전치부 영역 임플란트의 식립 시기에 따른 심미적 평가

김정화,서성용,김나홍,유정현,이동운,Kim, Jung-Hwa,Seo, Seong-Yong,Kim, Na-Hong,Yu, Jung-Hyun,Lee, Dong -Woon 대한심미치과학회 2017 Journal of the Korean Academy of Esthetic Dentistr Vol.26 No.1

임플란트 식립시기가 심미적인 부분에 영향을 미치는 것에 대한 연관성을 평가하기 위해 전치부 영역에 식립된 34개의 임플란트 (27명 환자)를 후향적으로 조사했다. 즉시, 조기 및 지연식립으로 시기별로 그룹을 나누고 모든 환자를 보철완료 1년후에 연조직 평가를 시행했다. 통계적으로 그룹별 유의한 의미는 없었다. 식립 시기에 상관없이 만족할 만한 최종결과를 위해 다양한 골이식술과 연조직 이식술이 이루어졌다. 즉, 식립시기로 그 결과를 결정지을 수 없다는 점은 다각적인 면에서 고려사항이 요구된다는 점을 시사한다. Purpose: This retrospective study is to evaluate whether the timing of implant placement and the result of esthetic outcomes are related. Materials and Methods: Among the patients who had undergone single implant surgery on anterior area from 2010 to 2013 in Veterans Health Service Medical Center, 34 implants in 27 patients (24 male and 3 female) were selected and categorized into 3 groups according to the timing of placement, which are group D (Delay), group E (Early) and group I (Immediate). Aesthetic indices used included the Pink Esthetic Score (PES). It has 7 variables scores, such as mesial papilla, distal papilla, a level of soft-tissue margin, soft-tissue contour, alveolar process, soft-tissue color, and soft-tissue texture. Each variable ranges from 0 to 2, therefore total 14 points are highest. All patients were received by regular follow-up at least 1-year. One examiner measured PES on the intraoral photos. Each patient was considered as a statistical unit for statistical analysis. Statistical analyses were performed using a commercially available statistical software (SPSS Statistics 21.0, IBM Corp., Armonk, NY, USA). Kruskal-Wallis test was used for inter-group comparisons. Statistical significance was set at P<0.05. Result: Mean score in Group D, Group I, and Group E were $11.5{\pm}1.5$, $11.4{\pm}1.8$, and $11.3{\pm}1.8$ respectively. In Kruskal-Wallis test, there are no differences (P=0.989). Conclusion: In this limited study suggests that clinical aesthetic results can be achieved with all treatment protocols. Finally, various factors can be considered to produce the esthetic results.

청간소요산으로 호전된 설통 환자 3례

김연진,양승보,김정화,이상화,조승연,박성욱,박정미,고창남,Kim, Yeon-jin,Yang, Seung-bo,Kim, Jeong-hwa,Lee, Sang-hwa,Cho, Seung-yeon,Park, Seong-uk,Park, Jung-mi,Ko, Chang-nam 대한한방내과학회 2017 大韓韓方內科學會誌 Vol.38 No.4

Objectives: This clinical study reports the effects of Cheonggansoyo-san (CSS) on three patients with glossodynia. Methods: Three patients with glossodynia were treated with CSS (i.e., an herbal medicine) and acupuncture. Numeric rating scales (NRSs) for glossodynia and dry mouth and hwa-byung questionnaire scores were evaluated, and the results from heart rate variability (HRV) evaluations were analyzed. Results: After treatment with CSS, three patients' glossodynia symptoms, such as burning sensations, tingling, and numbness of the tongue, were improved. NRS ratings for glossodynia and dry mouth and the hwa-byung questionnaire scores also improved, and HRV parameters were closer to the normal range. Conclusion: Cheonggansoyo-san could be used to treat glossodynia.

여말선초 약초원의 형성 과정과 조경사적 의미 고찰

김정화,Kim, Jung-Hwa 한국조경학회 2017 韓國造景學會誌 Vol.45 No.5

본 연구는 우리나라 약초원의 형성 과정을 추적하고 조경사적 의미를 밝히는 데 목적을 둔다. 이를 위해 본초학 연구가 이루어진 삼국시대부터 조선시대에 이르는 시기의 의료체계 속에서 약초원과 관련한 기록을 찾아보았다. 약초원은 여말선초인 13~15세기에 발달하였다. 지역성을 강조하는 성리학적 자연관의 영향으로 토산 약초를 뜻하는 향약(鄕藥)에 대한 관심이 높아진 고려 말 문인들이 약포(藥圃)를 가꾼 경향이 발견되며, 향약 조사 발견 재배 탐구 등 관련 정책이 시행된 조선 초 종약전(種藥田)이라는 이름의 약초원이 조성된 사실이 확인된다. 내의원과 혜민서와 같은 중앙의료 기구 부속 시설이었던 종약전은 15세기 중반에 실재했던 것으로 확인되고 조선 건국과 함께 설립되어 조선 후기에 쇠퇴한 것으로 추정된다. 종약전은 약현, 율도, 여우도, 사아리 등 한양 도성 밖 여러 곳에 있었고, 그 규모는 18세기 초 당시 약 16만 제곱미터였다. 형개, 지황, 감초 등을 포함한 수십 종이 종약전에서 재배되었고, 내의원에서 파견된 의관과 관노비 수십 명에 의해 종약전이 운영되었다. 종약전은 새로운 약초에 대한 학문적 관심이라는 사회적 배경 측면에서 르네상스시대 의과대학의 약초원과 공통점을, 약초의 종류 위치 기능 등의 측면에서 중세 유럽의 성곽과 수도원 내 약초원과 유사점을 지닌다. 본 연구는 약포와 종약전의 구체적 공간 형태를 밝히지 못한 점에서 한계를 가지나, 우리나라에서 약초원이라는 정원 유형이 여말선초 향약을 중심으로 한 의학의 발달과 함께 나타났으며 공동체의 치료제 재배를 위한 실용정원으로 기능했음을 밝혔다는 점에서 의의를 지닌다. This study traces the development of physic gardens in Korea and explores their significance in the history of landscape architecture. For this purpose, records related to physic gardens from medical sources from the period of the Three States to the Joseon dynasty, when herbal medicine was systematized as a field, were searched. Physic gardens had been developed by the time of the late Goryeo and early Joseon dynasties, in the 13th and the 15th centuries. Yakpo(kitchen gardens for medicinal herbs) were cultivated by a group of new high-level officials in the late Goryeo dynasty, when an increasing interest in hyangyak(native herbs) emerged under the influence of the Neo-Confucian perspective on nature, which emphasized locality. The sources analyzed in this study confirm that physic gardens called jong-yakjeon(royal medicinal herb gardens) were in operation in the early Joseon dynasty when policies to investigate, discover, cultivate, and research native herbs were put into place. It is likely that the jong-yakjeon were established at the beginning of the Joseon dynasty as subsidiary facilities under its central medical institutions, the Naeuiwon and Hyeminseo, and then declined in the late Joseon dynasty. Jong-yakjeon can be confirmed to have existed in the mid-15th century. Physic gardens were located in several places outside the Fortress Wall of Hanyang, such as Yakhyeon, Yuldo, Yeoudo, and Saari. The total area encompassed by physic gardens was about 160,000 square meters in the early 18th century. In jong-yakjeon, dozens of medicinal herbs were cultivated, including Schizonepeta tenuifolia var. japonica, Rehmannia glutinosa, and Glycyrrhiza uralensis Fischer, and these gardens were operated by physicians dispatched from the Naeuiwon and dozens of provincial slaves. In conclusion, the jong-yakjeon were similar to the physic gardens of Renaissance medical universities in that they reflected the interest in and development of theories about new herbs, and were similar to the physic gardens of medieval castles and monasteries in terms of species types, location, and function. This paper has limitations in that it does not present the specific spatial forms of the yakpo or the jong-yakjeon. Nevertheless, this paper is significant for the field of garden history because it shows that physic gardens in Korea appeared in the late Goryeo and early Joseon dynasties concomitantly with the development of medicine towards native herbs and functioned as utilitarian gardens to cultivate community remedies.

시스템 다이내믹스를 이용한 녹색건축인증제도 활성화 정책의 실효성 평가

김정화,이현수,박문서,이슬비,Kim, Jung-Hwa,Lee, Hyun-Soo,Park, Moonseo,Lee, Seulbi 한국건설관리학회 2016 한국건설관리학회 논문집 Vol.17 No.1

건물부분의 온실가스 감축을 위하여 2002년 정부는 녹색건축인증제도(G-SEED Certification)를 도입하였다. 그러나 정부의 각종 활성화정책에도 불구하고 공동주택부분의 인증건수는 전체 공동주택 사업승인건수의 1% 내외에 불과한 실정이다. 이러한 상황에서 정부의 정책은 대부분 공급자를 대상으로 하고 있으며, 정책개선 방안에 대한 연구도 대부분 공급자를 중심으로 이루어지고 있음을 알 수 있다. 하지만 주택시장은 시장의 참여자인 수요자와 공급자의 상호영향을 통해 작동되기 때문에 한쪽에 치우친 시각이 아닌 그들의 포괄적인 관계과 동태성을 고려해야할 필요가 있다. 따라서 본 연구에서는 녹색건축인증 공동주택시장을 수요자와 공급자의 의사결정을 토대로 분석하여, 시스템다이내믹스 연구 모델을 작성한다. 그리고 해당 모델에서 현재 시행중인 정부의 인증 활성화정책이 어떻게 작용하는지 살펴봄으로써 그 실효성을 분석하고자 한다. 이를 통해 향후 녹색건축인증제도의 활성화 정책 방향제시를 위한 기초를 마련할 수 있을 것이라 기대할 수 있다. Since 2002, Korea Government has introduced Green Standard for Energy and Environmental Design Certification for reducing GHG emission in building area. However, total number of G-SEED Certification is only around 1% of total number of approved apartment buildings despite the various boosting policies. In this situation, most boosting policies and policy improvement researches are leaning toward the supplier's aspect. However, comprehensive relation and dynamics between consumer and supplier has to be considered because housing market is operated by market participants' mutual interaction. Therefore, this research presents system dynamics models based on decision making analysis of consumer and supplier in G-SEED Certification apartment building market. Then, this research evaluate the validity of boosting policies using the model. The proposed analysis can assist government to make next G-SEED Certification boosting policy.

가미귀비탕을 포함한 한방치료로 회상기억이 향상된 뇌졸중 후 인지저하 환자 2례

김정화,이형민,신희연,김하리,양승보,조승연,박성욱,고창남,박정미,Kim, Jeong-Hwa,Lee, Hyeong-min,Shin, Hee-yeon,Kim, Hari,Yang, Seung-Bo,Cho, Seung-Yeon,Park, Seong-Uk,Ko, Chang-Nam,Park, Jung-Mi 대한중풍순환신경학회 2018 대한중풍.순환신경학회지 Vol.19 No.1

■ Objectives This case study is to report the two cases of Gami-Guibitang on cognitive impairment after stroke with improved recall memory. ■ Methods We used Korean medicine treatments including Gami-guibitang, acupuncture and moxibustion to treat patients who had cognitive impairment after stroke for at least two months. We observed the changes of symptoms by measuring Korean version of Mini-mental status examination (MMSE-K), Clinical Dementia Rating (CDR) and Global Detration Scale (GDS). ■ Results After treatment, the patient's symptoms were improved including MMSE-K, CDR and GDS. Improvement appeared to be prominent in recall memory. The general condition were also improved after treatment. ■ Conclusion This clinical case study suggests that Korean medicine including Gami-guibitang could be used to treat patients who had cognitive impairment after stroke especially suffering from degraded recall memory.

사경증 환자의 한방 치험 1례

김정화,이형민,김연진,이보윤,조승연,박정미,고창남,박성욱,Kim, Jeong-Hwa,Lee, Hyeong-min,Kim, Yeon-Jin,Lee, Bo-Yun,Cho, Seung-Yeon,Park, Jung-Mi,Ko, Chang-Nam,Park, Seong-Uk 대한중풍순환신경학회 2016 대한중풍.순환신경학회지 Vol.17 No.1

■ Objectives This clinical report is to report the effect of Korean medicine on a patient with torticollis. ■ Methods We used herbal medicine, acupuncture, moxibustion, pharmaco-acupuncture and bee venom acupuncture to treat a torticollis patient during hospitalization and out patient department (OPD) treatment for 3months. We observed the changes of symptoms using Toronto Western Spasmodic torticollis Scale (TWSTRS). ■ Results After treatment, the patient's symptoms including torticollis, pain and the general condition were improved. The TWSTRS scores were also improved after treatment. ■ Conclusion This clinical case study suggests that Korean medicine treatment could be effective in the treatment of torticollis.

기수(氣嗽)에 대(對)한 문헌적(文獻的) 고찰(考察)

김정화,Kim, Jung-Hwa 대한한방내과학회 1992 大韓韓方內科學會誌 Vol.13 No.1

This study has been carried out to investigate the cause, symptom and treatment of Gi-Su(氣嗽) by referring to 20 literatures. The results were as follows; 1. The factors causing Gi-Su(氣嗽) divided into 3 groups. The 1st outer factors are mental element, 2nd spleen week 3rd dam(痰). 2. The symptom of Gi-Su(氣嗽) is as follows. stimulus feeling in throat, cough, pain of sub-ribs, bad feeling, retching, vomiting, unfair, fatigue, worn, diarrhea, dark tongue, makhyun(脈弦). 3. The treatment of Gi-Su(氣嗽) is as follows. gaewulhanggi(關鬱行氣), egichungpae(利膈淸肺), hwadam(化痰), soganhaeWul(疏肝解鬱), hanggidoche(行氣導滯), sangyuljedam(散結除痰) 4. The drugs of Gi-Su(氣嗽) is as follows. chilgitang(七氣湯), gamisachiltang(加味四七湯), sojaganggitang(蘇子降氣湯), banhahubaktang(半夏厚朴湯).

니트웨어 소재의 감성 및 선호도

김정화,이선영,이정순,Kim, Jeong-Hwa,Lee, Sun-Young,Lee, Jung-Soon 한국섬유공학회 2007 한국섬유공학회지 Vol.44 No.6

The purpose of this research was to find out the factors that explain the subjective texture sensibility and image sensibility of knit fabrics. 43 different kinds of commercial knit fabrics were assessed subjectively by 178 consumers using the 7-point scale of 65 descriptors. The dimensions evaluating the texture sensibility and image sensibility of knit fabrics were also developed using the multi-dimensional scaling method. Hand and preference were predicted by the texture and image sensibility factors, respectively. The texture sensibility is explained by five factors: bulk, stiffness, density, elasticity and evenness. The image sensibility is explained by seven factors: feminine/masculine, new, casual, clear, classic, old and orderly. Better hand is found in knit fabric of pliable, light, and dry & bouncy texture. Higher preference is found in knit fabric of clean, comfortable, silent, attractive and chic image. The hand was predicted 51.1% with stiffness, density, bulk, and evenness factor. The preference was predicted 43.6% with new, feminine/masculine, casual, orderly and clear factor. The correlation coefficient between hand and preference was 0.358. Image sensibility is more important than hand on the preference of top outerwear.

한의학적 치료로 호전된 Cardiorenal Syndrome 환자 치험 1례

김정화,이형민,신희연,김연진,조승연,박정미,박성욱,고창남,Kim, Jeong-hwa,Lee, Hyeong-min,Shin, Hee-yeon,Kim, Yeon-jin,Cho, Seung-yeon,Park, Jung-mi,Park, Seong-uk,Ko, Chang-nam 대한한방내과학회 2017 大韓韓方內科學會誌 Vol.38 No.5

Objectives: This clinical study is to report Gami-Siryong-tang treatment of edema in a patient with cardiorenal syndrome (CRS). Methods: We used Gami-Siryong-tang, acupuncture, and moxibustion to treat a patient with CRS who had edema as a chief complaint, while the patient was hospitalized for 2 weeks. We observed the changes in symptoms by measuring body weight and calf girth. Results: After treatment, the patient's symptoms including edema and dyspnea, and the general condition were improved. The body weight and calf girth were also reduced after treatment. Conclusion: Korean medicine, including Gami-Siryong-tang, may be useful for treatment of edema due to CRS.

식물원에 대한 개항기 한국 지식인의 인식 고찰

김정화,조경진,Kim, Jung-Hwa,Zoh, Kyung-Jin 한국조경학회 2016 韓國造景學會誌 Vol.44 No.2

본 연구는 창경궁 내 식물원이 조성되기 이전에 나타난 한국 근대 식물원의 효시를 찾고자 하는 시도이다. 이를 위해 1876년부터 1910년의 개항기에 일본, 러시아, 영국에 파견된 사절단이나 윤치호 및 유길준과 같은 해외 유학생이 작성한 기행문 형식의 글을 실마리 삼아 당시 한국 지식인들이 식물원을 이해하고 전유하는 양상을 읽어내려 하였다. 연구 결과, 식물원에 관한 내용은 1880년대까지만 하더라도 기행문에 등장하지 않았다. 여러 식물원을 안내하려고 했던 일본 측의 계획과 달리 일본에 파견된 조선 사절단들은 식물원을 방문하지 않고 관련 기록도 남기지 않는 등 식물원에 대한 흥미를 보이지 않았다. 반면, 1890년대 이후 러시아, 유럽, 미국 등지에 파견된 사절단이나 유학생들은 식물원에 관심을 보이기 시작하였다. 그들은 식물원을 문명국인 서구의 대표적 문물이자 필수품으로 판단하고 학문 발전과 계몽의 도구로서 국내에 도입하고자 노력하였다. 비록 개항기 한국 지식인들의 식물원의 필요성에 대한 인식 및 주장이 실제 식물원 조성으로 이어지지는 못하였으나, 이들의 기록과 견해는 문명의 표상으로서 식물원의 이미지를 공고히 하였다는 점에서 중요하다고 판단된다. 본 연구는 한국 근대 식물원 개념의 태동을 구체화하고 1909년 창경궁 내 식물원의 설립을 이해하는 데 밑거름을 제공하는 기초연구로서 의의를 갖는다. This study is an attempt to trace the origins of Korean botanical gardens prior to the construction of the botanical garden in Changgyeonggung Palace. We trace the time period during which Korean intellectuals first understood and appropriated botanical gardens based on accounts found in travel journals. These were written by members of delegations sent to Japan, Russia, and Great Britain and by students who had studied abroad, such as Tchi-Ho Yun and Kil-Chun Yu, during the open port period from 1876 to 1910. This study shows that the term "botanical garden" did not appear in any of the travel journals and the delegations did not show much interest in them until the 1880s. Japan had planned to introduce the different types of botanical gardens to the delegations from the Joseon Dynasty, but the delegations left no official records or related accounts regarding their visits. In contrast, members of delegations who were sent to Russia, Europe, and America after the 1890s began to pay attention to botanical gardens. They considered botanical gardens as a representative and essential part of Western culture and attempted to introduce them in Korea as essential tools for academic development as well as for enlightenment. Although many Korean intellectuals' opinions about the necessity of a botanical garden did not actually lead to its construction during the open port period, such a movement was significant in that it strengthened the botanical garden's image as a symbol of civilization. Apart from tracing the origins of the botanical gardens in Korea, this study serves as fundamental research material for understanding the establishment of the Changgyeongwon Botanical Garden in 1909.