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급성기 뇌경색 환자의 변증군간 호전도 차이에 대한 연구
현상호,이은찬,곽승혁,우수경,박주영,정우상,문상관,조기호,박성욱,고창남,Hyun, Sang-ho,Lee, Eun-chan,Kwak, Seung-hyuk,Woo, Su-kyung,Park, Ju-young,Jung, Woo-sang,Moon, Sang-kwan,Cho, Ki-ho,Park, Sung-wook,Ko, Chang-nam 대한중풍순환신경학회 2012 대한중풍.순환신경학회지 Vol.13 No.1
Object : The aim of this study was to examine the differences of symptom improvement between different diagnosis classification groups in acute cerebral infarction patients. Methods : We studied inpatients within a month after the onset of cerebral infarction who were admitted at Kyunghee University Oriental Medical Center from May 2011 to October 2012. We compared the improvement of Motricity Index and Scandinavian Stroke Scale score between Fire-heat group(n=20), Yin deficiency group(n=31), Dampness-phlegm group(n=30), and Qi deficiency group(n=13). Results : Yin deficiency group patients with cerebral infarction showed the most improvement in MI and SSS scores, and patients in Fire-heat group showed the poorest improvement in MI and SSS scores. There was a significant difference between the two groups, but there were no significant differences between all four diagnosis classification groups. Conclusions : This study provides evidence that diagnosis classification could be considered as an important factor in predicting the prognosis of acute cerebral infarction.
국내 건설폐기물 기업의 재무적 특성과 이익조정 간의 관계 - 중간처분업 특성의 조절효과를 중심으로
현상호,이남령,이상학,김기웅 한국콘텐츠학회 2019 한국콘텐츠학회논문지 Vol.19 No.12
The characteristics of intermediate-level waste treatment services are likely to have a negative effect because they act as a factor in promoting incentives of earnings management in the relationship between financial characteristics and earnings management in companies which are possible for earnings management. The researchers conducting this study attempted to empirically verify relationships between financial characteristics and earnings management against domestic construction waste disposal companies in consideration of the characteristics of intermediate-level waste disposal businesses, and the results are as follows. As construction waste disposal businesses grew larger, and the trade receivables collection period lengthened, the intention to increase profits via real activities strengthened. As the ability to generate cash via sales activities weakened, and the difference between the EBITDA margin and the operating margin was lower than the difference in industrial average ratio, discretionary accruals and earnings management via real activities were greater. In particular, there were differences in the variables of intermediate treatment business characteristics which reveal moderating effects by financial characteristics. This study is meaningful in that the scope of relationships between financial characteristics and earnings management in accounting is expanded to cover the construction waste disposal industry. 건설폐기물 기업의 중간처분업 특성은 이익조정의 여지가 큰 기업에서는 재무적 특성과 이익조정 간의 관계에서 이익조정 유인을 촉진하는 요인으로 작용하기 때문에 부정적 영향을 미칠 가능성이 크다. 이에 본 연구에서는 국내 건설폐기물 기업을 대상으로 중간처분업 특성을 고려하여 재무적 특성과 이익조정 간의 관계를 실증적으로 검증하고자 하였다. 분석결과, 건설폐기물 기업의 사업규모가 클수록, 매출채권회수기간이 긴 기업일수록 실물활동에 의한 이익의 상향조정 의도가 강하게 나타났다. 건설폐기물 기업의 영업활동 현금창출능력이 부족할수록, 에비타마진율과 영업이익률의 차이가 산업평균비율의 차이보다 낮은 기업일수록 재량적 발생액과 실물활동에 의한 이익조정이 더욱 크게 나타났다. 이러한 재무적 특성과 이익조정 간의 유의한 관계는 중간처분업의 특성인 수주능력, 중간처리능력, 보관능력 등에 따라 그 능력이 우수한 기업 및 열악한 기업별로 다른 행태를 보였다. 본 연구는 회계분야에서 연구되고 있는 재무적 특성과 이익조정 간의 관계에 대하여 건설폐기물산업으로 그 범위를 확대하였으며, 건설폐기물 기업의 이익조정이 재무적 특성에 따라 중간처분업의 고유한 특성을 반영하여 차별적으로 실행되고 있다는 실증결과를 제시하였다는 점에서 의미가 있다.
급성기 뇌경색 환자의 화열증상 변화와 기능회복도간의 상관관계에 대한 연구
현상호,민경동,예영철,강아름,이은찬,문상관,조기호,정우상,박성욱,고창남,Hyun, Sang-Ho,Min, Kyung-Dong,Yei, Young-Chul,Kang, Ah-Reum,Lee, Eun-Chan,Moon, Sang-Kwan,Cho, Ki-Ho,Jung, Woo-Sang,Park, Sung-Wook,Ko, Chang-Nam 대한한방내과학회 2013 大韓韓方內科學會誌 Vol.34 No.4
Objectives : The aim of this study was to examine if there is a significant correlation between the changes of Fire- and Heat- related symptoms and motor function recovery in acute cerebral infarction patients. Methods : We studied inpatients within a month after the onset of cerebral infarction who were admitted at Kyunghee University Medical Center from May 2011 to January 2013. We executed correlation analysis between Fire-heat pattern score and motricity index score at visit 1 and visit 2, and checked if there was a significant correlation between the changes of Fire-heat pattern score and changes of motricity index score. Also, we compared the changes of both scores in patients taking Fire-heat and non Fire-heat pattern prescriptions. Results : There was a significant correlation between the Fire-heat pattern score and Motricity index score at visit 1 and visit 2, and changes of Fire-heat pattern score showed significant correlation with changes of motricity index score. Patients taking Fire-heat pattern prescriptions showed significant change in Fire-heat pattern score after herb-medication treatment while patients taking non-Fire-heat prescriptions showed insignificant change in Fire-heat pattern score. Conclusions : This study provides evidence that taking a Fire-heat pattern prescription could be considered as a first line herb-medication treatment in acute cerebral infarction patients.
이유리,현상호,김영석,조기호,문상관,정우상,Lee, Yu-Ri,Hyun, Sang-ho,Kim, Young-seok,Cho, Ki-ho,Moon, Sang-Kwan,Jung, Woo-sang 대한중풍순환신경학회 2014 대한중풍.순환신경학회지 Vol.15 No.1
■ Objectives The purpose of this clinical study is to evaluate the effect of Traditional Korean Medicine(TKM) on a patient with forcible closure of the eyelids due to blepharospasm. ■ Methods A patient with forcible closure of the eyelids diagnosed as blepharospasm was treated with herbal medication, acupuncture, electro-acupuncture, cupping and moxibustion. Then we evaluated the improvement with length of eye opening and Blepharospasm Disability Index. ■ Results Increase of length of eye opening and Blepharospasm Disability Index were observed after the TKM treatment. ■ Conclusion This study proved the effect of TKM treatment on forcible closure of the eyelids due to blepharospasm.
급성기 뇌경색환자를 대상으로 한양방 병행치료군과 양방 단독치료군간 기능회복도 비교연구
우수경,현상호,이은찬,곽승혁,박주영,정우상,문상관,조기호,김영석,Woo, Su-kyung,Hyun, Sang-ho,Lee, Eun-chan,Kwak, Seung-hyuk,Park, Joo-young,Jung, Woo-sang,Moon, Sang-kwan,Cho, Ki-ho,Kim, Young-suk 대한중풍순환신경학회 2012 대한중풍.순환신경학회지 Vol.13 No.1
Object : This is a study of ischemic stroke patients designed for comparison Combination therapy of western medical treatment and oriental medical treatment. and western medical treatments alone. Methods : 45 patients were diagnosed by Br-MRI scan as having suffered ischemic stroke. They had entered Kyung-Hee Medical hospital within ten days of attack, between March 2011 and October 2012. Patients were divided into two groups; a group treated with Combination therapy of western medical treatment and oriental medical treatment and other group treated with Western medical treatments. Scandinavian stroke scale and Motricity Index score was checked at admission, 2 weeks or 3 weeks later to assess neurologic improvement and motor function recovery. Results : Comparing the Scandinavian stroke scale and Motricity Index score between baseline and 2 or 3 weeks later, the combination therapy group and western medical treatment group had improved but there was no significance. Conclusions : Combination therapy have more beneficial effect on acute stage of stroke.
급성기 뇌경색 환자에 있어 변증형별 유의한 임상지표의 분석
이은찬,현상호,곽승혁,우수경,박주영,정우상,문상관,조기호,박성욱,고창남,Lee, Eun-chan,Hyun, Sang-ho,Kwak, Seung-hyuk,Woo, Su-kyung,Park, Ju-young,Jung, Woo-sang,Moon, Sang-kwan,Cho, Ki-ho,Park, Sung-wook,Ko, Chang-nam 대한중풍순환신경학회 2012 대한중풍.순환신경학회지 Vol.13 No.1
Object : The aim of this study was to assess the clinical indicators related to Pattern-Identification(PI) in acute cerebral infarction patients. Methods : We studied hospitalized patients within 30days after ictus, who admitted at Korean Medicine Center of Kyung-Hee University from January 2010 to October 2012.(n=290) Two Traditional Korean Medicine(TKM) physicians evaluated the patients independently and diagnosed PI. Inter-rater reliability was measured using simple percentage agreement and the Cohen's kappa(κ) coefficient. To assess the clinical indicators closely related to each PI, we analysed average score of each indicator in each group. Results : Simple percentage agreement of PI between raters was 64.83% and Cohen's kappa(κ) coefficient was 0.526(95% CI: 0.451-0.600). Inter-rater reliability level was fair to good. We analysed the clinical indicators in each group. Significant indicators for Fire-Heat Pattern(FHP) were reddened complexion and strong pulse power, and meaningful indicators for FHP were halitosis and thick tongue fur. Significant indicator for Dampness-Phlegm Pattern(DPP) was overweight and there was no meaningful indicator. Significant indicator for Yin-Deficiency Pattern(YDP) was dry tongue fur and meaningful indicator for YDP was thirst. There was no significant indicator for Qi-Deficiency Pattern(QDP) and pale complexion and faint low voice were meaningful indicators for QDP. Conclusions : This study reveals the significant and meaningful clinical indicators related to each Pattern-Identification in acute cerebral infarction patients. It will contribute to standardization of Korean Medical Diagnosis and Treatment in acute cerebral infarction patients.
경흉부 심초음파를 이용한 뇌경색 환자의 좌심실 비대와 습담변증(濕痰辨證)의 관련성 연구
곽승혁,우수경,이은찬,현상호,박주영,정우상,문상관,조기호,박성욱,고창남,Kwak, Seung-hyuk,Woo, Su-kyung,Lee, Eun-chan,Hyun, Sang-ho,Park, Joo-young,Jung, Woo-sang,Moon, Sang-kwan,Cho, Ki-ho,Park, Sung-uk,Ko, Chang-nam 대한중풍순환신경학회 2012 대한중풍.순환신경학회지 Vol.13 No.1
Object : The aim of this study was to assess the relationship between left ventricular hypertrophy and Dampness-Phlegm diagnosis in cerebral infarction patients. Methods : Among 227 of the total recruited patients, 59 patients were diagnosed as left ventricular hypertrophy. We assessed their general characteristics, risk factors, lab findings and Korean medical diagnosis. We compared the assessed variables between left ventricular hypertrophy group and non left ventricular group. We analyzed the relationship between left ventricular hypertrophy and risk factors. And we also analyzed the relationship between left ventricular hypertrophy and dampness-phlegm diagnosis. Results : 1. The rate of left ventricular hypertrophy in female patients was larger than the rate of male patients. 2. There were more patients finally diagnosed hypertension in left ventricular hypertrophy group. 3. According to the analysis about the rate of Dampness-phlegm related Index for Pattern Identification by left ventricular hypertrophy, Sallow complexion and obesity were significantly higher in the left ventricular hypertrophy than in the non left ventricular hypertrophy group. 4. In multivariate analysis, Dampness-phlegm group showed close relationship with left ventricular hypertrophy. Conclusions : According to the analysis, significance between dampness-phlegm diagnosis diagnosed group and left ventricular hypertrophy were clarified. These results can be utilized in the future as a basic material to be used for diagnosis and management of dampness-phlegm diagnosis on cardiovascular diseases.