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      • KCI등재후보
      • 痛症의 暗箱的評價法에 관한 考察

        신승우,정석희,이종수,신현대,김성수 동국대학교 한의학연구소 2000 東國韓醫學硏究所論文集 Vol.8 No.2

        통증은 환자들로 하여금 내원하게 하는 주된 증상중의 하나로, 치료방법의 선택 및 효과 판정을 위해서는 적절한 평가가 필요하다. 통증은 실험적인 방법과 임상적인 방법에 의해 측정될 수 있는데, 통증의 주관적인 성격상 임상적인 방법이 일반적으로 사용된다. 통증의 임상적측정법은 일차원적 측정법과 다차원적측정법으로 대별할 수 있는데, 일차원적 측정법으로는 시각적상사척도(Visual Analogue Scale), 구술적평정척도(Verbal Rating Scale), 수치평정척도(Numerical Rating Scale), 통증표정척도(Pain Faces Scale), 그리고 포커칩 도구(Poker Chip Tool)등이 있고, 다차원적 측정법으로는 McGill 동통질문서(McGill Pain Questionnaire), 다면적인성검사(MMPI), 통증행동척도(Pain Behavior Scale), 통증장애지표(Pain Disability Index), 그리고 통증평정척도(Pain Raing Scale)등이 있다. 일차원적 측정법은 주로 환자의 자기통증평가법에 기초하여 통증의 강도를 측정하는데, 측정방법의 단순함과 신속성으로 인해 급성통증을 평가하는데 주로 사용된다. 다차원적인 측정법은 통증의 주관적, 정신적 그리고 행동적인 면을 측정하는데, 측정방법이 포괄적이고 신뢰성이 있어서 만성통증을 측정하는데 사용된다. 환자의 언어와 인지능력은 정확한 통증을 평가하는데 장애가 되는 주된 요인이다. 통증에 따른 행동반응이나 생체반응은 환자의 통증을 완전히 대변하지 못하지만 이러한 상황에 있어 유용한 통증평가지표가 될 수 있다. 통증평가법을 결정할 때에는 먼저 측정하려고 하는 통증의 성격을 고려하여 어떠한 면을 측정할 것인가를 결정해야하며 아울러 환자의 언어와 인지능력을 고려해야 한다. 적절한 평가법의 선택은 환자의 진단과 치료에 있어 유효한 결론에 이르게 하는 중요한 과정이다. Pain can be evaluated by experimental methods and clinical methods, but due to subjective characteristics of pain, clinical methods are generally used. The clinical pain measurement tools are divided into unidimensional and multidimensional assessment tools. The former include Visual Analogue Scale, Verbal Rating Scale, Numerical Rating Scale, Pain Faces Scale, and Poker Chip Tool and the latter include McGill Pain Questionnaire, MMPI, Pain Behavior Scale, Pain disability index, and Pain Rating Scale. Unidimensional pain scales mainly measure the intensity of pain on the basis of the patient s self report and their simple construction and ease of use enable the invesgator to assess acute pain. Multidemensional pain scales are used to evaluate subjective, psychological and behavioral aspects of pain and because of its comprehensive and confidential properties they are applied to chronic pain. Patient s linguistic and cognitive abilities are major factors to restrain accurate assessment of pain. Although behavioral patterns and vital sign are inferior to self-report in the measurement of pain, they can be useful indexes in those situations. When deciding on a pain-assessment tool, the investigator must determine which aspect of pain he or she wishes to evaluate on the characteristics of the group of patients, their backgrounds, and their communication skills. Making the proper choice will facilitate the acquisition of meaningful data and the formulation of valid conclusions.

      • 요부수핵탈출증에서 Thermography의 진단적 가치

        신현택,신승우,송재철,정석희,이종수,김성수,신현대 경희대학교 동서의학연구소 2001 東西醫學硏究所 論文集 Vol.2000 No.-

        Objectives : Lumbar radiculopathy is a common disease in oriental rehabilitation medicine. It can be diagnosed by physical examination, plain X-ray, Myelography, CT, MRI, EMG etc. But those methods are not useful in observing the clinical procedure. Objectvie evaluating the clinical procedure is very important in treatment of lumbar radiculopathy. Mehthods : We studied the clinical efficacy of thermography in lumbar radiculopathy during conservative managements. We studied 36 patients with lumbar radiculopathy convinced by MRI. The had low back pain and radiating pain on one side. Thermography had taken before an after 4 weeks treatments, and compared with clinical procedure Results and conclusions : Thermography is not pertinent as a primary diagnostic method in lumbar radiculopathy, but useful in observing the clinical procedure. And it can be recommended as a objective evaluation for lumbar radiculopathy.

      • KCI등재

        절식요법의 체중감량효과와 체성분 변화에 대한 관찰

        신승우 ( Seung Uoo Shin ),김성수 ( Sung Soo Kim ),신현대 ( Hyun Dae Shin ) 한방비만학회 2003 한방비만학회지 Vol.3 No.1

        Objectives: This study was aimed to investigate the effect of the reduction in body weight and the change of body composition after fasting therapy, Chulsikyopub, which was put into practice in Dept. of oriental rehabilitation medicine at Kyung Hee oriental hospital. Method: We measured body weight, body composition, and the degree of obesity 2 weeks after fasting therapy and 10 weeks after fasting therapy with body composition analyzer(Inbody 2.0). Statistical comparisons between pre-therapy group and post-therpay group were done by paired t-test and Wilcoxon`s signed rank test. Results: 2 weeks after fasting therapy, body weight was decreased 7.33Kg(9.18%), body fat was decreased 2.47Kg(7.24%), muscle weight was decreased 4.66Kg(11.37%), body fat ratio was increased 1.08%, and body metabolic rate(BMR) was decreased 118.23Kcal(8.22%). 10 weeks after fasting therapy, each of body weight and fat was decreased 10.4Kg, muscle weight was increased 0.3Kg(0.7%), body fat ratio was decreased 7.9%, and BMR was increased 6.8Kcal(0.47%). But muscle weight and BMR did not satisfy statistical significance. Conclusions: Fasting therapy for 10 weeks reduced body weight and body fat statistically significant without loss of muscle weight and BMR.

      • KCI등재

        한국인(韓國人) 비만여성(肥滿女性)과 UCP-1 유전자다형성(遺傳子多形性)의 상관성(相關性) 연구(硏究)

        신승우 ( Seung Uoo Shin ),김성수 ( Sung Soo Kim ) 한방재활의학과학회 2007 한방재활의학과학회지 Vol.17 No.3

        Objectives:This study was conducted to investigate the effects of UCP-1(Uncoupling protein-1) polymorphism on obesity phenotypes.For this, we analyzed association between SNPs(single nucleotide polymorphisms) of UCP-1-3954A>G,-1766A>G, +940A>G, +6537A>T, and their haplotypes and obesity phenotypes.Methods:A total of 426 Korean female subjects were recruited from an obesity clinic.All subjects were obesity on BMI(Body mass index) (□25 ㎏/㎡).For genotyping of SNPs, genomic DNA(Deoxyribonucleic acid) from each subject was extracted from whole blood and genotyped by TaqMan Method.Haplotypes and their frequencies were inferred using the algorithm, HapAnalyzer program.BMI, body fat mass, percent body fat, abdominal fat mass, waist circumference, lipid profile, and blood pressure were measured and associations between these and SNPs and haplotypes of UCP-1 were analyzed by age-adjusted general linear model.Results & Conclusions:There was significant, but not close association between-3954A>G, +940G>A, and haplotype 1-3 of UCP-1 with increased body fat of Korean female subjects.It was found that body fat mass and other obesity phenotype were significantly increased in G allele carriers of-1766A>G polymorphism, while decreased in T allele carriers of +6537A>T polymorphism and haplotype4[GAAT] carriers.

      • KCI등재

        원저 : 정상골밀도이하 중년비만여성환자의 기린다이어트시 골밀도 변화

        신승우 ( Seung Uoo Shin ),최영민 ( Woo Jin Sim ),심우진 ( Young Min Choi ),김길수 ( Kil Soo Kim ),윤유식 ( Yoo Sik Yoon ) 한방비만학회 2005 한방비만학회지 Vol.5 No.1

        This study was performed to investigate the change of bone mineral density(BMD) after 1 month Kirindiettherapy including very low calory diet(VLCD) in middle-aged obese women(65>age 40, BMI 25) under normal BMD(T-score 0) . ? ? ? We examined body weight, body fat, protein mass and BMD of 13 middle-aged obese women who visited to Kirin Oriental Hospital from Sep. 7. 2004 to Oct. 12. 2005 before and after 1 month Kirindiettherapy. Body weight, body fat and protein mass was checked by Inbody 4.0 and BMD was checked by quantitated computed tomography. Wilcoxon signed rank test was used for analyzing changes of body weight, body fat, protein mass and BMD before and after treatment. After 1 month treatment body weight(-4.89Kg, -6.74%, p=0.001), body fat(-3.47Kg, p=0.001) and protein mass(-0.97Kg, p=0.006) was significantly reduced. BMD was significantly increased in all cases(+4.87mg/cc,+4.16%,p=0.001). Though body weight, body fat and protein mass were significantly reduced, BMD was significantly increased(p<0.01). In this study, we can conclude that after 1 month Kirindiettherapy including VLCD, BMD in middle-aged obese women under normal BMD was significantly increased inspite of reduction of body weight, body fat and protein mass.

      • KCI등재

        고주파요법이 부분비만치료에 미치는 영향

        신승우 ( Seung Uoo Shin ),최영민 ( Young Min Choi ),심우진 ( Woo Jin Shim ),이형철 ( Hyung Chul Lee ),김길수 ( Kil Soo Kim ) 한방비만학회 2006 한방비만학회지 Vol.6 No.2

        This study was performed to identify the effects of high frequency therapy on localized obesity. Methods: This trial was carried out in 12 volunteers. Volunteers were divided into 3 groups; upper arm group (n=4), thigh group (n=4) and abdomen group (n=4) according to local obesity type. Body weight and body fat were measured by Inbody 720 and CT (Computed Tomography) immediately before and following high frequency therapy. Diathermy was performed twice a week for 4 weeks for a total of 8 treatments. Results: In the upper arm group, body weight, body fat mass, fat area by CT scan and circumference were increased after treatment but not significantly (p>0.05). In the thigh group, body weight, body fat mass and circumference were decreased and fat area by CT scan was increased but both not significantly (p>0.05). In the abdomen group, significant differences were not found despite decreases in body weight, body fat mass, visceral fat and subcutaneous fat after diathermy (p>0.05). Conclusions: There was no significant effects of high frequency therapy on localized obesity.

      • KCI등재
      • KCI등재
      • 오공독(蜈蚣毒)에 관한 문헌적(文獻的) 고찰(考察)

        신승우 ( Seung Uoo Shin ) 대한면역약침학회 2012 대한면역약침학회지 Vol.1 No.1

        This overview was designed to establish the rationale of scolopendrid venom study. Primary venom organ is located in the first maxillae in the head, in addition to trunk and tail. Scolopendrid venom is composed of hemolysin, serotonin, hyaluronidase, histamine, et al. Scolopendrid venom causes blood pressure rising action, parasympathetic hyperactivity, hemolysis, insecticidal effect, and antispasmodic activity. Half lethal dose(LD 50) is 1.5 ml/Kg.

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