근거가 있는 것.
(1) 양방적 접근
요실금은 각각의 종류에 따라 다른 원인으로 발생하기 때문에 여러 가지 진단적 검사를 통해 그 원인을 찾아내어 각각의 원인을 치료하는 것이 중요하다. 치료에는 약물 요법, 방광 훈련 및 골반저근운동(pelvicfloormuscle exercise), 수술 요법 등이 있다.
1.비약물적 치료
Pelvicfloor electrical stimulation
전기자극치료(FES)는 복압성 요실금 및 절박성 요실금 모두에 효과적인 방법이다. 복압성 요실금에서는 요도괄약근을 강화시키고, 절박성 요실금에서는 과반사방광을 억제하여 치료효과를 얻는다. FES는 단독으로 또는 골반근육운동법과 병행하여 사용한다. 전기자극의 효과
pelvicmuscle exercises): 골반 근육 운동(케겔 운동)은 근육이 요도를 닫아주는 메커니즘을 강화시키기 때문에 절박 요실금, 복압 요실금, 혼합 요실금에 모두 효과가 있다 Wall LL, Davidson TG. The role of muscular re-education by physical therapy in the treatment of genuine stress urinary incontinence. Obstet Gynecol Surv 1992; 47:322.
. 골반 근
TRAINS ROAR
overhead. It starts to RAIN. He just lies thereblinking --
then shouts jauntily to no one in particular --
JAKE
If it ain몶t rainin몶 we ain몶t trainin몶!
CAMERA PULLS BACK high and wideas Jake lies spread-eagled
amongst the trashgetting drenched.
TWO LONG SHADOWS enter FRAMEcoming to rest across him.
3.
Jake sees two pairs of SHINY SHOES stop next to him. He
squints up at --
TWO
이러한 근거들을 통하여 연구진은 다음과 같은 결론을 도출했다.
1> 근막은 횡행한다는 점에서 락맥과 유사하고, 세가지 수평평면(Pelvicfloor, Respiratory diaphragm, Thoracic inlet)은 기경팔맥의 대맥과 유사하며, 경과 락이 도달하지 못하는 근막 부분은 양유맥, 음유맥으로 포괄할 수 있다고 보았다. 그러나
trained you for this, right? Fry?
FRY?
She doesnt answer.
INT. FLIGHT DECK - DAY
Fry harnesses in, starts running switches -- but fumbles a few
times, making mental errors. Finally she gets crash-shutters
open to reveal...
CLOUD STRATA sweeping up past the windscreen like floor-lights
on a dropping elevator. Were shedding big altitude.
INT. NAV-BAY - MAIN CABIN
OWENS
... crisis program selected N
on
the rear floor of the cavern. The animal is strangely unfazed by
the BOYS appearance.
Now the Zippos light shines on --
A COLLECTION OF DUSTY CLAY JARS. All 12 of the jars are intact
except for one which is broken open.
The stone the BOY fired into the cavern minutes ago lies among the
shattered pieces.
The BOY crouches down to the smashed open jar and, captivated,
gently pulls out --
TRAIN -- LATER DAY 3
Somerset is in the window seat, looking out the window of the
speeding train, smoking a cigarette. He is near the back of the
car, away from the few other passengers.
Outside, farms, fields, small homes and lawns rush by. The
panorama is dappled by the rays of the soon to be setting sun.
4 INT. AMTRACK TRAIN -- LATER DAY 4
The train is almost full, moving slower. Somerset has
finally goes under about 2:20am, 2 hours and 40 minutes after the collision. The bow section planes away, ending about half a mile away, going 20 or 30 knots when it hits the ocean floor. Brrrroo! Brrooo! Pretty cool, huh? OLD ROSE: Thank you for that fine forensic analysis, Mr. Bodine. Of course, the experience of it was somewhat different. BROCK: Will you share it with us? LIZZY: Im taking her
train engines. A stairway is cut into the floor. No curtains on the window. A just-past-half moon shines in the night sky.
Brian pulls on a pair of thick wool socks. He skates past a cluttered worktable, across the hardwood floor to the stairs.
INT. HALLWAY
Brian moves quietly past a closed door; on it, a plaque reads Erics Room above a picture of an antique car.
Farther down is another closed do