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      • KCI등재

        심폐소생술후 발생한 저산소성 허혈성 뇌손상 환아(患兒) 치험 1례(例)

        유한정,조백건,이진용,김덕곤,고덕재,You, Han-Jung,Cho, Baek-Gun,Lee, Jin-Yong,Kim, Deog-Gon,Koh, Duck-Jae 대한한방소아과학회 2005 대한한방소아과학회지 Vol.19 No.2

        Objective : To evaluate the effect of Oriental Medical Treatment on a patient with Hypoxic Ischemic Encephalopathy followed by Cardiopulmonary Resuscitation Method : We applied various methodology of Oriental Medical Treatment including Acupuncture, Electroacupuncture, Physical treatment, Herbal Medicine, Moxibustion treatment and Western medication as well. Result: Herbal medicine was applied on the basis of the patient's history. We applied formular to remove phelgm as a pathogenic factor after Hypoxic Ischemic Encephalopathy. At the same time, considering the patient spent more than a month in ICU lacking appropriate nutrition, we used formuli on the basis of 'Deficiency of Spleen' focusing to vitalize the function of digestive system. As the condition of the patient changed, we also adapted formular accordingly. We prescribed Herbal medication to strengthen Yin and Yang equally as she got hospitalized for long time. Also we applied Acupuncture treatment and Moxibustion treatment to control Qi flow. The general condition of the patient got better with successful removal of Foley catheter and elevated Glasgow Coma scale. We used Electroacupuncture, Physical treatment and Western medication at the same to get maximized effect on relaxing the contracted muscle. According to the Modified Ashworth Scale (MAS), we have some changes in muscle spasticity but later, the effect was not that significant. Conclusion : We had a patient with Hypoxic Ischemic Encephalopathy followed by Cardiopulmonary Resuscitation. In the management of Hypoxic Ischemic Encephalopathy, Conservative treatments are the mainstream but there are not many alternatives. Therefore, We suggest that Oriental medical approach may contribute to the management of Hypoxic Ischemic Encephalopathy.

      • KCI등재

        저산소성 허혈성 뇌손상 환아의 치험 1례

        유한정,고덕재,조형준,이진용,You, Han-Jung,Koh, Duck-Jae,Cho, Hyung-Jun,Lee, Jin-Yong 대한한방소아과학회 2004 대한한방소아과학회지 Vol.18 No.2

        Objective: There were few reports on the treatment of Hypoxic ischemic encephalopathy. We treated a hypoxic ischemic encephalopathic patient after accident with Oriental medical approach, and get a significant result. this treatment shows the possibility of healing Hypoxic ischemic encephalopathy, So we are reporting that case. Method : The acupuncture, herb medication. rehabilitation therapy was applied for treting patient's chife symptom(involuntary movement, dystonia, aphasia, dysuria, constipation) Results : 1. Generally patients with Hypoxic ischemic encephalopathy show language impairment and cognition disorder for several weeks to months. After coma stage, first they recover consciousness but have various degree of confusional mentality, visual agnosia, extrapyramidal stiffness and motor disturbance. 2. Consciousness loss in acute stage of Hypoxic ischemic encephalopathy can be considered as Mental Confusion due to Phlegm(Dammisimgyu) in veiw point of Oriental medicine. 3. After oriental medical treatment, patient's chief symptoms were improved. Conclusion: We treated a hypoxic ischemic encephalopathic patient with Oriental medical approach and patient's chief symptoms were improved. this treatment shows the possibility of healing Hypoxic ischemic encephalopathy.

      • KCI등재후보

        Clinical Assessment of Efficacy, Safety and Usefulness of Traditional Herbal Medicine (THM) on Atopic Dermatitis

        고덕재,유한정,이진용,김덕곤,Koh, Duck-Jae,You, Han-Jung,Lee, Jin-Yong,Kim, Deog-Gon The Association of Korean Oriental Pediatrics 2006 대한한방소아과학회지 Vol.20 No.2

        목적 : 본 연구를 통하여 아토피 피부염 환아의 한약치료 후 임상 효능, 안전성을 평가하고, 나아가 효능과 안전성을 종합적으로 평가함으로써 아토피 피부염에 대한 한약치료의 유용성을 평가하고자 한다. 방법 : 경희대학교 한의과대학 부속한방병원 한방소아과에 내원한 아토피 피부염 환아 39명의 한약치료 전후의 의무기록을 검토하였다. 아토피피부염 치료에 대한 한약의 효능을 평가하기 위하여 치료 후 아토피 피부염의 개선정도에 대한 부모의 평가를 VAS를 사용하여 분석하였다. 아토피 피부염에 패한 한약치료 후 안정성의 평가를 위하여 치료 전후 혈중 AST, ALT, BUN, creatinine 변화를 검토하여 한약치료의 간신독성 여부에 대해 조사하였고, 보호자에 대한 설문조사를 통하여 한약치료 후 발생한 부작용 및 불편한 증상의 종류 및 정도를 평가하였다. 나아가 한약의 효능 및 안정성을 종합적으로 평가하여 아토피 피부염에 대한 한약 치료의 유용성을 분석하였다. 결과 및 결론 : 환아 39명 중 27명 (69%)의 부모가 한약치료가 아토피 피부염의 개선에 효과가 있다고 보고하였다. 안정성의 평가에 있어서, 39명의 환자에게서 한약 치료 후 간장과 신장에 미치는 독성이 발견되지 않았다. 2명의 환아가 일시적이고 경미한 복부 불쾌감을 호소하였으나, 한약투여와의 관련성은 관찰되지 않았다. 1명의 환아에서 경미한 복통이 발견되었으나, 의학적 치료 없이 증상은 소실되었으며, 치료 과정의 중단 없이 계획되었던 모든 치료 과정을 종료하였다. 치료 후 상기 환아는 아토피 피부염의 증상 개선 뿐 아니라 변비증상의 완화, 만성적 어지러움의 개선 등 제반 신체 조건의 호전을 보고 하였다. 임상적 효능과 안전성을 종합적으로 고려할 때, 환아 39명 중 27명 (69%)의 사례에서 한약치료가 아토피 피부염의 유용한 치료수단으로 평가되었다. 이를 근거로 한약치료가 아토피 피부염에 대하여 안전성을 가진 유용한 치료방법이라 사료되며, 향후 임상적 효능과 안전성을 객관적으로 평가할 수 있는 대규모의 임상연구가 필요하리라 사료된다.

      • KCI등재

        근전도상 불량한 예후를 보였던 Ramsay Hunt Syndrome 환아 1례에 대한 임상적 고찰

        고덕재,유한정,조형준,김덕곤,이진용,Koh, Duck-Jae,You, Han-Jung,Cho, Hyung-Jun,Kim, Deog-Gon,Lee, Jin-Yong 대한한방소아과학회 2004 대한한방소아과학회지 Vol.18 No.2

        Objective : To evaluate the effect of Oriental medical treatment on a patient with Ramsay Hunt syndrome with poor prognosis on EMG. Methods : We applied various methods of Oriental Medical treatment including Acupuncture, Electroacupuncture, Herb medicine, Vesiculation therapy using Mylabris and Crontonis Fructus, Massage, Self-excercise of face muscles. Results : 1. Herb medicine was applied on the basis of Differentiation of Syndromes(辨證): We tried Herb medicine to improve the function of Digestive System. The patient's stool condition, subjective sensation related with abdominal pain and general condition improved. 2. We used the Vesiculation therapy using Mylabris which was used traditionally to treat Facial Palsy. We powdered Mylabris and mixed it with Crontonis Fructus to make a paste. We put it on Ye-poong(?風), Nae-gwan(內關) at left side. It induced vesicles at the applied area, but it disappeared in 48 hours without any scar. 3. We applied acupuncture, electroacupunture, massage and self-excercise of face muscles. On gross scale assessment, there was some improvement. And assessment with regional scale also showed changes. The patient and the guardian were satisfied with the result. Conclusion : We experienced a case of Ramsay Hunt syndrome with poor prognosis on EMG. She also showed poor response to conservative treatment. Through various modalities of Oriental medical treatment, we attained some clinical improvement.

      • KCI등재

        Enzyme Immobilized Membrane Bioreactor for Removal of Dye: A Review

        라즈쿠마파텔,유한정 한국막학회 2023 멤브레인 Vol.33 No.6

        Enzyme Immobilized Membrane Bioreactors (EMBRs) are a novel method to treat dyes within wastewater. Due to their efficacy and high resistance to the environment, there has been a large amount of research being done in thisarea. There are a variety of ways to approach EMBRs that include both the enzyme itself and the structure of said enzymes. The bioreactor itself can be modified to suit the needs of the dye removal. Ranging from Enzymatic bioreactors to utilizingnanostructures such as graphene oxide or carbon nanotubes. Furthermore, nanoparticles such as TiO2 can be used to enhancethe EMBR further as well. The polymer-based membrane supporting structure also includes a variety of different ways toapproach the problem of increasing efficacy. As seen, during the past decades, different approaches to this issue that utilizeEMBRs have been done. This review aims to summarize the methodologies and describe the various improvements toEMBRs that have been made.

      • KCI등재후보

        완관절 초음파통과속도를 이용한 골연령 측정값과 X-ray영상을 이용한 골연령 측정값의 비교

        고덕재,유한정,이진용,김덕곤,윤경희,Koh, Duck-Jae,You, Han-Jung,Lee, Jin-Yong,Kim, Deog-Gon,Yoon, Kyung-Hee 대한한방소아과학회 2005 대한한방소아과학회지 Vol.19 No.2

        Objectives : The purpose of this study was to suggest a new method for measurement of children's growth development Ultrasound transonic velocity of inferior radiocarpal joint has some advantages that it is harmless to human body and apply a new analysis algorithm, it can be used for the diagnosis of bone age. Methods: This clinical study have been carried out with the 117 case(male 68, female 49) of the children aged 5 to 16 years old who visited in Department of Pediatrics, ${\bigcirc}{\bigcirc}$ university Oriental Hospital. Bone maturity is measured by Ultrasound transonic velocity and X-ray image of growth plate in inferior radiocarpal joint. This study were designed to investigate the relationship of the bone age by Ultrasound transonic velocity and X-ray image. Result & Conclusion : The maturity of growth plate of inferior radiocarpal joint was correlated with age, height, weight, BMI in this study(P<0.001). The Ultrasound transonic velocity of inferior radiocarpal joint are sufficient diagnostic worth as an index to predict bone maturity.

      • HIGH TOUCH 제품의 인간공학적인 개발 방안

        이면우,유한정,김상두,오세관 한국경영과학회 1989 한국경영과학회 학술대회논문집 Vol.- No.1

        The purpose of this study was to demonstrate and to validate feasibility of the earlier proposal on ergonomic approach for High-Touch product development, which was published in IE Interface (April, 1988). Based on the proposed methods, six new High Touch products were developed. Expert opinions and consumer monitoring results, which was carried out in the United States, showed that these High Touch products would be highly regarded in the world market. It is recommended that the proposed efforts could provide a prosperous niche market for Korean industry in the High Tech-High Touch Era.

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