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      • 虹彩 體質 分析에서 心腎結合組織의 虛弱 體質과 高血壓 家族歷과 관련성 硏究

        金鐘牛,黃祐準,琴坰樹,李始炯,李宗淳,都金錄,趙在運,趙州掌,金鐘煜 한국전통의학연구소 2002 한국전통의학지 Vol.12 No.1

        Iridology, developed more than 100 years ago, is the diagnosis of medical conditions through noting irregularities of the pigmentation in the iris The purpose of this study is to compare interrelation between CVA, hypertension family history and cardio-renal connective tissue in Iris Constitution through iris constitution examination. The subjects consist of 114 patients who were examined in Iris Constitution at Chonju Oriental Medicine Hospital attached to Wonkwang Univ. from September. 1St. 2000 to August. 31th. 2002. 1. In the distribution of Iris Constitution, among of 79cases, There are neurogenic type 13cases, abdominal connective tissue weakness constitution 31 cases, cardio-renal connective tissue weakness constitution 6 cases, cholesterol 7 cases and others 22 case in control group. 2. There are familial history of CVA and hypertention 32 cases, no familial history of CVA and hypertention1 3 cases, in 35cases of experimental group. These results imply that there is meaningfulness of interrelation between cardio-renal connective tissue weakness constitution and. CVA, hypertention.

      • 『素問·疾態論』에 대한 硏究

        장종렬,김명수,서대선,김종호,천상묵,금경수 한국전통의학연구소 2002 한국전통의학지 Vol.12 No.1

        A study on the Byungtae Ron(病能論) of the So Moon(素問), one of the classic book of oriental medicine, was carried out analytically for the right comments. The principal ideas obtained summarized as follows; Neng(能) is similar to tae(熊) in the pronunciation and the meaning of a chinese character. Byungtae(病能) means the state of the symptoms and the pulse condition of the diseases, etc. It deals with ethological factor, mechanism of disease, the condition of an illness, method of diagnosis, rule of treatment, technique of treatment of seven diseases and taking this seven diseases as a example, mainly discuss the technique and significance of clinical observation and the pathogenesis and condition of an illness, so It named 「Byungtaeron(病能論)」 In this chapter it shows we can grasp condition of illness well only if we classify the pathogenesis and condition of an illness in details. this viewpoint provides the foundation of development in oriental diagnostics. It places emphasis on pulse feeling in this chapter, so it describes pulse condition of various kinds of diseases in details. It also presents how to compare pulse feeling like comparison between Inyoungmaek(人迎脈, arterial carotid communes, the pulsation of which is easily felt beside Adam's apple) and Ch'onkumaek(寸口脈, the radial artery on the wrist where the pulse is routinely taken for diagnosis), between right and left Ch'onkumaek(寸口脈), between Yangmyungsangdong (陽明常動) and Taeyangbudong(太陽不動), Soyangbudong(少陽不動), etc. In this chapter it explains pulse feeling occupies a high position in the diagnosis of diseases in 『Huangdi's internal Classic(黃帝內經)』 period and the technique of pulse feeling is already plentiful and minute. In this chapter it presents 「Tongbyungyich(同病異治, to apply different methods of treatment to the same kind of disease)」 theory, taking tangible syndromes as examples. this is prominent viewpoint of determination of treatment based on the differentiation of symptoms and signs and much influence development of later ages' medicine. On the ground of oriental medical theory, it may bring about different symptoms in the same disease according to stage of disease, the seasons, the regions, the constitution of patient, therefore surely adopt different technique of treatment, this differentiation of symptoms and signs is an important character in oriental medicine.

      • 전신마취시 경막외강에 투여한 Fentanyl과 Clonidine의 술후 제통효과비교

        국종수,소금영,안태훈 조선대학교 부설 의학연구소 1998 The Medical Journal of Chosun University Vol.23 No.2

        Epidurally administered clonidine produces analgesia by an alpha 2-adrenergic mechanism and may provide postoperative analgesia without nausea, pruritus and respiratory depression associated with opioid administration. Many studies have shown the benificial effects of epidural clonidine in postoperative pain management. Pre-administered epidural analgesic agent before the skin incision may Prevent the nociceptive input. We provided the pre-emptive analgesia and compared the postoperative analgesic effects of epidural clonidine that of with epidural fentanyl. Thirty gynecologic Patients, ASA (American society of anesthesiologists) Physical status 1, 2, undergoing elective lower abdominal surgery under general anesthesia, were studied. They were not taking any premedications. Before anesthesia, an epidural catheter was inserted at the L<아래첨자>2-3</아래첨자> interspace. Patients were divided into two groups randomly. Group 1 received 100 ㎍ fentanyl in normal saline IS ml through the epidural catether, and group 2 received 150 ㎍ clonidine in normal saline 15 ml. During the operation, we recorded the vital signs and side effects. Just before suturing peritoneum, we injected the corresponding drugs on individual groups through the epidural catheter In the recovery room, the postoperative analgesia was assessed by VAS (visual analogue scale). Vital signs, sedation score and side effects were also checked. VAS and systolic blood pressure were significantly lower in the group 2 than the group 1 at the recovery room. The diastolic blood pressure, heart rate and sedation score were not significantly different between the two groups at the recovery room. Also the vital signs during the operation were not significantly differnt between the two groups The incidence of hypotension was 3 out of 15 in the group 2 Epidural bolus clonidine 150 ㎍ produces more profound and longer postoperative analgesic effects than fentanyl 100 ㎍ at the lower abdominal surgery. But hypotension may occure more frequently. So, if we select the patient cautiously, clonidine is a good alternative analgesic agent for the epidural analgesia.

      • KCI등재

        원주지역에서 발생한 비외상성 심정지의 일주변화

        박금수,김영식,이진응,임종천,이강현,임경수,황성오,최경훈 대한응급의학회 1995 대한응급의학회지 Vol.6 No.2

        To estimate the quality of the emergency medical services system of Wonju City, we studied the diurnal variations of 179 non-traumatic cardiac arrest victims who received cardiopulmonary reuscitation at the emergency center of Wonju Christian Hospital. Diurnal variations of non-traumatic cardiac arrest patients were as follows ; The occurence of cardiac arrest at day-time was higher than night-time; 18 cases (11%) from midnight to AM 4, 25 cases (14%) from AM 4 to AM 8, 42 cases (24%) from AM 8 to AM 12, 46 cases (25%) from AM 12 to PM 4, 35 cases (19%) from PM 4 to PM 8, 13 cases (7%) from PM 8 to midnight. Witness cardiac arrest was increased more during the day than night ; 40% from midnight to AM 4, 48% from AM 4 to AM 8, 57% from AM 8 to AM 12.52% from AM 12 to PM 4, 60% from PM 4 to PM 8, 38% from PM 8 to midnight. The transportation time at night-time cardiac arrest was more longer than day-time cardiac arrest ; 30±12mins from midnight to AM 4, 26±9mins from AM 4 to AM 8, 27±12mins AM 8 to Am 12, 25±11mins from AM 12 to PM 4, 25±9mins from PM 4 to PM 8, 35±15mins from PM 8 to midnight. The rate of restoration of spontaneous circulation(ROSC) in day-time cardiac arrest was higher than the night-time cardiac arrest ; 30% from midnight to AM 4, 36% from AM 4 to AM 8, 32% AM 8 to AM 12, 44% from AM 12 to PM 4, 41% from PM 4 to PM 8, 15% from PM 8 to midnight. The survival rate of cardiac arrest has been correlated with collapse time, early bystander CPR, early advanced care. To improve outcome for prehospital cardiac arrest, we concluded that early bystander CPR, and early advanced life support should be performed at the scene and during the transportation especially at night.

      • 木浦淃의 特性과 開發 方向에 관한 硏究

        윤명오,금종수 木浦海洋大學校 1998 論文集 Vol.6 No.2

        Port of mokpo has been opened as international trade port for more than 100 year in Korea and had been one of the major ports in the periods of Japanese colony. But the port activities have been weakened relatively to others since independence of Korean peninsula, especially in the era of industrialization and only it marks around 1% of total sea trade cargo volumes in these years. Fortunately, the government's policy to expand port capacity to meet demands of national port facilities, to balance regional developments and increasing trade volume with china encourage the port development project of Mokpo harbour. In port development, the scale of facilities and port layouts continuously influence the economics and port productivity, which need careful consideration for the factors in port operations and managements. In this paper, it was tried to assess the potentials and characteristics of Mokpo port and to propose principal directions of port developments in connection of geographical location, shipping business and present regional economy and industries.

      • 素問·評熱病論에 대한 硏究

        千相默,張鍾烈,琴坰樹,朴炅 圓光大學校 韓醫學硏究所 1997 원광한의학 Vol.7 No.1

        『素問·評熱病論』은 본래 正氣가 虛弱한데다 風熱의 邪氣에 感觸되어 발생하는 陰陽交·風厥 등의 熱病과 熱病의 勞風·腎風 等의 病理 治療 豫候등을 자세하게 論述하고 있으므로 「評熱病論」이라고 하였다. 『內徑』이후에 陰陽交·風厥·勞風·腎風 等에 대하여 論한 『諸病源候論』, 『備急千金要方』, 『外臺秘要』, 『醫心方』, 『傷寒補亡論』, 『傷寒百證歌』, 『醫疊元戒』등 모든 醫書들은 本 篇의 내용을 인용하여 疾病의 病理 및 治療와 豫後를 파악하는데에 根幹으로 삼고 있다. A study on the Pyung Youl Byung Ron of the So Moon, one of the classic book of oriental medicine, was carried out analytically for the right comments. The principal obtained summarized as follow; The Pyung Youl Byung Ron is in chapter 33, Volumn 9 of the Hwang Jae Nae Guong.『Pyung Youl Byung Ron』 says Youl Bung(熱病) of Omyang Gyo(陰陽交), Pung Gyul(風厥), Lo Pung(勞風), Sin Pung(腎風), which come out when a fair and equitable spirit is under the power of poisonous energy and so weak and it is Pung Youl Byung Ron. This Book consist of four parts. The fisrt part explain 'Omyang Gyo'. The second part explain 'Pung Gyul'. The third part explain 'Lo Pung'. The forth part explain 'Sin Pung'. After 『Nae Gyung(內徑)』, 『Jae Buung On Hu Ron(諸病源候論)』, 『Bi Gub Chun Gum You Bang(備急千金要方)』, 『Yoi Dae Bi Yo(外臺泌要)』, 『Sang Han Back Dung Gs(傷寒百證歌)』, 『O Chub One Yung(醫疊元戒)』. This al medical Books take a line from Pyung Youl Byung Ron.

      • 『素問· 逆調論』에 대한 硏究

        김화창,김종호,천상묵,서대선,김명수,금경수 한국전통의학연구소 2002 한국전통의학지 Vol.12 No.1

        A Study on the Youkjoron(逆調論) of the So Moon(素問) one of the classic book of oriental medicine, was carried out analytically for the right comments. The principal ideas abtained summerized as follows: The unbalance between Eum(陰) and Yang(陽) The unbalance between Su(水) and Wha(火) The Yuk Ga(肉苛) which is caused by the unbalance of the Young Wi(營衛) The Asthma(喘息) which is caused by the unbalance of the Viscera(臟腑)

      • 制限된 狹水域에서의 船泊 通舫 및 接離岸 安全性 評價에 관한 硏究

        이창희,윤명오,금종수 木浦海洋大學校 1998 論文集 Vol.6 No.1

        The purpose of this study is to evaluate the safety of ship's passing and berthing in restricted water area by simulation. In this paper, the restricted water area which is the adjacent to DaeBul pier in Mokpo port was adopted. And also the safety of the restricted water area is evaluated ship's passing and berthing simulations of 500 DWT vessel using the port design simulator. For this purpose, through the on-scene investigation of the navigational environments such as wind, current, depth and geography of the water area were surveyed ad these informations were used as a basic data for the evaluation. from the simulation result, the simulated water area has been proved to be sfe from the simulation.

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