피로감을 주증으로 입원한 청소년 비알코올성 지방간질환(NAFLD) 환자 치험 1례

강경래,이민수,정유진,최아련,한동근,강아현,송우섭,이형철,엄국현,Kang, Kyung-rae,Lee, Min-su,Jung, You-jin,Choi, A-ryun,Han, Dong-geun,Kang, Ah-hyun,Song, Woo-sub,Lee, Hyung-chul,Um, Guk-hyun 대한한방내과학회 2016 大韓韓方內科學會誌 Vol.37 No.5

Objective: To report the clinical effect of Korean medicine treatment in an adolescent patient diagnosed with nonalcoholic fatty liver disease (NAFLD) with obesity. Methods: The patient was treated from July 9th, 2014 to August 7th, 2014. He was taking Saenggangeonbi-tang (生肝建脾湯) during the treatment period. He also undertook regular exercise and regulated his diet to reduce body weight. Results: The patient’s AST, ALT, and GGT levels were significantly decreased. Total cholesterol, triglyceride, and LDL levels were also decreased, and HDL level was increased. His body weight and body mass index (BMI) were decreased. Conclusions: The results suggest that Saenggangeonbi-tang with exercise and regulated diet could be an effective treatment for adolescent NAFLD with obesity in clinics.

미국의 치료적 사법(therapeutic jurisprudence)으로서의 약물법정(Drug Court)

강경래 ( Kang Kyung-rae ) 한국외국어대학교 법학연구소 2013 외법논집 Vol.37 No.4

약물범죄자의 처우와 관련하여 각국에서 도입하고 있는 처우모델을 구분하면 「범죄자모델」과 「치료(환자)모델」의 2가지로 구분할 수 있다. 즉, 「범죄자모델」이란, 약물범죄자를 그대로 범죄자로 보는 것으로 형사사법기관에서 엄격하게 대응하는 것에 중심을 두는 모델이다. 이와 달리 「치료(환자)모델」이란, 약물범죄의 의존성과 상습성이라는 특수한 성격을 감안하여 약물범죄자를 「환자」로 보는 것으로써 약물범죄자에 대해서 형사사법제도를 대체(Diversion)하여 다기관의 연계에 의한 보다 전문적인 시책을 전개하여 보다 효과적으로 약물범죄자의 재범위험성을 제거하는 것을 강조하는 모델이다. 즉, 「치료(환자)모델」에서는 「형벌」이 아니라 「치료」가 재범방지와 갱생에 더욱 효과적이라는 개념이 그 기반에 존재한다. 약물범죄자와 관련하여 이러한 「치료(환자)모델」의 기반에 있는 개념을 「치료적 사법(therapeutic jurisprudence)」이라고도 한다. 치료적 사법은 치료에 의해 범죄자가 안고 있는 문제를 해결함으로써 재범방지를 도모하고자 하는 「치료개입적인 접근」방식을 말한다. 우리나라의 경우에는 약물범죄자에 대해서는 「범죄자모델」을 채용하고 있으며, 이에 따라 엄격한 대응을 하고 있다. 그러나 이러한 「범죄자모델」에 의한 엄격한 법집행이 약물범죄자를 약물로부터 이탈하도록 하는 것에 어느 정도의 효과가 있는가라는 의문이 발생할 수 있다. 즉, 2011년 우리나라의 마약류사범의 동종재범률(80.7%) 등으로부터 본다면, 과연 범죄자모델에 의해 엄격한 법집행을 하는 것이 대상자의 약물로부터 이탈에 어느 정도의 효과가 있는가라는 의문이 생길 수 있다. 이러한 점에서 우리나라에 있어서도 「치료(환자)모델」이 참고가 될 수 있다고 생각된다. 이에 본 연구에서는 약물범죄자에 대한 치료적 사법에 기초를 둔 미국의 약물법정(Drug Court)에 대해서 개관함으로써 향후 우리나라의 약물법정의 도입에 있어서 바람직한 방향성을 제시하는 것을 목적으로 하였다. Drug courts are judicially supervised court dockets that handle the cases of non-violent substance-abusing offenders under the adult, juvenile, family and tribal justice systems. Drug courts are problem-solving courts that operate under a specialized model in which the judiciary, prosecution, defense bar, probation, law enforcement, mental health, social service, and treatment communities work together to help non-violent offenders find restoration in recovery and become productive citizens. In the USA, there are currently over 2,459 drug courts representing all fifty states and the District of Columbia, Guam, Puerto Rico, Northern Mariana Islands and 111 tribal drug court programs. In the UK, drug courts are currently being tested in various places. In Australia, drug courts operate in various jurisdictions, although their formation, process and procedures differ. The main aim of the Australian courts is to divert illicit drug users from incarceration into treatment programs for their addiction. In this paper, we decided to an overview of the drug court in the United States, presenting the right direction in the introduction of the drug court in Korea.

생물집단의 치사유전자와 불임유전자에 관한 연구

강경래 ( Kyung Rae Kang ) 한국축산학회 1977 한국축산학회지 Vol.19 No.4

The frequency of second chromosome bearing deleterious and sterile genes in natural population Drosophila melanogaster was estimated by using of cy/pm method. (1) The frequency of deleterious genes of Drosophila melanogaster was estimated to be 65.7 per cent from Ulsan population. The frequency in Ulsan is the highet among four (2) Allelism rates of lethal genes extracted from Anyang, Kimpo, Jeoju. and Ulsan population were calculated to be 1.45, 5.02, 10.2 and 9.3 per cent, respectively. (3) The frequency of sterile genes of Drosophila melanogaster was 4∼5 percent. (4) The frequency of phenotype sterile genes in household population was 3.11 per cent.

일본의 범죄피해자지원 및 보호

강경래(Kang, Kyung-Rae) 한국피해자학회 2006 被害者學硏究 Vol.14 No.1

The right of a criminal victim has been disregarded and neglected while the protection of a criminal human right has been emphasized in criminal procedure. As critique against the indifference of criminal law system to criminal victims was suggested, the problems about them arose as national concern, which brought some fruitful outcomes. However, the effort seeking specific systems is insufficient. The criminal victims are persons that are directly related to the crime, and, simultaneously, subjects that possess the human dignity and value secured by the constitution, whose proper rights corresponding to it must be secured in criminal procedure. However, because of insufficient systems for protecting criminal victims and of wrong customs of the subjects who administrate criminal law systems, direct physical, psychological, and economical injuries of the victims are increased rather than decreased as the criminal procedures are processed, and they mostly suffer the additional second and third injury from the crime. Fortunately, there has been increasing attention on the protection of victims of crime from the police and the prosecution. In this article, we will make a general survey of the history and system which is the protection and support for Crime Victims in the Japan.

미국의 위기청소년을 위한 멘토링 프로그램에 관한 고찰 -수용자의 자녀, 장애소년, 보호시설수용소년 등을 중심으로-

강경래 ( Kang Kyung Rae ) 한국소년정책학회 2013 少年保護硏究 Vol.21 No.-

The number of children with parents in prison is increasing in many countries worldwide. Theory and qualitative research suggest that parental imprisonment might contribute to child antisocial behaviour and mental health problems, because of the trauma of separation, strained child-care arrangements during parental imprisonment, loss of family income, other stressful life events such as moving home and school, and the stigma of parental imprisonment. Parental imprisonment can cause many problems for the family left behind, including difficulty organising childcare, loss of family income, trouble maintaining contact with the imprisoned parent, stigma, and home, school and neighbourhood moves. Children and parents can be distressed by the separation. Children may respond by acting out or becoming withdrawn, anxious or depressed. With rates of imprisonment growing rapidly in many countries worldwide, the possible effects of parental imprisonment on children is an issue of increasing social concern. Children of prisoners have been called the "forgotten victims" of crime, the "orphans of justice", the "hidden victims of imprisonment" "the Cinderella of penology", and the "unseen victims of the prison boom". Four key criminological theories suggest that parental imprisonment might cause an increase in child antisocial and criminal behaviour. First, social bonding theory suggests that parental imprisonment might harm children because parentchild separation disrupts children's attachment relations. Second, strain theory suggests that the loss of family income and other negative life events after parental imprisonment might cause an increase in offending behaviour. According to strain theory, life stresses tend to increase negative affect and cause children to attack or try to escape the source of adversity, use illegitimate means to achieve their goals, or manage the negative affect through use of illicit drugs. Third, social control theory suggests that parental imprisonment might cause delinquency via reduced quality of care and supervision of children. Fourth, labeling theory suggests that social stigma and official bias following parental imprisonment might cause an increased probability of the child being charged or convicted for criminal behaviour. These processes of attachment disruption, strain, poor quality childcare, and stigma are also associated with mental health problems for children. Hence, parental imprisonment might contribute to both antisocial behaviour and mental health problems for children. Mentoring programs have been rampant since 1980's especially in the U.S. Based on the evaluation studies of the effectiveness of these programs, mentoring programs have been reformed and evolved. Despite the proved effectiveness of mentoring programs in various countries in the world, educational studies in Korea have been almost indifferent in mentoring and the mentoring programs. Through analyzing the evolution and the effect of the mentoring program in the U.S, this study examines the significance of the mentoring programs as a support for the linking life-long development.

아동의 범죄피해방지를 위한 선택적 전략 -일본의 지역안전지도를 중심으로-

강경래 ( Kang Kyung Rae ) 한국소년정책학회 2012 少年保護硏究 Vol.20 No.-

This study was studied with respect to community safety map of Japan. In the United States and Europe,"crime opportunity theories" dominate discussion of crime prevention measures. The theories focus more on the environment in which crimes are apt to happen than on identifying suspicious people. The theories in based on the belief that crime are more likely to occur in places that offer more opportunities and are less likely to happen in places where there is little opportunity for crime. Prof Nobuo Komiya have applied this idea to develop community safety maps that identify potentially dangerous places that are prone to crime. They show places in a neighborhood that can be easily accessed by anyone and are difficult to see. For example, sidewalks with no guardrails are easily accessible and parks where playground equipment is hidden by trees are hard to see from the outside and are therefore potentially dangerous. Places where graffiti, litter and trash are left to accumulate are prone to vandalism and crime because they show neglect on the part of the community and encourage criminals to ant, thinking their crimes would not be reported. Such places make easy targets and are difficult to see. Community safety maps shift the focus to "Places" instead of "suspicious people." They do not show places where suspicious people or criminal have been spotted. A good community safety map in one that does not cause members of the community to be distrustful of others, give rise to discrimination or aggravate trauma. Such maps not only enhance the ability of neighborhoods to prevent crime but also teach both children and adults the importance each other. This paper calls for more research into further innovative crime prevention strategies that can be used in schools so as to prevent children from becoming victims of crimes.

일본의 소년비행화에 대한 사전예방정책 -소년보도센터의 소년비행화방지활동을 중심으로-

강경래 ( Kang Kyung Rae ) 한국소년정책학회 2009 少年保護硏究 Vol.12 No.-

日本の少年補導センター(その名称は、個々のセンター毎に様々である) は、1945年頃から、「少年の非行防止に関係のある行政機関、団体及びボ ランテイアが参加し、少年補導に關する緒活動を総合的かつ計畫的に 實踐 するための共同活動の拠点」となることを目指して設置され始めた施設で ある。少年の非行防止のための他の組織·機關と比べて、少年補導セン ターの特徴をまとめると、以下の四点になる。すなわち、⑴設立当初か ら、警察·敎育·福祉の緒機關の「共同活動の場」としての性格づけがなされていること。⑵したがって、非行少年の發見·補導の機能と、少年相 談等のケースワーク的機能とを、あわせもつ機關として構想されているこ と。⑶地域社會に根ざした活動が旨とされており、地域毎の獨自性を發揮 することが强調されていること。⑷少年補導委員と呼ばれるボランテイア の人々の活動が、重要な位置を占めていること等である。 そこで本稿では、こうした少年補導センターの活動現狀等を槪觀することを目的としながら、韓國の靑少年非行予防センターの活動と比較して檢討することにした。

개정소년법의 주요쟁점에 관한 검토

강경래(Kang Kyung Rae) 강원대학교 비교법학연구소 2007 江原法學 Vol.25 No.-

This paper is discussed about the Juvenile Law revised in 2007. The main contents of this revision are introduction of the restorative justice to the juvenile justice, the reduction of boy age, the diversification of protective disposition, etc. However, to this revised Juvenile Law, the voice of criticism that it is retreat of a Juvenile protection idea has come out. Therefore, in this paper, the revised Juvenile Law was surveyed and the main points at issue raised now were examined.

학교폭력과 무관용(Zero Tolerance)정책

강경래 ( Kang Kyung Rae ) 한국소년정책학회 2012 少年保護硏究 Vol.19 No.-

Zero tolerance imposes automatic punishment for infractions of a stated rule, with the intention of eliminating undesirable conduct. Zero-tolerance policies forbid persons in positions of authority from exercising discretion or changing punishments to fit the circumstances subjectively; they are required to impose a pre-determined punishment regardless of individual culpability, extenuating circumstances, or history. This pre-determined punishment need not be severe, but it is always meted out. Zero-tolerance policies are studied in criminology and are common in formal and informal policing systems around the world. The policies also appear in informal situations where there may be sexual harassment or Internet misuse in educational and workplace environments. Zero-tolerance policies have been adopted in schools and other education venues around the world. These policies are usually promoted as preventing drug abuse and violence in schools. In schools, common zero-tolerance policies concern possession or use of drugs or weapons. Students, and sometimes staff, parents, and other visitors, who possess a banned item or perform any prohibited action for any reason are automatically punished. School administrators are barred from using their judgment, reducing severe punishments to be proportional to minor offenses, or considering extenuating circumstances. Consequently, these policies are sometimes derided as "zero-intelligence policies". There is no credible evidence that zero tolerance reduces violence or drug abuse by students. The unintended negative consequences are clearly documented and sometimes severe: school suspension and expulsion result in a number of negative outcomes for both schools and students. Although the policies are "facially neutral", minority children are the most likely to suffer the negative consequences of zero tolerance.

방아쇠 수지 환자의 신바로 약침 치험례

이민수,강경래,최아련,정유진,강아현,한동근,송우섭,이형철,Lee, Min-su,Kang, Kyung-rae,Choi, A-ryun,Jung, You-jin,Kang, Ah-hyun,Han, Dong-geun,Song, Woo-sub,Lee, Hyung-chul 대한한방내과학회 2016 大韓韓方內科學會誌 Vol.37 No.2

Objective: This study investigates the clinical application of Shinbaro pharmacopuncture for trigger finger.Method: Because the effect of Shinbaro pharmacopuncture has been proven in various musculoskeletal cases, we treated a patient diagnosed with trigger finger using Shinbaro pharmacopunture. A 0-10 numerical rating scale (NRS) for pain and Quinnell’s classification for trigger finger were assessed before and after three Shinbaro pharmacopuncture treatments.Results: After treatments, the patient’s pain was controlled (without any side effects), and the NRS score decreased from 8 to 1. The Quinnell’s classification of trigger finger score also improved (from 3 to 1).Conclusion: This case has shown that Shinbaro pharmacopuncture treatment could be effective for treating the clinical symptoms of trigger finger.