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      • 張元素의 生涯와 醫學思想

        金容辰,尹暢烈 대한한의학원전학회 1990 대한한의학원전학회지 Vol.4 No.-

        Geum-Won dynasty is the era which totalized the every medical attainments of before Song dynasty and appeared some medical practioners who found new medical theory based upon this, and is important time for various developments of the oriental medical theory. At this time of the era, the representative practioners are called the four noted physician of Geum-Won dynasty. Jang Won-So who influenced the formation of the theory of the four noted physician of Geum-Won dynasty, originated new theory by joining the theory of 「Nae-Gyung」 with his own medical experience. The results can be summarized as follows after studying his life and idea of medicine. 1. Jang Won-So, courtesy name is Gyeol-Go, came from Yeog-Joo and it is unknown that when he was born and dead, but he lived in 11C. At 27, after failed in a Jin-Sa examination, he started medical study, and widely spreaded his medical art by healing the Yoo Wan-So's Sang-Han disease. 2. There are many Jang Won-So's writings, such as 「Eui-Hag-Gye-Won」 which is the condensation of his idea of medicine, 「Jin-Joo-Nang」 which is greatly contributed to development of Herbology, 「Jang-Boo-Pyo-Bon-Han-Yeol-Heol-Sil-Yong-Yag-Sig」 which is the sample of Jang-Boo-Byun-Jeung-Lon-Chi, and 「Yag-Joo-Nan-Gyung」 「Gyeol-Go-Ga-Jin」 「Gyeol-Go-Joo-Sug-Hwa-Mag-Myeol」 「Gyeol-Go-Bon-Cho」 「San-Yog-Bo-Sang-Bang」 which are known do not existing. 3. Jang Won-So's study about Jang-Boo-Byun-Jeung was influenced by 「Nae-Gyung」 「Jung-Jang-Gyung」 「So-A-Yag-Jeung-Jig-Gyeol」 etc. and outline by Han-Yel-Heo-Sil and the change and prognosis of the state of disease can be decided by Saeng-Sa-Yeong-Soon, so he contribute to development of Jang-Boo-Byun-Jeung-Lon-Chi of posterity. 4. Jang Won-So succeeded and develope the theory of the herbs of Oh-Jang-Go-Yog-Bo-Sa and about Ki-Mi-Seung-Gang-Boo-Chim etc. appeared on 「Nae-Gyung」, especially invented such as Kwi-Gyung-Lon, In-Gyeung-Bo-Sa-Seol, Jang Boo-Pyo-Bon-Yag-Sig and he enriched the content of pharmacological theory, so he motivated various development of herbalogical theory. 5. Jang Won-So's idea of On-Yang-Bi-Wi directly influence Lee Go's assertion of Bi-Wi-Lon, idea of Go-Geum-I-Gue-Seol presented theological basis of posterior medical practioners formation of prescription, so the way of drug usage greatly developed. 6. Jang Won-So's theory of the Jang-Boo-Byun-Jeung and herbology directly influenced to Lee Go, Wnag Ho-Go, Na Chen-Ik, Jang Byeok etc. so he became the father of Yeog-Soo class and indirectly influenced to Seol Gi, Jo Hen-Ga, Jang Gae-Bin, Lee Jung-Jae etc. of Myeng dynasty, so the On-Bo class has been formed. Like this, because, his idea of medicine developed at various aspect and greatly influenced to posterity, Lee Si-Jin said "Since the emergency of 「Nae-Gyung」, Jang Won-So is the only man who greatly enhance medical principle." so it is clear that this is not unfounded expression at all.

      • KCI등재

        Effects of Extrusion Conditions on Pasting Properties of Potato and Potato : Wheat Flour Mixture

        Cha, Jae Yoon,Cho, Yong-Jin,Kim, Chong-Tai,Kim, Chul-Jin,Ng, P. K. W. 한국산업식품공학회 2003 산업 식품공학 Vol.7 No.2

        The purpose of this study was to develop extrusion process of fresh potato and to study the effects of extrusion condition on the pasting properties of extruded potato products. The blend of pressed potato and wheat flour and pressed potatoes were extruded at different die exit temperatures (110-160℃) and screw speed of 100 rpm using a twin-screw extruder with conveying, high and low shear screw configuration. The viscosity-related parameters, such as peak viscosity, through, final viscosity, peak time, and pasting temperature of the feed materials and extruded products, were studied using a rapid visco analyzer (RVA). Their water solubility index (WSI) and water absorption index (WAI) were also studied. The peak viscosity, through, final viscosity, and peak time of pressed potato extrudates and potato-wheat flour mixture extrudates decreased as die exit temperature increased. The WSI and WAI of potato products increased as die exit temperature increased. When high shear screw configuration was used, the values of viscosity-related parameters were lower than those when low shear screw configuration was used. The potato-wheat flour mixture products obtained different degrees of depolymerization from fresh potatoes and wheat flour depending on die exit temperature and screw configuration.

      • KCI등재

        정신분열병에 대한 리스페리돈의 효과 및 안정성

        이민수,김용구,김영훈,연병길,오병훈,윤도준,윤진상,이철,정희연,강병조,김광수,김동언,김명정,김상훈,김희철,나철,노승호,민경준,박기창,박두병,백기청,백인호,손봉기,손진욱,양병환,양창국,우행원,이정호,이종범,이홍식,임기영,전태연,정영조,정영철,정인과,정인원,지익성,채정호,한상익,한선호,한진희,서광윤 大韓神經精神醫學會 1998 신경정신의학 Vol.37 No.1

        연구목적 : 본 시험의 목적은 임상시험 시작전에 연구자들을 대상으로 PANSS Workshop을 통하여 PANSS, ESRS에 대한 국내에서의 표준화 작업을 구축하고 새로운 정신병 치료제인 리스페리돈의 효과와 안정성을 재확인하여 리스페리돈 사용에 대한 적정화를 이루는데 있다. 연구방법 : 1996년 4월부터 1996년 9월까지 국내 39개 대학병원 정신과에 입원중인 혹은 증상이 악화되어 입원하는 정신분열병 환자 377명을 대상으로 다시설 개방 연구를 시행하였다. 1주일간의 약물 배설기간을 가진후, 리스페리돈을 8주간 투여하였고, 기준점, 1주, 2주, 4주, 그리고 8주후에 평가되었다. 용량은 제1일에는 리스페리돈 1mg씩 1일 2회, 제2일에는 2mg씩 1일 2회, 제3∼7일에는 3mg씩 1일 2회 투여하였다. 이후 환자의 임상상태에 따라 임의로 증량할 수 있으며, 최대 일일 16mg을 초과하지 않도록 하였다. 추체외로 증상을 조절하기 위한 투약을 허용하였다. 임상증상 및 부작용의 평가는 PANSS(Positive and Negative Syndrome Scale), CGI(Clinical Global Impression) 그리고 ESRS(Extrapyramidal Symptom Rating Scale)을 사용하였다. 연구결과 : 377명중 343명(91%)이 8주간의 연구를 완결하였다. 치료 종결시점인 8주후 PANSS 총점수가 20% 이상 호전된 경우를 약물 반응군으로 정의할때, 약물반응군은 81.3%였다. 리스페리돈에 반응하는 예측인자로는 발병연령, 이전의 입원 횟수, 유병기간이 관련 있었다. 리스페리돈은 1주후부터 PANSS양성, 음성, 및 일반정신병리 점수상에 유의한 호전을 보여 효과가 빨랐다. CGI의 경우도 기준점에 비해 1주후부터 유의한 감소를 나타내었다. ESRS의 경우, 파킨슨 평가점수는 기준점과 비교해 투여 1주, 2주, 4주후 유의하게 증가되었다가 8주후 기준점과 차이가 없었다. Dystonia 평가점수는 1주후만 유의한 증가를 보였으며, dyskinesia 평가점수는 유의한 차이가 없었다. 혈압, 맥박수의 생명징후 및 일반 혈액학 검사, 생화학적 검사, 심전도 검사에서 유의한 변화는 없었다. 결 론 : 이상의 다시설 개방 임상 연구를 통해 리스페리돈은 정신분열병 환자에서 양성증상뿐만 아니라 음성증상 및 전반적인 증상에도 효과적인 것으로 사료된다. 보다 명확한 평가를 위해서는 다른 항정신병약물과의 이중맹검 연구가 필요할 것으로 생각되며, 또한 장기적 치료에 대한 평가도 함께 이루어져야 하겠다. Objective : The purpose of this study was to investigate the efficacy and safety of risperidone in the treatment of Korean schizophrenic patients. Method : This multicenter open study included 377 schizophrenic patients drawn from 39 university hospitals. After a wash-out period of 1 week, the schizophrenic patients were treated with risperidone for 8 weeks and evaluated at 5 points ; at baseline, and 1, 2, 4 and 8 weeks of treatment. The dose was increased from 2mg/day(1mg twice daily) to 6mg/day(3mg twice daily) during the first week and adjusted to a maximum of 16mg/day over the next 7 weeks according to the patient's clinical response. Medication to control extrapyramidal symptoms was permitted. The psychiatric and neurological status of the patients was assessed by PANSS, CGI, and ESRS scales. Results : 343(91%) of 377 patients completed the 8-week trial period. Clinical improvement, as defined by a 20% or more reduction in total PANSS score at end point, was shown by 81.3% of patients. The predictors of response to risperidone were associated older age, shorter duration of illness, fewer previous hospitalization. Risperidone had rapid onset of action ; a significant decrease of the total PANSS and three PANSS factor(positive, negative, general), and CGI was already noticed at the end of first week. For the ESRS, parkinsonism rating scores were significantly increased until week 4 comparing with baseline. Dystonia rating scores were significantly increased until week 1, and dyskinesia rating scores were not significantly changed during the study. Laboratory parameters including vital sign, EKG, hematological, and biochemical values showed no significant changes during the trial. Conclusions : This study suggests that risperidone is generally safe and effective against both the positive and negative symptoms in our group of patients.

      • Midazolam의 백서 기관평활근 이완효과와 Flumazenil의 길항작용

        윤석화,신용섭,손수창,이원형,김혜자,최세진 충남대학교 의과대학 지역사회의학연구소 1995 충남의대잡지 Vol.22 No.2

        Midazolam have been used widely as adjuvants in both regional and general anesthesia and in high risk patients in the intensive care unit. In the present study we evaluated the effect of midazolam and antagonistic effect of flumazenil on isolated rat tracheal preparations mounted for recording isometric contractile force. Trachea smooth muscle were contracted with acetylcholine (10^-5M, Ach) and potassium chloride (40mM KC1). Midazolam 5x10 exp (-6)M and 5x10 exp (-5)M produced dose-dependent relaxation and flumazenil (3.2 x 10 exp (-7)M), central antagonist of benzodiazepine, pretreatment had no significant change midazolaminduced relaxation. Midazolam probably did not relax airway smooth muscle by activatong central benzodiazepine receptors, as flumazenil did not block the concentration-related relaxation of midazolam. Our study suggests that flumazenil may be used satety for asthmatic patients who have been with midazolam, as flumazenil did not antagonize airway relaxation elicited by midazolam.

      • SCOPUSKCI등재
      • KCI등재

        소화관내 이물에 대한 고찰

        윤한덕,류진호,박주경,허탁,조석주,김성근,민용일 大韓應急醫學會 1997 대한응급의학회지 Vol.8 No.1

        We analyzed records at Chonnam university hospital from Sep. 1. 1993 to Aug. 31. 1996 to assess clinical significance of the foreign body in the gastrointestinal tract. There were 133 episodes consisting of 79 pediatric and 54 adult patients as possible to review. In the pediatric patients, the coin was the most common cause of foreign body ingestion, while adult patients were usually caused by bones and meat. We removed foreign bodies in the oral cavity and oropharynx in 12 cases using direct laryngopharyngoscpy and forcep. Endoscopy was performed successfully in 47 of 51 patients in which was attempted; there were two complications composed of an aspiration pneumonia and a mediastinitis due to esophageal perforation. There were spontaneous passage of foreign bodies in 48 cases. We observed complications in 6 cases in which 4 cases needed operations due to complications. Foreign bodies which pass into the stomach can be observed for development of complications, as 94% of foreign bodies which reach the stomach spontaneously pass. Only 4 patients required interventions, which was done without mortality.

      • 지방자치와 지역경제 연구

        윤용희,박창진 경북대학교 사회과학연구소 1992 社會科學硏究 Vol.8 No.-

        This paper aims to analyse the relationship between the local self-government and the regional economy of Taegu-city and the further research for possible measures for the economic developemet of the respective region. With the beginning of local self-government, the initiative in political, economic, social, and cultural development that traditionally has been subject to the central government and has been transferred to the local government. Additionally, the above is the reason why the functioning of local self-government is important for the regional economic development. This paper at first will outline the local self-government and the regional economy, and then examine the interrelationship with them. Based on the general outline, the paper analyse the actuality of the regional economy and the possible developmental measures are classified of four catagories -public financee, industry, commerce, and finance- in comparision with other major cities. The research shows that regional economy of Taegu-city suffers from the relative low degree of development and small-scale in city capital compared with other major cities. Nevertheless, Taegu-city has the capacity to rejuvenize its economy considering its advantagious conditions and location and the newly set-up local self-government that is supossed to be conducive to the regional development. The paper concludes that local government should be more possible to the public opinion, public welfare demand, and the charging social condition, lead developmental policies that are essential to the regional economic development. Without successful performance of local self-government, it would be hardly any rejuvenization of the regional economy.

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