뇌졸중 환자의 상지 경직에 대한 전침의 치료 효과

이선우,윤종민,손지우,강백규,박상무,윤효진,김대중,김태진,이인,신용일,문병순,Lee, Sun-Woo,Yun, Jong-Min,Son, Ji-Woo,Kang, Beak-Gyu,Park, Sang-Moo,Yun, Hyo-Jin,Kim, Dae-Joong,Kim, Tae-Jin,Lee, In,Shin, Yong-Il,Moon, Byung-Soon 대한한방내과학회 2007 大韓韓方內科學會誌 Vol.28 No.3

Objectives : This study was executed in order to evaluate the effects of electroacupuncture on upper-extremity spasticity control in stroke patients. Methods : Eighteen patients with stroke were enrolled and classified into two groups, the study and control group. The control group did not receive any oriental medical treatment. In the study group, the electroacupuncture points were applied to Kokt'aek (PC3) and $Ch'{\u{o}}ch'{\u{o}}n$ (PC2), Naegwan (PC6) and $Ch'{\u{o}}kt'aek$(LU5) of the affected limb. H-reflexl M-response ratio (HIM ratio), modified Ashworth scale (MAS) and Fugl-Meyer motor function assessment (FMA) were used for evaluation of spasticity control before electroacupuncture, within two hours after electroacupuncture, and at two weeks. Results : In MAS, the study group declined more than the control group. but there was no statisticallysignificant consideration. In H/M ratio. the study group was more efficient than the control group. and spasticity decreased successively during the series in the study group. In FMA, motor function in the study group improved more than in the control group and motor function in the study group increased successively during the series. Conclusions : These results showed that electro acupuncture was a useful method to decrease upper-extremity spasticity in patients with stroke. Further studies are needed to explore more cases and the long-lasting carryover effects on upper-extremity spasticity in electroacupuncture.

주요우울장애를 동반한 공황장애 환자군의 임상적 특징

이선우,이강수,이상혁,Lee, Sun-Woo,Lee, Kang Soo,Lee, Sang-Hyuk 대한생물정신의학회 2018 생물정신의학 Vol.25 No.3

Objectives The objective of this study was to investigate the differences in sociodemographic and clinical characteristics, temperaments, and quality of life between panic disorder (PD) patients with and without major depressive disorder (PD+MDD and PD-MDD patients, respectively). Methods We compared 411 PD-MDD and 219 PD+MDD patients. All patients who were drug-free for at least 1 month were assessed at initial outpatient visits before the administration of medication. The following instruments were used for assessment: the NEO Personality Inventory-Neuroticism (NEO-N) ; the Temperament and Character Inventory-Harm Avoidance (TCI-HA) ; the State-Trait Anxiety Inventory (STAI) ; the Intolerance of Uncertainty Scale-Short (IUS); the Anxiety Sensitivity Index-Revised (ASI-R); the Beck Depression Inventory (BDI) ; the Beck Anxiety Inventory (BAI); the Penn State Worry Questionnaire (PSWQ) ; the Generalized Anxiety Disorder for 7 item (GAD-7) ; the Albany Panic and Phobia Questionnaire (APPQ) ; the Panic Disorder Severity Scale (PDSS) ; the Early Trauma Inventory Self Report-Short Form (ETISR-SF) ; the Scale for Suicidal Ideation (SSI) ; the World Health Organization Quality of Life Scale Abbreviated Version (WHOQOL-BREF) ; the Sheehan Disability Scale (SDS) ; and the Short Form health survey (SF-36). Results Compared to the PD-MDD patients, the PD+MDD patients were younger and more likely to be unmarried. They showed higher rates of unemployment, lower levels of education and income, younger age of onset, more previous suicide attempts, a greater incidence of agoraphobia, and more previous treatments. The PD+MDD patients showed significantly higher scores on the NEO-N, the TCI-HA, the STAI, the IUS, the ASI-R, the BDI, the BAI, the PSWQ, the GAD-7, the APPQ, the PDSS, the ETISR-SF, and the SSI. In addition, the PD+MDD patients showed significantly lower quality of life than did the PD-MDD patients. In contrast with previous studies, we observed no significant differences between the two groups in terms of gender, duration until treatment, and psychiatric comorbidities. Conclusions This study showed that the PD+MDD patients have more early trauma experiences, higher levels of anxiety-related temperaments, more severe panic and depressive symptoms, and lower quality of life than the PD-MDD patients.

전공의 공통역량의 개념과 개발

이선우,Lee, Sun Woo 연세대학교 의과대학 2017 의학교육논단 Vol.19 No.2

Resident training programs in South Korea lag far behind that of advanced countries. Given the problems the current system in South Korea has, it is time to consider a new resident training system, resident training for general competencies. Training for the general competencies was practiced in medical fields in advanced countries such as the USA, Canada, and the UK as early as 20 years ago. This system has rendered itself a key component of resident training. Although a few theoretical procedures on general competencies have been practiced in South Korea, the awareness of this concept is still very weak, and the application of the theory to actual training is a long way off from becoming effective. It is urgent for South Korea to adopt competency- and outcome-based training for general competencies. To this end, the knowledge of the concept of this type of training should be improved. Also, the system should be carefully designed to cover a doctor's whole career, and be applied immediately. The competency- and outcome-based training for general competencies is a system that assures high level qualifications. It reflects the needs of our society under the recognition that a professional organization should be committed and accountable in order to respond to social demands. As the benefits of the new training system reach the public and medical care consumers, training-related expenses should be borne by social costs.

COVID-19 전후 대학도서관 홈페이지 이용행태에 관한 연구: C대학교 도서관을 중심으로

이선우,장우권,Lee, Sun Woo,Chang, Woo Kwon 한국정보관리학회 2021 정보관리학회지 Vol.38 No.3

이 연구에서는 COVID-19 발병 전후 대학도서관 홈페이지 실제 이용 데이터를 조사하여 이용자들의 이용행태를 분석하고, 바이러스 발병 이전과 이후의 데이터를 대조하여, 팬데믹 상황에서 대학도서관이 보다 효율적인 정보서비스를 할 수 있도록 개선방안을 제안하고자 한다. 이 연구는 C대학교 홈페이지에서 이루어진 이용자 트래픽을 '구글애널리틱스를 활용하여', COVID-19 바이러스가 발병하기 이전인 2018년 1월부터 2018년 12월까지와 바이러스 발병 이후인 2020년 1월부터 2020년 12월까지를 비교분석하였다. 웹 트래픽 변수는 세션, 사용자, 페이지뷰 수, 세션당 페이지 수, 평균 세션 시간, 이탈률을 측정지표를 기준으로 '이용자 정보', '경로', '사이트 행동' 3가지 특성으로 구분하여 분석하였다. 연구결과를 요약하면, 첫째, COVID-19 발병 이전 1월 1일부터 1월 20일까지의 데이터와 대조했을 때, 2018년 이후 사용자, 신규방문자, 세션 모두 3년 동안 감소하였지만, 2020년은 2019년 대비 사용자, 신규 방문자, 세션 모두 증가하였으며, 2020년 바이러스 발병 이전 상승세를 보였던 사용자당 세션 수, 페이지뷰 수, 세션당 페이지 수가 크게 증가하였다. 둘째, 사회적 거리 두기 2단계로 격상함에 따라 대학도서관 홈페이지 이용 추이에도 변화가 나타났다. 재학생이 가장 적었던 2020년, 2018년 대비 2020년에 페이지뷰가 10만 뷰 더 증가했으며, 세션당 페이지 수 역시 2018년 대비 약 2페이지를 더 조회한 10.46을 기록했다. 이탈률 역시 2018년, 2019년 14.38을 기록한데 반해, 2020년 1% 포인트 가량 감소한 13.05를 기록하여 사회적 거리 두기 단계가 격상한 시점에, 더욱 활발한 홈페이지 이용이 이루어졌다. In this study, by examining the actual usage data of the university library website before and after COVID-19 outbreak, the usage behavior of users was analyzed, and the data before and after the virus outbreak was compared, so that university libraries can provide more efficient information services in a pandemic situation. We would like to suggest ways to improve it. In this study, the user traffic made on the website of University C was 'using Google Analytics', from January 2018 to December 2018 before the oneself of the COVID-19 virus and from January 2020 to 2020 after the outbreak of the virus. A comparative analysis was conducted until December. Web traffic variables were analyzed by classifying them into three characteristics: 'User information', 'Path', and 'Site behavior' based on metrics such as session, user, number of pageviews, number of pages per session time, and bounce rate. To summarize the study results, first, when compared with data from January 1 to January 20 before the oneself of COVID-19, users, new visitors, and sessions all increased compared to the previous year, and the number of sessions per user, number of pageviews, and number of pages per session, which showed an upward trend before the virus outbreak in 2020, increased significantly. Second, as social distancing was upgraded to the second stage, there was also a change in the use of university library websites. In 2020 and 2018, when the number os students was the lowest, the number of page views increased by 100,000 more in 2020 compared to 2018, and the number of pages per session also recorded10.46, which was about 2 more pages compared to 2018. The bounce rate also recorded 14.38 in 2018 and 2019, but decreased by 1 percentage point to 13.05 in 2020, which led to more active use of the website at a time when social distancing was raised.

외국 전공의 수련교육의 제도 및 시사점

이선우,Lee, Sun Woo 연세대학교 의과대학 2018 의학교육논단 Vol.20 No.3

Medical education, competency, and outcome-based medical education started as part of the basic medical education curriculum in advanced countries 20 years ago, and such an approach was adopted in residency training. General competency training is at the core of residency training in advanced countries, and it goes beyond competency and outcome-based training to the extent that in a milestone training system, competency development is expected and measured with set competency achievements at each level. Recently, for the purpose of ensuring that doctors uphold patient safety and fulfill their obligations, entrustable professional activities (EPA) were applied at the beginning of residency when doctors move away from clinical trials and start actual care. The adoption of EPA in all residency training curriculum has spread very rapidly in the United States, United Kingdom, and Canada. Presently, Korea lags behind other countries significantly as the adoption of competency and outcome-based medical education in residency training has just begun. It is time to identify the current state of the Korean residency training system, and then design and practice a well-established system with a long-term view based on cooperation across the whole medical industry.

공초점 방식을 이용한 기판 사이의 공기갭 측정

이선우,안광신,권남익,Lee, Sun-Woo,Ahn, Kwang-Sin,Kwon, Nam-Ic 한국광학회 2009 한국광학회지 Vol.20 No.4

공초점 방식을 이용하여 두 기판사이의 얇은 공기갭의 두께를 측정하는 방법을 제안하였다. 공기갭이 약 200 nm 이내 일때는 두 기판면이 초점의 레일리 영역 안에 있으므로 완전한 간섭신호를 측정할 수 있었다. 또 초점영역 근처에서의 간섭무늬만 측정되므로 다층 박막중에 존재하는 공기갭이라도 측정할 수 있는 장점이 있다. 간섭무늬 변화가 작은 영역을 제외하면 1 nm 이내의 안정도를 가진다. A confocal technique was demonstrated for measuring the absolute value of an air gap between substrates. Since the two surfaces were in Rayleigh range of the laser focus for air gaps less than 200 nm, complete interference patterns were observed. And since interference patterns were obtained only from the area of focus, it was an advantage of this method that air gaps between multiple thin films could be measured. Stability is less than 1 nm except in the range where the interference pattern changes slowly.

의과대학생의 졸업 후 전공선택을 위한 진로지도

이선우,Sun Woo Lee 연세대학교 의과대학 2024 의학교육논단 Vol.26 No.1

The author recommends the creation of a nationwide career guidance program at the national level through the establishment of a long-term cohort, involving collaboration among medical schools nationwide. This cohort would be constructed for the purpose of analyzing correlations from admission to medical school to post-graduate education, facilitating the development of a career guidance program. This will aid in career development through students' self-analysis and competency building. Each medical school should operate a systematic career guidance program. Career guidance for post-graduate major selection should be included in the regular curriculum. Schools are advised to operate student counseling rooms for various career guidance services. For example, medical schools can operate 1:1 career counseling, academic counseling, career guidance surveys, psychological tests, and counseling. It is advisable to establish a mentor-professor system, connect mentor professors, and build a network of experts related to majors to provide immediate support according to students' needs. Professional mentor training should be provided to mentor professors. To provide opportunities for students to experience their career paths in advance, early clinical exposure, long-term integrated clinical practice, community-based clinical practice, participation in student research programs, career fairs, and student internship programs are recommended. In South Korea, it is necessary to systematically operate the internship system and make improvements to facilitate optical career choices. Additionally, considering the significant influence of social factors on students' career choices in South Korea, efforts should be made to identify and address the issues related to these social factors.

하절기 단열 성능 향상을 위한 통기성 지붕의 통기 구조에 관한 실험적 연구

박상훈(Park, Sang-Hoon),조구상(Jo, Goo-Sang),이선우(Lee, Sun-Woo),여명석(Yeo, Myoung-Souk),김광우(Kim, Kwang-Woo) 대한건축학회 2014 대한건축학회논문집 Vol.30 No.9

The thermal performance of the building envelope is mainly required for guaranteeing a comfortable and hygienic interior climate. A roof is a part of the building envelope which provides protection from the thermal damage of the sun. To improve this protection ability, we can consider using a ventilated roof, which has a ventilation layer known as a cavity, beneath the roof cover panel. The objective of this study is to evaluate the influence of such factors as the slope of the roof, size or shape of the openings (i.e. inlet or outlet), effective cross section and cavity depth on the improvement of the air flow in the cavity for better thermal performance of the ventilated roof. In this study, the influence on air flow which is caused by the characteristics of these elements is researched. The evaluations are carried out by way of experiments.

유라시아의 지정학, 민족 균열, 그리고 재민주화: 우크라이나와 벨라루스 사례 비교

이선우 ( Sun Woo Lee ) 경남대학교 극동문제연구소 2015 한국과 국제정치 Vol.31 No.3

본 논문은 2004년 오렌지혁명이 발발한 우크라이나와, 상당 규모의 민주화 시위들이 빈발해왔음에도 루카셴코의 선거권위주의 정권이 여전히 유지되고 있는 벨라루스 두 국가를 비교\분석함으로써, 상기한 정치적 결과의 차이를 만들어낸 주된 원인을 밝히고자 한다. 특히 유라시아지역 전반에 걸쳐 영향력을 미치고 있는 국제적 요인과 두 국가의 국내적 요인에 공히 착목함으로써, 이 지역 재민주화의 정치적 동학에 대한 설명을 시도한다. 국제적 요인으로서 유라시아지역을 둘러싸고 부상해온 미국과 러시아 간 지정학적 경쟁은, 냉전 해체 이후 역내 강대국 간 세력관계가 재편되면서 구조화되었다. 우크라이나의 경우, 친미 세력과 친러 세력 간 민족 균열에 더해 지역 균열까지 중첩된 갈등양상으로 인해 지역별로 두 강대국에 대한 일방적 지지세가 구축되었다. 따라서 서부에 기반을 둔 반체제 세력은 민주화 시위와 친서방 노선으로의 전환을 동일한 목표로 설정하고, 준권위주의 체제에 대한 저항을 민족\지역 갈등으로 치환시킴으로써 대규모의 응집력 있는 시위를 조성해낼 수 있었다. 즉 미러 간의 지정학적 경쟁요인이 국내의 민족·지역 균열과 강하게 반응하면서 재민주화가 이루어졌던 것이다. 반면 벨라루스의 경우, 우크라이나와 달리 친서방 성향의 대중이 상대적으로 소수일 뿐아니라 지역적으로 묶여있지도 않은 탓에, 반체제 저항이 형성되더라도 그 동원 및 응집화에 한계가 있을 수밖에 없었다. 즉 친러 세력과 친미 세력 간 균열이 대등하지 않았고 전자에 기울어진 탓에, 미러 간의 지정학적 경쟁요인이 재민주화를 추동하는 후자와 강하게 반응하지 못했던 것이다. This paper aims to compare the Ukraine case where the Orange Revolution occurred in 2004 and the Belarus case where the Lukashenko’s electoral authoritarian regime still stays in power, though significant demonstrations for democracy have been sometimes mounted against it, and find the main causes of the difference in the political outcomes. In particular, focusing on an international factor influencing most parts of this region as well as domestic factors in the two cases, this article attempts to analyze the political dynamics of redemocratization in Eurasian region. The geopolitical competition between the U.S. and Russia throughout Eurasian region was structured as an international factor, while the power relations among power nations were reorganized with the breakup of the Cold War. In Ukraine, the political conflict derived from the subnational cleavage between the pro-U.S. and pro-Russia forces overlapping with the regional cleavage between the west and the east of this country induced each region’s people to devote unilateral supports to a power nation among the U.S. and Russia. In this circumstance, the opposition force based on the west of Ukraine succeeded in creating massive and coherent protests, by displacing the resistance against the semi-authoritarian regime with the regional conflict. The factor of geopolitical competition between the U.S. and Russia strongly interacted with the subnational cleavage, and correspondingly redeomocratization could be achieved in Ukraine. In Belarus, by contrast, the formation of anti-regime resistance has showed a limit in the mobilization and solidification, since the pro-U.S. people is still a minority and not concentrated on a specific area. Thus the geopolitical competition factor could not strongly interact with the pro-U.S. force, differently from the Ukraine case

독일 점령기에 대한 회상: 장-피에르 멜빌의 <바다의 침묵>과 <그림자 군단>을 중심으로

이선우 ( Lee Sun-woo ) 한국프랑스문화학회 2020 프랑스문화연구 Vol.47 No.1

La Seconde Guerre mondiale est l’un des événements les plus influents sur la mentalité des français d’aujourd’hui, et elle a toujours été éveillée par les médias populaires tels que les romans et les films. Aussi pour les cinéastes français, la Seconde Guerre mondiale est un tournant important. Après la souffrance de la censure sous le gouvernement de Vichy, beaucoup de cinéaste français a commencé à réaliser le souvenir de la guerre, surtout dans le contexte de la mythologie de la Résistance. Jean-Pierre Melville est l’un des cinéastes qui a rappelé à plusieurs reprises la vie des français pendant l’Occupation. Cette étude a pour but d’examiner la différence du souvenir de l’Occupation entre deux films de Melville, Le silence de la mer (1949), réalisé juste après la guerre, et L’armée des ombres (1969), sorti vingt ans plus tard. Le silence de la mer évite l’image typique des Nazis en se concentrant sur les échanges émotionnels subtils qui se déroulent dans les relations personnelles des deux français ordinaires et un officier allemand. Les relations entre ces personnages sont représentés efficacement par des images visuelles et auditives au lieu de dialogue dans la vie quotidienne répétitive. Melville essaie de montrer le changement des émotions que les français entretiennent avec l’allemand. Leurs sentiments petit à petit changent de l’hostilité à la faveur. Malgré cela, par l’image des français qui gardent le silence obstinément, Melville prouve la fierté et la conviction des français dans Le silence de la mer. Et il dit finalement qu’à l’époque, tous les Français étaient des résistants. D’autre part, dans L’armée des ombres, Melville dévoile son expérience de Résistance et révèle clairement le parfum de De Gaulle. Cependant, chaque membre de Résistance est représenté comme un personnage double qui est un héros et qui est en même temps criminel. En fin de compte, avec l’image de ceux qui ont dû mourir tragiquement, Melville veut dire que l’honneur de la France a recommencé en se basant sur le sacrifice tragique de la Résistance. Ainsi, Melville se concentre sur la reproduction des divers influences de la guerre sur la vie privée plutôt que sur la description directe de la tragédie de la guerre. De plus, ces deux films démontrent qu’il est impossible de reproduire l’histoire de manière réaliste ou de trouver la vérité cachée. Et finalement, on peut comprendre qu’il est seulement possible de vérifier la différence de point de vue qui se souvient de l’histoire.