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재난트라우마 한의사 진료 매뉴얼 기반 교육 프로그램 개발 연구
서진우 ( Jin-woo Suh ),서주희 ( Joohee Seo ),이진희 ( Jinhee Lee ),김상호 ( Sang-ho Kim ) 대한한방신경정신과학회 2024 동의신경정신과학회지 Vol.35 No.1
Objectives: This study aims to develop an educational program based on a manual for disaster medical support using Korean medicine (KM) for disaster survivors. Methods: We conducted a literature review on another educational program, a focus group interviews with experts, a survey of the academic needs of Korean medicine (KM) doctors, educational competency development, and an expert Delphi survey. Results: This program was designed using a hybrid method combining online (4 h) and offline (8 h) elements; the total time of the program is 12 h. The offline course consists of theory (4 h) and practice (4 h) lectures. The theory lecture covers herbal medicine, acupuncture, stabilizing technique, emotional freedom technique, and self-management, and the practice lecture covers stabilizing technique, emotional freedom technique, and clinical performance evaluation. Meanwhile, the online course covers a manual for disaster medical support using KM and an introductory course from the National Center for Disaster and Trauma. Conclusions: The results of this study are expected to be useful for enhancing training for KM doctors in trauma care for disaster survivors as well as evaluating and validating the program’s effectiveness.
SRP(Stress Reduction Program)을 적용하여 호전된 공황장애 48세 남환 치험 1례
서진우 ( Jin Woo Suh ),김종우 ( Jong Woo Kim ),정선용 ( Sun Yong Chung ),박소정 ( So Jung Park ) 대한한방신경정신과학회 2007 동의신경정신과학회지 Vol.18 No.3
The SRP program(stress reduction program) is reported has a good effect to patient to escape from anxiety. To reduce several symptoms due to anxiety, we performed some SRP programs to our patient who had suffered anxiety disorder.The measurement tools of patient`s improvement we used are Heart Rate Variability and State-Trait Anxiety Inventory. Through this programs, symptoms and feeling of anxiety were decreased than first time and Autonomic nerve system balance was much improved. this is caused by effort of self-control meditation, mindfullness, breathing instruction and muscle relaxation program.
심박변이도 및 SCL-90-R 측정을 통한 자율훈련법과 과일 명상의 효과 비교 분석
서진우 ( Jin Woo Suh ),김종우 ( Jong Woo Kim ),정선용 ( Sun Yong Chung ),김지영 ( Ji Young Kim ),황은영 ( Eun Young Hwang ) 대한한방신경정신과학회 2008 동의신경정신과학회지 Vol.19 No.3
Objective : There are many meditation methods used in clinical field. But the effect of meditation may be different to people`s mind, and meditation itself. Now we investigate this subject with two different meditation methods which has been analyzed by heart rate variability. Method : We tried to check people`s heart rate who educated meditation, before educated and during the meditation. The meditation was educated differently for each group. One is the autogenes traning, and the other is the imaginary meditation by thinking about eating and smelling favorite fruits. All of them are used to oriental psychiatry clinic patients. And we simultaneously conduct people`s emotional state by SCL-90-R. Result : The result in Autogene traning group has significant difference in total power and HRV-index score between before and during the training but in imaginary meditation group has no significance : Autogene traning group has a significance in low frequency score and has increased tendency with increasing tendency of Heart rate index and Total power. Through the SCL-90-R score, the higher depression t-score, the anxiety t-score, and the hostility score is, the HRV scores such as total power, low frequency, and HRV-index much increase. and so on. Conclusion : We can guess that the Autogenes training has more significant effect than the imaginary meditation. And we can also guess that as the emotional problem is getting more severe, the effect of meditation would be much better. And we finally suggest that we should make a standard guideline of imaginary meditation, cause the imaginary meditation has so many variation.
심박변이도(HRV: Heart Rate Variability) 측정을 통한 정서 상태 및 명상의 종류별 명상 효능 평가
서진우 ( Jin Woo Suh ),황은영 ( Eun Young Hwang ),정선용 ( Sun Yong Chung ),황의완 ( Wei Wan Whang ),김종우 ( Jong Woo Kim ) 대한한방신경정신과학회 2009 동의신경정신과학회지 Vol.20 No.3
Objectives: This study has the object to evaluate the effect of meditation at the clinical field and to classify the profer meditation by the emotional states of patients. Methods: Thirty volunteers have been recruited using local advertisement. They devided into two groups(patient group, normal group). Emotional states and stressors (STAI, STAXI, BDI, SCL-90-R, Stress Response inventory, Life event stress) have been evaluated. After that test HRV(Heart Rate Variability) has been tested and subjects took a 5-minute rest. After that, one of meditation has been chosed and has been demonstrated for 10 minutes by practiced trainer(Autogenic Training, Fruit Imaginary Meditation, Random assignment). After 5 minutes resting time, HRV has been measured again with meditation that had been administered. Results: 1. The higher the scale of emotional index, the more sensitively react has been occured according to the meditation. 2. The rate of HRV index that means stable state is higher in Fruit Imaginary Meditation group who thought to be administered meditation well.
매핵기(梅核氣)로 인해 음식을 삼키지 못하는 전환장애 환아 치험 1례
황은영 ( Eun Young Hwang ),서진우 ( Sun Yong Chung ),서현욱 ( Jong Woo Kim ),정선용 ( Jin Woo Suh ),김종우 ( Hyun Uk Suh ) 대한한방신경정신과학회 2009 동의신경정신과학회지 Vol.20 No.2
Objective: This study was designed to research the effect of the korean traditional herbal medicine and oriental psychotheraphy on globus hytericus and swallowing difficulty caused by conversion disorder. Methods: A 10 years old male patient suffer from globus sensation and swallowing difficulty for 2 months. We treated him with the korean traditional herbal medicine(Banhahubak-tang) and oriental psychotheraphy for 27 days. Results: After this treatment, globus sensation and swallowing difficulty were decreased and appetite were increased. In addition, compulsion had been severe and it was improved after this treatment. Conclusions: Psychiatrists have reported that conversion disorder is not common in children especially under 10 years old. Globus hystericus, dysphagia is symptoms of conversion disoder but globus hystericus is very rare in childhood. In this case, we recognized that the korean traditional herbal medicine and oriental psychotheraphy could be effective for the clinical symptoms of globus hystericus and swallowing difficulty.
한의학 정신요법을 이용한 소아 전환장애 환자 1례 -지언고론요법(至言高論療法), 지지적 정신치료와 행동치료-
서현욱 ( Hyun Uk Suh ),서진우 ( Jin Woo Suh ),황은영 ( Eun Young Hwang ),김종우 ( Jong Woo Kim ),정선용 ( Sun Young Jung ) 대한한방신경정신과학회 2009 동의신경정신과학회지 Vol.20 No.4
Objectives: This case report presents a 7-year-old female patient diagnosed with conversion disorder improved by application of oriental medical psychotherapy, the Giungoroen. Her chief complaint was dysesthesia of anal. Methods: Through interview and several psychological testing such as HTP test, DAF test, JTCI 7-11, we assessed her psychological state and seek for the psychological reason induced her physical symptom, dysesthesia of anal. After assessment we concluded her main psychological problem was loss of love relationship with her parents. So we decided to use supportive psychological therapy and behavioral therapy-like changing upbringing attitudes of her parents, for example- with Herbal medicine treatment. Results: After 2-month of therapeutic period, chief physical symptom of patient-dysesthesia of anal-was reduced to 20% compared with first visit day. Conclusions: The Giungoroen corresponds to supportive psychotherapy and behavioral therapy. And this oriental medical psychotherapy is fairly effective on the treatment of conversion disorder in childhood.
EFT 집단치료 프로그램이 화병환자에게 미치는 영향에 대한 질적분석
송승연 ( Seung Yeon Song ),이정환 ( Jung Hwan Lee ),서진우 ( Jin Woo Suh ),권찬영 ( Chan Young Kwon ),김종우 ( Jong Woo Kim ) 대한한방신경정신과학회 2014 동의신경정신과학회지 Vol.25 No.1
Objectives: The objective of this study is to examine the effects of Emotion Freedom Techniques (EFT) group treatment program for Hwa-byung patients. Methods: Thirteen Hwa-byung patients have participated in the four weeks program of EFT group treatment and the program was executed once a week, for about one hour. After every session, the participants performed EFT by themselves in order to control their symptoms. Four weeks after the program ended, we interviewed the participants by using the semi-structured interview method to observe changes of Hwa-byung. All the data collected was summarized through the qualitative analysis method. Results: Results showed effects of the EFT group treatment program, with regards to the physical, cognitive and emotional aspects. Most of the participants experienced reliefs of Hwa-byung symptoms like chest tightness, hot flashes, insomnia and so on. Their ability to cope with stress improved and their re-experiences of past memories decreased. And their distorted self-images were also restored. Lastly, there was a decrease in negative emotions and an increase in positive emotions experienced by the participants. The participants could control their symptoms by performing self-enforcement. In addition, regarding the form of group therapy, the treatment was effective as it helped the participants to feel solidarity and social support. Conclusions: The EFT group treatment program can relieve the physical, cognitive and emotional symptoms of Hwa-byung. This program can be applied to the psychotherapy of Hwa-byung.
척추 손상에 대한 임상적 고찰 : Report of 210 Cases
서진우,강재도,김광연,인주철 최신의학사 1973 最新醫學 Vol.16 No.1
Two hundreds and ten cases of spine injuries (330 lesions) were encountered at the Taegu Military hospital during the six years period from june 1966 to may 1972. They were analyzed as follows. 1. The rate of spine injuries tend to increase year by year as the rate of traffic accident and industrial accident have been increased. 2. The most common cause of spinal injuries was traffic accident (61.4%) and most frequent injury site in the spinal segment were between 12th thoracic spine and 2nd lumber spine (60.4%). 3. The authors classified the spinal injuries by the mechanics of external forces. The most frequent type of spinal injuries was simple wedge fracture (73.3%) which was induced by flexion violence. 4. Management of spinal injuries were devided into 2 groups as stable and unstable type. Stable type of injuries were treated by conservative method such as bed rest, back muscle exercise, brace and physiotherapy with better results than operative method in unstable type of injuries.
Solitary Bone Cyst의 치험례 : 1예보고 -Report of Case¬
서진우,강재도,김광연 최신의학사 1973 最新醫學 Vol.16 No.2
A case of solitary bone cyst encountered in the distal end of right femur shaft is reported. This case, 11 years old boy, complained of pain and swelling on the right lower thigh after trauma. Roentgenological study revealed a large cystic lesion involving the end of the right femur shaft with egg-shell like thin cortical expansion and a pathologic fracture. The case was treated with radical curettage and autogenous bone chips which were taken from the iliac wing. Pathological examination grossly and microscopically revealed a solitary bone cyst. Patient made an uneventful recovery, and 6 months later he had no complaints and no evidence of recurrence.
Papain 유도 호흡기 염증모델에서 인삼패독산(人蔘敗毒散)의 항염증 효과
우연주, 유준상, 이동혁, 서진우, 김주희, 권보인 상지대학교 한의학연구소 2023 尙志韓醫論文集 Vol.11 No.1
Objectives: Insampaedok-san and its main components have been used for treatment of fever, joint pain, cough, headache and pain. Using a respiratory inflammation model, we intend to investigate the anti-inflammatory effect and its mechanism of Insampaedok-san. Methods: We induced the actue respiratory inflammatory mouse model by papain treatment. BALB/C mice (female, 8 weeks old) were divided into three groups as follows: saline control (SC): papain treated group (vehicle): papain and Insampaedok-san (200mg/kg) treated group (n=4). To demonstrate the ani-inflammatory effect of Insampaedok-san water extracts, inflammatory cell infiltration was evaluated in bronchoalveolar lavage fluid (BALF) and nasal lavage fluid (NALF). In addition, immunogloblin (Ig)-E level was measured by using ELISA. Results: Insampaedok-san extracts administration decreased inflammatory cell infiltration in BALF and NALF. Especially, eosinophil infiltration was dramatically reduced. Furthermore, total Ig-E level was diminished in BALF and serum by Insampaedok-san administration. Conclusions: Our findings revealed Insampaedok-san extracts have anti-inflammatory effects by inhibiting inflammatory cell, especially eosinophil infiltration and Ig-E level.