| ¿µ¹® | physical examination | ÇÑ±Û | ÁøÂû, ½Åü°Ë»ç |
|---|---|---|---|
| ¼³¸í | 1. Áúº´ÀÇ Áø´Ü¼ö´ÜÀ¸·Î¼ ȯÀÚÀÇ ¸öÀ» º¸´Â Áø´Ü. ¸¸Áö´Â Áø´Ü, µÎµå¸®´Â Áø´Ü, µè´Â Áø´Ü µîÀ» ÅëÇÏ¿© °Ë»çÇÏ´Â °Í. ½Åü°Ë»ç. 2. °Ç°»óŸ¦ ¾Ë±â À§ÇÏ¿© ½ÅüÀÇ °¢ ºÎºÐÀ» °Ë»çÇÏ´Â ÀÏ ¶Ç´Â ¹ý¿øÀÇ ½Åü¿¡ ´ëÇÑ Áõ°Å Á¶»ç. ÀϹÝÀûÀ¸·Î´Â ÈçÈ÷ ¼ÒÁöǰÀÇ °Ë»ç¶ó´Â ¶æÀ¸·Îµµ ¾²ÀδÙ. ¨è Çб³º¸°Ç¹ý»ó : ÇлýµéÀÇ Ã¼°Ý°Ë»ç-üÁú°Ë»ç-ü´É°Ë»ç¸¦ ¸»ÇÑ´Ù(2Á¶). Çб³ÀÇ ÀåÀº ÇØ¸¶´Ù Çлý°ú ±³Á÷¿øÀÇ ½Åü°Ë»ç¸¦ ÇØ¾ß ÇÑ´Ù. ´Ù¸¸ ±³Á÷¿ø¿¡ ´ëÇÑ ½Åü°Ë»ç´Â ¡®°ø¹«¿ø ¹× »ç¸³Çб³±³Á÷¿ø ÀǷẸÇè¹ý¡¯¿¡ ÀÇÇÑ °Ç°Áø´ÜÀ¸·Î ÀÌ¿¡ °¥À½ÇÒ ¼ö ÀÖ´Ù. ½Åü°Ë»ç½Ç½ÃÀÇ ½Ã±â-¹æ¹ý-ÀýÂ÷ µîÀº ±³À°ºÎ·ÉÀ¸·Î Á¤ÇÑ´Ù(7Á¶). Çб³ÀÇ ÀåÀº ½Åü°Ë»çÀÇ °á°ú Àü¿°º´¿¡ °¨¿°µÇ¾ú°Å³ª, °¨¿°µÇ¾ú´Ù´Â ÇøÀǰ¡ Àְųª °¨¿°µÉ ¿ì·Á°¡ ÀÖ´Â ÀÚÀÇ µî±³¸¦ ÁßÁö½Ãų ¼ö ÀÖ´Ù(8Á¶). ¨è Çü»ç¼Ò¼Û¹ý»ó : ¹ý¿øÀÌ Áõ°ÅÀڷḦ ¾ò±â À§ÇÏ¿© ½Åü¸¦ °ËÁõÇÏ´Â °ÍÀ» ¶æÇÑ´Ù. ¹ý¿øÀº »ç½Ç¹ß°ß¿¡ ÇÊ¿äÇÏ¸é ½Åü°Ë»ç¸¦ ÇÒ ¼ö ÀÖ°í(140Á¶), °¨Á¤ÀÎ ¹× ¼ö»ç±â°üµµ ½Åü°Ë»ç¸¦ ÇÒ ¼ö ÀÖ´Ù(173-219Á¶). ½Åü°Ë»ç´Â °Ë»ç¸¦ ´çÇÏ´Â ÀÚÀÇ ¼ºº°-¿¬·É-°Ç°»óÅ ±âŸ »çÁ¤À» °í·ÁÇÏ¿©, ±× »ç¶÷ÀÇ °Ç°°ú ¸í¿¹¸¦ ÇØÇÏÁö ¾Æ´ÏÇϵµ·Ï ÁÖÀÇÇÏ¿©¾ß ÇÑ´Ù. ¿©ÀÚÀÇ ½Åü °Ë»ç¸¦ ÇÒ ¶§¿¡´Â Àǻ糪 ¼º³âÀÇ ¿©ÀÚ¸¦ Âü¿©½ÃÄÑ¾ß ÇÑ´Ù(141Á¶). ¹ý¿øÀº ½Åü °Ë»ç¸¦ Çϱâ À§ÇÏ¿©, ÇǰíÀÎÀÌ ¾Æ´Ñ ÀÚ¸¦ ¹ý¿ø ±âŸÀÇ ÁöÁ¤ÇÑ Àå¼Ò¿¡ ¼ÒȯÇÒ ¼ö ÀÖ´Ù(142Á¶). |
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| ¿µ¹® | drug dependence | ÇÑ±Û | ¾à¹°ÀÇÁ¸(¼º) |
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| ¼³¸í | ¾î¶² Á¾·ùÀÇ ¾à¹°À» ¹Ýº¹Çؼ »ç¿ëÇÏ´Â µ¿¾È ±× ¾àÀÇ »ç¿ëÀ» ÁßÁöÇÒ ¼ö ¾ø°Ô µÇ´Â »óÅÂ. ÀÇÁ¸ÀÇ Á¤µµ°¡ ½ÉÇØÁö¸é ¾à ¾øÀÌ´Â »ýȰÇÒ ¼ö ¾ø´Â »óÅ¿¡ ºüÁö°í, ±× °á°ú ¹ýÀ» ¾î±â¸é¼±îÁö ¾àÀ» ±¸ÀÔÇÏ°Ô µÈ´Ù. ÀÌÀü¿¡´Â ¾à¹°¸¸¼ºÁßµ¶, ¾à¹°³²¿ë, ¾à¹°½À°ü¼ºÀ̶ó´Â °³³äÀ¸·Î ³ª´©¾îÁ® ÀÖ¾úÁö¸¸, WHO¿¡¼´Â À̰͵éÀ» ¸ðµÎ Æ÷ÇÔ½ÃÄѼ ¾à¹°ÀÇÁ¸À̶ó ÇÏ¿´´Ù. »óÅ¿¡ ÀÇÇÑ ºÐ·ù¶ó ¾à¹°ÀÛ¿ë¿¡ ÀÇÇÑ ºÐ·ù°¡ ÀÖ´Ù. »óÅ¿¡ ÀÇÇÑ °ÍÀº 1.Á¤½ÅÀû ÀÇÁ¸: ¾à¹°ÀÇ »ç¿ëÀ» ÁßÁöÇÏ¸é ºÒ¾È°¨-¿ì¿ï°¨-ÃÊÁ¶°¨ µîÀÇ ½É¸®ÀûÀÎ Áõ»óÀÌ ³ªÅ¸³ª ´Ù½Ã ¾à¹°À» ã°Ô µÇ´Â °æ¿ì. ¾àÀ» ²÷¾úÀ» °æ¿ì¿¡ ³ªÅ¸³ª´Â ½ÅüÁõ»óÀÎ ±Ý´ÜÁõ»óÀº ³ªÅ¸³ªÁö ¾ÊÀ¸¸ç, ¾à¹°ÀÇ Áö¼ÓÀû º¹¿ë¿¡ ÀÇÇØ¼ Á¡Â÷ ¾à¹°¿¡ ´ëÇÑ ½ÅüÀÇ ¹ÝÀÀÀÌ ÁÙ¾îµå´Â Çö»óÀÎ ¾à¹°ÀÇ ³»¼ºµµ ³ªÅ¸³ªÁö ¾Ê´Â´Ù. 2.½ÅüÀû ÀÇÁ¸: ¾à¹° »ç¿ëÀ» ÁßÁöÇÏ¸é ½ÅüÀûÀÎ Àå¾Ö, Áï ±Ý´ÜÁõ»óÀ» ÀÏÀ¸Å°°í ±× °íÅëÀ» ´Þ·¡±â À§ÇØ ¾à¹°À» ã°Ô µÇ´Â °æ¿ìÀÌ´Ù. ´ëºÎºÐ ³»¼ºÀÌ ³ªÅ¸³ª´Âµ¥ °³º°ÀûÀ¸·Î ³ªÅ¸³ª´Â °æ¿ìµµ ÀÖÁö¸¸ ÁÖ·Î º´ÇàÇØ¼ ³ªÅ¸³´Ù. |
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| ¿µ¹® | dependence | ÇÑ±Û | ÀÇÁ¸¼º |
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| ¼³¸í | Àΰ£°ú Àΰ£ »çÀÌÀÇ Çൿ¿¡¼ º¼ ¼ö ÀÖ´Â ÇϳªÀÇ Çü½ÄÀ̸ç, ŸÀΰúÀÇ Á¢ÃË È¤Àº ŸÀÎÀ¸·ÎºÎÅÍÀÇ º¸È£¿¡ ÀÇÇØ »ý±â´Â ¸¸Á·À» ÁöÇâÇÏ´Â Çൿ. ÀÇÁ¸Àû Çൿ¿¡´Â ´ÙÀ½°ú °°Àº °ÍµéÀÌ ÀÖ´Ù. 1) °°ÀÌ Àֱ⸦ ¹Ù¶õ´Ù. 2) ÁÖÀǸ¦ ±â¿ï¿© Áֱ⸦ ¹Ù¶õ´Ù. 3) Á¶·ÂÀ» ±¸ÇÑ´Ù. 4) º¸ÁõÀ» ¹Ù¶õ´Ù. 5) ¸¶À½ÀÇ ÁöÁÖ°¡ µÇ±â¸¦ ¹Ù¶õ´Ù. Á¾·¡¿¡´Â ÀÇÁ¸Àû ÇൿÀº ¿µÀ¯¾Æ¿¡°Ô ¸¹¾Ò°í ¿¬·ÉÀÌ ¸¹¾ÆÁü¿¡ µû¶ó °¨¼ÒÇÏ¿© ÀÚ¸³ÇØ ³ª°£´Ù°í »ý°¢Çß¾úÁö¸¸, ÃÖ±Ù ÀÇÁ¸À̶õ »ç¶÷¿¡°Ô º¸ÆíÀûÀÎ °ÍÀ̸ç, ¹ß´Þ°ú ´õºÒ¾î º¸´Ù ´Ù¾çÇÏ°í °íÂ÷ÀûÀ¸·Î ±¸Á¶ÈÇÑ °ÍÀ¸·Î º¯ÈµÈ´Ù´Â °ßÇØ°¡ ¸¹¾ÆÁö°í ÀÖ´Ù. ¶Ç ¸¶¾à°ú °°Àº ¾à¹°À» ²÷À» ¼ö ¾ø´Â °æ¿ìÀÇ ¾à¹°ÀÇÁ¸ µî¿¡µµ »ç¿ëÇÑ´Ù. |
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| NYHA | New York Heart Association Heart Disease¿¡ ´ëÇÑ Functional Classification &nbs... |
|---|---|
| PE | Edinburgh Pharmacopoeia; pancreatic extract; paper electrophoresis; partial epilepsy; pelvic examina... |
| PT | pain threshold; parathormone; parathyroid; paroxysmal tachycardia; part time; patient; pericardial t... |
| PDC | parkinsonism dementia complex; pediatric cardiology; penta-decylcatechol; phosducin; physical depend... |
| PPD | packs per day; paraphenylenediamine; percussion and postural drainage; permanent partial disability;... |
| ADS | Alcohol Dependence Scale |
|---|---|
| FTND | Fagerstrom Test for Nicotine Dependence |
| RD | Reward Dependence |
| SADQ | Severity of Alcohol Dependence Questionnaire |
| AD | alcohol dependence |
| physical dependence | <pharmacology> Physiologic adaptation of the body to the presence of opioid is required to maintain the same level of analgesia. (31 Dec 1997) |
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| anchorage dependence | <cell biology, cell culture> The necessity for attachment (and spreading) in order that a cell will grow and divide in culture. Loss of anchorage dependence seems to be associated with greater independence from external growth control and is probably one of the best correlates of tumourigenicity in vivo. Anchorage independence is usually detected by cloning cells in soft agarose, only anchorage independent cells will grow and divide (as they will in suspension). (18 Nov 1997) |
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| morphine dependence | Strong dependence, both physiological and emotional, upon morphine. (12 Dec 1998) |
| heroin dependence | Strong dependence, both physiological and emotional, upon heroin. (12 Dec 1998) |
| psychological dependence | <psychiatry> Pattern of compulsive drug use characterised by a continued craving for an opioid and the need to use the opioid for effects other than pain relief. (16 Dec 1997) |
| substance dependence | A pattern of behavioural, physiologic, and cognitive symptoms that develop due to substance use or abuse; usually indicated by tolerance to the effects of the substance and withdrawal symptoms that develop when use of the substance is terminated. (05 Mar 2000) |
| dependence | The quality or condition of relying upon, being influenced by, or being subservient to a person or object reflecting a particular need. Origin: L. Dependeo, to hang from (05 Mar 2000) |
| drug dependence | Use of a drug for a reason other than which it was intended or in a manner or in quantities other than directed. Drug dependence is a compulsion to take a drug to produce a desired effect or prevent unpleasant effects when the drug is withheld. Risk factors for drug abuse include: low self esteem, inability to deal with stress and emotional instability. Juveniles use drugs due to peer pressure. Signs of drug use in children include: a change in friends or group, long absences from home, poor performance in school, seclusion, stealing, lying, criminal behaviour, deteriorating family relationships, signs of drug intoxication and changes in behaviour. Commonly abused drugs include narcotic analgesic agents, benzodiazepines, cocaine, amphetamines, barbiturates, marijuana, LSD and phencyclidine. Many labs now offer quick and inexpensive urine drug screening. Psychological counseling and parental support will be necessary in children with this problem. (27 Sep 1997) |
| inverse density dependence | <epidemiology> See density dependence. (05 Dec 1998) |
| field dependence-independence | The ability to respond to segments of the perceptual experience rather than to the whole. (12 Dec 1998) |
| anthropology, physical | The comparative science dealing with the physical characteristics of man as related to his origin, evolution, and development in his total environment. (12 Dec 1998) |
| map, physical | A map of the locations of identifiable landmarks on chromosomes. Physical distance is measured in base pairs. The physical map differs from the genetic map which is based purely on genetic linkage data. In the human genome, the lowest-resolution physical map is the banding patterns of the 24 different chromosomes. The highest-resolution physical map is the complete nucleotide sequence of all chromosomes, a future goal. (12 Dec 1998) |
| restraint, physical | Use of a device for the purpose of preventing the individual from moving all or part of the body. The concept excludes splints and casts. (12 Dec 1998) |
| roentgen-equivalent physical | <radiobiology, unit> A roentgen equivalent physical is a unit of absorbed radiation approximately equivalent to a roentgen, an international unit of x- or gamma-radiation. An obsolete unit of measurement; that quantity of ionizing radiation of any kind which, upon absorption by living tissue, produces an energy gain per gram of tissue equivalent to that produced by 1 roentgen of X-rays or gamma-rays. Acronym: rep See: rad. (05 Mar 2000) |
| physical | Pertaining to the body, to material things or to physics. (18 Nov 1997) |
| physical age | The age in terms of structure rather than of function or of passage of time. Synonym: physical age. (05 Mar 2000) |
| physical dependence |
A condition in which the presence of a drug or alcohol is required to maintain normal functioning of the central nervous system. (See withdrawal symptoms.) Physical dependence is caused by changes in the relationships among nerve cell membranes, neurotransmitters and their receptors, and the reward pathway.
Ãâó: science.education.nih.gov/supplements/nih3/alcohol...
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| physical dependence |
State in which the use of a drug is required for a person to function normally. Such a state is revealed by withdrawing the drug and noting the occurrence of withdrawal symptoms. This state is relieved in time, or with readministration of the drug.
Ãâó: www.drugstrategy.central.sa.edu.au/20_druginfo/c_g...
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| physical dependence |
An adaptive physiological state that occurs with regular drug use and results in a withdrawal syndrome when drug use is stopped; usually occurs with tolerance. [3]
Ãâó: teens.drugabuse.gov/utilities/glossary2.asp
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| physical dependence |
The physical condition in which rapid discontinuation of a substance, such as alcohol, tobacco or a drug, causes a withdrawal reaction.
Ãâó: www.painconnection.org/MyTreatment/MayoClinic_glos...
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| physical dependence |
can be described as the occurrence of withdrawal syndromes after opioid use is stopped or quickly decreased without titration. Physical dependence can also occur if an antagonist is administered. This is not addiction. Physical dependence "??is not a clinical problem if patients are warned to avoid abrupt discontinuation of the drug, a tapering regimen is used (if treatment cessation is indicated), and opioid antagonist drugs (including agonist-antagonist analgesics) are avoided." 3
Ãâó: www1.va.gov/Pain_Management/page.cfm
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