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        Incidence Patterns of Pediatric and Adolescent Orthopaedic Fractures According to Age Groups and Seasons in South Korea: A Population-Based Study

        박문석,정진엽,최인호,김태원,성기혁,이승열,이상형,권대규,Jung Woo Park,김태균,Young Choi,조태준,유원준,이경민 대한정형외과학회 2013 Clinics in Orthopedic Surgery Vol.5 No.3

        Background: Fractures which need urgent or emergency treatment are common in children and adolescents. This study investigated the incidence patterns of pediatric and adolescent orthopaedic fractures according to age groups and seasons in South Korea based on population data. Methods: Data on the number of pediatric and adolescent patients under the age of 18 years who utilized medical services due to fractures were retrieved from the Health Insurance Review and Assessment service in South Korea. The data included four upper extremity and two lower extremity fractures according to four age groups (0–4 years, 5–9 years, 10–14 years, and 15–18 years). Incidences of the fractures were calculated as the incidence per 10,000 per year, and patterns according to age groups and seasons were demonstrated. Results: The annual incidence of clavicle, distal humerus, both forearm bone, distal radius, femoral shaft and tibial shaft fractures were 27.5, 34.6, 7.7, 80.1, 2.5, and 9.6 per 10,000 per year in children and adolescents, respectively. Clavicle and distal radius fractures showed significant seasonal variation for all age groups but femoral shaft fracture showed no significant seasonal variation for any of the age groups. Conclusions: The four upper extremity fractures tended to show greater variations than the two lower extremity fractures in the nationwide database in South Korea. The study results are believed to be helpful in the planning and assignment of medical resources for fracture management in children and adolescents.

      • KCI등재

        비뇨기계 암세포에 대한 중수의 효과

        박문석,한창희,고필옥,김종헌,김명옥,박종윤 대한비뇨의학회 2005 Investigative and Clinical Urology Vol.46 No.10

        Purpose: To evaluate the antiproliferative activity of deuterium oxide (D2O) on urological cancer cells for the application of D2O in the treatment of urological cancer. Materials and Methods: Urological cancer cell A-498(kidney), T-24 (bladder) and DU 145(prostate) were used in this study. The changes in cellular proliferation and the expressions of the bcl-2 and bax genes, according to changes in the D2O concentrationand exposure time were measured. The changes in cellular proliferation were measured using a hemocytometer and the MTT assay, and the changes in gene expression by Western hybridization. Results: D2O had antiproliferative effects, DU-145 was most resistant and T-24 was most sensitive to D2O. The proliferation of cells in T-24, as measured by the MTT assay, showed a reduced growth rate, which was the inverse of the increased D2O concentration and exposure time. The expression of bcl-2 was reduced with increasing exposure time and D2O concentration, and that of bax was increased with increasing exposure time and D2O concentration. Conclusions: From this study, the authors believe D2O has antiproliferative effects on urological cancers, and the effect on bladder cancer cells suggests that D2O shows potential as an agent for the treatment of early small bladder cancer or the prevention of superficial bladder cancer recurrence following transurethral resection.

      • KCI등재

        강해적 내러티브 설교에 대한 실천적 방향에 관한 연구

        박문석 한국실천신학회 2020 신학과 실천 Vol.0 No.72

        본 연구는 동서양을 막론하고 오랫동안 설교자들이 가장 성경적 설교라고 여기며 실천하고 있는 강해 설교와 신설교학의 대표 주자격인 내러티브 설교의 상이점을 살피고 각각의 장점으로 서로 보완해 줌으로 강해적 내러티브 설교를 할 수 있는 방법을 모색하는 것에 목적이 있다. 성경은 다양한 교훈들과 이야기들이 역사적, 문화적, 언어적, 철학적, 시대적 상황을 배경으로 기록되어 있다. 다시 말하면, 고유의 문학적 형태를 갖고 있음에도 불구하고 교리나 교훈을 다루는 본문 안에 내러티브가 내재되어 있는가 하면 반대로 내러티브 안에 교훈과 교리가 내재되어 있다는 것이다. 그럼에도 불구하고 한국 목회자들은 내러티브 본문을 강해 설교 형식으로 설교하여 본문 안에 내재되어 있는 내레이터의 의도를 놓치거나 교리나 교훈의 본문을 강해 설교 형식으로만 설교하다가 본문 안에 있는 내러티브를 놓치는 우를 범하기도 한다. 내러티브 설교는 강해 설교의 후발 주자이면서 신설교학으로 분류될 만큼 진보적인 학자들에 의해 시작되었지만 21세기에 접어들면서 많은 변화가 생겼다. 강해 설교와 내러티브 설교를 신학적 관점이 아닌 설교학적 관점으로 접근하여 서로에게 꼭 필요한 설교의 형태라는 것을 인정하게 되었다는 것이다. 본고에서 강해 설교와 내러티브 설교의 이해와 강해적 내러티브 설교의 필요성을 논하고, 어떻게 하면 두 가지 다른 형태의 설교의 장점을 결합하여 한 편의 성경적 설교를 할 수 있는 지를 살피면서 강해적 내러티브 설교의 실천적 방향을 모색해 보고자 한다. The purpose of this study is two-parted. The first is to examine the differences between the expository preaching that preachers in the East and West regard as the most biblical preaching and the narrative preaching as the contemporary mainstream of the new homiletics. The second is to find a complementary way to practice expository-narrative preaching by highlighting the strengths of each. In the Bible, various lessons and stories are recorded with historical, cultural, philosophical, linguistic, and periodic backgrounds and circumstances. In other words, despite having their own literary forms, narratives are embedded in the texts dealing with doctrines and percepts. At the same time, there are many cases where doctrines and percepts are embedded in narratives. Nevertheless, Korean pastors preach the narrative text in an expository preaching form and miss the intention of the narrator embedded in the text, or preach the doctrine and instructional text in an only expository preaching form and lead to overlook the narrative in the text. Narrative preaching came after expository preaching and was started by progressive scholars who classified narrative preaching as the new homiletics but many changes began to take place at the turn of the 21st century. By considering preaching perspectives rather than theological perspectives, expository preaching and narrative preaching recognize that they are essential to one another. In this paper, I will discuss the understanding and necessity of both expository preaching and narrative preaching and will seek the practical direction of expository-narrative preaching, while exploring how to practice biblical preaching that combines the merits of these two different types of preaching.

      • 경추 부위 동태손상증후군의 진단·평가를 위한 설문 문항 개발

        박문석,김현호,박영배,박영재,Park, Moonseok,Kim, Hyunho,Park, Young-Bae,Park, Young-Jae 대한한의진단학회 2016 大韓韓醫診斷學會誌 Vol.20 No.1

        Objectives The aim of this study is to develop diagnostic and assessable questionnaires for cervical movement system impairment syndromes. Methods We reviewed the previous study and literature, and organized various checkable items for differential diagnosis of four different cervical movement system impairment syndromes. Next, we selected items which can be developed as questionnaire items. Finally, we conducted a face validity study with twelve Korean medical doctors and carried out survey research to evaluate the importance score of the items with three experts. Results We developed a diagnostic and assessable questionnaire as follows: 9 items for cervical extension syndrome; 5 items for cervical flexion syndrome; 9 items for cervical rotation syndrome. By conducting 2 rounds of survey research, we were able to bridge the differences in the importance score of each item. Conclusions A questionnaire for the diagnosis and assessment of movement system impairment syndromes was developed. This questionnaire holds promising applications for objective diagnosis and assessment of cervical movement system impairment syndromes. This tool may also be used for detecting the sub-health status of musculoskeletal systems.

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