보건의료전문가의 고령친화용품 수요 및 품질에 대한 예비조사연구 - 한방용품 및 생활용품 중심으로-

김경철,김이순,김규곤,문인혁,황이철,권자연,신순식,Kim, Gyeon-Cheol,Kim, Yi-Soon,Kim, Kyu-Kon,Moon, In-Hyuk,Hwang, Lee-Cheol,Gwon, Ja-Youn,Shin, Soon-Shik 대한동의생리학회 2006 동의생리병리학회지 Vol.20 No.6

This is a pilot study to survey the general demand of senior-assistive necessities before a standardization system for senior-assistive necessities is developed as well as to describe health professionals' opinions about the demand and quality of Oriental medical aids and necessities for daily living for the elderly. This is a descriptive survey in which 29 health professionals are questioned, using structured questionnaires based on ISO 9999. The questionnaires were developed by 7 expert conduction standardization system of senior-assistive products in Korea. The data is analyzed by descriptive statistics. The result is as follows : First, with regard to the demand for all of the items in Oriental medical aids for the elderly, the demand of cupping glasses is the highest, followed by instrument used to apply heat treatment, massage equipment, thermo-therapeutic mattress, and heat or ice packs. With regard to the demand for all of the items for the necessities for daily living for the elderly, chairs are the highest, followed by rolling chairs, beds for health, and heigh adjustable beds. Second, with regard to quality of Oriental medical aids, ${\ulcorner}$aids for hair care${\lrcorner}$ are the best, whereas ${\ulcorner}$aids for boiling Oriental medicine${\lrcorner}$ are the worst. In quality of the necessities for daily living, ${\ulcorner}$chairs${\lrcorner}$ are the best, whereas ${\ulcorner}$beds${\lrcorner}$ are the worst. Above all, this result shows that with ${\ulcorner}$aids for heat or cold treatment${\lrcorner}$, there is relatively high demand and low quaily of Oriental medical aids, and with ${\ulcorner}$Beds${\lrcorner}$, there is relatively high demand and low quality. Therefore, aids for heat or cold treatment and beds in th necessities for daily living are required to be developed for standardization of senior-assistive necessities.

전외측 대퇴부 천공지 피판을 이용한 하지 연부조직 결손의 재건

김경철,정재익,김성언,김학수,류인혁,Kim, Kyung-Chul,Chung, Chae-Ik,Kim, Seong-Eoun,Kim, Hak-Soo,Rhyou, In-Hyeok 대한미세수술학회 2006 Archives of reconstructive microsurgery Vol.15 No.2

This study investigated the clinical application of anterolateral thigh (ALT) perforator flap in reconstruction of soft tissue defect of lower extremity. There were twenty-one patients who had been taken soft tissue reconstruction with anterolateral thigh perforator flap. There were 19 males and 2 females between 3 and 65 years (mean, 36 years). This study included 4 cases of pedatric case of under 10-year-old. All cases were a cutaneous flap. Flap size averaged $160\;cm^2\;(20{\sim}450\;cm^2)$. 19 cases were musculocutaneous perforator flaps and 2 were septocutaneous perforator. T-shaped pedicle were used to reconstruct and to preserve major artery of lower extremity in 2 cases. 19 cases flaps survived completely and 2 cases flap were marginal necrosis partially. There was venous congestion in one case of type of reverse island flap but that was improved after salvage procedure with leech. While the donor sites were closed directly in 5cases, 16 cases underwent skin graft. ALT flap is suitable for coverage of defects in lower extremity where have various condition and reliable in children as in adult.

발전설비의 성능시험 및 계산

김경철,Kim, Gyeong-Cheol 한국열병합발전협회 1997 열병합발전 Vol.3 No.-

Haglund씨 변형을 동반한 부착부 아킬레스 건염에서의 방사선학적 측정치의 임상적 유용성

김경철,신헌규,강동호,Kim, Kyung-Chul,Shin, Hun-Kyu,Kang, Dong-Ho 대한족부족관절학회 2005 대한족부족관절학회지 Vol.9 No.2

Purpose: It is to analyze the clinical utility of radiograhpic measurements for the insertional Achilles tendinitis patients who have Haglund's deformity and to evaluate the radiographic values related to Haglund's deformity in normal Korean population. Materials and Methods: We used the angle of Fowler and Philip, parallel pitch lines (PPL) and Chauveaux-Liet (CL) angle as radiographic measurements. We examined 50 cases of insertional Achilles tendinits patients and another 50 cases of normal foot as a control. Results: In normal feet, the mean value of angle of Fowler and Philip was $53.22^{\circ}$, CL angle was $-33.14^{\circ}$ and the PPL showed positive in 48%. In case of insertional Achilles tendinitis, the mean values were $55.39^{\circ}$, $-33.63^{\circ}$, positive in 56% respectively. There were not statistically significant differences (p>0.05). Conclusion: The radiographic values for Haglund's deformity between insertional Achilles tendinitis feet and the normal feet did not show significant difference. Therefore, it seems that the clinical utility of radiographic measurements for the insertional Achilles tendinitis with Haglund's deformity is not useful and the development of new diagnostic methods as MRI and ultrasonography is required.

고령자 맥상과 병증지표 개발을 위한 기초적인 연구

김경철,김훈,신순식,이해웅,Kim, Gyeong-Cheol,Kim, Hoon,Shin, Soon-Shik,Lee, Hai-Woong 대한예방한의학회 2008 대한예방한의학회지 Vol.12 No.1

In the situation providing the aged society, the contents of the symptoms of senility centering around the aged-pulse condition were arranged. The results were as follows. In the questions about the aged symptoms, the results of indicating the gradual physical-age following the aged symptoms with the real age(from 40 to 100, 7 grade) and the gradual physical-age following the ageing grade of male and female (the 3 grade of the female / the 4 grade of the male) could have the differentiations. And the distinction of the aged pulse condition was observed two pulse condition ; the one is the minute pulse condition(Mi, Sei ;微細) as lowering function and the other is the Hyun, Ghin(弦, 緊) pulse condition as the blood's tention and contration.

기공(氣功) 치료기(治療器)의 분석(分析) 연구(硏究)

김경철,이용태,Kim, Kyung-Cheol,Lee, Yong-Tae 제3의학회 1997 제3의학 Vol.2 No.1

In order to basic study of the oriental medical engineering, the Qigong infrasound treatment apparatus is analyzed. The results is followed : 1. SY-201 type Qigong Infrasound Treatment Apparatus is composed of oscillator, amp, transducer. 2. The Qi production process is analyzed that EM wave changed sound wave of superlow frequency number and penetrated the human body deeply.

대중교통서비스 개선 위해선 요금체계 손질해야

김경철,Kim, Gyeong-Cheol 대한교통학회 2004 교통 기술과 정책 Vol.1 No.1

동의보감 정문과 기문의 경혈 선택에 대한 형상론적인 연구

김경철,박용환,Kim Gyeong-Cheol,Park Yong-Whan 대한동의생리학회 2005 동의생리병리학회지 Vol.19 No.3

First, we analyze the contents of Dong-Eui-Bo-Gam. Second, from the view of the 'Hyung-Sang(형상:body form)' theory, we try to interpret the acupuncture points chosen in each chapter with a base on the contents of the book. We study on the on 'Hyung-Sang(형상: body form)' thee of acupuncture points in each chapter on 'Jung(정)' and 'Ki(기)' in Dong-Eui-Bo-Gam(동의보감). The acupuncture points on epilepsy in 'Jung(정)' chapter are come from the purview of 'Jung(정)' type, man and 'Shin(신)' type. In the cade of hypochondria, it is often considered 'Ki(기)' pe and 'Shin(신)' type. The acupuncture points on all kind of Ki(기)-desease are come from the purview of the point of 'Ki-Hae(기해)'. The acupuncture points on congestion of the head are come from the purview of indigestible type or weak type of person and woman, and the acupuncture points on 'belch 'are come form the purview of 'KE(기)' type and 'Shin(신)' type. The acupuncture points on polypnea are come from the purview of having phlegm, weak type, and long necked type.

개체체질과 병인의 상관성에 대한 연구

김경철,Kim Gyeong-Cheol 대한동의생리학회 2005 동의생리병리학회지 Vol.19 No.3

I studied on the correlativity with an individual constitution and etiological factor, the results are as follows. As the external wickedness invade into human body, the condition of an individual constitution determine whether being attacked with a disease or not. Moreover the contracting and the tendency of a disease are determined from the peculiarity of an individual constitution. And whether being attacked with a disease or not, the contracting and the tendency are possible explained of DONG-GI-SANG-GU(the indentical vigour looking for mutually). The division on the malice for cause of a disease and the symptom of a disease are more and more necessary.

외상성 반월상 연골 단독 손상에서 골타박

김경철,이호진,구본섭,Kim, Kyung-Chul,Lee, Ho-Jin,Koo, Bon-Seop 대한관절경학회 2004 대한관절경학회지 Vol.8 No.1

목적: 외상성 반월상 연골 단독 손상을 가진 슬관절에서 골타박의 발생 빈도와 양상을 알아보고자 하였다. 대상 및 방법: 외상성 반월상 연골 단독 파열로 진단 및 수술을 받은 42명 환자(42례 슬관절)의 자기공명영상(MRI)과 병록지를 후향적으로 조사하였다. 평균 연령이 33.7세, 외측 또는 내측 반월상 연골 파열이 각각 19례,18례 그리고 양측 파열이 5례였다. 골타박의 발생 빈도와 위치, 골타박과 반월상 연골 파열 형태와의 관계를 분석하였다. 결과: 골타박은 5례(11.9%)에서 발견되었다. 골타박은 관절의 내측 구획 중간에 위치하였으며 내측(4례) 또는 양측(I례) 반월상 연골 파열을 가진 슬관절에서 발생하였고 다양한 파열 형태에서 골타박이 관찰 되었다. 결론: 외상성 반월상 연골 단독 파열에서 골타박은 발생 빈도가 매우 낮으며 수상일로부터 12개월 이내에 소실되는 것으로 보인다. 골타박은 내측 반월상 연골 손상과 연관되어 있으며 슬관절의 내측 구획에 발생한다. Purpose: We studied the incidence rate and patterns of bony contusions of the knees with isolated traumatic meniscal tears. Materials and Methods: We analyzed retrospectively MRI scans and medical records of forty-two patients(42 knees) which had undergone operations for isolated traumatic meniscal tears. Mean age, 33.7 years, the number of patients with lateral, medial or both meniscal tears were 19, 18 and 5, respectively. Bony contusions were examined according to incidence, Location, and in relation to the types of meniscal tears. Results: Bony contusion was identified in 5 cases (11.9%) which had medial meniscal tear (4 cases0 or both meniscal tear (1 case). It was always located on the medial compartment of the joint. Bony contusion was found in the knee with various type of traumatic meniscal tears. Conclusion: Bony contusions in thd knees with isolated traumatic meniscal tear have very low incidence and they seem to disappear at or less than 12 months after the trauma. The bony contusions are mainly related to medial meniscal tear and located in the medial compartment of the joint.