• 제목/요약/키워드: tray

검색결과 580건 처리시간 0.025초

만성 뇌졸중 환자의 기립 자세조절에 이중 과제가 미치는 영향 (The Effect of Dual-Task on Standing Postural Control in Persons With Chronic Stroke)

  • 전혜원;정이정
    • 한국전문물리치료학회지
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    • 제17권3호
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    • pp.20-30
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    • 2010
  • This study examined whether any changes by mental task types on postural control in chronic stroke persons. Sixteen chronic stroke persons (mean age=53.75 yr) and sixteen age-and gender-matched healthy controls (mean age=54.44 yr) took part in this study. Participants randomly performed three different tasks on the stable and unstable surfaces. The no mental task was to stand while holding a 100 g weight in each hand, the arithmetic task (mental task) was to perform a silent 1-backwards counting while standing and holding a 100 g weight in each hand, and the simple task (mental task) was to stand and hold with both hands a tray (200 g) on which a glass filled with water has been placed. Sway path and sway velocity of the center of pressure (COP) were measured to assess standing postural control by task performance using the force platform. According to the results, in stroke group, total sway path and total sway velocity of COP was significantly decreased during arithmetic and simple task compared to no mental task on the stable surface (p<.05), and sway path (anteroposterior AP, mediolateral ML) of COP, total and sway velocity (AP, ML, total) of COP was significantly decreased during arithmetic and simple task compared to no mental task on the unstable surface (p<.05). Especially, sway path (AP, total) of COP and sway velocity (AP, ML, total) of COP was significantly decreased under the simple task when compared to the arithmetic task on the unstable surface (p<.05). In healthy control group, sway path (AP, ML, total) of COP and sway velocity (AP, ML, total) of COP was significantly decreased during arithmetic and simple task compared to no mental task on the stable and unstable surface (p<.05), and sway path (AP, total) of COP and sway velocity (AP, ML, total) of COP was significantly decreased under the simple task when compared to the arithmetic task on the unstable surface (p<.05). In conclusion, the findings of this study showed that arithmetic and simple task improved standing postural control for chronic stroke patients and the type of arithmetic and simple tasks were critical factor that reduced standing postural sway in dual-task conditions. Future research should determine whether dual-task conditions, including simple task, would be effective as a training program for standing postural control of stroke patients.

액체 차폐물을 이용한 강도변조방사선치료의 구현 (The Realization of Intensity-modulated Radiation Therapy Using the Liquid Shielding Material)

  • 오영기;김진기;신교철;김기환;윤상모;김재철;박인규
    • 한국의학물리학회지:의학물리
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    • 제12권2호
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    • pp.155-160
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    • 2001
  • 3차원적인 타겟 모양을 축소 제작하여 액체 차폐물 속에 넣고 이를 방사선의 경로상에 장착하여 갠트리가 회전하더라도 제작된 타겟의 원래의 방향이 변하지 않도록 중력방향에 따라 회전하게 함으로써 액체 차페물(수은)의 두께차에 의해 방사선의 강도를 변화시킴은 물론 다엽콜리메터를 쓰지 않고도 갠트리 방향의 변화에 따른 방사선조사야의 모양이 자동적으로 이루어지도록 하는 방법을 개발하였다. 갠트리 0$^{\circ}$, 45$^{\circ}$, 90$^{\circ}$ 에서 5cm의 깊이에 필름을 두고 강도변화를 측정한 결과 갠트리가 회전함에 따라 실제 타겟의 3차원적 모양에 따른 강도 변화가 이루어지고 있음을 볼 수 있었다. 이는 외부에서 어떤 영향을 가하지 않고 갠트리 방향만 회전함에 따른 결과로 아크릴 삽입체의 방향이나 위치가 항상 일정하게 유지되고 있고, 그에 따라 방사선의 강도변화가 자동적으로 수행되고 있음을 보여주었다. 직경 25cm 아크릴 팬텀 내에 필름을 넣고 0$^{\circ}$ 에서부터 45$^{\circ}$ 간격으로 등선량으로 8문 조사를 한 결과 타겟의 isocenter에 선량을 100%로 할 경우 80% 영역이 타겟을 적절히 감싸고 있음을 볼 수 있었다. 차후 최적화된 선량게획 시스템을 이용할 경우 지금의 선량분포 보다 타겟모양에 더욱 정확한 분포를 얻을 수 있을 것으로 생각된다.

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느타리 팽나무버섯 재배에서 액체종균 배양 및 접종시스템 적용방법의 구명 (Production of Pleurotus ostreatus and Flammulina velutipes Using Liquid Spawn Inoculation System)

  • 홍성준;이원호;신범수;성재모
    • 한국균학회지
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    • 제31권1호
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    • pp.22-27
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    • 2003
  • 본 연구에서는 병 재배 버섯 안정생산을 위한 우량종균확보 방법으로서 액체종균을 활용하고자 하였으며 액체종균을 버섯재배에 효율적으로 사용할 수 있는 접종방식 및 접종장치를 개발하였다. 느타리 및 팽나무버섯의 대량 액체배양의 조건은 팽나무버섯은 접종량 $5{\sim}6%$, 배양기간 4일 일 때, 그리고 느타리버섯은 접종량 $5{\sim}6%$, 배양기간 5일에서 최대 균사생장을 확인 할 수가 있었다. 자동접종시스템을 이용하여 균사생장 및 자실체 생산에 대한 조사를 실시한 결과, 느타리버섯의 경우 자실체 생산에서는 접종량 6%, 즉 15ml 에서 수량이 높게 나타났다. 팽나무버섯은 접종량 $4{\sim}6%$, 즉 $10{\sim}15ml$에서 자실체 수량이 다른 조건에 비해 우수하게 나타났다. 액체종균 자동접종시스템을 이용하는 것이 고체종균 접종시스템보다 느타리버섯은 33.7%, 팽나무버섯은 32.8% 증수효과를 확인할 수 가 있었다. 작업성능의 평가를 위해 $4{\times}4$배열의 병 재배용 tray 75개를 이용하여 병의 뚜껑을 제대로 열고 닫지 못하는 경우, 분사가 안되는 경우 등의 오동작은 없었고 작업시간은 26분으로 단축되었다.

제 2급 와동에서 구치부 복합레진의 미세변연누출에 관한 연구 (MICROLEAKAGE OF POSTERIOR PACKABLE COMPOSITE RESIN hi THE GINGIVAL MARGINS OF CLASS II CAVITIES)

  • 최수진;김미자;권혁춘
    • Restorative Dentistry and Endodontics
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    • 제27권3호
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    • pp.249-256
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    • 2002
  • The use of flowable composite resins as liners in class II packable composite restoration has been suggested by some manufacturers. However, the contributions of this technique are unproven. The purpose of this study was to compare the gingival microleakage in class II packable composite restorations with or without the use of flowable composite resins as liners. Slot cavities were prepared on both proximals of 80 extracted human molars and randomly assigned to 8 groups of 20 each. The gingival margins were located at 1mm above CEJ in 80 cavities (group1-4) and 1mm below CEJ in 80 cavities (group5-8). The prepared teeth were mounted in the customized tray with adjacent teeth to simulate clinical conditions and metallic matrix band (Sectional matrix) and wooden wedges were applied. After acid etching and application of Single Bond, each group was restored with the following materials using incremental placement technique: Group 1,5 (Filtek P60), group 2, 3, 4 and group 6, 7, 8 (AeliteFlo, TetricFlow, Revolution/ Filtek P60). All specimens were thermocycled 500 times between 5$^{\circ}C$ and 55$^{\circ}C$ with 1 mimute dwell time, immersed 2% methylene blue dye for 24 hours and then rinsed with tab water. The specimens were embedded in clear resin and sectioned longitudinally through the center of restoration with a low speed diamond saw. Dye penetration at gingival margin was viewed at 20 magnification and analyzed on a scale of 0 to 4. Kruscal-Wallis One way analysis and Mann-Whitney Rank sum test were used to analyze the results. The results of this study were as follows. 1. The leakage values seen at the enamel margin were significantly lower than those seen at the dentin margin(P<0.05). 2. On the enamel margin, packable composite resins with flowable liners showed lower leakage than those without flowable liners, but there were no significant differences among the four groups(P>0.05). 3. On the dentin margin, four groups demonstrated moderate to severe leakage, and there were no significant differences in leakage values(P>0.05).

수종 치아미백제가 구강내에서 법랑질의 미세경도에 미치는 영향 (The Effects of Tooth Bleaching Agents on Microhardness of Enamel in situ)

  • 박윤우;박세희;김진우;조경모
    • Restorative Dentistry and Endodontics
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    • 제31권6호
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    • pp.470-476
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    • 2006
  • 본 연구는 치아미백용 2.6% hydrogen peroxide 부착대와 통상 home bleaching용으로 안전하다고 알려진 10% carbamide peroxide 미백젤이 법랑질 미세경도에 미치는 영향을 미백을 하지 않은 경우와 비교, 평가하기위하여 시행되었다. 최근에 발거한 사람의 상악 절치 20개를 사용하여 가로, 세로 2 mm의 정사각형 치아편을 각 치아에서 3개씩 절단, 채득한 후 교정용 bracket에 고정하여 시편을 제작하였다. 자원자는 20명을 선정하였고, 각각의 자원자의 치아에 동일 치아에서 제작한 시편이 부착된 bracket을 순면 중앙에 부착하였으며 상악 우측 측절치에 젤을 이용한 군 (Opalescence tooth whitening gel, Ultradent Product Inc, South Jordan, USA), 상악 우측 중절치에 미백을 하지 않은 대조군, 상악 좌측 중절치에 부착대를 이용한 군 (Claren, LG Household & Health Care, Seoul, Korea)을 부착 시켰다. 젤을 이용한 군은 bracket이 부착된 치아에 맞게 상악 우측 측절치부터 우측 소구치까지를 덮는 mouthguard tray를 제작하여 매일 동일시간에 2시간씩 14일 동안 미백을 시행하였으며, 대조군은 부착 28일 동안 미백 치료 없이 구강 내에 위치시켰다. 부착대를 이용한 군은 bracket의 시편을 덮을 수 있는 크기로 상악용 Claren을 절단하여 오전, 오후 각각 30분씩 하루 두 번 부착하여 14일 동안 미백을 시행하였다. 각군 모두 bracket부착 전, 미백 14일 후, 재광화 14일 후의 미세경도를 측정하였으며 측정된 값을 이용하여 미세경도 변화 양상과 변화량을 비교 평가하였다. 치아미백용 2.6% hydrogen peroxide 부착대와 젤 형태의 10% carbamide peroxide 미백제의 미백 전, 미백후, 재광화 후 미세경도 변화 양상이 미백을 하지 않은 대조군과 차이를 보이지 않았으며 (p > 0.05) 미백 전과 미백 후의 미세경도의 차이 미백후와 재광화 후의 미세경도의 차이도 유의할 만한 차이가 없었다 (p > 0.05). 따라서 시중에 판매되고 있는 whitening strip과 미백 젤은 14일 동안의 통상적인 미백과정 동안 법랑질의 미세경도에 영향을 미치지 않는 것으로 사료된다.

초등학교 단체급식 소의 환경과 급식설비에 대한 미생물 평가 (The Microbiological Evaluation of Environments and Facilities at Food Service Operations in Elementary School)

  • 정동관;류은순
    • 한국식품영양과학회지
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    • 제31권2호
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    • pp.216-220
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    • 2002
  • 부산시내 초등학교 4곳을 방문하여 급식소 환경 , 기계, 기구에 대해 HACCP 적용시 중점관리점을 파악하기 위하여 위생평가를 실시하였다. 환경에 대한 위해 요소분석 결과 위해도가 높은 지역과 낮은 지역이 확실히 드러났으며 위생에 특별한 주의를 기울여야 할 장소가 확인되었다. 위생평가시 조사한 21곳의 시료장소 중에서 급식소의 바닥과 스테인레스 스틸제재로 된 배수설비 표면에서 높은 수의 세균과 대장균 군이 관찰되었다. 또한 덤웨이터에서 가장 높은 수의 세균과 대장균군이 발견되었고 밥통, 칼, 도마, 고무장갑, 운반대, 비닐앞치마, 플라스틱 소쿠리, 프라이 팬, 냉장고내부에서도 높은 수의 미생물이 검출되었으며 특히 기구들을 건조시키는 공기건조대에서도 오염도가 심해 특별히 관리 해야되는 부분으로 확인되었다. 또한 급식소의 내부에서 사용되는 물건 중 스테인레스 스틸로 만들어진 운반대, 선반, 식판, 국통 등에서도 단위면적당 수천 마리의 미생물이 오염된 것으로 나타나 용기를 통한 식중독균의 오염이 우려되고 있다. 따라서 단체 급식소의 HACCP의 적용에 앞서 이들 장소에 대해 위생표준 관리기준(SSOP)에 의한 중점관리가 수행되어져야 하며 주기적인 미생물 검사를 실시하여 미생물의 오염상태를 점검해야 할 것이다. 또한 주방기구나 용기는 이물질을 먼저 제거하고 세척제를 사용하여 세척한 다음 소독제를 사용한 소독을 실시한 후 말려 재사용하는 방법 이 철저히 적용되어야 할 것이다.

한국인의 상악 유치악 치열 및 무치악 치조제에 관한 삼차원적 연구 (THREE-DIMENSIONAL ANALYSIS OF THE NORMAL DENTITION AND EDENTULOUS MAXILLA OF KOREANS)

  • 김형섭;신상완
    • 대한치과보철학회지
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    • 제43권2호
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    • pp.191-203
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    • 2005
  • Statement of problem. In Korea, the preliminary impression trays for dental and edentulous maxillae are manufactured on the base of the statistical value of Westerners. There had been less study on the dental and edentulous arches of Koreans. Purpose. The purpose of this study was to evaluate an average dental cast, preliminary impression trays, three-dimensional relation of dental and edentulous maxilla of Koreans Material and methods. The subjects for this study were 173 dental casts of maxilla (dental: 52, edentulous : 146) with ages $18\{\sim}60$ years old. Each of the master casts was measured 69 measuring points on the dental cast or maxilla, and 46 measuring points on the edentulous cast of maxilla with three-dimensional digital measuring machine. Each measuring points were analysed and were overlapped, that three dimensional dental graphic manufactured by CAD/CAM system. Results. 1. A standard of distribution to alveolar bone were width between left and right buccal border lines of the standard 3/4 line. The mean value of dental and edentulous casts were 67.27mm, 63.49mm respectively. 2. Morphological classification of dental casts were divided into three groups or V-shape, O-shape, U-shape, that proportion of distribution were 17%, 16%, 67%, respectively. Dimensional classification of the dental casts were divided into five groups of less than 63mm, 63 up to 65mm, 65 up to 67mm. 67 up to 69mm, more than 69mm, respectively. 3. Morphological classification of edentulous casts were divided into three groups or V-shape, O-shape, U-shape, that proportion of distribution were 18%, 17%, 65%, respectively Dimensional classification of the edentulous casts were divided into five groups of less than 57mm, 57 up to 61mm, 61 up to 65mm, 65 up to 69mm, more than 69mm, respectively. 4. Mean dental and edentulous cast of maxilla were overlapped, the proportion of bone resorption to alveolar bone is higher than that of palatal bone, its difference were higher anterior 2/4 area than posterior 3/4 area. Conclusion. It obtains information of preliminary impression trays for dental and edentulous maxilla of Koreans.

무치악 잔존치조제의 형태학적 연구 (A MORPHOLOGICAL STUDY ON RESIDUAL ALVEOLAR RIDGES OF EDENTULOUS JAWS)

  • 최호영;우이형;최대균
    • 대한치과보철학회지
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    • 제29권1호
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    • pp.73-89
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    • 1991
  • Impression ragistration is an improtant and difficult phase of prosthodontic treatment procedures and a tray of appropriate size and shape is essential to obtain the accurate impression. Particularly, in edentulous patients, the size and forms of their residual alveolar ridges are different from one another. Therefore, in this study, various measurements were taken on the edentulous models. And the measurements were analyzed and compared with one another. The results were as follows ; 1. The mean of denture bearing area was $32.86cm^2$ in the upper jaws, $24.20cm^2$ in the lower jaws and the variation of denture bearing area was greater in the upper than in the lower jaws and in males than in females. 2. The mean of A-P(anteroposterior) ridge length was 48.72mm in the upper jaws, 53.05mm in the lower jaws and that of males was longer than that of females. 3. The mean of most posterior ridge width was 47.23mm in the upper jaws, 58.03mm in the lower jaws and the difference of that between males and females was least in both jaws. 4. In the upper jaws, the mean of ridge width was 29.66mm on anterior 1/4, 42.79mm on middle, 48.95mm on posterior 1/4 line and the mean of palatal height was 4.56mm on anterior 1/4, 10.01mm on middle, 10.84mm on posterior 1/4 line. 5. In the lower jaws, the mean of ridge width was 33.24mm on anterior 1/4, 50.19mm on middle, 59.16mm on posterior 1/4 line and the mean of lingual ridge height was 5.49mm on anterior 1/4, 9.16mm on middle, 16.72mm on posterior 1/4 line. 6. The correlation coefficient(=r) between denture bearing area and A-P ridge length was 0.83 in the upper jaws and 0.75 in the lower jaws. The corelation between denture bearing area and AP ridge length was statistically significant, but, between denture bearing area and A-P ridge length and between A-P ridge length and the most posterior ridge width was not statistically significant in both jaws. 7. Alveolar ridge forms were classified into three(ovoid, "u" shape, and "v"shape) categories. In the upper jaws, ovoid was 66%, "u" shape was 24%, and "v" shape was 10%, in the lower jaws, ovoid was 66.7%, "u" shape was 20%, and "v" shape was 13.3%.

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치료 방사선 선속(Flux)에 포함된 산란전자의 분포와 에너지 측정 (The Measurements of Energy and Distribution of Scattered Electrons in Therapeutic X-Ray Beam)

  • Vahc, Young-Woo;Park, Kyung-Ran;Ohyun Kwon;Lee, Yong-Ha;Kim, Tae-Hong;Kim, Sookil
    • 한국의학물리학회지:의학물리
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    • 제13권1호
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    • pp.1-8
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    • 2002
  • 치료방사선 선형가속기에서 출력되는 광자선의 선속 (flux)에는 gantry head로부터 발생되는 오염전자를 포함하고 있으며, 오염전자의 발생은 주로 gantry head의 부속장비 또는 방사선 치료를 위해 gantry head 밑에 설치되는 부속장치 등에서 광자선과 매질의 전자쌍생성, 또는 컴프톤 산란전자 등의 물리적 현상으로 발생된다. 오염전자는 표면영역의 수cm 깊이의 선량 분포에 영향을 주고 있으며, 이것은 방사선 치료 시 skin-sparing 효과를 감소시키는 등 임상적인 측면에 영향을 주고 있다. 그러므로 선형가속기에서 발생되는 오염전자의 특성을 이해 할 필요가 있다. 본 연구는 선형가속기 (Clinac 1800, Varian )에서 출력되는 15MV 광자 선속에서 조사야의 크기가 0.0$\times$10.0 to 30.0$\times$30.0 $\textrm{cm}^2$에서 30.0$\times$30.0 $\textrm{cm}^2$ 대해 구리판(Cu)의 부분적 오염전자 제거 능력과, 조사야의 부분 차폐 방법을 이용하여 물팬톰 내의 선량분포의 변화를 측정하므로써 오염전자의 특성을 분석하였다. 그 결과 오염전자는 조사야의 중심축으로부터 넓게 퍼진 cone 모양의 분포를 하고 있었으며, 또한 오염전자가 갖는 평균 에너지는 약 3.0MeV로 나타났다. 그러므로 오염전자는 표면으로부터 2.5cm 깊이까지 분포하였다. 이러한 결과로써 광자선속에 포함된 오염전자를 제거하고 순수한 광자선을 이용한다면 buildup 영역 및 표면선량이 감소되고, 최대선량지점이 좀더 깊어진다.

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한국 농정(農政)의 철학적 분석과 새로운 패러다임(paradigm)의 설계 (A Philosophical Analysis and Design of a New Paradigm of the Rural Policies in Korea)

  • 김선요
    • 농촌지도와개발
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    • 제3권1호
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    • pp.17-41
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    • 1996
  • In the situation of rapid industrialization based on the lopsided development of economy since 1960, Korean rural society has faced a crisis of disruption. As a result, the civilian government has tried a few actions to change the circumstance. However, it is said that the coral polices were not satisfactory. Those who were concerned with the rural problems of these days argue that it is necessary to adopt new policies and further to change the policymakers` philosophies concerning the matter. The arguments are certainly based on the beliefs that the sound policies come from the sound philosophies. This study aims to analyze the existing rural polices and their policymakers` philosophies and to design of a new paradigm. For the purpose, this study was set there specific objectives: First, to overview the moor points of Quantitative Utilitarianism of Jeremy Bentham and the Social Justice Theory of John Rawls, the contrasting frameworks of the moral philosophies; Second, to trace the major or trade of the rural policies since 1960s in Korea; Third, to analyze the policymakers` philosophies reflected on the rural policies; Fourth, to design a new paradigm of the rural policies. This study mainly adopted descriptive method based on the various source of government and non-government statistics, white papers and other researches. The major findings of this study may be summarized as follows: 1. The historical epochs of the rural policies in Korea was divided into the periods: (1) An organizational and institutional establishment for self-reliance of main crops and the New Village Movement $(1969{\sim}70)$; (2) An initiation of `open-door` policies to the foreign farm products $(1970{\sim}80)$; (3) Completion of the UR meetings and the recommendations of the Rural and Fishery Development Commission (1980-present). 2. It was found that the philosophical foundations of coral policies were directly reflected from the utilitarianism of the national development. Under the philosophy it was the modem sector of economy that was to spearhead the national development, and the rural sector was situated to the peripheral position and hardly in the spot-light. Therefore, it may be said that the present situation of the rural society was largely rooted in the model of economic development. 3. As a new direction of the coral policies, many studies were focussing on the NTC (non-trade concerns) functions of agriculture for the present and future society. The researchers argue that the cost of protecting and supporting agriculture and rural society may be higher than that of the burden which the nation should be bear in the case of failure of agriculture. Although it tray be true, however, it should be noted that the argument is another type of utilitarianism which prevailed in the past. As a philosophy of rural policies, utilitarianism is straight forward and persuasive, however, it has also limitations in terms of relativism in broad sense or social justice in specific manna. 4. This study suggests to set the philosophical foundations of rural policies on the basis of Rawl`s Theory of Justice mentioned earlier. It emphasizes the inviolability of social justice which was neglected for the national benefits timing the period of development dictatorship in 1960s and 1970s. The principles of social justice for coral people were identified as twofold; (1) The principle of the t equal liberty; (2) (a) Difference principle, (b) The principle of fair equality of opportunity.

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