examination and their body composition, height, weight, blood pressure were measured and blood test was done. With these results we diagnosed obesity, and analysed relationship between obesity and cholesterol, triglyceride, LDL (low density lipoprotein)-cholesterol, HDL (high density lipoprotein)-cholesterol, liver function, renal function and blood pressure. Results 1. Overweight individuals showed high total cholesterol, LDL-cholesterol, triglyceride, GOT (glutamic oxalacetic transaminase), GPT (glutamic pyruvate transaminase), Urea-nitrogen, Creatinine and low HDL-cholesterol. 2. BMI showed a significant association with other factors. BMI has a negative correlation with sex and HDL-cholesterol. BMI had positive correlations with other factors. 3. There was no relation between BMI and sex. Those six factors, liver function, cholesterol, blood pressure, kidney function, neutral fat, and blood sugar were related to BMI. Conclusions There was a significant relation between college students' BMI and their liver function, cholesterol, blood pressure, kidney function, neutral fat, and blood sugar. The diseases related to liver function, cholesterol, blood pressure, kidney function, neutral fat, and blood sugar were clearly associated with obesity.

국내 유통 중인 환약의 미생물 검출수준 (Microbial detection on pill types of herbal medicine in South Korea)

  • 고광표;신헌태
    • 대한예방한의학회지
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    • 제15권3호
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    • pp.153-162
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    • 2011
  • 1. 서울, 경기소재 한의원에서 환약 10종과 경기소재 약국1곳에서 판매되는 한방환약 10종, 총 20종의 환약에 대해 미생물검출연구를 하였다. 2. 총세균수는 한의원환약, 약국환약에서 모두 WHO기준(1.0${\times}$107) 이내로 검출되었다. 3. 총진균수는 한의원환약, 약국환약의 각각 2종류, 1개제품에서 WHO기준(1.0${\times}$104)을 초과 하였다. 4. 배양 비의존적 방법을 이용하여 환약에 분포하는 Bacteria를 동정한 결과, 대부분의 박테리아는 토양에 존재하는 Firmicutes문, Proteobacteria문의 두 종류에 속하였다. 5. 환약의 안전성을 제고하기 위해, 생산, 가공, 유통, 보관 등 각 단계에서의 추가적인 미생물검출연구가 필요하다.

비연소식(非燃燒式) 구법(灸法) 재료(材料)를 이용한 온열자극(溫熱刺戟)이 체열방사(體熱放射)에 미치는 효과 (Effects of Non-combustible moxibustion on Thermography of Healthy Human Beings)

  • 최원종;김재효;김경식;손인철
    • Korean Journal of Acupuncture
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    • 제21권3호
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    • pp.21-38
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    • 2004
  • Objectives : Moxibustion has been become very useful tool to prevent and treat various diseases with acupuncture in oriental medicine. Expecially, moxibustion combining the heat stimulation and chemical stimulation of Artemisiae Argyi has a non-invasive characteristics comparing to the other therapeutic tools. However, because the moxibustion makes the patient's skin be burn by the combustible feature of moxibustion, most of people have been scared of being scald. Methods : In this study, we have developed new non-combustible moxibustion tools in collaboration with company (Hana Medical, co. and ICURE, co.) and tested the efficacy through effects of moxibustion of Cheon-chu $(ST_{25})$ on the abdominal thermography of health subject. The non-combustible moxibustion has main characteristics of controlled heating to inhibit being scald and heat stimulation lasting over 1 hrs. Also, to induce the chemical stimulation, the bottom contacting with skin was coated by the extract of artemisiae argyi. The volunteers who participating in this study had taken rest for 20 - 30 mins in room temperature $(23-25^{\circ}C)$ before the examination and informed them what to prohibit smoking, drinking and administration of drug for the previous day The thermography of abdomen including a below part of the chest was taken using Infra-Red Imaging System (IR 2000, MEDI-CORE Co., Korea) by time interval of 15 minutes. Results : The results showed that moxibustion of Cheon-chu $(ST_{25})$ had more potencies of changes on all the ROIs of abdominal thermography than those of control group. Also, it was observed that the quantities of thermal changes following moxibustion of Cheon-chu $(ST_{25})$ been increased significantly comparing that of control group at all the ROIs (region of interest). Observed the thermography classified by ROI, however, moxibustion of Cheon-chu $(ST_{25})$ could modulate ipsilateral specific areas concerning to the abdominal pathway of Stomach Meridian. Conclusion : These results suggest that new non-combustible moxibusion has some similarity as like as the conventional moxibustion and moxibustion of Cheon-chu $(ST_{25})$ may modulate thermal changes of abdominal areas.

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EAV 측정치(測定値)의 표준화(標準化)에 관(關)한 연구(硏究) (성별(性別), 연령별(年齡別), 체질별(體質別)) (A Study on the standardization of EAV(Electroacupuncture acc.Voll)'s measurement values)

  • 차철주;이상룡;이의주;홍석철;김종원;고병희;송일병
    • 사상체질의학회지
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    • 제8권2호
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    • pp.131-150
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    • 1996
  • 1. Result As the study for standardization of EAV's measurement values according to constitution and sex and age, the questionnaire on QSCC and QSCC(I) and EAV were carried out to 603 general patients in east : west promotion health center affiliated to Kyung Hee Medical center. The following conclusions were reached as the result of statistical handling of the data of questionnaire and EAV. 1) Each standard scope of BAZ and CMP was suggested. 2) BAZ and CMP examined about constitution did not show any statistical difference. 3) The result of examination by sex on BAZ and CMP is such as followings. A meaningful difference was showed at the level of p<0.001 in HH, HEL, HFR, and FF in case of male on BAZ. meaningful difference were showed at the level of p<0.001 in R3, R4, R18, L3, L16 and L18 and at the level of P<0.01 In R5, R8, R12, L7, L9, L10, L11, and L13 and at the level of P<0.05 in R1, R2, R6, R11, R13, R14, R16, R17, R19, R20, L1, L2, L4, L5, L14, L17, and L19 in case of male on CMP. There was no statistical difference in R7, R9, R10, R15, L12, and L15. 4) In every measure point of both BAZ and CMP a meaningful difference was notified at the level of P<0.01 by age. 2. Suggestion 1)Environmental, examinee and examiner's factors which may cause error in EAV measurement should be excluded. 2)The factor of change by time and space should be clarified. 3)The correlation between disease and meridian should be learned. And scopes of BAZ and CMP according to disease should be studied.

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