• 제목/요약/키워드: four examinations

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문진(問診)에 대한 서지학적 고찰 (A Literature Study on interrogation)

  • 김진호
    • 대한한의학원전학회지
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    • 제28권1호
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    • pp.21-34
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    • 2015
  • Objectives : The treatment starts with physical examination. The four examinations(四診) is a method to examine the disease. The books on history of diagnostics about it contained substantial contents about inspection(望診) and palpation including pulse taking(切診), while they contained little contents about auscultation(聞診) and interrogation or questioning(問診) relatively. For this reason, this study was conducted as on interrogation first of all. Methods : I looked into the contents related to interrogation that were scattered in plenty of books. There were chapters of specialty in interrogation since the Ming dynasty, so I looked into these chapters in chronological order. Results & Conclusions : The level of the contents of interrogation prior to the Ming dynasty were rudimentary and recapitulative. However, there was a turning point by three kinds of books appeared in the Ming dynasty. Yixuerumen Wenzheng dealt with detailed contents. Yixuezhunshengliuyao Wenbingbixiang extended the range of contents. Jingyuequanshu Shiwenpian systematized Eight Principle Pattern Identification(八綱辨證) with increase of contents. Since then, books of the Qing Dynasty were mostly based on three kinds of books ahead. Among these, Yimenfalu Yimingwenbingzhifa(醫門法律 一明問病之法) and Xingsewaizhenjianma wenfa(形色外診簡摩 問法) mentioned the importance of a succinct interrogation that hit the mark and Yibian Yiwenzheng dealt with another detailed contents unlike the previous books based on substantial contents.

미국의 교사교육 (Education of Teachers in U.S.A)

  • 오후진
    • 한국학교수학회논문집
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    • 제3권2호
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    • pp.195-215
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    • 2000
  • Illinois issues the following standard teaching certificates : Early Childhood (birth-grade 3), Elementary (grades K-9), High School (grades 6-12) Special (grade K-12), School Service Personnel, and Administrative. Any of the preceding certificates can be issued on a provisional (maximum of two fiscal years) basis to qualifying individuals. Other certificates issued are : Substitute, Provisional Vocational, Temporary Provisional Vocational, Part-Time Provisional, and General. To obtain an Early Childhood, Elementary, High School, or Special certificate in Illinois, you must either complete an approved teacher education program or be an experienced, licensed teacher seeking a subsequent certificate through transcript evaluation. You must meet all other requirements for the particular certificate you are seeking, For school Service Personnel and Administrative certificates you must have completed a state approved program before you may apply. The Standard Elementary Certificate, High School Certificate, and Special Certificate are valid for four years for teaching. These certificates may be issued to graduates with a bachelor's degree from a recognized college who have successfully completed the required certification examinations and who present certified evidence of having earned credits. All individuals receiving certificates must be of good character and in good health, and be at least 19 years of age and a citizen of the United States or legally present and authorized for employment.

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Studies on Protective Effect of Da-9601, Artemisia asiatica Extract, on Acetaminophen- and $CCI_{4}$induced Liver Damage in Rats

  • Ryu, Byoung-Kweon;Ahn, Byoung-Ok;Oh, Tae-Young;Kim, Soon-Hoe;Kim, Won-Bae;Lee, Eun-Bang
    • Archives of Pharmacal Research
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    • 제21권5호
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    • pp.508-513
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    • 1998
  • The hepatoprotective effect of DA-9601, a quality-controlled extract of artemisisa asiatica, on liver damage induced by acetaminophen (APAP) and carbon tetrachloride ($CCI_{4}$) was investigated by means of serum-biochemical, hepatic-biochemical, and histopathological examinations. Doses of Da-9601 (10, 30, or 100 mg/kg) were administered intragastrically to each rat on three consecutive days i.e. 48 h, 24 h and 2 h before a single administration of APAP (640 mg/kg, i.p.) or $CCI_{4}$ (2 ml/kg, p.o.). Four h and 24 h after hepatotoxin treatment, the animals were sacrificed for evaluation of liver damage. Pretreatment of Da-9601 reduced the elevation of serum ALT, AST. LDH and histopathological changes such as centrilobular necrosis, vacuolar degeneration and inflammatory cell infiltration dose-dependently. Da-9601 also prevented APAP- and $CCI_{4}$-induced hepatic glutathione (GSH) depletion and $CCI_{4}$-induced increase of hepatic malondialdehyde (MDA), a parameter of lipid peroxidation, in a chemically induced liver injury by complex mechanisms which involve prevention of lipid peroxidation and preservation of hepatic GSH.

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DICOM Converter를 이용한 웹상에서의 MINI-PACS 구현 (Implementation of MINI-PACS using the DICOM Converter on the Web)

  • 지연상
    • 대한방사선기술학회지:방사선기술과학
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    • 제23권1호
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    • pp.103-111
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    • 2000
  • In recent years, medical procedures have become more complex, while financial pressures for shortened hospital stays and increased efficiency in patient care have increased. As a result, several shortcomings of present film-based systems for managing medical images have become apparent. Maintaining film space is labor intensive and consumes valuable space. Because only single copies of radiological examinations exist, they are prone to being lost or misplaced, thereby consuming additional valuable time and expense. In this paper, MINI-PACS for image archiving, transmission, and viewing offers a solution to these problems. Proposed MINI-PACS consists of mainly four parts such as Web Module, Client-Server Module, Internal Module, Acquisition Module. In addition, MINI-PACS system includes DICOM Converter that Non-DICOM file format converts standard file format. In Client-Server Module case, Proposed system is combined both SCU(Service Class User: Client) part and SCP(Service Class Provider: Server)part therefore this system provides the high resolution image processing techniques based on windows platform. Because general PACS system is too expensive for Medium and Small hospitals to install and operate the full-PACS. Also, we constructed Web Module for database connection through the WWW.

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랫드에서 죽여(Balbusae caulis in Taeniam)의 단회경구투여 독성시험 (Single Oral Dose Toxicity Study of Balbusae caulis in Taeniam in Rats)

  • 신동호;신진영;김성호;김재하;정희종;김종춘
    • Toxicological Research
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    • 제20권4호
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    • pp.325-328
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    • 2004
  • The present study was carried out to investigate the potential acute toxicity of Balbusae caulis in taeniam by a single oral dose in Sprague-Dawley rats. Twenty rats of each sex were randomly assigned to four groups of 5 rats each and were administered singly by gavage at dose levels of 0, 1250, 2500, and 5000 mg/kg body weight. Mortalities, clinical findings, and body weight changes were monitored for the 14-day period following administration. At the end of 14-day observation period, all animals were sacrificed and complete gross postmortem examinations were per-formed. Throughout the study period, no treatment-related deaths were observed. There were no adverse effects on clinical signs, body weight, and gross finding at any dose tested. The results showed that the single oral administration of Balbusae caulis in taeniam did not cause any toxic effect at the dose levels of 5000 mg/kg or lower in rats and the minimal lethal dose was considered to be over 5000 mg/kg body weight for both sexes.

경북지역의 흑염소 내부기생충 감염률 조사 (A survey on the prevalence of internal parasites in the Korean indigenous goats of Kyungbuk area)

  • 박노찬;도재철;김수웅;송해범
    • 한국동물위생학회지
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    • 제20권4호
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    • pp.349-358
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    • 1997
  • From December 1995 to July 1997, a total of 546 Korean indigenous goats were examined for the presence of internal parasites by parenchymal organs and fecal examinations. Four hundreds seventy eight(87.5%) of the goats were infected with 4 classes and 12 parasitic species. The nematodes were Haemonchus contortus(57.5%), Oesophagostomun venulosum (52.6%), Strongyloides papillosus(48.4%), Ostertagia sp(28.4%), Trichostrongylus colubriformis(17.0%), and Trichuris ovis(13.2%). The trematodes were Paramphistomum sp(17.6%), Fasciola hepatica(15.4%), and Eurytrema Pancreaticum (8.8%). The cestode was Moniezia expansa(16.7%), and the protozoa were Eimeria sp(74.9%) and Toxoplasma gondii(8.6%). The incidence of single or mixed infections among 12 parasitic species were one species infection (6.2%), 2 species(11.5%), 3 species(19.6%), 4 species(24.9%), 5 species(17.8%), 6 species(5.9 %), and 7 species(1.6), respectively. The level of infection according to the age was considerably higher under one year(97.2%) than between one and two years(89.7%), and over two years(69.3%) Among 12 parasites, seasonal pattern was remarkably observed. Most paracites were detected at the highest level in the Winter, whereas Strongyloides papillosus and Paramphistomum sp were in the Spring, and Ostertagia sp and Fasciola hepatica were in the Autumn. Infection rates of Anaplasma sp were 8.6% of 210 goats by blood smear method, and 51.0% by complement fixation test.

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제주지역의 돼지 써코바이러스 2형 관련 장염에 대한 병리학적 특징 (Pathological characteristics on porcine enteritis associated with porcine circovirus type 2 in Jeju)

  • 문성환;양형석;김재훈
    • 대한수의학회지
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    • 제60권3호
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    • pp.155-161
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    • 2020
  • From 2006 to 2009, 50 pigs suspected of enteritis associated with porcine circovirus type 2 (PCV-2) (EAPC) were collected. Gross and histopathologic examinations and immunohistochemistry (IHC) were performed on the small intestine of 50 pigs. The pigs with EAPC were concentrated in grower pigs (68%), and diarrhea (84%) was the most common clinical sign. Grossly, the walls of the small intestine were thickened, and mesenteric lymph nodes were enlarged. The histopathologic features in the small intestine with EAPC were characterized by lymphoid depletion, histiocytic infiltration, and formation of basophilic grape-like inclusion bodies and multinucleated giant cells in gut-associated lymphatic tissue (GALT) and lamina propria. According to IHC, PCV-2 antigens were more intense and distributed widely in GALT (98%) than lamina propria (82%) of the small intestine. Co-infection with other enteric pathogens was detected in 26 pigs (52%). Twenty-four pigs (48%) were confirmed to be a PCV-2 single infection. Collectively, infected PCV-2 in the small intestine may induce an immunosuppressive status of individuals and then allow secondary co-infections in the digestive system. This study shows that PCV-2 can induce diarrhea and enteric lesions in pigs without a co-infection of other enteric pathogens.

임신 중 하악 제3대구치 발거후 발생한 골수염 (Osteomyelitis following extraction of lower third molar during pregnancy)

  • 이상빈;허경회;이원진;김미자;이삼선
    • Imaging Science in Dentistry
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    • 제38권3호
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    • pp.177-182
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    • 2008
  • A 27-year-old female was referred to our hospital postpartum due to rapid aggravation of facial swelling. She was diagnosed with osteomyelitis on clinical, radiological, and histopathological examinations, but the possibility of malignancy was not excluded. Clinical signs and symptoms such as facial swelling and discomfort were improved with four months of antibiotics treatment. This is as case of an osteomyelitis progressed from infected extraction socket in a woman with physiological changes of pregnancy. Decreased immunological response, increased sex hormone and calcium regulatory hormones regulate the response of the bone infection. We report this case for helping the diagnosis of unusual from of osteomyelities in pregnancy and postpartum.

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어깨 통증으로 한방병원에 입원한 환자 410명을 대상으로 한 후향적 연구 (The Retrospective Review of 410 Shoulder Pain Inpatients in Korean Medicine Hospital)

  • 이재은;오민석
    • 한방재활의학과학회지
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    • 제25권2호
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    • pp.155-173
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    • 2015
  • Objectives The purpose of this study is to investigate the characteristics of inpatients who were admitted to Korean medicine hospital due to shoulder pain. Methods Characteristics of four hundred ten shoulder pain inpatients of single institution from 2011 to 2013 were retrospectively reviewed through medical charts. Results Patients showed different characteristics in sex, age, motives, interval between onset and admission day, first occurrence or not, related medical history before admission, usage of west medication, admission days, treatment results, radiological examinations by shoulder pain disease groups. Accordingly, Korean medical treatment such as acupuncture, moxibustion, external treatment, cupping therapy, physiotherapy, herb-medication varied with the characteristics of shoulder pain disease groups. Conclusions Through retrospective medical charts review, characteristics of 410 single institution shoulder pain inpatients showed distinctive features and versatile Korean medicine treatments by disease groups. It is expected that this study would accelerate multi-institutional and large scale characteristic review of shoulder pain patients, which would raise reconsideration and expand boundary of Korean medicine.

Comparison of In Vivo Nephrotoxicity in the Rabbit by a Pyrrolidinyl-Thio Carbapenem CW-270031

  • Kim, Jong-Myung;Ha, Jong-Ryul;Oh, Se-Woong;Kim, Hong-Gi;Lee, Jin-Man;Kim, Byung-Oh;Lee, Dong-Gun;Lee, Sang-Han;Kim, Jong-Guk
    • Journal of Microbiology and Biotechnology
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    • 제18권11호
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    • pp.1768-1772
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    • 2008
  • CW-270031 is a novel synthesized carbapenem antibiotic with a broad antimicrobial activity. Carbapenem antibiotics are well known for their nephrotoxicity. In this study, we evaluated the nephrotoxicity potential of this compound in rabbits, which are known for being more sensitive than other animals to renal insult. CW-270031 was administered to NZW male rabbits via an ear vein (200 mg/kg, single injection). Blood samples were collected on 2, 3, and 4 days after treatment. Urea nitrogen and creatinine in plasma were quantified. Four days after the treatment, all animals were autopsied and histopathological examinations were performed on their kidneys, revealing that cephaloridine and imipenem were highly nephrotoxic, and cefazolin had mild renal toxicity, whereas CW-270031 as well as meropenem and tienam had no toxicity to the kidney. The present findings suggest that CW-270031 is a potential carbapenem antibiotic with no nephrotoxicity.