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- 저자 : 김빛나 ( Bin Na Kim ) (검색결과 8 건)
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김빛나라 ( Bin Na Ra Kim ),오민석 ( Min Seok Oh ) 한방재활의학과학회 2013 한방재활의학과학회지 Vol.23 No.3
ObjectivesThis study was designed to: (1) investigate the clinical feature of tongue diagnosis, (2) make an observation of significant changes in tongue diagnosis according to the patient`s physical condition and laboratory result and (3) identify clinical efficacy of tongue diagnosis. Methods300 patients` tongue diagnosis results were analyzed and the patients were divided to each group according to the physical condition and laboratory result. Then, chi-square test was performed to assess statistical significance between tongue diagnosis results of each group. ResultsAs a result of analyzing the spread of tongue diagnosis according to the patient`s physical condition and laboratory result, 18 groups had statistical significance related to specific tongue color and tongue coating. ConclusionsEven if there would be possible misinterpretations in one-to-one match between the tongue diagnosis and certain diseases, we identified that tongue diagnosis results were changed somewhat related to patient`s physical condition with some tendency and tongue diagnosis could be used for meaningful clinical diagnostic tool. (J Korean Med Rehab 2013;23(3):149-157)
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경추 및 요추의 통증에 사용되는 견인요법에 대한 문헌 고찰
이치호,김빛나라,정훈,이현재,이옥진,이은정,오민석,Lee, Chi-Ho,Kim, Bin-Na-Ra,Jung, Hun,Lee, Hyun-Jae,Lee, Ok-Jin,Lee, Eun-Jung,Oh, Min-Seok 척추신경추나의학회 2014 척추신경추나의학회지 Vol.9 No.2
Objectives : This study aims to evaluate domestic/foreign clinical studies related to the traction therapy and analyse points to consider about cervical/lumbar traction therapy. Methods : Seven databases were searched for related articles about cervical/lumbar traction therapy from 1950 to 2014. Fourteen clinical studies and several systemic reviews were included among 144 studies searched. Out of fourteen clinical studies, four were case series and ten were controlled trials. Results : Most of included studies reported favorable effects of traction group compared to baseline of controlled group. The various mechanical factors most relevant to traction are 1) angle of pull and direction, 2) traction force, 3) duration of traction and frequency of treatment. Conclusions : We found various mistake in the applications of statistical methodologies of traction therapy targeting patients of cervical, lumbar vertebral disease. It is necessary for more randomized controlled trials to evaluate effect of cervical/lumbar traction therapy targeting patients of cervical, lumbar vertebral disease.
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십전대보탕가미방(十全大補湯加味方)의 창상(創傷) 치유(治癒) 효과(效果)
정훈 ( Hoon Jung ),이현재 ( Hyun Jae Lee ),김빛나라 ( Bin Na Ra Kim ),이치호 ( Chi Ho Lee ),이은정 ( Eun Jung Lee ),허동석 ( Dong Seok Heo ),오민석 ( Min Seok Oh ) 한방재활의학과학회 2014 한방재활의학과학회지 Vol.24 No.3
Objectives This study was aimed to investigate the effects of Sibjeondaebotanggamibang (SJT) on the wound-induced rats. Methods <In vitro> It was observed the effects of anti-oxidation and anti-inflammation by using of lipopolysaccharide (LPS)-treated RAW 264.7 cells. For the observing on SJT anti-oxidation, it needed to mesure the total amount of polyphenol, DPPH scavenging ability, ABTS scavenging ability and the value of ROS production. In order to observe on the anti-inflammation of SJT, it was mesured the value of No and Cytokine (TNF-α, IL-1β, IL-6). <In vivo> It needed to make a scar (around 2x2 cm2) on the top of the fascia in the back of the rats and then the rats were divided into 4 groups (n=6). Control group was not treated at all, whereas SJ group was orally medicated SJT, Terra group was percutaneously applied Terramycin, and SJ+Terra group was both orally medicated SJT and percutaneously applied Terramycin per day for three weeks. The size of wound was measured with Digimatic Caliper and the blood samples (WBC, neutrophil, monocyte, lymphocyte) were analyzed using Minos-ST, which were collected by cardiac puncture. The effect on inflammatory cytokine (TNF-α, IL-1β, IL-6), immunological cells in synovial fluid was measured. To measure the wound factor expressed by wounded skin sample, we extracted RNA and to investigate MMP-1,2,9 we used RT-PCR. For performing histopathological examinations, we paralyzed the rats by ether, and extracted wounded skin tissues, which were measured by H & E, and monitored on the optical microscope. Results <In vitro> 1. DPPH and ABTS scavenging activity of SJT was increased concentration- dependantly, and ROS scavenging activity was significantly increased (10, 100 μg/ ml). 2. NO production was significantly reduced in SJT treated cells (100 μg/ml), both TNF-α and IL-6 in SJT treated cells (1, 10, 100 μg/ml), and IL-1β in SJT treated cells (1, 100 μg/ml). <In vivo> 1. The size of wound was significantly decreasing in SJ group, Terra group, SJ+Terra group. 2. WBC was significantly reduced in SJ and SJ+Terra group, monocyte in SJ+Terra group. Neutrophil was also reduced in SJ, SJ+Terra group but meaningless. 3. TNF-α and IL-6 were significantly reduced in SJ group, Terra group, SJ+Terra group, and IL-1β in SJ+Terra group. 4. mRNA expression in MMP-1 was significantly reduced in SJ group. 5. Collegan production and chronic inflammation were significantly decreased in SJ group, Terra group, SJ+Terra groups. Re-epithelization on the skin in Terra group, SJ+Terra groups was decreased. Conclusions According to this in vitro experiment, Sibjeondaebotanggamibang (SJT) has the effects of anti-oxidative and anti-inflammatory. By in vivo experiment, SJT has the effects of anti-inflammatory. Moreover, the progress of recovery was found visually, heamatologically, genetically and histopathologically. In conclusion, it could be thought that SJT has effect on the treating of wound. (J Korean Med Rehab 2014;24(3):51-69)
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교통사고 후 발생한 경항통 환자에 대한 황련해독탕약침과 분리정제봉약침의 치료 효과 비교연구: 무작위 배정
이옥진 ( Yu Chen Lee ),남대진 ( Dae Jin Nam ),허건 ( Gun Huh ),이재은 ( Jae Eun Lee ),김빛나라 ( Bin Na Ra Kim ),송은모 ( Eun Mo Song ),이은정 ( Eun Jung Lee ),이정민 ( Jung Min Lee ),오민석 ( Min Seok Oh ) 한방재활의학과학회 2014 한방재활의학과학회지 Vol.24 No.4
ObjectivesThe purpose of this study is to compare the effects of HWANGRY-UNHAEDOKTANG Pharmacopuncture and Essential Bee Venom pharmacopuncture on cervical pain caused by traffic accident.MethodsThe clincal study was conducted to traffic accident patients who had admitted to Dae-Jeon University Cheonan Oriental Hospital from May 17, 2014 to September 2, 2014. The patients were simple randomization and divided into two groups. In one group, patients were treated with the oriental medicine and HWANGRYUNHAEDOKTANGPharmacopuncture, While in the other group, patients were treated with the oriental medi-cine therapy and Essential Bee Venom pharmacopuncture therapy. visual analogue scale (VAS), pain threshold and neck disablity index (NDI) were used To estimate the efficacy of Pharmacopuncture treatment.Results1) HWANGRYUNHAEDOKTANG Pharmacopuncture Group showed significant decrease of VAS and NDI after 3rd times treatment than before treatment (p<0.001). Essential Bee Venom Pharmacopuncture showed significant decrease of VAS, NDI and improve ment of pain threshold after 3rd times treatment than before treatment (p<0.01, p<0.001). 2) There was no significant difference between HWANGRYUNHAEDOKTANGPharmacopuncture group and Essential Bee Venom Pharmacopuncture group in VAS, pain threshold and NDI. ConclusionsWe found out that HWANGRYUNHAEDOKTANG Pharmacopuncture and Essential Bee Venom Pharmacopuncture treatment are considered to be effective and useful in cervical pain caused by traffic accident. (J Korean Med Rehab 2014;24(4): 145-153)
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김빛나(Kim, Bin-na),조상식(Cho, Sang-Sik) 한국교육사상연구회 2013 敎育思想硏究 Vol.27 No.3
에라스무스에 대한 접근은 대체로 그의 사상을 인본주의라고 규정하면서 인문주의라는 당대의 시대적 사조를 대표하는 관점에서였다. 본 논문은 근ㆍ현대의 이념적, 사회적 변동과정을 고려한 영향사적(影響史的) 이해에서 에라스무스의 훈육이론을 다루고자 한다. 이를 통해 그의 훈육이론을 비판적으로 재해석할 수 여지가 마련되는데, 엘리아스(N. Elias)의 거대한 문명사적 안목에서 에라스무스의 훈육이론은 비(非)규범적인 방식으로 해석이 가능하다. 다른 한편으로 포스트모더니즘의 서구 근대 비판론에서 본다면, 에라스무스 훈육이론은 현대 사회의 복잡한 사회통제 기제의 중요한 역사적 원천으로 해석된다. 특히 푸코(M. Foucault)의 관점에서 에라스무스의 훈육이론은 훈육사회론을 뒷받침해주는 대표적인 역사적 선례이다. 이러한 영향사적 이해를 통하여 교육이론 및 실천에서 당연시 수용되는 훈육에 대한 비판적 이해를 가능하게 해주며, 교육의 이면에 숨겨진 부정적인 기제를 고발할 수 있다. The purpose of this article is to present a new perspective on understanding the thoughts of Erasmus while focusing on his theory of discipline that came after his time. Previous studies generalized Erasmus' thoughts as humanism and focused on his humanistic characteristics that affected contemporary educational thoughts. This paper focuses on Erasmus' theory of discipline and intends to show how his thoughts can be reinterpreted based on modern and contemporary educational thoughts. A view in the aspect of effective history will allow us to critically reinterpret Erasmus' theory of discipline in relation to the large socio-historical progress and the related changes in human behavior. For instance, Norbert Elias' work on social history allows us to understand Erasmus' theory of discipline in a non-normative way that differs from the conventional humanistic interpretation. On the other hand, in the aspect of postmodernism, Erasmus' theory of discipline can be interpreted as an important historical source of the complex social control mechanisms of the modern world. This perspective allows us to critically understand discipline that is implicitly considered to be desirable in the theory and practice of education, and provides a basis to discover negative mechanisms hidden behind education.
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양극성 장애 심리사회적 개입에서 최근 발전현황의 탐색적 고찰
김빛나(Bin-na Kim),임영진(Youngjin Lim) 한국재활심리학회 2022 재활심리연구 Vol.29 No.2
양극성 장애는 재발성의 만성적 정신장애로 성공적인 관리를 위해 약물치료에 보조적인 심리사회적 개입이 추가될 때 재발 방지와 환자의 삶의 질 증진의 측면에서 치료적 이점이 있는 것으로 알려져 있다. 본고에서는 2년 전 양극성 장애의 근거기반 심리치료에 관한 최초의 개관 이후로 추가적인 발전 동향을 개관함으로써, 어떠한 심리사회적 개입이 양극성 장애 치료에 근거를 가진 것으로 권고되는지에 관한 최신 지견을 제공하고자 한다. 여전히 4가지 심리사회적 개입(심리교육, 가족중심치료, 인지행동치료, 대인관계 및 사회적 리듬 치료)이 강한 경험적 근거를 가진다는 점에서는 변함이 없었으며, 2020년 Royal Australian and New Zealand College of Psychiatrists 가이드라인을 비롯하여 양극성 장애 치료의 근거기반 가이드라인에서도 이러한 4가지 개입을 권고하고 있었다. 한편 사회적 리듬 및 대인관계 치료 연구가 증가하였고, 북미 외 타 지역에서 수렴적 증거가 축적되고 있으며, 치료효과 유무를 넘어 치료효과의 기제와 조절변인 등의 다음 단계 연구 문제들이 탐색되기 시작하였다는 차이가 있었다.
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