• 제목/요약/키워드: Time of Examination

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1차 의료기관에 내원한 환자의 방사선피폭 인지도에 관한 연구 (A Study on Perception by examinees of the Primary Health Care institutions about Exposure to Radioactivity)

  • 여진동;전병규
    • 한국방사선학회논문지
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    • 제9권6호
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    • pp.381-392
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    • 2015
  • 본 연구는 1차 의료기관 내원 환자를 대상으로 진단용 방사선 검사 시 방사선피폭 인식에 대한 관련요인을 분석하여 방사선피폭 인식의 변화를 위한 교육 자료를 만드는데 기초자료를 제공하기 위해 시도하였다. 방사선 장치 중 가장 방사선 피폭을 가장 많이 받는 검사에 대해서는 전체 66.7%로 CT가 가장 높았으며, 방사선 검사 시 피폭에 가장 민감한 부위에 대해서는 생식선 56.2% 가장 많았고, 방사선에 대한 정보 파악은 전체 25.9%가 TV나 신문을 통해 습득하는 것이 가장 많았다. 방사선 인식도, 방사선 유해성, 방사선 검사 시 심리상태, 방사선 피폭방지, 방사선 필요성에 대해서는 성 별간 남자가 더 높게 나타났으며, 통계학적으로는 유의한 차이가 있었다. 본 연구를 통해서 환자들로 하여금 방사선피폭에 대하여 올바르게 인식을 할 수 있도록 교육프로그램의 개발이 시급하며, 방사선사들에게는 환자의 피폭선량을 경감을 위한 세심한 배려가 필요하다고 하겠다. 또한 환자들은 방사선에 대해서 올바르게 인식하는 것이 촬영 시 불안감과 방사선피폭을 줄일 수 있을 것이다.

계속적인 건강관리를 하는 성인들의 구강건강관리실태 및 구강보건지식에 관한 연구 (A Study on the Oral Healthcare Condition of Adult in Public Health and Their Knowledge about Oral Health)

  • 정미희;박미영
    • 치위생과학회지
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    • 제7권2호
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    • pp.73-79
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    • 2007
  • 본 연구는 지속적인 건강증진을 위해 운동을 하는 대상자들의 건강관리 행위와 구강보건지식과의 관계를 알아보기 위해 경기지역에 거주하는 성인을 대상으로 230부의 설문조사 하였으며, SPSSWIN 12.0을 이용하여 분석한 결과 다음과 같은 결론을 얻었다. 1. 대상자들의 정기적인 건강검진경험 유무는 받는다 38.2%, 안받는다 61.8% 이었고, 정기적인 구강검진경험 유무는 받는다 30.7%, 안받는다 69.3%로 나타났다. 2. 대상자들의 구강보건교육경험의 유무는 받은 경험이 있다 11.8%, 받은 경험이 없다88.2%로 나타났다. 3. 대상자들 중 정기검진을 받는 응답자의 일반적 특성과 건강관리실태와의 관계에 있어서는 연령, 직업, 운동을 하는 이유의 항목에서 통계적으로 유의한 차이를 나타냈다(p < 0.05). 4. 성별에 따른 구강보건지식과의 관계에 있어서는 전체적으로 이를 닦는 시간은 3분정도가 적당하다에서 68.4%의 높은 결과를 나타냈으나 통계적으로 유의한 차이를 보이지는 않았다. 5. 연령에 따른 구강보건지식과의 관계에 있어서는 이를 닦는 시기는 매 식사 후와 잠자기 전이다(p = .032), 불소를 이용하면 치아우식을 예방할 수 있다(p = .011), 충치를 유발하는 식품에는 초콜릿, 비스킷 등이 있다(p = .044)에서 통계적으로 유의한 차이를 나타냈다(p < 0.05). 6. 직업에 따른 구강보건지식과의 관계에 있어서는 전체적으로 이를 닦는 시간은 3분정도가 적당하다(p = .043)에서 68.4%로 가장 높게 나타나고, 통계적으로 유의한 차이를 보였다(p < 0.05). 7. 정기적인 검진을 하고 있는 대상자와 구강보건지식과의 관계에 있어서는 통계적으로 유의한 차이를 보이지 않았다.

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단일화 스트립지 교환기 개발 (Unification of examination paper switchboard)

  • 한현지;김민영;이기영;이상식
    • 한국정보전자통신기술학회논문지
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    • 제5권3호
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    • pp.138-143
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    • 2012
  • 본 연구에서는 기존의 사용되고 있던 혈당 측정에 대한 번거로움을 줄이기 위해 단일화 스트립지 교환기 개발에 대한 연구를 진행하였다. 스트립지 케이스는 탄창식으로 제작하여 기존 제품 사용시 발생했던 손 오염이나 분실률을 최소화하였으며, 또한 스트립지의 정량을 실시간으로 확인 가능하게 하여 환자의 편리성을 추구하였다. 연구에선 특정 제품의 스트립지를 사용하였으나 이는 단순 연구에 대한 예시로 타 스트립지마다 제작이 가능하다. 제안한 단일화 스트립지 교환기는 설문지를 작성을 통해 평가 및 만족도를 조사하여 데이터를 구축하였고, 구매의사에 대한 문항에 67%로 좋은 평가를 받았다. 연구는 흔히 발병하는 당뇨병 환자의 자가 검사 시 겪는 불편함을 최소화하려하였으며, 나아가 실용성을 추구한 디자인을 통해 기능성과 실용성을 개선하여 다양한 질병의 스트립지에 대한 응용 가능성을 제시하였다.

보건관리대행기관 산업보건간호사의 업무에 관한 조사 (A Study on the Activity of Occupational Health Nurses in Occupational Group Health Service)

  • 김자희
    • 한국직업건강간호학회지
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    • 제3권호
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    • pp.5-20
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    • 1993
  • This study was aimed to investigate the actual condition of the performance of the occupational health nursing services, and to analyze a main cause which affects on the execution of its duties for occupational health nurses in occupational group health service. It had been surveyed by responsed data from the 105 respondents out of 180 persons. The results were as follows : 1. In performance of occupational health nursing services by the number of assigned plant, participation rate of health examination tended to significantly increase with decreasing the number of assigned and it was observed that the visiting rate of every month was also significantly higher on touring inspection of work plant, recommendation of facility improvement for work environment, understanding the modification of manufacturing process, and inspection of welfare and sanitation facilities. 2. While they executed their nursing services according to duration of service, the more, their duration of service was, the higher, participation rate of health examination, health check in returning to work for injured workers, talk with other health managers on promoting welfare, service evaluation for a year plan, record of health statistic, and experience of first aid service were. And it was found out that the visiting rate of every month was also significantly higher on touring inspection of work plant. 3. In regard to occupational health nursing services by age, the participation rate of health examination and the experience of first aid service were significantly higher as the age increased. And also the visiting rate of every month was significantly higher on touring inspection of work plant, compared with young ones. 4. In performance of occupational health nursing services by the time required visiting plant, The shorter, the time required visiting plant was, the higher, the visiting rate of every month was, on time of health consultation for diseased workers, and inspection of welfare and sanitation facilities. 5. The subjects of health education were mostly liver disease and occupational hearing loss and video tape was used mostly in health education, monthly health education was the highest in 1-3 times(74.5%) and its duration was the highest in about 60 minutes(33.3%). 6. Vaccination of hepatitis among the specific health services was the highest accounting for 64.7%.

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기업교육을 위한 인터넷 원격훈련 학습과정 모니터링 연구 (Learning Process Monitoring of e-Learning for Corporate Education)

  • 김도헌;정효정
    • 산경연구논집
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    • 제9권8호
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    • pp.35-40
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    • 2018
  • Purpose - The purpose of this study is to conduct a monitoring study on the learning process of e-learning contents. This study has two research objectives. First, by conducting monitoring research on the learning process, we aim to explore the implications for content development that reflects future student needs. Second, we want to collect empirical basic data on the estimation of appropriate amount of learning. Research design, data, and methodology - This study is a case study of learner's learning process in e-learning. After completion of the study, an in-depth interview was made after conducting a test to measure the total amount of cognitive load and the level of engagement that occurred during the learning process. The tool used to measure cognitive load is NASA-TLX, a subjective cognitive load measurement method. In the monitoring process, we observe external phenomena such as page movement and mouse movement path, and identify cognitive activities such as Think-Aloud technique. Results - In the total of three research subjects, the two courses showed excess learning time compared to the learning time, and one course showed less learning time than the learning time. This gives the following implications for content development. First, it is necessary to consider the importance of selecting the target and contents level according to the level of the subject. Second, it is necessary to design the learner participation activity that meets the learning goal level and to calculate the appropriate time accordingly. Third, it is necessary to design appropriate learning support strategy according to the learning task. This should be considered in designing lessons. Fourth, it is necessary to revitalize contents design centered on learning activities such as simulation. Conclusions - The implications of the examination system are as follows. First, it can be confirmed that there is difficulty in calculating the amount of learning centered on learning time and securing objective objectivity. Second, it can be seen that there are various variables affecting the actual learning time in addition to the content amount. Third, there is a need for reviewing the system of examination of learning amount centered on 'learning time'.

18-FDG EXTERNAL RADIATION DOSE RATES IN DIFFERENT BODY REGIONS OF PET-MRI PATIENTS

  • Han, Eunok;Kim, Ssangtae
    • Journal of Radiation Protection and Research
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    • 제38권3호
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    • pp.157-165
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    • 2013
  • To determine the factors affecting the external radiation dose rates of patients undergoing PET-MRI examinations and to assess the trends of these differences, we measured the changes in the dose rates of $^{18}F$-FDG during a set period of time for each body region. Consistent with theoretical predictions, the dose rate decreased over time in patients undergoing PET-MRI examinations. Furthermore, immediately after the $^{18}F$-FDG injection, the dose rate in the chest region was the highest, followed by the abdominal region, the head region, and the foot region. The dose rate decreased drastically as time passed, by 2.47-fold, from $339.23{\pm}74.70mSv\;h^{-1}$ ($6.73{\pm}5.79$ min) at the time point immediately after the $^{18}F$-FDG injection to $102.71{\pm}26.17mSv\;h^{-1}$ ($136.11{\pm}25.64$ min) after the examination. In the foot region, there were no significant changes over time, from $32.05{\pm}20.23mSv\;h^{-1}$ ($6.73{\pm}5.79$ min) at the time point immediately after the $^{18}F$-FDG injection, to $23.89{\pm}9.14mSv\;h^{-1}$ ($136.11{\pm}25.64$ min) after the examination. The dose rate is dependent on the individual characteristics of the patient, and differed depending on the body region and time point. However, the dose rates were higher in patients who had a lower body weight, shorter stature, fewer urinations, lower fluid intake, and history of diabetes mellitus. To decrease radiation exposure, it is difficult or impossible to change factors inherent to the patient, such as sex, age, height, body weight, obesity, and history of diabetes mellitus. However, factors which can be changed, such as the $^{18}F$-FDG dose, fasting time, fluid intake, number of urinations, and contrast agent dose can be controlled to minimize the external radiation exposure of the patient.

산업장의 건강검진과 보건관리실태에 관한연구 -부산 지역을 중심으로- (A Study on The Periodic Medical Examination, and Health Care Management Programs of Industries -Busan City Province-)

  • 황보선;신유선;윤석옥;이지현;김정순;김이순;김복용;강영미
    • 지역사회간호학회지
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    • 제4권1호
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    • pp.14-24
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    • 1993
  • The Purpose of this study was to explore the condition of periodic medical examination and the health care services of industries in order to offer some basic data on developing industrial nursing care. To achieve this goal a self - administered questionnaire (developed by the academic affairs of community health nursing) was provieded to the nurses in 56 industries from Dec. 10, 1992 to Jan. 20, 1993. The statistical computer package, SPSS, was used to manipulate the data along with T-test and ANOVA. The results were as follows : 1. General characteristics: The greater part of the industries were manufacturing company, and below 300 employees of industry were 55.4%. The shift system was mostly one shift(66.1%) and three shift(23.2%), and 50.0% them organized the Industrial Safety and Health Commitee. Average a number of employees was 631 person. 2. Periodic Medical Examination: Most of the workers were receiving periodic medical examination from the designated hospital (95.71%). From the about 12.89% were gone through a colse medical examination. In colse medical examination 58.41% were decided 'C' and 36.73% were decided 'D'. About 6.23% off those who had any clinical findings were work-time shortening(7.84%), work-transition(8.12%), recoverating at home. The majority of the workers receive the result of the periodic medical examination individually (78.5%). 3. Special medical examination: The rate of those who are receiving special medical examination were 76.82% and about 8.24% were decided 'C' and 1.23% were decided 'D' Those who had any health problems were receiving follow-up checking (9.10%) and medical treatment while working (15.04%). The health managers in the company can consult (85.7%) those who had any suspicious sign and symptoms of occupational disease. 4. Health care services: The average score of health care services were 17.57 point out of 28 point, and the score was lower in health assessment and environmental hygiene than medical diagnosis and health education. There were significant differences in environmental hygine (F=3.72, P=0.017), health care services(F=3.94, P=0.013) according to the size of the size of the industries The other's significancy is not shown by any type of industrial nurse. The level of health care services were higher in the wokers who had better health and showed no singificant differences(T=-0.73, P=0.470).

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충남지역 초등학교의 구강보건관리 실태 (Current Oral Health Care of Elementary School in Chungnam Province, Korea)

  • 배진순;장성실
    • 한국학교보건학회지
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    • 제13권2호
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    • pp.331-340
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    • 2000
  • Primary school is regarded as an important period when many health-related behaviors and life-styles begin to be formed. Acquiring them through school heath education has a strong influence on the health promotion of not only the family but also the community. The objectives of this study were to evaluate current oral health care of elementary schools in Chungnam province and to provide information for further development in elementary school oral health. We performed a questionnaire survey to 280 health teachers and among them, 155 teachers answered. The result of this study were as follows: 1. Sixty five percent of the health teachers had little interest in oral health. Major information sources for teaching oral health were books in 58.1% of the 155 teachers and 83.2% of teachers spent 30 minutes to 1hour per day in oral health care practice for the students. 2. Contents of the oral health education were composed of regular and special curriculums, and an average of education time during a semester was 2.6 hours in 3rd grade, and 1.3 hours in first and second grade. 60.6% of the teachers made the children practice the proper method of tooth brushing during the education time. 3. Major problems in oral health education were insufficient time, lack of equipment and difficulty in teaching method. The educational media were tooth models among 91.0% and OHP among 85.2% of the teachers. The tooth model was usually used in first to fourth grades and OHP in fifth to sixth grades. But 63.9% health teachers need to develop stronger educational methods using multimedia. 4. Meanwhile the most important strategy of oral health in urban schools was health education, that of rural schools was fluoride mouth-rinsing programme. Fluoride mouth-rinsing programmes were performed by 60.0% of the elementary school. Periodic dental examination was performed in all elementary schools. 98.2% of the schools sent the results home through school notification letters, but post-examination management was performed in only 67.1% of them 64.5% of the health teachers do follow-ups on the oral disease of the children after the examination. Only 0.7% of the schools have oral health education plans for the students' parents. Considering these major strategies for elementary school oral health care were health education, practicing proper methods of tooth brushing, periodic dental examinations, and fluoride mouth-rinsing programmes. But health teachers need more time for oral health education, practicing and management, and developing education materials. With regard to the high demand for oral health education and poor follow-up after periodic examination, the oral health education in elementary school should be considered as a formal educational course for more proper management of oral health, including application of major strategies to the children in earlier grades and efforts for increasing recognition and participation of the parents.

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Differences in Breast and Cervical Cancer Screening Rates in Jordan among Women from Different Socioeconomic Strata: Analysis of the 2012 Population-Based Household Survey

  • Al Rifai, Rami;Nakamura, Keiko
    • Asian Pacific Journal of Cancer Prevention
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    • 제16권15호
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    • pp.6697-6704
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    • 2015
  • Background: The burden of breast and cervical cancer is changing over time in developing countries. Regular screening is very important for early detection and treatment. In this study, we assessed inequalities in breast and cervical cancer screening rates in women according to household wealth status, and analyzed the potential predictors associated with a low cancer screening rate in Jordan. Materials and Methods: A nationwide populationbased cross-sectional survey collected information on different variables at the national level. All ever-married women (the phrase is used throughout the text to refer to women who had ever married) aged 15-49 years were included in the survey. Analysis of breast self-examination (BSE) and clinical breast examination (CBE) at least once in the previous year was carried out in 11,068 women, while lifetime Pap-smear testing was carried out in 8,333 women, aged 20-49 years. Results: Over 39% and 19% of ever-married Jordanian women reported having undergone a breast examination during the previous year and Pap smear examination at least once in their lifetime, respectively. The rate of BSE in the previous year was 31.5%, that of CBE in the previous year was 19.3%, and that of Pap smear examination at least once in life was 25.5%. The adjusted OR was higher for performing BSE (aOR 1.22, 95% CI 1.04-1.43), undergoing CBE (aOR 1.31, 95% CI 1.08-1.60) and undergoing Pap smear examination (aOR 2.38, 95% CI 1.92-2.93) among women in the highest wealth-index quintile as compared to those in the lowest quintile. The concentration index was 0.11 for BSE, 0.01 for CBE, and 0.27 for Pap smear examination. Women in their twenties, living in rural or the southern region of Jordan, with an elementary school education or less, who listened to the radio or read the newspaper not more than a few times a year, and nulliparous women were less likely to undergo breast and cervical cancer screening. Conclusions: The rates of breast and cervical cancer screening are low in Jordan. Reducing the sociodemographic and economic inequalities in breast and cervical cancer screenings requires concerted outreach activities for women living under socially deprived conditions.

기구맥진법(氣口脈診法)의 장부배속(藏府配屬)에 관한 연구(硏究) (A Study on the assignment of vicera of the pulsation examination method of the KiGu)

  • 황원덕;김중한
    • 대한한의학원전학회지
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    • 제12권1호
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    • pp.226-254
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    • 1999
  • For the first time, the theory of ChonKwanChuk(寸關尺) and the examination method of KyungJung(輕重法) of KiGu(氣口) were formed in "NanKyung(難經)". After that, the vicera assignment theory at left and right hands(左右守藏府記屬理論) was established in "MaekKyung(脈經)" After Reserching the theoretical relevance of the two books, theories between the doctors who understood the examination method of ChukBu(尺部診法) of "Somun MaekYoJungMiRon(素問 脈要精微論)" as the examination method of KyungJung(輕重法) and the doctors who understood that method as the method of ChonKwanChuk(寸關尺) were compared and researched. The results were as follows : 1. The posit ion of ChonKwanChuk(寸關尺) of the examination method of ChonKwanChuk(寸關尺法) is explained at 2nd Nan(二難) of "NanKyung" as follows. Chuk(尺) is the position which is 1Chon(1寸, unit) distant from Kwan(關) to the direction of ChukTaek acupuncture point(尺澤穴) and Chon(寸) is the position which is 9Pun(9分, unit) distant from Kwan(關) to the direction of EoJe acupuncture point(魚際穴). And the six vessels(六經) were assined to ChonKwanChuk(寸關尺) on the basis of OHangJaMoSnagSaeng(五行子母相生) at 18th Nan(18難) of NanKyung. After that Yang Hyun-Jo(楊玄操) at Dang Dynasty, Jung Deok-Yong(丁德用), Woo Seo(廬庶) at Song dynasty explaind the examination method of ChonKwanChuk(寸關尺法) of NanKyung as the method of ChonKwanChuk of two hands(兩手寸關尺法) from the viewpoint of "MaekKyung(脈經)". 2. From the viewpoint of MaeKyung, the vicera assignment of the two hand ChonKwanChuk method is as follows. At Chuk of left hand, the Heart and Small intestine are assigned. At Kwan of left hand, the Liver and Gall Bladder are assigned. At Chuk of left hand, the Kidney and Bladder are assigned. At Chuk of right hand, the Lung and Large in testine are assigned. At Kwan of right hand, the Spleen and Stomach are assigned. At Chuk of Right hand, the Vital Gate(命門) and Bladder are assigned. 3. For the first time, HwalSu(滑壽) at Won dynasty said that the paragraph "尺內兩傍${\cdots}{\cdots}$" of "Somun MaekYoJungMiRon" is the first of the examination method of KiGu(氣口診脈法). After that Ma Shi(馬蒔), Jang Gae-Bin(張介賓) of Myung Dynasty, Jang Ji-Chong(張志聰), Seo Dae-Chun(徐大椿) of Chung Dynasty who were influenced by him explained that paragraph as the method of KiGuChonKwanChuk(氣口寸關尺法). 4. Lee Kyu-Jun(李圭晙) explained the paragraph "尺內兩傍${\cdots}{\cdots}$" of "Somun MaekYoJungMiRon" as the method of KyungJung(輕重法) and explained Chok(尺) as the paragraph 'Chuk is low position of Kigu, and it means the depth(氣口之下位也, 言其深也)' and explained that 'the Left and the Right is layers(左右者層數). And he revised that the Jang(臟) must be examined at the inner part and the Bu(府) must be examined at the outer part. By this, he settled the theoratical basis of the method of KyungJung(輕重法). 5. The doctors who used the examination method of ChonKwanChok(寸關尺診法) settled their logical justification of the two hand examination method of ChonKwanChuk(兩手寸關尺診法) by connecting with "Somon MaekYoJungMi-Ron" from the viewpoint of 2nd Nan(難) and 18th Nan(難) of NanKyung and MaekKyung. On the contrary, the doctors who used the examination method of KyungJung(輕重診法) settled their logical justification of the examination method of KyungJung(輕重診法) by connecting with "Somun MaekYoJungMiRon" from the viewpoint of 4th Nan(四難) and 5th Nan(五難).

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