• Title/Summary/Keyword: Reappraisal

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『동의수세보원(東醫壽世保元)』 해석의 몇 가지 문제들 (Some Problems of Reading Donguisusebowon)

  • 최대우
    • 사상체질의학회지
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    • 제25권3호
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    • pp.135-144
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    • 2013
  • Objectives Two conflicting readings of "Donguisusebowon" so far have been presented that Sasang Constitutional Medicine inherited the traditional Five Elements theory and that it was a new perspective on its own right. The main purpose of this paper is to review the theoretical ground of Sasang Constitutional Medicine to see whether it has inherited the Traditional Korean Medicine, and show that it had been developed as an original view independent of the Five Elements theory. Methods To do this, I inquired into the theoretical background of Sasang Constitutional Medicine as well as its philosophical premises and its leading ideas. Results and Conclusions As a result, I have found that Sasang Constitutional Medicine is an original medical theory developed in empirical terms on its own right, divorced from the transcendental view of the Five Elements theory, while borrowing some concepts from I-Ching and Neo-Confucianism only for technical tools. In short, Sasang Constitutional Medicine may well be put as calling for a reappraisal of the Han-medical and Confucian accounts of human being, and a transition from speculative method based on the Five Elements theory to a verifiable empirical method. In this vein, my reading of Sasang Constitutional Medicine in empirical perspective may well be appraised as presenting a new way to further inquiries into the theoretical nature of it, and to getting itself across with Western medicine as well.

열원장비의 적정용량산정을 위한 장비가동현황 및 할증률 분석 - 공공업무시설 - (The analysis on the operation condition and premium proportion for estimating the appropriate capacity of Cooling Equipment - Public office-)

  • 신무경;박성훈;박은하;장종운;이지원;김세환
    • 대한설비공학회:학술대회논문집
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    • 대한설비공학회 2006년도 하계학술발표대회 논문집
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    • pp.506-511
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    • 2006
  • To today with the acceleration due to the preference actual condition of high-class energy national income level it is together improving. It follows hereupon and it is convenient and the neat heat source is increasing a tendency where it is. It investigates the government offices building in commerce portion from the research which it sees and from the draft it analyzes a coat dosage. And comparison it analyzes the movable present condition of thread use dosage and the freezer. It presents the improvement direction against enemy conditions heat source equipment selecting. Also, currently it produces the dosage of heat source equipment and application it tries. The result, the various safety rate and the premium rate which it uses universally are considered above thread using. The reappraisal for enemy conditions heat source equipment selecting which it follows hereupon is necessary.

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A Reappraisal of the Necessity of a Ventriculoperitoneal Shunt After Decompressive Craniectomy in Traumatic Brain Injury

  • Yu, Seunghan;Choi, Hyuk Jin;Lee, Jung Hwan;Ha, Mahnjeong;Kim, Byung Chul
    • Journal of Trauma and Injury
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    • 제33권4호
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    • pp.236-241
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    • 2020
  • The goal of this study was to evaluate the hypothesis that not every patient with hydrocephalus after decompressive craniectomy needs cerebrospinal fluid diversion, and that cranioplasty should be performed before considering cerebrospinal fluid diversion. Methods: Data were collected from 67 individual traumatic brain injury patients who underwent cranioplasty between January 1, 2019 and December 31, 2019. Patients' clinical and radiographic progression was reviewed retrospectively based on their medical records. Results: Twenty-two of the 67 patients (32.8%) had ventriculomegaly on computed tomography scans before cranioplasty. Furthermore, 38 patients showed progressive ventriculomegaly after cranioplasty. Of these 38 patients, only six (15.7%) showed worsening neurologic symptoms, which were improved by the tap test; these patients eventually underwent ventriculoperitoneal shunt placement. Conclusions: Cerebrospinal fluid diversion is not always required for radiologically diagnosed ventriculomegaly in traumatic brain injury patients after decompressive craniectomy. A careful clinical and neurologic evaluation should be conducted before placing a shunt.

Building Bridges: Eurocentric to Intercultural Information Ethics

  • Gautam, Ayesha;Singh, Deepa
    • Journal of Contemporary Eastern Asia
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    • 제20권1호
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    • pp.151-168
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    • 2021
  • Misguided use, manipulation, misappropriation, disruption and mismanagement of Information deeply affects the infosphere as well as the social and moral fabric of a society. Information ethics is an attempt to bring the creation, organization, dissemination, and use of information within the ambit of ethical standards and moral codes. The diverse and inherently pluralistic nature of societies however puts forth an additional demand on us - to come up with an intercultural information ethics. An intercultural ethics which is other-centric, context sensitive and workable without being homogenizing, patronizing and colonizing. An endeavor in that direction has already been made by proponents of intercultural information ethics like: Charles M. Ess, Fay Sudweeks, Rafael Capurro, Pak-Hang Wong, Soraj Hongladarom et al. In our paper, we propose that the kind of ethical pluralism being sought in the domain of information ethics can be attained by having a reappraisal of the current methodological strategies, by casting a critical relook at the Eurocentric ethical model. This paper analyses the current framework of Intercultural Information Ethics. And in an endeavour to move towards an all-encompassing, other-centric, workable, intercultural, harmonious and compassionate model of 'Pluralistic Information Ethics', it proposes the Indian / Asian philosophical method of 'Samvāda' to the current inventory which includes methods like: 'parrhesia/free speech' and 'interpretive phronēsis.

마늘의 김치발효 촉진작용에 관한 연구 (Reappraisal of Stimulatory Effect of Garlic on Kimchi Fermentation)

  • 이주영;최미경;경규항
    • 한국식품과학회지
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    • 제40권4호
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    • pp.479-484
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    • 2008
  • 김치를 제조할 때 마늘이 김치의 발효를 촉진시킬 때도 있지만 영향을 미치지 못할 때도 있었다. 배추 자체만으로도 발효가 충분히 일어나는 가을 배추김치에는 마늘을 첨가하여도 발효촉진 작용이 나타나지 않았지만, 자체만으로는 발효력이 약한 봄 배추김치에는 마늘을 첨가했을 때 발효촉진 현상이 관찰되었다. 봄 배추를 사용하여 만든 김치에 포도당, yeast extract와 peptone, 김치 부재료를 각각 따로 첨가했을 때에도 마늘을 첨가했을 때와 같은 촉진현상이 관찰되었으나, 가을 배추김치에서는 촉진현상이 거의 나타나지 않았다. 따라서 마늘이 김치의 발효를 촉진하는 현상은 마늘 특유의 고유한 성분에 의한 촉진작용이 아니고 배추의 영양소 구성성분 특성에 따라 나타나는 현상으로 해석되었다. 즉, 마늘의 첨가를 통해 공급되는 당이나 영양성분이 봄 배추의 부족한 영양을 보충해 줌으로써 나타나는 일반적인 현상으로 판단되었다.

혈역학적으로 안정된 복부둔상환자에서 FAST의 유용성 평가 (FAST Reappraisal: Cross-sectional Study)

  • 하상현;홍종근;이준호;황성연;최성희
    • Journal of Trauma and Injury
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    • 제25권3호
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    • pp.67-71
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    • 2012
  • Purpose: Focused Assessment with Sonography for Trauma (FAST) provides an important initial screening examination in adult trauma patients. However, due to its low sensitivity, FAST is not a replacement for computed tomography (CT) in hemodynamically stable trauma patients. The aim of this study was to determine the test characteristics of FAST in adult, hemodynamically stable, blunt abdominal trauma patients by using a critical action as a reference standard. Methods: The medical records for FAST examination at a single hospital from January 2009 to February 2011 were retrospectively reviewed. The inclusion criterion was isolated, hemodynamically stable, blunt abdominal trauma. Hemodynamically unstable patients or patients with penetrating injuries were excluded. The reference standard was the presence of a critical action, which was defined as one of the following: 1) operative intervention for a finding discovered on CT, 2) interventional radiology for bleeding, 3) transfusion of 2 or more packed RBCs, or 4) death at the emergency department. Results: There were 230 patients who met the inclusion criterion. There were 20 true positive, 206 true negative, 0 false positive, and 4 false negative results. The sensitivity and the specificity were 83% and 100%, respectively. Conclusion: Despite its low sensitivity for detecting any abnormal finding discovered on CT, negative FAST could aid to exclude critical action in hemodynamically stable, blunt abdominal trauma patients.

만성 신 질환 청소년의 자기관리 경험 (Self-Management Experiences of the Adolescents with Chronic Kidney Disease)

  • 이숙영;신희선
    • 대한간호학회지
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    • 제48권3호
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    • pp.266-278
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    • 2018
  • Purpose: The aim of this study was to develop a substantive theory on self-management conducted by the adolescents with chronic kidney disease from their lived experience. Methods: Data was collected through in-depth interviews from May to December in 2015 with thirteen adolescents with chronic kidney disease. The data collected were analyzed on the basis of Strauss and Corbin's grounded theory. Results: The core of the category found in this study was "overcoming the unstable sense of self- control and integrating disease experience into their life". The causal conditions triggering the central phenomenon were "restriction in daily life" and "manifestation and aggravation of symptom". The central phenomenon in the experience of self-management within the adolescents with chronic kidney disease was "unstable sense of self control". The intervening condition for unstable self control were "micro system support" and "motivational resources". This study found that the adolescents with chronic kidney disease followed a series of strategies when they faced the central phenomenon, including; passive coping, reappraisal of illness, active coping, compliance with treatment, controlling physical activity, and adjusting school life. With these strategic approaches, the adolescents with chronic kidney disease could maintain their active lifestyles and achieve their health behaviors. The process of self-management by these adolescents passed through four phases; limited experience caused by diseases, effort for normalization, reorganizing their daily lives, and integration with daily lives and self-management. Conclusion: This Study explored the process and experience of self-management of adolescents with chronic kidney disease. These findings can be used for basis for developing substantive theory and nursing intervention strategy for adolescents with chronic kidney diseases.

이야기에 기초한 유아 집합교육 소고 (A Review of Math Education about Set based on Stories)

  • 김기만
    • 영재교육연구
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    • 제5권2호
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    • pp.37-54
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    • 1995
  • The radical development of modern mathematics is due to the appearance of Collection Theory by George Cantor. The Set Theory is independent as an area and also closely interrelated with other areas. So its content becomes a common sense and a basic part across the whole area of modern mathematics. Accordingly, the basic element of modern mathematics is helping young children get familiar with set as early as possible. The thinking of set by which children can categorize, make partial sets and correspondences, understand the general characteristic, and conceptualize the discovered relationships is very important for young children. At this point where the Math education for young children is emphasized under the influence of the modernization movement of Math education, the systematic education for building up the set concept as the basic background of number concept during the early childhood is required. On current mathematics education for young children, graphs, the foundation of geometry, time, and patterns have been included in the traditional and practical content related to numbers. However, the education on collection which is the foundation of number concept is insufficient. A study shows that the level of young children's understanding on set is quite high, but the set concept isn't reflected in current Math curriculum for young children. And basic activities neccesary on building up the set concept, such as categorization, comparison, etc. are conducted in kindergardens but unsatisfactory because of those kindergarden teachers' premature understanding on the set concept. In conclusion, the curriculum for young children should be reorganized based on the set concept as the kernel concept. Also, the reappraisal of the training curriculum and the supplementary efucation for kindergarden teachers are urgent for raising the teaching ability of those kindergarden teachers.

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MIP에 의한 댐군연계운영 최적화모형 개발과 개발 모형에 의한 낙동강수계 용수공급능력 재평가 (Development of Optimal Reservoir System Operation Model for Water Supply by Applying MIP Technique and Reappraisal of Water Supply Capability of Nakdong River Basin)

  • 최영송;안경수;박명기
    • 한국수자원학회논문집
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    • 제33권4호
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    • pp.447-459
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    • 2000
  • 수자원 개발이 인문 사회적 여건으로 날로 어려워짐에 따라 공급위주의 물 관리 정책이 한계에 달하고 이어 수요관리개념에 따른 적용 가능한 수자원관리 기법의 개발이 필요해지고 있다. 무효방류량을 최소화하여 한정된 물 자원 배분을 합리적으로 이룰 수 있는 실제 적용 가능한 수요관리기법은 수자원의 효율적 이용과 유역물관리 시스템의 방법론적 완성을 위해 반드시 필요하다. 본 연구는 기존의 물수지분석 기법을 댐 연계운영 모형과 조합하여 MIP 기법에 의해 이수목적 다목적댐 최적연계운영모형을 개발하고 낙동강 수계를 대상으로 모형의 적용성에 대한 검증을 실시하였으며 낙동강 수계의 용수공급능력을 재평가하였다. 이 결과를 계획 당시 자료 및 다른 모형에 의한 운영결과와 비교한 바 개발된 모형은 훌륭히 물 부족량 공급방식으로 수계의 물 공급을 보장할 수 있고 기존 모형등에 의한 방식보다 물배분과 관리에 효율적으로 활용 될 수 있음이 평가되었다.

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외과적 악교절수술에 있어서 측모연조직예측의 재평가에 대한 연구 (REAPPRAISAL OF SOFT TISSUE PREDICTION IN ORTHOGNATHIC SURGERY FOR MANDIBULAR PROGNATHISM)

  • 정무혁;남일우
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제13권1호
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    • pp.37-43
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    • 1991
  • 두부방사선사진을 이용한 안모의 측모예측은 악교정수술에 있어서 가장 중요한 수술전 치료계획의 한부분으로 술후 경조직과 연조직의 변화를 예상하며 술자와 환자간에 술후 결과를 의논하는 대화의 재료로서도 그 중요성이 크다. 그러나, 술후 환자의 최종적인 측모와 수술 직전에 수술 계획에 따라 시행한 술후 측모의 예측과는 차이가 있다. 이러한 수술 전 시행하는 측모 예측의 부정확성을 감소시키기 위하여 새로운 경조직 대 연조직 변화비율 등을 추정하는 많은 연구가 시행되어 왔으나 측모방사선 예측의 부정확도를 조사하고 이러한 부정확성에 영향을 미치는 변수를 확인함이 측모방사선예측의 부정확성을 이해하고 감소시키는 데에 있어서 그 중요성이 크다고 생각된다. 이에 저자들은, 이미 시행되어 수술에 사용된 술후 측모예측기록을 수술직후 두부방사선 사진 및 술후 최소 6개월 추적 방사선 사진에 중첩하여 측모 예측의 부정확도를 조사한 바 총 30명의 환자에서 20명(66.6%)이 부정확도를 보였고 악골 및 치열의 술후 위치 불안정성도 측모 예측 정확군과 부정확군에 모두 19명(63.3%)에서 발생하여 측모 예측의 부정확도 영향을 주는 중요한 요인으로 확인되었다.

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