생각의 자유

in the beginning과 at first는 동일한 의미로 "처음에는"의 의미로 쓰인다.
처음에는 ~였으나 지금은 상황이 다른경우를 표현하고할때 적절하다.

예문> In the beginning(At first), the medicine will make you fell a little tired and drowsy, but after a couple of days you'll begin to notice an improvement in your stomach

 

in the fisrt place는 약간다르다. "처음부터", "애초에"의 의미로 쓰인다.
처음부터 ~였다. 애초에 그러지 말았어야지 등을 표현할 때 적용가능하다.

예문> Why didn't you tell me in the first place that you've decided to leave?

 

참고로 in the beginning은 구약성서에 제일 먼저 등장하는 3단어이다.

At the beginning과 혼동이 되곤하는데, in the beginning은 기간, at the beginning은 위치에 있어 처음을 뜻한다.

youtube를 통해 Adsense 계정에 연결하려는 시도중...

"지금은 이 기능을 사용할 수 없습니다. 나중에 다시 시도해 주세요."라고 뜨면서 adsense 계정 신청 화면으로 넘어가질 않는다... 뭐지?

일반적으로는 저 경고 문구 자리에 자동으로 Adsense계정 연결 유도 문구가 나오곤 했었는데 약간 당황스럽다.
일시적인 서버 문제인가? 내가 뭘 잘못한 걸까...

놀랍게도 2년도 이 이슈가 발생한지는 2년도 넘었고 일시적인 서버문제는 아닌 것으로 보인다. 무려 8개월동안 이것과 씨름하고 있는 사람도 보인다.

https://productforums.google.com/forum/m/#!topic/monetization-on-youtube/QJf0PnYcPT0

구글에서 이슈 해결중이라하니 좀더 지켜보고 일단은 계정을 새로 만들어서 시도해야 할 것 같다.

(업데이트) 다른 반나절 지나고서 다른 PC로 시도하니 다시 잘된다. 

또 한가지 알게된 사실은 구글 계정을 삭제해도 연동된 애드센스 계정이 사라지지 않는다는 점이다.
애드센스 신청시 비승인 사유로 계정 중복이 발생하는 경우 이 케이스를 의심해봐야한다. 

애드센스 계정 신청 후 승인 심사를 기다리 던 중에 다른 방법으로(Youtube와 연동하기) 시도하기 위해 계정 정리차원에서 기존의 계정들을 모두 삭제하였고 삭제된 후에 계정이 승인이 났던 것이다.

그 사실도 모르고 도대체 내가 모른 사이에 승인된 애드센스 계정이 어떻게 존재하는지 불만을 품었다는...  

http://www.google.com/accounts/recovery 

위 링크에서 계정복원이 가능하니 참고하자.

동양의학에서 침을 통한 치료는 오랜역사 만큼이나 그 신뢰도도 깊다.
우리나라에서는 골절 등의 큰 외상이 아닌이상 정형외과의 대안으로 한의원을 많이 찾는다.
과연 침술은 효과가 있는 것인가? 어떠한 원리로 가능한 것인가?
의학인이 아닌 일반인의 지식으로 최대한 파헤쳐 보려한다.
개인적으로 무리한 운동으로 염좌를 여러번 경험했고 그 때마다 정형외과보다는 근처에 접근성이 좋은 한의원을 자주 찾았다.
치료를 하면서 아래와 같은 나름의 의견을 갖게 됐다.

가설1 : 하루아침의 기적은 일어나지 않는다. 대부분은 위약효과이다. 장기적인 골병을 방지해주는 차원의 관리이다.
가설2 : 침의 효능이 있다면 오직 혈액 순환 촉진 때문일 것이다. 침의 위치는 그리중요하지 않다.
가설3 : 침술의 효능에 대해 한의사들도 사실은 대부분 회의적일 것이다.

좀더 객관적인 판단 근거를 찾기위해 국내 자료보다는 서양인들이 작성한 자료들을 참고해야 될 것같다.

According to WHO (World Health Organization) acupuncture is effective for treating 28 conditions, while evidence indicates it may have an effective therapeutic value for many more. People with tension headaches and/ormigraines may find acupuncture to be very effective in alleviating their symptoms,according to a study carried out at the Technical University of Munich, Germany. Another study at The University of Texas M. D. Anderson Cancer Center found that twice weekly acupuncture treatments relieve debilitating symptoms of xerostomia - severe dry mouth - among patients treated with radiation for head and neck cancer.

일단 WHO에서는 28개 그 효능을 공식적으로는 인정한 것 같다.

미국 FDA에서도 침을 더 이상 "실험용"이 아닌 일반의료기기와 동일하게 규정하고 있다.

How does acupuncture work?

Traditional Chinese medicine explains that health is the result of a harmonious balance of the complementary extremes of yinand yang of the life force known as gi or chi. Qiis said to flow through meridians (pathways) in the human body. Through 350 acupuncture points in the body, these meridians and energy flows may be accessed. Illness is said to be the consequence of an imbalance of the forces. If needles are inserted into these points with appropriate combinations it is said that the energy flow can be brought back into proper balance.

In Western societies and several other parts of the world, acupuncture is explained including concepts of neuroscience. Acupuncture points are seen by Western practitioners as places where nerves, muscles and connective tissue can be stimulated. Acupuncture practitioners say that the stimulation increases blood flow while at the same time triggering the activity of our own body's natural painkillers.

공통적으로 한의학(침술)에서는 질병은 신체의 불균형과 부조화에 의해 발생하며 침으로 이걸 바로 잡아줄 수있다는 주장을 하고있다.

 

아래 원하는 주제의 논문을 찾았다. 저자의 정보를 보니 대부분 국내 가천한의대생으로 보이는데 침의 효능에 대해 회의적으로 결론을 지었다.  얼음찜질 등의 민간요법 대비 약간 우위에 있지만 무시할만한 수준이라는 것이다.

Acupuncture for treating acute ankle sprains in adults. 

Kim TH, Lee MS, Kim KH, Kang JW, Choi TY, Ernst E.

BACKGROUND:

An acute ankle sprain is a sudden-onset injury of one or more of the ankle ligaments. It is one of the most common musculoskeletal injuries in the general population as well as in athletes. In some countries, such as China and Korea, acupuncture is frequently used in the treatment of ankle sprains, either as a single treatment or a secondary intervention accompanied by standard medical treatment.

OBJECTIVES:

To assess the effects (benefits and harms) of acupuncture for the treatment of ankle sprains in adults.

...(중략)...

DATA COLLECTION AND ANALYSIS:

Two review authors independently screened the search results, assessed trial eligibility, assessed risk of bias and extracted data from the included trials. We calculated risk ratios (RRs) for dichotomous outcomes and mean differences for continuous outcomes. We conducted meta-analyses using the fixed-effect method or, where appropriate, the random-effects method, and used 95% confidence intervals (CI) throughout.

MAIN RESULTS:

We included a total of 20 heterogeneous studies (2012 participants with acute ankle sprains); three of which included more than one comparison. Seventeen trials were conducted in China. All of the studies had a high risk of bias due to lack of blinding. The results may also have been affected by selection bias, particularly as five studies were quasi-randomised controlled trials and 12 studies gave no information on their method of randomisation. Of our three prespecified primary outcomes, only cure rate was reported by the majority of studies. No study reported on patient-reported assessment of function and only one reported on adverse events (in which three participants receiving a control intervention experienced skin problems from over-the-counter Chinese herbal patches). The other 19 studies did not record or report on adverse events. We assessed the quality of evidence for cure rates as very low for all comparisons, which means we are very uncertain about the reliability of any of the estimates.The single study comparing acupuncture treatment with no treatment found acupuncture to be more effective with regard to cure rate at five days (31/31 versus 1/30; RR 20.34, 95% CI 4.27 to 96.68). Acupuncture plus another standard treatment versus that standard treatment alone was tested in eight studies; with cure rate data available for seven. Most of these studies reported higher cure rates in the acupuncture plus another standard treatment group than in the standard treatment alone group. However, while the results of an exploratory meta-analysis of cure rate data from eight trials testing acupuncture versus no acupuncture tended to favour acupuncture, the results were very inconsistent across the studies and the estimated effect was very imprecise (383/396 versus 272/355; RR 1.32, 95% CI 0.95 to 1.84; P value = 0.1; I(2) = 98%).Fourteen studies compared acupuncture with a variety of other non-surgical treatments, such as Chinese drug patches, hot and cold water, ice packs, oral Chinese herbal medicine and elastic bandage. Some studies found in favour of acupuncture, some in favour of the other treatment and some found a lack of evidence for a difference between the two interventions under test. The results of an exploratory meta-analysis of cure rate data from 11 trials testing acupuncture versus another non-surgical intervention tended to slightly favour acupuncture, but these were not statistically significant and the data were very heterogeneous (404/509 versus 416/497; RR 1.07, 95% CI 0.94 to 1.22; P value = 0.30; I(2) = 92%).

AUTHORS' CONCLUSIONS:

The currently available evidence from a very heterogeneous group of randomised and quasi-randomised controlled trials evaluating the effects of acupuncture for the treatment of acute ankle sprains does not provide reliable support for either the effectiveness or safety of acupuncture treatments, alone or in combination with other non-surgical interventions; or in comparison with other non-surgical interventions. Future rigorous randomised clinical trials with larger sample sizes will be necessary to establish robust clinical evidence concerning the effectiveness and safety of acupuncture treatment for acute ankle sprains.

<출철:www.medicalnewstoday.com>

<출처:www.medicinenet.com>

http://www.acupuncturetoday.com

 The National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM)

stoked about (on) : 신난, 환장하는 
exicited 보다 좀더 강하고 캐쥬얼한 느낌의 형용사이다.

예문> I'm so stoked about visiting a new skatepark.