• 제목/요약/키워드: Provocation

검색결과 136건 처리시간 0.021초

고방(古方)으로 치료한 두드러기 환자 39례의 임상보고(臨床報告) (A Clinical Report on 39 Urticaria Patients Treated With The Ko-Bang(古方))

  • 탁명림;김미보;변석미;고우신;윤화정
    • 한방안이비인후피부과학회지
    • /
    • 제22권3호
    • /
    • pp.196-207
    • /
    • 2009
  • Objectives : This study was designed to investigate the chronical features of urticaria and the effects of urticaria treatment with Ko-Bang(古方). Methods : We treated 39 patients for urticaria with Ko-Bang(古方), who visited to care urticaria at the Dept. of Dermatology Oriental medical hospital Dong-eui university from Jan, 2008 to Sep, 2009. This study was assessed using the chart analysis and the follow-up survey by telephone. Results & Conclusions : 1. 39 outpatients were surveyed, who were 20 males and 19 females. And patients who were ages 21-30 were the largest group, 11(28.21%). Among the 39 patients, acute urticaria patients were 8(20.5%), chronic urticaria patients were 31(79.5%), and contraction of a disease period between 6 weeks with 3 months was 17.9%. 2. The causes of urticaria were measured unknown 37.5%, foods 37.5%, drugs 25% in acute and unknown 35.5%, a change of temperature 29%, foods 16% in chronic. And suspected provocation factors were measured unknown and foods each 12 cases. The most of accompanied symptoms was itching sign(34 cases), the second most was self-conscious fever(10 cases). 3. Out of treat prescription(Ko-Bang,古方), Injinho-Tang(茵蔯蒿湯) was used most in 5 cases, Daehwanghwangryunsasim-Tang(大黃黃連瀉心湯), Hwangryun-Tang(黃連湯), Daesiho-Tang(大柴胡湯) were used in each 4 cases, Galgeun-Tang(葛根湯), Chijadaehwangsi-Tang(梔子大黃豉湯), Sosiho-Tang(小柴胡湯) were used in each 3 cases, Gaemagakban-Tang(桂麻各半湯), Chijasi-Tang(梔子豉湯),Oryeongsan(五笭散) were used in each 2 cases. 4. When the processes of treatment were classified by one poison(一毒), there were the 19 cases (48.7%) which was caused by Bun(煩), the 12 cases(30.8%) by Water(水) and the 4 cases(10.3%) by Gyur(結).

  • PDF

항만보안 인력의 전문화를 위한 교육시스템 개선방안 (A Study on Improvement Plan of Training System for the Specialization of Port Security Guard)

  • 이정훈;이민형;김성우
    • 융합보안논문지
    • /
    • 제14권6_1호
    • /
    • pp.13-21
    • /
    • 2014
  • 우리나라는 3면이 바다이면서 북한의 대남도발의 가능성이 높기 때문에 항만보안의 중요성을 간과할 수 없으며, 국제범죄의 증가와 기법의 발달 등으로 인하여 외국으로부터 국내로의 위협요소의 유입을 차단하기 위한 실질적인 보안활동이 항만과 인접 해상구역에서 요구되고 있다. 이에 따라 항만보안의 실질적이며 효율적인 수행을 담보하기 위해서는 항만보안 담당 인력의 전문성이 담보되어야 하며, 이를 위해서는 항만보안 인력에 대한 교육시스템이 제대로 정립되어 있어야 한다. 항만 또한 국가중요시설로서 이에 대한 위협과 안전사고 방지 및 국가안보와 질서유지를 위한 실질적인 보안활동이 이루어져야 하며, 이를 위한 선결조건이 바로 보안인력의 전문화이며, 전문성을 확보한 인력의 배출은 바로 교육을 통해서 이루어지게 된다. 그러나 현행 항만보안 인력에 대한 교육체계는 일원화되어 있지 않으며, 항만보안의 특수성에 맞춘 교육은 시행되고 있지 않고 있으므로 항만보안 인력의 전문화를 확보하기 위한 교육시스템이 개선되어야 한다. 그 방안으로 첫째, 항만보안에 대한 일원화 체계화 된 입법이 이루어져야 하며, 이를 토대로 항만보안 교육지침이 수립되어야 하며, 둘째, 항만보안 인력의 업무별 특화된 교육이 이루어져야 한다. 그리고 마지막으로 항만보안 인력의 전문성을 갖추기 위한 관련 자격제도가 도입되어야 한다.

북한의 대외정책 기조와 전망 (The North Korea's Foreign Policy Stance and Prospect)

  • 김성우
    • 융합보안논문지
    • /
    • 제14권6_1호
    • /
    • pp.57-63
    • /
    • 2014
  • 한반도는 탈냉전이라는 역사적 변화에도 불구하고 냉전적 구조가 해제되지 않고 북한의 대남도발은 계속되고 있다. 북한의 천안함 폭침과 연평도 포격도발은 파국적인 남북관계 초래와 동북아 불안정의 요인으로 작용하고 있다. 북한의 도발은 미국과 한국 및 북한 내부 요인이 북한의 의사결정체계에서 복합적으로 작용하여 군사 비군사적 수단에 의해 자행되고 있다. 북한은 한반도의 적화통일이라는 전략기조을 유지하기 때문에 공세적으로 지속될 수밖에 없을 것이다. 북한의 대외정책은 지속성과 상황에 따라 변화하는 양면성을 지니고 있다. 북한 대외정책의 목표와 이념은 비교적 일관성 있게 지속하고 있지만, 정책전개의 전략 전술과 행동 유형에서는 상당한 변화가 있다. 즉, 지속성은 곧 국가 체제유지와 국가 생존 명분의 문제이며, 변화는 지속성과 명분을 유지시키고 발전하기 위한 전술적 종속개념에 해당한다. 합리적인 시각으로 본다면 북한의 대외정책 기조는 군사력과 핵무기 개발을 생존수단으로 삼아 긴장을 조성하여 외교적, 경제적 보상을 얻는 외교방식을 과감하게 탈피하여야 하며 국제사회에 참여하여 하나의 국가로서 국제관례를 지키는 자세를 견지해야 하나 여러 가지 여건상 기존 대외정책 방향을 고수하고 있다.

해양안보 위협 확산에 따른 한국 해군의 역할 확대방안 (Strategic Approaches and the Role of Naval Forces to Counter Increasing Maritime Threats)

  • 박창권
    • Strategy21
    • /
    • 통권31호
    • /
    • pp.220-250
    • /
    • 2013
  • South Korean national security strategy should be developed to effectively handle and counter increasing maritime threats and challenges. There are three major maritime threats South Korea faces today; maritime disputes on the EEZ boundary and Dokdo islet issues, North Korean threats, and international maritime security. Maritime disputes in the region are getting intensified and turned into a military confrontation after 2010. Now regional countries confront each other with military and police forces and use economic leverage to coerce the others. They are very eager to create advantageous de facto situations to legitimize their territorial claims. North Korean threat is also increasing in the sea as we witnessed in the Cheonan incident and Yeonpyoung shelling in 2010. North Korea resorts to local provocations and nuclear threats to coerce South Korea in which it may enjoy asymmetric advantages. The NLL area of the west sea would be a main hot spot that North Korea may continue to make a local provocation. Also, South Korean national economy is heavily dependent upon foreign trade and national strategic resources such as oil are all imported. Without an assurance on the safety of sea routes, these economic activities cannot be maintained and expanded. This paper argues that South Korea should make national maritime strategy and enhance the strength of naval forces. As a middle power, its national security strategy needs to consider all the threats and challenges not only from North Korea but also to maritime security. This is not a matter of choice but a mandate for national survival and prosperity. This paper discusses the importance of maritime security, changing characteristics of maritime threats and challenges, regional maritime disputes and its threat to South Korea's security, and South Korea's future security strategy and ways to enhance the role of naval forces. Our national maritime strategy needs to show middle and long term policy directions on how we will protect our maritime interests. Especially, it is important to build proper naval might to carry out all the roles and missions required to the military.

  • PDF

서북도서에 대한 요구능력 우선순위 결정방법에 관한 연구 (A Study on Priority Decision Method of Required Capability for North West Islands)

  • 장동모;임계환
    • 융합보안논문지
    • /
    • 제13권5호
    • /
    • pp.45-56
    • /
    • 2013
  • 북한의 예측 불허의 공격에 대비하기 위하여 서북도서에 대한 전력증강은 위협기반에서 탈피하여 적 능력, 작전환경, 기술발전 등을 충분히 반영한 능력기반의 전력기획을 요구하고 있다. 이를 위하여 본 논문에서는 서북도서에 대한 요구 능력 식별단계로부터 결정된 전력에 대한 투자단계까지의 능력기반 프로세스 중에서 식별된 능력들에 대한 획득 우선순위 결정단계에 대한 방법을 제안하였다. 식별된 능력들에 대하여 조직, 작전, 능력의 관계를 설정하고, 가중치를 부여함으로써 순위 결정의 모호성을 제거하고 세부적인 우선순위 결정이 가능하도록 하였다. 다른 우선순위 결정방법과 비교할 때, 서북도서에 대한 다양한 작전과 요구능력을 동시에 식별하고, 우선순위를 명확하게 구분하는 결과를 획득하였다. 능력기반 전력기획은 상대적으로 많은 전력들을 필요로 하고, 부족한 국방예산에 의하여 제한을 받기 때문에 세밀한 우선순위의 결정방법은 효율적인 전력증강에 기여할 것으로 기대된다.

현대건축 표면에서 나타난 앵프라맹스에 관한 연구 - 근/현대 장식성의 발현을 중심으로 - (Inframince in Contemporary Architectural Surfaces - On the Emergence of the Ornament in Modern and Contemporary Period -)

  • 박종현;이영수
    • 한국실내디자인학회논문집
    • /
    • 제27권1호
    • /
    • pp.68-79
    • /
    • 2018
  • The main purpose of this paper is to introduce 'Inframince' in modern and contemporary architecture. The Inframince(English: infra-thin) is a concept coined by Marcel Duchamp. The conceptual definition of the term "Inframince" by Marcel Duchamp replied that the notion is impossible to define, "one can only give examples of it:". It describes fine indirect perceptions of physical phenomena. Inframince is conductor of two dimensions into three, the essential dynamic in the practice of making space. Inframince is the interval between an inhabitant and their environment that both connects and separates. This study deals with the difficult situation how Contemporary Architecture represents itself over the 20th century modernity and asks the question how it presents its ornamentality. In order to analyse contradictory situation between self-referentiality and ornamentality in Modern/Contemporary Architecture we need to survey the historical process of changing position of ornaments and its meaning in time. The article also analyze the selected works of contemporary architects like Herzog & de Meuron, Jean Nouvel, to show that the trend reversal continues now more than ever. The Architectural surface must be a different kind of media that can communicate in different way with compared to conventional ornament. If we understand Duchmp's Inframince to be the provocation of the unuseful things, and if we interpret Contemporary fact that all specific Architectural Surfaces have been dissolved in timelines, it shows us post-trend of the Surfaces via conspicuous consumption or desire.

Genome-Wide Response of Deinococcus radiodurans on Cadmium Toxicity

  • Joe, Min-Ho;Jung, Sun-Wook;Im, Seong-Hun;Lim, Sang-Yong;Song, Hyun-Pa;Kwon, Oh-Suk;Kim, Dong-Ho
    • Journal of Microbiology and Biotechnology
    • /
    • 제21권4호
    • /
    • pp.438-447
    • /
    • 2011
  • Deinococcus radiodurans is extremely resistant to various genotoxic conditions and chemicals. In this study, we characterized the effect of a sublethal concentration (100 ${\mu}M$) of cadmium (Cd) on D. radiodurans using a whole-genome DNA microarray. Time-course global gene expression profiling showed that 1,505 genes out of 3,116 total ORFs were differentially expressed more than 2-fold in response to Cd treatment for at least one timepoint. The majority of the upregulated genes are related to iron uptake, cysteine biosynthesis, protein disulfide stress, and various types of DNA repair systems. The enhanced upregulation of genes involved in cysteine biosynthesis and disulfide stress indicate that Cd has a high affinity for sulfur compounds. Provocation of iron deficiency and growth resumption of Cd-treated cells by iron supplementation also indicates that CdS forms in iron-sulfur-containing proteins such as the [Fe-S] cluster. Induction of base excision, mismatch, and recombinational repair systems indicates that various types of DNA damage, especially base excision, were enhanced by Cd. Exposure to sublethal Cd stress reduces the growth rate, and many of the downregulated genes are related to cell growth, including biosynthesis of cell membrane, translation, and transcription. The differential expression of 52 regulatory genes suggests a dynamic operation of complex regulatory networks by Cd-induced stress. These results demonstrate the effect of Cd exposure on D. radiodurans and how the related genes are expressed by this stress.

Relationship between paravertebral muscle twitching and long-term effects of radiofrequency medial branch neurotomy

  • Koh, Jae Chul;Kim, Do Hyeong;Lee, Youn Woo;Choi, Jong Bum;Ha, Dong Hun;An, Ji Won
    • The Korean Journal of Pain
    • /
    • 제30권4호
    • /
    • pp.296-303
    • /
    • 2017
  • Background: To achieve a prolonged therapeutic effect in patients with lumbar facet joint syndrome, radiofrequency medial branch neurotomy (RF-MB) is commonly performed. The purpose of this study was to evaluate the prognostic value of paravertebral muscle twitching when performing RF-MB in patients with lumbar facet joint syndrome. Methods: We collected and analyzed data from 68 patients with confirmed facet joint syndrome. Sensory stimulation was performed at 50 Hz with a 0.5 V cut-off value. Patients were divided into 3 groups according to the twitching of the paravertebral muscle during 2 Hz motor stimulation: 'Complete', when twitching was observed at all needles; 'Partial', when twitching was present at 1 or 2 needles; and 'None', when no twitching was observed. The relationship between the long-term effects of RF-MB and paravertebral muscle twitching was analyzed. Results: The mean effect duration of RF-MB was 4.6, 5.8, and 7.0 months in the None, Partial, and Complete groups, respectively (P = 0.47). Although the mean effect duration of RF-MB did not increase significantly in proportion to the paravertebral muscle twitching, the Complete group had prolonged effect duration (> 6 months) than the None group in subgroup analysis. (P = 0.03). Conclusions: Paravertebral muscle twitching while performing lumbar RF-MB may be a reliable predictor of long-term efficacy when sensory provocation under 0.5 V is achieved. However, further investigation may be necessary for clarifying its clinical significance.

Allergic Bronchopulmonary Aspergillosis Coupled with Sinusitis in a Nonasthmatic Patient

  • Park, Sung-Woon;Choi, Jae-Chol;Kim, Jae-Yeol;Park, In-Won;Choi, Byoung-Whui;Shin, Jong-Wook
    • Tuberculosis and Respiratory Diseases
    • /
    • 제71권4호
    • /
    • pp.278-281
    • /
    • 2011
  • Allergic bronchopulmonary aspergillosis (ABPA) is a complex clinical entity resulting from an allergic immune response to Aspergillus species, and most often occurs in patients with asthma. ABPA is rarely observed in the absence of asthma, which is, in fact, the principal criterion for its diagnosis. Our patient was a 53-year-old woman with no history of bronchial asthma. She presented with a 1-month history of cough, mucopurulent nasal discharge, and localized pulmonary consolidation. Peripheral blood eosinophilia and elevated serum IgE were observed. Sinus radiography showed right maxillary sinusitis. Pathologic examination of bronchoscopic biopsy specimens revealed conglomerates of fungal hyphae. Pulmonary function and bronchial provocation tests were within normal ranges. The patient was successfully treated for 3 months with itraconazole and oral prednisolone. There has been no evidence of recurrence over a 7-month follow-up. ABPA coupled with sinusitis in a nonasthmatic patient is a very rare occurrence and warrants reporting.

이산화질소 개인 노출량이 기관지천식 환자의 최대호기유속에 미치는 영향 (Effects of Personal Exposure to Nitrogen Dioxide on Peak Expiratory Flow in Asthmatic Patients)

  • 권호장;이상규;지영구;이상록;황승식
    • Journal of Preventive Medicine and Public Health
    • /
    • 제40권1호
    • /
    • pp.59-63
    • /
    • 2007
  • Objectives : Nitrogen dioxide $(NO_2)$ has been inconsistently associated with gradual decreases in lung function. Here, we studied the effects of $NO_2$ exposure in asthmatics by examining the association between changes in lung function and concentrations of $NO_2$ which were personally measured. Methods : Peak expiratory flow (PEF) and daily personal exposures to $NO_2$ were recorded on 28 patients with asthma (confirmed by methacholine provocation test) over 4 weeks. We used generalized estimating equations to assess the relationship between personal $NO_2$ exposure and PEF, adjusting for potential confounders such as age, gender, outdoor particulate matter, temperature, humidity, and exposure to environmental tobacco smoke. Results : The personal $NO_2$ exposures were higher than the corresponding ambient levels. The mean personal: ambient ratio for $NO_2$ was 1.48. The personal $NO_2$ exposures were not associated with the morning PEF, evening PEF, or the diurnal PEF variability. However, environmental tobacco smoke was negatively associated with both the morning and evening PEF. Conclusions : Among the asthmatic adults who participated in this study, we found no apparent impact of personal $NO_2$ exposures on the peak expiratory flow.