만성기침 변증도구 개발을 위한 기초연구

김관일,신승원,이나라,이범준,정희재,정승기,이준희,Kim, Kwan-il,Shin, Seung-won,Lee, Na-la,Lee, Beom-joon,Jung, Hee-jae,Jung, Sung-ki,Lee, Jun-hee 대한한방내과학회 2015 大韓韓方內科學會誌 Vol.36 No.1

Objectives : The aim of this study was to develop a standard tool of pattern identification for chronic cough, which will be applied to clinical research. Methods : The items and structures of the instrument were based on reviews of textbooks and published literature. The advisor committee on this study consisted of 11 Korean respiratory internal medicine professors, one clinical fellow, and five clinicians with 10 years of experience. The questionnaire, which includes the signs and symptoms of chronic cough, was studied by the delphi method. Delphi examination was carried out via email, through evaluating the importance of symptoms included in each pattern. Results : We divided the pattern identification of chronic cough into five patterns: Wind-Cold, Phlegm-Turbidity, Liver-Fire, Lung Deficiency, and Kidney Yang Deficiency. By the Delphi method and a score evaluation, 38 items were chosen for pattern identification of chronic cough. Conclusions : Through this study, we created a Korean instrument for the pattern identification tool for chronic cough. We expect to apply this tool to subsequent research as its validity and reliability are further confirmed.

감기 임상시험 가이드라인 제정을 위한 최신 임상시험 연구 분석

김관일,이호정,이범준,정희재,정승기,이준희,Kim, Kwan-il,Lee, Ho-jung,Lee, Beom-joon,Jung, Hee-jae,Jung, Sung-ki,Lee, Jun-hee 대한한방내과학회 2016 大韓韓方內科學會誌 Vol.37 No.1

Objectives: The aim of this study was to help develop a guideline for the common cold. We searched recent clinical studies of the common cold in Western medicine and reviewed their objectives, inclusion and exclusion criteria, primary outcome, secondary outcome, and assessment tools to establish evidenced-based guideline.Methods: We searched electronic databases (Cochrane Library, MEDLINE, EMBASE) to identify eligible randomized controlled trials (RCTs) about the common cold for the last 10 years. We included 29 RCTs and showed their research summary via their objectives, participants, interventions, control, treatment duration, and results. We also analyzed the definition of the common cold presented in the article, inclusion and exclusion criteria, primary and secondary outcomes, and assessment tools.Results: We reported the aforementioned areas in detail. At first, the definition of the common cold was confused across the articles. Second, herbal medication clinical trials for the common cold have been extensively studied recently. Third, the eligibility criteria frequently included the Jackson Symptom score. Fourth, validated assessment tools (i.e., the Wisconsin Upper Respiratory Symptom Survey-21) have only been used in a few recent studies.Conclusions: Our research will be helpful to establish Korean herbal medicine clinical trial guidelines for the common cold.

뇌성마비아를 위한 음악치료

김관일 大邱大學校 特殊敎育硏究所 1992 特殊敎育硏究 Vol.19 No.-

치료와 재활로서의 음악의 흐름

김관일 한국재활심리학회 1998 재활심리연구 Vol.5 No.1

It has been believed that there existed sounds before the human being's coming into presence on this planet and that sounds are the elements of the universe wish take some forms of language. As the human history passed by, music has been used as a means of promoting men's health. Therefore music has come to be wherever men live. The music therapy did not appear suddenly in the twentieth century, but the basic ideas of applying music therapy to some areas of human life can be traced back to the old primitive society. Scientific approach of evaluating the music therapy is relatively new field and still much more is expected to be explored in many aspected in the future. Especially today the role of music therapy is required more than ever before because use huge structures and systems of the highly developed contemporary industrial society have caused human being's simplification and isolation, and thus led to serious reality of disregarding and/or sacrification and human nature; the trend is that increased number of people reports of their physical and emotional disturbance; and the increase of aging population due to the medial development calls for many welfare programs for the old people. The use music in connection with healing practices goes back to the shaman of primitive trives. The Greeks were among the first to advocate a controlled use of music to promote health and high moral standards. From the time of the Greeks to the dawn of the scientific age in medicine in the late 18th century, music was incorporated in the general theory and philosophy of medical treatment and was often prescribed as a cure for various physical and psychological ailments. During the late 18th and 19th centuries, however, the fields of music and medicine began to diverge. As music developed as a performing art and medicine become a specialized science, the use of music was no longer a part and medicine treatment philosophy. In the late 19th century, music and medicine again begin to converge as scientific principles began to be applied to the study the therapeutic effects. A renewed interest in the use of music in hospitals was precipitated by the advent of the phonograph around the turn of the century. During the War years, music therapy began be used with increasing frequency in the treatment of wounded veterans. As music therapy developed into organized profession during the latter half of the 20th century, the therapeutic use of music came to be applied to clients having a wide variety of disorders. In recent years, the western worlds has also taken an, and consciousness expansion. Although some organization relations related to the use of music in hospitals existed in the early 20th century, it was the increased use of music in Veterans Administration Hospitals during world war II that provided the major impetus for the formation of a national professional music therapy organization in the United States. In the 1940s, Various committees of professional associations helped establish communication among those who worker with the therapeutic uses of music. The National Association for Music Therapy(NAMT) was founded in 1950 for the purpose of developing the therapeutic use of music in hospital, educational, and community setting and advancing research, education, and training in the profession of music therapy. In 1971, a second national organization, the American Association for Music Therapy(AAMT), was established as New York University in New York City. These two music therapy organizations will be unified by 1988, Jan, and named American Music Therapy Association(AMTA). Professional organizations for music therapy have also developed in many other countries, including England, France, Canada, Norway, Neverland, Scandinavia, German, Scotland, Yugoslavia, Belgium, South America, Argentina, Poland, Sweden, Japan and Korea and few countries. In this study I tried to review and analyze as much diachronic materials about music therapy as possible. I found out that, in our country was founded Korea Music Therapy Association in 29th. Nov. 1996. Also, established the Department of music therapy in Sukmyueng Women University in Seoul, Korea. Considering the efficacy of music therapy and therapeutic activities in wastern countries along with the historical records presented here in, I hope that this study will make some contributions to materializing "training program of music therapies" and their certified wherever their services are more required on future in our country.

Ki-67 as a Predictor of Response to Neoadjuvant Chemotherapy in Breast Cancer Patients

김관일,이경희,김태령,전용순,이태훈,박흥규 한국유방암학회 2014 Journal of breast cancer Vol.17 No.1

Purpose: The objectives of this study were to assess the potentialvalue of Ki-67 in predicting response to neoadjuvant chemotherapyin breast cancer patients and to suggest a reasonable cutoffvalue for classifying Ki-67 expression. Methods: This study included74 breast cancer patients who underwent surgery afteranthracycline-based neoadjuvant chemotherapy between 2007and 2012. We analyzed the clinical and immunohistochemicalcharacteristics using core biopsy specimens obtained beforeneoadjuvant chemotherapy to determine their correlations withthe response to chemotherapy. Results: A clinical complete responsewas observed in 6 patients (8.1%); a clinical partial response,in 44 patients (59.5%); and clinical stable disease, in 24patients (32.4%). A pathologic complete response (pCR) was observedin 10 patients (13.5%). In univariate analysis, estrogen receptor(ER) negativity (p=0.031), human epidermal growth factorreceptor 2 (HER2) positivity (p=0.040), and high Ki-67 expression(p=0.036) were predictive factors for a pCR. In multivariate analysis,Ki-67 was the only independent predictor of a pCR (p=0.049). The analysis of Ki-67 values revealed that 25% was a reasonablecutoff value for predicting the response to chemotherapy. In subgroup analysis, a higher Ki-67 value (≥25%) was a significantpredictive factor for the response to neoadjuvant chemotherapy,especially in ER-negative and HER2-positive breast cancerpatients. Conclusion: Ki-67 expression in breast cancer tissuemay be an effective factor for predicting the response to neoadjuvantchemotherapy. We suggest that a 25% level of Ki-67 expressionis a reasonable cutoff value for predicting a response tochemotherapy. Moreover, Ki-67 is a useful predictive factor forpCR, especially in patients with ER-negative and HER2-positivebreast cancer

정신박약아동의 음악치료

김관일 한국특수교육학회 1986 특수교육학회지 Vol.7 No.-

정서.행동장애아의 음악치료

김관일 한국특수교육학회 1998 특수교육학회지 Vol.19 No.1

초등학교 음악교과서와 Beyer을 활용한 쉬운 반주법

김관일 한국특수교육학회 1996 특수교육학회지 Vol.17 No.3

발달장애아를 위한 효과적인 리듬음악 지도

김관일 한국초등특수교육학회 1999 초등특수교육연구 Vol.1 No.1

음악과의 예능 분야는 인지적 능력보다는 정서적 능력에 의존하는 비중이 높은 분야로서 일반 아동이나 발달장애아동을 위한 교육에서 필수적인 과목이다. 그러나 발달장애를 지닌 아동들이 특수학교에서 다른 학과목에 비하여 음악전공 교사의 양성조차 어려운 실점에서 충분한 음악적 활동의 혜택을 받을 수 없는 발달장애아를 위하여 음악의 요소 중에 가장 중요한 리듬의 새로운 학습지도 방안을 구상하여 현장에서 리듬 음악 학습을 리듬카드, 리듬모방, 리듬 문답, 박자의 체득, 주어진 리듬의 연속학습, 그리고 Carl Orff의 기초리듬 방법 등을 효과적으로 구안하여 지도함으로서 발달장애아를 위한 현장의 음악과 리듬지도에 자료를 제공하고자 하였다. This study is scheduled to direct the developmental children of the elementary school music education as a researching part of the lesson-direction-methods. This material are not only studying various lesson activity to see direct rhythm feeling with the application of physical rhythm expression. The term"rhythm is used always variously according to the necessity. The meaning of rhythm, however, is generally uncertain but the definition music rhythm is defined as a order of time process which is regularly repeating in successive tone motion development. But the definition of music rhythm is different from"time" in which the accent is fixing of itself. Summary of Studying Contents: 1. The methods of guidance for rhythm-guidance is researched concretely as the following. ⓐ Lesson activity by rhythm-card. ⓑ Lesson activity by imitation of rhythm. ⓒ Lesson activity by rhythm question and answer. ⓓ Lesson activity by rhythm changing about the song of textbook. ⓔ Lesson activity by time(beat)feeling. ⓕ Lesson activity by making rhythm succession. 2. With the above mentioned researching methods, the relating methods with text-books and tapping-methods of physical expression "Food-rollin, Knee-tapping, Clap one's hand. Finger-rolling etc." are researched as the following. ⓐ Rhythm feeling by language expression. ⓑ Song of text-book accompanied Ostinato-Rhythm-Lesson of fixed rhythm style. ⓒ Rhythm-Rondo-lesson of dialogue from as a tutti and solo. 3. Rhythm direction, as a result, is the developmental children as a level of elementary school, the more sensitive. And that direction must be directed as physical expression with a sense of rhythm-phrase. Rhythm-guidance, if possible, must be directed in accordance with all music fields.

청각장애아의 음악지도에 관한 소고

김관일 한국특수교육학회 1994 특수교육학회지 Vol.15 No.1