• 제목/요약/키워드: physical evidence

검색결과 965건 처리시간 0.023초

노인의 고독이 건강상태에 미치는 영향: 우울의 매개효과 검증 (The Effect of Loneliness on Health Status in Older Adults: An Examination of the Mediating Role of Depression)

  • 황환;이선혜
    • 한국사회복지학
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    • 제66권4호
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    • pp.207-232
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    • 2014
  • 본 연구는 노인의 주관적 고독감이 건강에 영향을 미치는 영향의 메커니즘을 이해하기 위해 고독, 우울, 건강상태의 관계로 이루어진 연구모형을 수립하고 구조방정식 모형 분석을 통해 그 관계를 검증하고자 하였다. 이를 위해 수도권에 위치한 노인복지기관 이용 노인 329명을 대상으로 일대일 설문조사를 실시하고, 노인의 고독과 우울이 노인의 건강상태에 미치는 영향과 그 과정에서 우울이 수행하는 역할을 살펴보았다. 자료 분석 결과, 고독, 우울, 건강상태의 구조적 관계로 이루어진 연구모형은 양호한 적합성을 보였으며 우울은 고독이 건강상태에 미치는 영향을 완전 매개하는 것으로 나타났다. 이러한 결과는 기존의 서비스가 사회적 활동의 양을 증가시키는데 치중하는 점을 지양하고 주관적 고독감과 대인관계의 질을 개선하는데 초점을 두어야 할 필요성이 있음을 시사하는 것이다.

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다낭성 난소증후군의 전침 치료 연구에 관한 체계적 문헌 고찰 (Electroacupuncture for Treatment of Polycystic Ovarian Syndrome: Systematic Review of Randomized Controlled Trials)

  • 윤준걸;박남춘;지해리;박경선;황덕상;이진무;이창훈;장준복
    • 대한한방부인과학회지
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    • 제31권4호
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    • pp.39-53
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    • 2018
  • Objectives: The purpose of this review was to overview and evaluate the efficacy of electroacupunture for women with polycystic ovarian syndrome (PCOS) Methods: Relevant randomized controlled studies (RCTs) were identified by database searches in PubMED, EMBASE, OASIS, and Google scholar, up to May 2018. Data were extracted regarding hyperandrogenism, obesity and hyperinsulinemia indices. The risk of bias was assessed. Results: Five RCTs were included for analysis. In one RCT, electroacupuncture group had significantly lower free testosterone and testosterone, compared to no treatment group. However, The other RCTs showed no significant difference between two groups. For LH/FSH, Ferriman Gallway score, anti-mullerian hormone, body mass index, weight and waist, and insulin, electroacupuncture group showed no significant difference, compared to physical exercise, no treatment, and sham acupuncture group. Conclusions: Only a limited number of RCTs have been reported. At present, there is insufficient evidence to support the use of electroacupuncture for treatment of PCOS.

심혈관계 질환의 위험인자와 사상체질 사이의 연관성 및 활성산소가 이에 미치는 영향에 대한 임상적 연구 (A Study of Relationship between Blood Chemical Risk Factor of Cardiovascular Disease and Sasang Constitution, and Effect of Oxygen Free Radical on the Relationship)

  • 한경수;배나영;이한얼;안택원
    • 사상체질의학회지
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    • 제19권2호
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    • pp.143-154
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    • 2007
  • 1. Objectives The purpose of this study was to prove the correlation between risk factor of cardiovascular disease and Sasang Constitution and to investigate the effect of oxygen free radical on this correlation. 2. Methods We analyzed 129 patients who visited Cheonan oriental medical hospital from Apr 1, 2007 until May 31, 2007, for medical examination, which Includes Sasang Constitution examination, blood chemistry test and physical examination. And we classified their results into 4 groups based on with blood lipoprotein level and body mass index. 3. Results and Conclusions Mean of lipoprotein in blood was not significantly different among constitutions but with body mass index, was significantly higher in Taeumin than others. And count of dyslipoproteinemia was significantly higher in Taeumin group than soeumin. Therefore, according to our results, risk of cardiovascular disease was higher in Taeumin than other constitutions. Oxygen free radical did not have much effect on correlation between risk factor of cardiovascular disease and Sasang Constitution. However, there was some evidence in soeumin group, that oxygen free radical may have effect on origination of hyperlipidemia.

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고려인삼의 화학성분에 관한 고찰 (Recent Studies on the Chemical Constituents of Korean Ginseng (Panax ginseng C. A. Meyer))

  • 박종대
    • Journal of Ginseng Research
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    • 제20권4호
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    • pp.389-415
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    • 1996
  • Panax ginseng C.A. Meyer(Araliaceae) has been traditionally used as an expensive and precious medicine in oriental countries for more than 5, 000 years. Ginseng saponin isolated from the root of Panax ginseng have been regarded as the main effective components responsible for the pharmacological and biological activities. Such as antiaging effects. antidiabetic effects anticancer effects. Protection against physical and chemical stress. Analgesic and antipyretic effects. Effects on the central nervous system, tranquilizing action and others. Thirty kinds of ginsenosides have been so far isolated from ginseng saponin and their chemical structures have been elucidated since 1960's. Among which protopanaxadiol type is 19 kinds. protopanaxatriol type. 10 kinds and oleanane type, one. Since ginsenosides are generally labile under acidic conditions ordinary acid hydrolysis is always accompanied by many side reactions, such as epimerization. hydroxylation and cyclization of side chain of the sapogenins Especially. it is well known that C-20 glycosyl linkage of ginsenoside was hydrolysed on heating with acetic acid to give an equilibrated mixture of 20(S) and 20(R) epimers. And also, the chemical transformations of the secondary metabolites have appeared during the steaming process to prepare red ginseng. Indicating demalonylation of malonyl ginsenosides, elimination of glycosyl residue at C-20 and isomerization of hydroxyl configuration at C-20. But these studies have not provided a comprehensive picture in explaning how these ginsenosides showed val'iotas pharmacological activities of ginseng. Though some of them have been involved in the mechanism of pharmacological actions. Recently, non-saponin components have received a great deal of attention for their antioxidant, anticancer antidiabetic, immunomodulating. anticomplementary activities and so on. To meet the demand for such wide applications, studies on the non-saponin components play an important role in providing a good evidence of pharmacological and biol ogical activities. Among the non-saponin constituents of Korean ginseng, polyacetylenes, phenols. Sesquiterpenes, alkaloids. polysaccharides oligosaccharides, oligopeptides and aminoglycosides together with ginsenosides of terrestrial part are mainly described.

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레크리에이션 치료가 재미 한인노인의 신체적, 정신적 건강에 미치는 영향 (The Effect of Recreation Therapy in Physical and Mental Health for Korean American Senior)

  • 박은식
    • 디지털융복합연구
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    • 제15권9호
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    • pp.435-441
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    • 2017
  • 본 연구는 미국에 거주하고 있는 한인 노인을 대상으로 현재 뉴욕 시에서 시행하고 있는 데이케어 프로그램(Adult Day Care Program)의 일환인 치료 레크리에이션의 신체적, 정신적 효과를 평가하고자 시행되었다. 연구 방법은 비동등성 대조군 사후 실험 연구로 2017년 2월부터 4월까지 진행되었다. 본 연구에 참여한 대상자는 실험군 35명, 대조군 35명이었으며 이 중 66명의 자료를 분석하였다. 본 연구에 참여한 대상자의 평균연령은 79.4세 이었으며 미국에 거주한 기간은 평균 24.6년 이었다. 치료 레크리에이션 프로그램은 데이케어센터에서 제공하는 프로그램으로서 본 연구결과, 데이케어센터 치료 레크리에이션에 참여한 노인의 일상생활 수행능력, 우울 및 외로움에 효과가 있는 것으로 나타났다. 따라서 향후 문화적 감수성을 고려한 노인 대상 다양한 치료 레크리에이션 프로그램이 개발, 운영되어져야 할 것이며 이에 대한 효과를 평가하기 위하여 근거기반 연구가 수행되어져야 할 것이다.

긴팔원숭이에서 발생한 경골 골절의 외과적 정복 1례 (Tibial Fracture Repair in a Black Gibbon (Hylobates concolor))

  • 윤헌영;이보라;정순욱
    • 한국임상수의학회지
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    • 제26권6호
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    • pp.644-646
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    • 2009
  • 5년령의 체중 4.58 kg 수컷 긴 팔 원숭이가 후지 파행 증상으로 건국대학교 동물 병원에 내원하였다. 신체 검사에서 우측 후지 경골 부위의 연부조직 손상을 보였으며 방사선 사진에서 우측 경골과 비골의 단순 골절이 관찰되었다. 개방형 정복을 실시한 후 tubular dynamic compression plate와 나사를 이용한 고정을 실시하였다. 수술 9주 후 방사선 사진 검사에서 잘 발달된 가골 형성이 골절 부위 피질에서 관찰되었다. 수술 3개월 후 후지 파행 증상을 보이 지 않고 정상 보행이 가능하였다.

The Experience of Miners Relocated to Alternative Positions due to Silicosis in the Andean of CODELCO, Chile, 2010

  • Delgado, Diemen;Aguilera, Maria De Los Angeles;Delgado, Fabian;Rug, Ani
    • Safety and Health at Work
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    • 제3권2호
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    • pp.140-145
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    • 2012
  • Objectives: To understand the personal experiences of mine workers that have experienced job relocation due to silicosis at the Andina Division of Corporaci$\acute{o}$n Nacional del Cobre (CODELCO), Chile. The purpose of the study was to provide useful information for the development of new local, business and public policies for the care of workers with silicosis. Methods: A qualitative study based on a practical case study of 5 workers. The information was collected by means of structured individual interviews. The method of analysis was phenomenology. Results: The corporal axis was the most commented upon. It included awareness of the illness, body pains, fatigue, and antagonistic mood disorders (sadness, or the difficulty in finding meaning in life). As far as personal relationships, there was evidence of strong relationships with family, coworkers and friends, as well as extended family. Over all, the experience of relocation was positive with periods of impatience and uncertainty. The job reassignment provided a new and pleasant context for the relocated workers and in the process improved their perception of their quality of life. Conclusions: A multidisciplinary team should attend mine workers relocated because of silicosis by addressing the mental and physical aspects of their disease, along with the integral participation of close family members. It is suggested that this investigation be maintain over time to record the personal experiences in the medium-term, adding new cases with the intention of shedding more light on the phenomenon being studied. As a preventive measure, continual workshops are needed on the proper use of respiratory protection in addition, a group of monitors is required.

개에서 좌골, 등쪽, 뒤쪽 회음탈장의 동시 발생 증례 (Coexistence of Sciatic, Dorsal, and Caudal Perineal Hernias in a Dog)

  • 윤헌영;정순욱
    • 한국임상수의학회지
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    • 제27권5호
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    • pp.584-587
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    • 2010
  • 체중 1.8 kg 5년령 중성화 수컷 치와와 개가 오른쪽 회음부 팽대 평가를 위해 건국대학교 부속 동물병원에 내원하였다. 회음부 팽대 외에 다른 증상이 없었으며 신체 검사에서 환납성 회음탈장임을 확인 하였다. 회음 탈장 교정을 위해 수정 된 전통 탈장 봉합술과 수정 된 내폐쇄근 변위 탈장 봉합술을 동시에 실시 하였다. 수술 한달 후 보호자가 왼쪽 회음부 팽대를 보고하였고 수의사의 신체검사에서 왼쪽 회음탈장이 확인 되었다. 수술 중 좌골, 등쪽, 뒤쪽 회음탈장의 동시 발생이 관찰 되었으며 회음 탈장 교정을 위해 위와 동일한 탈장 봉합술을 실시하였다. 정기 점진은 수의사의 신체 검사 혹은 보호자와의 전화 통화를 통해 실시 되었으며 양측 수술 부위에서 수술과 관련한 합병 증상이 없음을 확인하였다.

개의 비강샘암종 증례 (Nasal adenocarcinoma in a dog)

  • 윤정식;정지열;조숙희;김재훈;우계형;전재남;김재훈
    • 대한수의학회지
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    • 제49권1호
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    • pp.67-71
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    • 2009
  • A 10-year old female Yorkshire terrier with nasal discharge and swelling was referred to the local animal hospital. Abnormal mass of right nasal cavity was detected in physical examination and radiography. According to the radiographs of the head, there was an evidence of bony destruction in right nose. Oronasal fistula was detected in right maxillary canine teeth. After surgical excision, the sample of nasal mass was refereed to Pathology Department of Veterinary Medicine in Jeju National University. Grossly, the enlarged mass was soft and 3 ${\times}$ 3 cm in size. Histopathologically, the neoplastic mass was composed of tubular to tubulopapillary structures which were lined by single to 6~7 layers of cuboidal to ciliated columnar cells. These neoplastic cells showed invasive tendency to adjacent normal parenchyma. They had uniform, round to oval nuclei, cytoplasm with small vacuoles and indistinct cellular margin. The number of mitotic figures was varied in different areas, ranged from 0 to 4 per high power field. Necrotic foci and infiltration of inflammatory cells including neutrophils, lymphocytes, and plasma cells also presented in the mass. Immunohistochemically, the neoplastic cells demonstrated strong positive reaction for cytokeratin (CK) 18 but were negative for CK 7 and 8. Based on the gross, histopathology and immunohistochemistry, this mass was diagnosed as nasal adenocarcinoma originated from respiratory epithelium.

해상송부매매에서 국제매매협약상 매도인의 서류적합의무에 관한 일고찰 - 선하증권을 중심으로 - (A Study on the Seller's Obligation of Conformity of Transport Documents in Shipment Sales under CISG - Focused on Bill of Lading)

  • 허해관
    • 무역상무연구
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    • 제37권
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    • pp.61-85
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    • 2008
  • Bills of lading are crucial in international sales on shipment terms since they guard buyers against loss of or damage to the goods in transit by giving them the rights against carriers. A bill of lading, as document of title, gives the buyer the right to demand physical possession of the goods from the carrier and enables the buyer who is in possession of damaged or short-delivered goods to sue the carrier. In this context the buyer in sales on CIF or CFR terms or FOB terms with additional services benefits from the bill of lading which functions as a receipt of goods and a evidence of the terms of the contract of carriage. Protection of such buyer's interests can be provided in the sale contract through appropriate express or implied terms on the seller's documentary obligations: Which transport document, a bill of lading or a sea waybill, is required? Who should be named as the consignee in the transport document and, in case of bill of lading, by whom should the bill be endorsed? What should be stated in the bill of lading for the quantity of the goods? How about a bill of lading that contains so called "unknown clause"? How many bills of lading for the entire contract goods should be tendered? Can a bill of lading stating that the goods have been shipped in apparent good order and condition also state that the goods were damaged after shipment? This paper seeks to provide answers for these particular questions.

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