퇴행성 슬관절염의 매선 치료에 대한 체계적 문헌 고찰

박장미,이재성,이은용,노정두,조나영,이참결 경락경혈학회 2018 Korean Journal of Acupuncture Vol.35 No.4

Objectives : This study was performed to review the efficacy of national and international randomized controlled trials (RCTs) investigating evidence on thread embedding therapy for knee osteoarthritis. Methods : Online databases (PubMed, EMBASE, Cochrane, NDSL, OASIS, CNKI) were searched for studies where thread embedding therapy was performed for Knee Osteoarthritis from their inception to July 2018. Two researchers independently performed the search. Only RCTs were selected. Eligible studies were selected first by the abstract and the title and then included after full-texts were read. Risk of bias of the included studies were evaluated using the Cochrane risk of bias assessment tool. Data were narratively summarized. Results : There were 334 studies retrieved from the databases, resulting in analysis of 3 RCTs. There was an average of 1.5 treatment visits over a 7 day period and evaluation tool used was efficacy rate, with traditional acupuncture being the most common control used in the trials. Statistically significant improvement by thread embedding therapy was reported. None of the included RCTs reported on adverse reactions. The risk of bias of the included studies was generally unclear. Conclusion : The review suggests that thread embedding therapy can be effective in knee osteoarthritis. But there was a lack of detailed information about the treatment procedures, and the risk of bias was unclear. Therefore, there is insufficient evidence for thread embedding therapy for knee osteoarthritis

택시 운전사와 버스 운전사 간의 근골격계 증상 관련요인 비교

박장미,이정배,곽우석,최선행,이헌진,김치년,노재훈,원종욱 대한산업의학회 2008 대한직업환경의학회 학술대회 논문집 Vol.41 No.-

Partially Cystic Thyroid Nodules: Ultrasound Findings of Malignancy

박장미,최윤정,곽현주 대한영상의학회 2012 Korean Journal of Radiology Vol.13 No.5

Objective: To seek for the ultrasound (US) findings of partially cystic thyroid nodules that are associated with malignancy. Materials and Methods: We reviewed the US characteristics of 22 surgically confirmed partially cystic papillary carcinomas, and compared them with those of 80 benign partially cystic nodules. The review cases were selected in a random order from a total of 1029 partially cystic nodules that were diagnosed with an US-guided fine needle aspiration biopsy over a period of 8 years (June 2003 to October 2010) at our institution. Results: In partially cystic thyroid nodules, a taller-than-wide shape (100%, p < 0.001) and spiculated or microlobulated margin (58.3%, p = 0.003) were significantly associated with malignancy. In terms of internal solid portion of the nodule, eccentric configuration (68.0%, p < 0.001), non-smooth margin (81.3%, p < 0.001), hypoechogenecity (30.0%, p < 0.042), and microcalcification (89.5%, p < 0.001) were more frequently demonstrated in malignant nodules than benign ones. Conclusion: In partially cystic thyroid nodules, understanding the characteristics of US findings is important to make a precise diagnosis of malignant nodules. Objective: To seek for the ultrasound (US) findings of partially cystic thyroid nodules that are associated with malignancy. Materials and Methods: We reviewed the US characteristics of 22 surgically confirmed partially cystic papillary carcinomas, and compared them with those of 80 benign partially cystic nodules. The review cases were selected in a random order from a total of 1029 partially cystic nodules that were diagnosed with an US-guided fine needle aspiration biopsy over a period of 8 years (June 2003 to October 2010) at our institution. Results: In partially cystic thyroid nodules, a taller-than-wide shape (100%, p < 0.001) and spiculated or microlobulated margin (58.3%, p = 0.003) were significantly associated with malignancy. In terms of internal solid portion of the nodule, eccentric configuration (68.0%, p < 0.001), non-smooth margin (81.3%, p < 0.001), hypoechogenecity (30.0%, p < 0.042), and microcalcification (89.5%, p < 0.001) were more frequently demonstrated in malignant nodules than benign ones. Conclusion: In partially cystic thyroid nodules, understanding the characteristics of US findings is important to make a precise diagnosis of malignant nodules.

A Systematic Review and Meta-Analysis of Moxibustion for Knee Osteoarthritis

박장미,이참결,김경호,김은정,정찬영,서병관,구본혁,백용현,이은용 대한침구의학회 2020 대한침구의학회지 Vol.37 No.3

The purpose of this study was to evaluate the evidence supporting the effectiveness of moxibustion treatment for osteoarthritis. There were 9 databases used to retrieve randomized controlled trials (RCTs) that used moxibustion as treatment for osteoarthritis. The quality of methodology for the RCTs was assessed using the Cochrane Risk of Bias tool [Review Manager (RevMan) Version 5.3 Windows, The Nordic Cochrane Centre, Copenhagen, Denmark]. The inclusion criteria for this review was met by 27 RCTs. All studies were conducted in China. A 4-week moxibustion treatment period was the most common. EX-LE4 and SP10 and GB34 acupoints were most frequently selected in the treatment of osteoarthritis. The most commonly used evaluation index was the visual analog scale (VAS). All studies, including a meta-analysis showed that moxibustion treatments were statistically significantly effective at treating knee osteoarthritis. However, welldesigned randomized RCTs without a high risk of bias should be designed in the future.

Chronic Central Post-Stroke Pain Treated with Scalp Acupuncture and Traditional Korean Medicine: A Case Report

박장미,이재성,정재은,이유정,이참결,노정두,조나영,이은용 대한침구의학회 2019 대한침구의학회지 Vol.7 No.1

A patient with central post-stroke pain was treated for 4 weeks with scalp acupuncture and traditional Korean medicine (following a cerebral infarction in 2013). The patient presented at Chungju hospital in January 2019 with left side weakness and tingling, numbness in the left hemisphere, chronic pain and dysarthria. Initially, herbal medicine, acupuncture, pharmacupunture, indirect moxibustion, and physiotherapy were administered together with Western medicine, with no improvement in the patient’s condition. On Day 5, scalp electroacupuncture (MS1, MS5, MS10, MS11) was introduced. The numbness feeling in the patient’s head resolved, and the pain in his upper body decreased. Grip force difference between the left and right hand improved from 3 kg to 0-0.5 kg. Sleep disturbance was resolved after 4 weeks treatment, and his average numeric rating scale score for pain improved from an admission score of 10, to a discharge score of 5. The patient could walk unaided after treatment.

한국 음악교육정책의 역사적 고찰

박장미 한국음악응용학회 2008 음악응용연구 Vol.1 No.-

본 연구는 해방이후부터 현재까지의 음악교육정책이 각 분야별로 어떠한 변화를 보이는지를 고찰하였다. 이것은 다양한 자료들을 통한 문헌연구를 중심으로 하였으며, 음악교육정책 중 교육과정, 교과용 도서, 교원 양성, 교원 임용, 교원 연수, 교구 및 시설의 6가지 정책을 중심으로 살펴보았다.음악교육정책의 분야는 여러 가지로 세분화 할 수 있으며, 각 분야는 서로 긴밀한 상호작용이 이루어져야 한다. 또한 각 분야에 대한 더욱 심도 있는 연구가 필요하다. 다양한 각도에서 음악교육의 현재를 살펴보고, 앞으로의 발전방향을 제시함으로 음악교육의 발전을 모색해야 할 것이다.

휴대전화기 문자 쓰는 속도와 손의 민첩성과의 상관관계

박은정,박장미,배은주,용미현,김경미 대한작업치료학회 2005 대한작업치료학회지 Vol.13 No.3

목적 : 본 연구의 목적은 휴대전화기 문자 쓰기 속도와 손의 민첩성과의 상관관계를 알아보기 위한 것이다. 연구방법 : 손에 손상을 받은 경험이 없는 47명의 인제대학교 학생을 대상으로 하였다. 설문 조사 후에 Nine Hole Pegboard Test(Smith & Nephew Rehabilitation Division version)와 대상자의 휴대전화기로 일정한 문장을 쓰는데 소요되는 시간을 측정하였다. 결과분석은 SPSS 10.0을 이용하였다. 연구 대상자의 일반적인 특성에 따른 문자쓰기 속도와 손의 민첩성은 t-검정과 ANOVA를 사용하여 분석하였다. 그리고 문자 쓰기 속도와 손의 민첩성에 대한 관계를 알아보기 위하여 스피어만 상관계수(Spearman correlation coefficient)를 사용하여 분석하였다. 결과 : 연령과 문자 쓰기 속도와의 관계는 유의한 차이(P<0.05)가 있었으며 연령이 낮을수록 문자 쓰기 속도가 더 빨랐다. 성별과 오른손 민첩성과의 관계는 유의한 차이(P<0.05)가 있었으며 여자가 남자 보다 민첩성이 더 높았다. 문자 쓰기 속도와 손의 민첩성은 관계가 없는 것으로 나타났다. 결론 : 손의 손상이 없는 성인에서 휴대전화기의 문자 쓰는 속도와 손의 민첩성에서 유의한 상관관계는 없었다. 그러나 연령에 따라 문자 쓰는 속도에 차이가 있었으며, 성별에 따라 오른손 민첩성에 차이가 있는 것으로 나타났다. 앞으로 본 연구를 바탕으로 기능적인 손 사용에 영향을 미치는 요소들을 알아보기 위한 연구와 손 기능에 문제를 가진 사람을 대상으로 문자 쓰기 활동이 손 기능 향상에 도움을 줄 수 있는 것인가에 대한 연구가 필요하리라 생각된다. Objective : The Purpose of this study was to determine the relationship between hand dexterity and writing message speed with cell-phone. Methods : The Participants were 47persons with normal hand function in Inje University. After general interview, it examined by using Nine-Hole Pegboard Test (Smith & Nephew Rehabilitation Division version) and writing message speed with own cell-phone. Data from 47 participants were analyzed using paired t-test of SPSS(10.0) to find the correlation between hand dexterity and writing speed. Results : As younger, the hand dexterity was speedy and there was significant relationship between age and writing message speed with own cell-phone(p<0.05). Women's hand dexterity were speedy than men's and there was significant relationship between gender and right hand dexterity(p<0.05). There was no significant relationship between hand dexterity and writing message speed with cell-phone. Conclusion : The results showed that the writing message speed without hand injury was not affected in hand dexterity. But there was significant relationship between hand dexterity and writing message speed on sex and age. So it is necessary to study for writing message speed with hand injury, how does it reflect on improving hand function in field work.

우울증 청소년을 위한 작업치료 프로그램 개발 연구

이정아,박장미,손민경,김소영,김태경,김지현,장서현,김민지,김수연,김기승,황기철 대한재활치료과학회 2019 대한재활치료과학학회지 Vol.12 No.1

The study of Sports Injuries treatment with Korean Medicine : A survey of World Martial Arts Masterships’ athletes and officials

이재성,박종한,박장미,이참결,정수현,공경환,이은용 대한한의학회 2019 대한한의학회지 Vol.40 No.4

Objectives: The objective of this study was to report the general characteristics, satisfaction, and changes before and after treatment to foreign athletes and officials who were received Korean Medicine at the 2019 Chungju World Martial Arts Masterships Korean Medical Clinic. Methods: We investigated age, gender, nationality, type of sports, and, onset through medical records. Besides, we developed the patient satisfaction survey to determine how satisfied the patients were with the treatment they received. The survey included type of injury, location of the injury, cause of injury, Numeric Rating Scale (NRS) before and after treatment, and treatment satisfaction. Result: This study showed that knee and lower leg injuries (S80-S89) were the most frequent injuries in the Korean Medicine(KM) clinic of the 2019 Chungju World Martial Arts Masterships. We provided KM treatments including acupuncture, cupping therapy, Chuna manual therapy, herbal medicine, dressing, and taping. Acupuncture was the most frequently performed and the most satisfactory treatment. The average NRS after treatment significantly decreased, suggesting that KM is effective in controlling pain in sports injuries. The overall satisfaction was also high with KM treatments.

외식업체 중간 관리자의 리더십 유형에 따른 종사원의 조직몰입, 만족, 이직의도에 관한 연구

최웅 ( Woong Choi ),박장미 ( Jang Mi Pack ),김영길 ( Young Kil Kim ) 한국호텔리조트학회(구 한국호텔리조트카지노산학학회) 2013 호텔리조트연구 Vol.12 No.2

본 연구는 서울과 경기 지역의 외식업 종사자 중 인턴, 사원, 주임, 대리, 과장 직급의 외식업체에 근무하는 중간 관리자들을 대상으로 외식업체 중간 관리자의 리더십 유형요인을 파악하고 이러한 리더십 유형에 따른 종사원의 조직몰입, 종사원 만족, 이직의도에 어떠한 영향을 미치고 있으며, 조직몰입이 종사원 만족 및 이직의도에 미치는 영향관계를 살펴보고자 하였다. 또한 외식업을 운영하고 있는 경영자와 인사를 담당하고 있는 관리자에게 효율적인 인적관리 방안을 제시하고, 외식업체 중간 관리자의 리더십 발전을 위한 시사점을 제공하는데 궁극적인 목적을 두었다. This study tried to identify the leadership type of middle manager of restaurant industry who are interns, staff members, acting-managers and managers in restaurant industry in Seoul and Gyeonggi area, the effects of such leadership type on organizational commitment, satisfaction and turnover intention of employees, and the effects of organizational commitment on satisfaction and turnover intention of employees. According to the results, the factor analysis on leadership type of middle managers, two factors such as transactional leadership and innovative leadership were abstracted. In the organizational commitment factor analysis, three factors such as emotional commitment, continuous commitment and normative commitment were abstracted, while in employees` satisfaction factor analysis, satisfaction for the company and overall jobs was found and in turnover intention factor analysis, it was interpreted as the intention to change the company or the job.