암 환자의 마약성 진통제로 인한 변비 치료법에 대한 문헌고찰

윤지현,김은혜,이지영,윤성우,Yoon, Jee-Hyun,Kim, Eun Hye,Lee, Jee Young,Yoon, Seong Woo 대한암한의학회 2020 大韓癌韓醫學會誌 Vol.25 No.2

Objective: Constipation is the most common adverse effect of opioid analgesic therapy in cancer patients. This can be associated with physical and emotional distress to cancer patients. The purpose of this study is to review the standard and alternative interventions of the management for opioid-induced constipation (OIC). Methods: The studies were searched from databases, including Pubmed, Google scholar, KISS, NDSL, and OASIS. The main search terms included such as constipation, opioid, opioid-induced constipation, cancer, management, herb, and acupuncture. Results: The prevention and usual care of constipation is a key tool for the management of OIC. Also, prophylactic laxatives starting concurrently with opiates helped to prevent developing constipation. Peripherally acting μ-opioid receptor antagonists (PAMORAs) significantly reduced OIC and well-tolerated. In addition, acupuncture, herb medicines, and interferential current or transcutaneous electrical nerve stimulation to acupoints had effectiveness in reducing constipation. Conclusion: Preliminary data indicate that PAMORAs and Traditional Korean Medicine may be considered as the management of unresolved OIC. However, due to the limited articles, more systematic and rigorous clinical trials are needed.

온침으로 호전된 항암화학요법 유발 말초신경병증 치험 1례

윤지현,박수빈,이지영,김은혜,윤성우,Yoon, Jee-Hyun,Park, Su Bin,Lee, Jee Young,Kim, Eun Hye,Yoon, Seong Woo 대한한방내과학회 2021 大韓韓方內科學會誌 Vol.42 No.2

Objective: The purpose of this study is to report the effects of warm needling in a patient with cancer who had chemotherapy-induced peripheral neuropathy (CIPN). Methods: A 46-year-old Korean female outpatient diagnosed with malignant ovarian cancer was treated with warm needling therapy on the foot acupuncture points for CIPN. Neuropathic symptoms and quality of life were assessed using the numeric rating scale (NRS) and the functional assessment of cancer therapy/Gynecologic Oncology Group neurotoxicity (FACT/GOG-NTX) score. Results: After 6 months of treatment, the patient showed a reduction in the severity of CIPN symptoms and an improvement in the quality of life, although the severity of symptoms fluctuated as the patient underwent chemotherapy sessions. Conclusion: This study suggests that warm needling may be an effective treatment for CIPN.

다발형 폴리아미드섬유 보강 숏크리트 현장 적용성 평가

윤지현,전중규,전찬기,이수철,Yoon, Ji-Hyun,Jeon, Joong-Kyu,Jeon, Chan-Ki,Lee, Soo-Choul 한국건설순환자원학회 2012 한국건설순환자원학회지 Vol.7 No.2

터널현장의 숏크리트 시공에 사용되는 강섬유 보강 숏크리트는 강섬유의 강성이 크고 중량이 무거워 숏크리트 시공상 어려움이 있으며, 강섬유의 부식과 높은 반발률 등이 개선사항으로 요구되고 있다. 이에 본 연구에서는 강섬유 보강 숏크리트의 단점을 개선하기 위하여 폴리아미드섬유를 혼입한 숏크리트를 제안하고, 현장 적용성 평가를 위하여 시험시공 결과를 제시하였으며, 그 결과 다음과 같은 결론을 얻었다. 1) 폴리아미드섬유 보강 숏크리트의 역학적 성능은 국내의 터널관련 설계기준을 만족하며, 기존 강섬유 보강 숏크리트와 동등 수준의 역학적 성능을 나타내었다. 2) 폴리아미드섬유 보강 숏크리트는 강섬유 보강 숏크리트에 비해 시공시 반발률이 저감되어 시공성 뿐만 아니라 경제성, 품질, 친환경성 측면에서 우수한 숏크리트라 할 수 있다. Steel fiber reinforced shotcrete in tunneling construction has some problems in terms of constructability, durability and lots of rebound wastage. In order to resolve these problems, this pater proposes polyamide fiber reinforced shotcrete technology. And this paper presents the results of experimental construction of the polyamide fiber reinforced shotcrete technology. The results of the study are as follows. 1. The polyamide fiber reinforced shotcrete suggested in this paper shows outstanding mechanical performance that meets various Korean tunnel construction design criteria. 2. In addition, the results of experimental constructions show that the polyamide fiber reinforced shotcrete creates less rebound and wasted product than the steel fiber reinforced shotcrete. Based on the above results, it is concluded that the polyamide fiber reinforced shotcrete technology can be used as economical and environmentally friendly construction of tunnel.

지속적 프로세스 개선을 위한 6시그마와 BPM 통합 모형

윤지현,정재윤,Yoon, Ji Hyun,Jung, Jae-Yoon 한국빅데이터학회 2017 한국빅데이터학회 학회지 Vol.2 No.1

6시그마는 지난 20여 년간 제조 및 서비스 등의 산업에서 프로세스 개선을 위하여 꾸준히 적용되어왔다. 그럼에도 불구하고 6시그마는 Define 단계에서 의미있는 프로젝트를 계속 발굴하기 힘들고 Control 단계에서 지속적인 측정 및 통제가 쉽지 않다는 문제가 지적되었다. 이를 해결하기 위하여 개선 프로세스의 지속적인 통제와 관리를 원활히 할 수 있는 체계가 요구되며, 비즈니스 프로세스 관리(BPM) 시스템이 효과적 대안이 될 수 있다. 본 연구에서는 프로세스 운영 및 분석에서 누적된 데이터를 중심으로 지속적 프로세스 개선을 실현하기 위한 목적으로 6시그마와 BPM의 통합 모형을 제시하고, 프로젝트 수행을 위하여 상호 데이터기반으로 프로세스를 분석, 개선, 모니터링하는 과정을 설명한다. 이를 통하여 6시그마와 BPM의 장점을 결합하여, 지속적으로 업무를 개선하고 관리함으로써 전사적인 경영성과를 극대화할 수 있을 것으로 기대한다. Six Sigma has been adopted for the last two decades in many industries of manufacturing and service business to implement processs improvement. The methodology has difficulties in discovering target projects in the Define step and in controlling continuous measure and control in the Control step. To address the problem, more advanced system is required to support continuous control and management, and business process management (BPM) can be an effective solution for this problem. In this research, we introduce integrated models of Six Sigma and BPM for the purpose of realizing continuous process improvement, and explain the procedure of analyzing, improving, and monitoring the processes based on the data which has been accumulated in business process execution. It is expected that this integrated approach can maximize business performance by improving and managing business continuously on the integrated platform of two business innovation strategies, Six Sigma and BPM.

한국표준원전 주급수 밸브의 파괴인성 평가

윤지현,홍석민,이봉상,Yoon, Ji-Hyun,Hong, Seokmin,Lee, Bong-Sang 한국압력기기공학회 2015 한국압력기기공학회 논문집 Vol.11 No.1

The fracture toughness of 2.25Cr-1Mo cast steel (SA217-WC9) samples which were taken from the check valves of feed water piping of Korean Standard Nuclear Power Plant(KSNPP) was measured by Master Curve method. The measured $T_0$ reference temperature of SA217-WC9 steel was $-30^{\circ}C$. The obtained $T_0$ was compared to the derived value from Charpy impact test data following to SINTEP procedure. The heat-to-heat variation in fracture toughness of SA217-WC9 steel was observed. It was found that the low toughness of a heat of SA217-WC9 steel was attributed to the coarse MnS inclusion originated by high sulfur content as the results of microanalyses.

저발열형 Premixed Cement를 사용한 콘크리트의 기초물성 평가 및 수화열 해석에 관한 연구

윤지현,전중규,전찬기,김기형,Yoon, Ji-Hyun,Jeon, Joong-Kyu,Jeon, Chan-Ki,Kim, Ki-Hyung 한국건설순환자원학회 2014 한국건설순환자원학회 논문집 Vol.2 No.1

본 연구에서는 시멘트와 광물질혼화재인 고로슬래그미분말과 플라이애쉬를 미리 혼입한 Premixed Cement를 사용한 콘크리트와 수축저감제가 혼입된 3성분계 콘크리트, OPC 100%의 콘크리트에 대하여 기초물성 평가로 공기량, 슬럼프, 압축강도 및 건조수축 시험을 수행하고, 수화열 해석을 수행하여 Premixed Cement를 사용한 콘크리트의 현장 적용성을 검토하였다. 검토결과 Premixed Cement를 사용한 콘크리트는 목표 작업성 및 설계기준압축강도를 충분히 만족하며, 건조수축 측면에서도 수축 저감제를 혼입한 3성분계 콘크리트와 유사한 건조수축 특성을 나타내었다. 또한, 수화열 해석 결과 Premixed Cement를 사용한 콘크리트는 목표 온도균열지수를 충분히 확보할 뿐만 아니라, 수축 저감제를 혼입한 3성분계 콘크리트보다 경제성을 확보할 수 있는 방안으로 도출되었다. 향후 매스콘크리트구조물 시공에 있어 구조물의 내구성능 및 유지관리 편의성 향상을 위해 Premixed Cement를 사용한 콘크리트의 현장적용은 바람직한 것으로 판단된다. This study carried out to evaluate the hydration heat analysis and fundamental characteristics such as air content, slump, compressive strength and dry shrinkage according to concrete with premixed cement, ternary concrete and OPC concrete for using concrete with premixed cement. The results of experiment are founded that concrete with premixed cement have sufficient performances such as workability, compressive strength and dry shrinkage. Also, the results of hydration heat analysis are founded that concrete with premixed cement have more performance than ternary concrete and OPC concrete at a point of view for the quality control such as thermal crack reducing and economic benefit. Therefore, it is desirable that concrete with premixed cement should be used to rise durability performance and convenience of maintenance.

한의 암 레지스트리 연구를 위한 암 환자의 한방병원 진료현황에 대한 전문가집단 설문조사

윤지현,박수빈,김은혜,이지영,윤성우,Yoon, Jee-Hyun,Park, Su Bin,Kim, Eun Hye,Lee, Jee Young,Yoon, Seong Woo 대한암한의학회 2021 大韓癌韓醫學會誌 Vol.26 No.1

Objective: This study aimed to evaluate which information of cancer patients should be collected for the Korean medicine cancer registry in order to assess the efficacy and safety of Korean medicine (KM) treatment and to identify Korean medical prognostic predictors. Methods: A total of fifteen Korean medical specialists completed an online survey questionnaire including items about general characteristics of cancer patients and clinical practice patterns. Results: The four main types of cancer at Korean medical hospitals were breast, lung, stomach, and colorectal cancer. The majority of patients with cancer at Korean medical hospitals were in the advanced or metastatic stage (50.0%). The prominent purposes of KM treatment were to alleviate cancer-related symptoms, reduce the side effects of conventional therapy, and improve quality of life. The major options for treatment were traditional herbal medicine (THM), acupuncture, moxibustion, thermotherapy, pharmacoacupuncture, and meditation, with THM being the most frequently used (35.7%). Almost all Korean medical specialists (93.9%) used syndrome differentiation in clinical practice and identified over half the cancer patients as deficiency syndrome (57.2%). Conclusion: Physicians considered the primary goal of KM treatment for cancer patients to be symptom management since advanced or metastatic stage patients were the majority at Korean medical hospitals. THM were the most common treatment option and syndrome differentiation was used by almost all physicians. Further research is needed to monitor and ensure optimal KM treatment for patients with cancer.

동북아시아 전통악극의 다중적 근대 - 창극, 경극, 가부키를 중심으로

윤지현 ( Ji-hyun Yoon ),송성아 ( Sung-a Song ) 대한무용학회 2018 대한무용학회논문집 Vol.76 No.5

The study examines the modernities of traditional musical theaters in Northeast Asia as cases of cultural hybridization in the early 20th century. For concluding the multiple modernities, it compares the modernizing processes between Changgeuk, Peking opera and Kabuki. In terms of the meeting of East and West, the processes seem similar but each context and consequence of them is different. While Peking Opera and Kabuki strengthened the formalization of national cultures, Changgeuk did not. The study argues that Changgeuk has a relative potential as a contemporary performing art due to its openness and flexibility.

건강한 성인의 주관적 건강상태와 스트레스 인지, 건강 관련 습관, 혈청 생화학 지표 및 영양 섭취와의 관계

윤지현 ( Ji Hyun Yoon ),이루지 ( Ru Zi Lee ),김미정 ( Mi Joung Kim ) 한국식품영양학회 2017 韓國食品營養學會誌 Vol.30 No.1

This study examined the socioeconomic factors that affect self-rated health (SRH) in healthy adults, and the relationship of SRH to health-related habits, serum biochemical indices, and nutritional intakes. Subjects consisted of 1,154 healthy adults without any known disease, aged 19 to 65 years (average age of 36.7), whose information was obtained from the 2013 Korean National Health and Nutritional Examination Survey data. Of these subjects, 73 rated themselves as ‘very healthy,’ 460 indicated that they were ‘healthy,’ 568 self-identified as ‘ordinary’, and 53 put themselves in the ‘unhealthy’ category. The proportion of subjects who chose ‘unhealthy’ was significantly increased with higher frequencies of disruptions in their daily lives (p<0.05), regret after drinking (p<0.05), smoking (p<0.001), and higher levels of stress (p<0.001). On the other hand, the proportion of subjects reported as ‘very healthy’ was significantly higher with regular intense (p<0.001) or moderate physical activities (p<0.05), regular walking (p<0.05), a perception of being ‘normal’ in their body image (p<0.01), a decrease of body weight more than 3 kg in the past year (p<0.05), and without risk factors for metabolic syndrome (p<0.05). Serum triglyceride level was lower, and 25-(OH) vitamin D content was significantly higher, in the ‘very healthy’ group as compared to the ‘unhealthy’ group (p<0.05). Dietary fiber and vitamin C intakes were significantly higher in the ‘very healthy’ group than ‘unhealthy’ group (p<0.05). The overall results suggest that a healthy lifestyle, including regular exercise, non-smoking, good stress management, and higher intakes of fiber and vitamin C, may be potential factors that affect one’s positive perception of health.

흉막 삼출을 동반한 흉선 성숙 기형종 1례

윤지현 ( Ji Hyun Yoon ),강보훈 ( Bo Hoon Kang ),손명현 ( Myung Hyun Sohn ),김명준 ( Myeung Jun Kim ),김세훈 ( Se Hoon Kim ),김규언 ( Kyu Earn Kim ) 대한소아알레르기호흡기학회 2005 소아알레르기 및 호흡기학회지 Vol.15 No.1