일상생활의 생의료화와 한의학의 주변화

이성오 전북대학교 대학원 2016 국내박사

The purpose of this research is to examine the phenomenon of that Traditional Korean Medicine(TKM) has been marginalized, even if the market with products embodied in the image of Traditional Korean Medicine(TKM) has been growing continuously in recent years. The perception of holism in Traditional Korean Medicine(TKM) has been getting weak these days. There are two typical examples demonstrating this phenomenon. Firstly, people tend to consider Traditional Korean Medicine as a restorative, not as a medical treatment to cure your entire body. Secondly, the treatment of Traditional Korean Medicine(TKM) by using acupuncture seems to focus on curing muscular skeletal disease in general. In other words, it means that Traditional Korean Medicine(TKM) has been recognized as medicine, which involves in curing some part of your body, instead of being perceived holistic medicine. The discourse of the unification of Oriental and Western medicine has been consistently discussed in the medical field. Most of them were done unilaterally by the western medicine. The regulation of a herbalist would be a typical example showing this kind of medical unification which is done by one specific side. Traditional Korean Medicine(TKM) has been struggling to build its own identity by doing comparison with Biomedicine. The discourse of 'ethnic group' might be a typical case of explaining the unification between two sides. Due to the process of setting up identity, Traditional Korean Medicine(TKM) has been mentioned and discussed in the relation with Western Medical in the social context, even though it is a independent medical method. As a result, it would be one of the elements to interrupt the unification of Western Medicine and Oriental Medicine. The discourse of Medical Unification has been inherent in the issue whether you use a medical appliance or not. Even though the number of the medical treatment consumers and the health care providers has been increasing at the recent years, it seems less possible for Medical Unification successful at the moment. However, Medical Unification which was enforced by some certain power has occurred in some specific areas, and it has been mainly done by Western Medicine. In general, the concept of disease might reflect the people's perceptions on medical system. Therefore, it would be unavoidable for any severe competitions between Oriental and Western medical. However, most of disease has been understood and explained in the Western Medical context. This phenomenon can tell you that the common concept of disease in society and the people's perceptions on medical system have been influenced by the Western Medical more than other sides. The discourse of chronic disease marginalize Traditional Korean Medicine(TKM) and played a pivotal role to enhance the influence of the Western medical on the perceived medical system and the concept of disease in society. Medicalization and Biomedicalization are significant theories to examine and illustrate the Marginalization of Traditional Korean Medicine(TKM). Medicalization represents that the Western Medicine became widespread in the recent past. Moreover, Biomedicalization indicates that some changes in quality occurred within the extended area made by Medicalization. In other words, Marginalization of Traditional Korean Medicine(TKM) describes that people's daily lives have been transformed to Biomedicalization in general. In terms of Medicalization related to Traditional Korean Medicine(TKM), there are three key interactive progresses including the discourse of universal medical treatment, a medical check-up, and National Insurance System. The meaning of 'universal medical' is the medical transaction that people in need of medical services would feel little or no hesitance for choosing it. The choices of consumers of medical treatment would be influenced by the side that could gain a competitive edge between Western Medicine and Oriental Medicine. In the process of Medicalization, the supply can create the demand. By providing medical services based on the specialized knowledge, new medical customers can be produced. The Western Medicine-centered Medicalization has taken shape in all aspects of our daily lives in the systematic context. For instance, there are a medical check-up and National Insurance System. The former would play a role as a so-called 'gate' to enter the Medicalization, and the latter would keep it in the sustainable way. It is because the process of Medicalization has been mainly done by the Western Medical, the are of Traditional Korean Medicine(TKM) seems to become smaller and smaller compared to the past. Medicalization could be a significant method to extend the area of medical services. Western Medicine, Traditional Korean Medicine(TKM), and Health Functional Food would compete each other for extending the territory by doing Medicalization. However, the Medicalization on going at the current moment seems to be mostly done by Western Medicine. This means that Traditional Korean Medicine(TKM) has been alienated from the process of the Medicalization. Biomedicalization could depict more clearly the reason why Marginalization of Traditional Korean Medicine(TKM) than Medicalization. It is because that in the process of Marginalization of Traditional Korean Medicine(TKM), Biomedicalization has appeared with Medicalization together at one time. Biomedicalization shows some specific festures including Neoliberalism, Identity of Technology and Science, the subjectivation of the group of patients and life and capital, which can cause any changes within the medical system. There are key four features showing up in the process of Marginalization of Traditional Korean Medicine(TKM); Neoliberalism (Personalization embodied in the discourse of financial issues, Reconstitution of the medical system made by commercial Corporatization); Professionalism of medical treatment based on the development of technology and science; Standardization working as a tool for implementing subjectivation; Scientification that could form the foundation of economy of life and capital. Biomedicalization could be understood as Neoliberalism in the medical treatment fields. In the context of Biomedicalization, it is common to gain profits by doing Personalization and Corporatization. Biomedicalization seems to create individuals embodied with the discourse of economy by combining with Biomedicalization. Furthermore, it could realign the system of medical treatment through commercial Corporatization. Marginalization of Traditional Korean Medicine(TKM) tend to be triggered by that the perceptions of individuals transfer to another such as Biomedicalization. It is because that people could seek a profit by doing Commercialization in Neoliberalism, the medical fields that cannot make money would fall behind the others. It means that Traditional Korean Medicine(TKM) has been in the way of Marginalization because it has a different direction from Corporatization Visibility plays a critical role in Biomedicalization. The medical development in technology and science has encouraged the expansion of visibility. On the other hand, the development of diagnosing equipments seem to make Traditional Korean Medicine(TKM) to lose the image of doing treatment and diagnosis. This can tell you that people would consider the development of technology and science as professionalism by that our daily life is in Biomedicalization. Standardization would be an accurate gauge of when individuals adopt medical treatments. It is quite common that Traditional Korean Medicine(TKM) has been not standardized. The subjected-group of patients might produce a new criteria. Standardization which is needed in Traditional Korean Medicine(TKM) field would be affected by whether conative medical customers can create a new criteria or not. Scientification could support the economy of life and capital in Biomedicalization. The medicine could develop through doing scientification based on Biomedicalization. Considering this situation, Traditional Korean Medicine(TKM) is behind Western Medicine. Traditional Korean Medicine(TKM) is surrounded by the medical environment, which any medical areas would go downhill without the investment of companies in the financial way. Health Functional Food would be a typical example of Biomedicalization in the area of Traditional Korean Medicine(TKM). The people's negative perceptions on Traditional Korean Medicine(TKM) have been caused by the discourse of side effects of Traditional Korean Medicine(TKM) and providing materials for herbal medicine from China. People would consider Health Functional Food as a similar one with Traditional Korean Medicine(TKM) when the negative awareness about Traditional Korean Medicine(TKM) exists. People feeling a sense of incompatibility towards Traditional Korean Medicine(TKM) can represent the following issues; the trends that Medicine seems to be recognized as products; they do not trust the Commercialization related the production and distribution of medical goods. Traditional Korean Medicine(TKM) seem to be isolated in terms of the disease treatment. However, the trend of commercialization by utilizing the image of Traditional Korean Medicine(TKM) has been widespread at the moment. Recent research says that people would go for Viagra and red ginsengs instead of consuming herbal medicine, and it means that Commercialization of medicine has been appearing based on Biomedicalization. In contrast with that consumption of herbal medicine has been declining, the products with images of Traditional Korean Medicine(TKM) has been growing continuously, and you can be assure of 'the high level of Traditional Korean Medicine(TKM) which provide a certain positive image It is a quite common perception that herbal medicine is expensive. Even though the herbal medicine is one of medical supplies, it would be less competitive with Health Functional Food in term of its price. To say another words, the typical identity of Traditional Korean Medicine(TKM) would be perceived as one of goods based on Biomedicalizatio. In conclusion, the decline of consumption rate of Traditional Korean Medicine(TKM) does not necessary means that people buy read ginsengs instead of. Scientification, Standardization and the discourse of Biomedicalization embodied in Commercialization have caused the decrease of the consumption of the herbal medicine. In the future, if another product that contains the meaning and symbol of Biomedicalization appear in your daily life, red ginsengs will be replaced by it. Key words: Traditional Korean Medicine, Marginalization, Medicalization, Biomedicalization, Neoliberalization

位相測定에 依한 板狀鑛體의 誘導分極 效果에 對한 模型硏究

이성오 서울大學校 1984 국내석사

연마공정에서 MR 유체의 트라이볼로지적 성질에 대한 연구

이성오 연세대학교 대학원 2007 국내석사

자기유변유체(Magneto-Rheological Fluid, MR 유체)을 이용한 실리콘 표면의 연마공정은 대상물의 표면 거칠기 뿐만 아니라 3차원 미세구조물의 형상 정밀도를 유지하면서 연마가 필요할 때 사용할 수 있는 선택성이 높은 연마 방법이다. 또한, 기존의 연마공정이 고체와 고체가 직접 접촉하여 연마 하는 방식인데 반해 자기유변유체를 이용한 방식은 점도를 가진 유체를 사용하여 연마하는 방식이기 때문에 시편에 가해지는 손상이 적고 매우 고운 표면을 얻을 수 있다는 장점이 있다. 최근에는 이러한 장점들로 인해 하드 디스크(HDD) slider나 비구면 렌즈 가공에도 쓰여지고 있다.본 논문은 연마 공정 중 MR 유체의 트라이볼로지적 성질에 대해 연구 하였다. MR 유체는 2~10μm의 Carbonyl Iron이 85wt.% 함유 하고 있으며 나머지는 물과 계면 활성제를 함유 하고 있다. MR 유체를 이용한 연마의 경우 재료제거 메커니즘에 있어서 물의 유체적인 성질과 CI 입자의 고체적인 성질(solid like behavior)이 동시에 작용한다고 가정한다. 또한, Amonton의 법칙과 Archard 이론으로부터 MR 연마의 트라이볼로지적 거동을 설명할 수 있는 재료제거율에 대한 수학적 모델 식을 제안하였다.이론에 의해 제안된 재료제거율 방정식은 실험을 통해 검증 하고자 한다. 실험을 통해 얻어진 MR 유체의 전단 응력(τ), 수직 응력(P), CI 입자의 상대속도(Vp)를 측정함으로써 수정된 Stribeck 곡선을 구할 수 있다. 결과적으로, 수정된 Stribeck 곡선은 Hersey 수와 마찰계수가 선형 관계를 가지며 MR 유체는 완전윤활(Hydrodynamic lubrication) 영역에서 가공됨을 알 수 있다.이것은 기존의 논문들이 밝히고 있는 기계적-화학적 연마 등 미세 연마가공에 있어서 재료제거율을 표면에 작용하는 일에 선형적인 비례관계를 가진다는 Preston의 방정식으로 설명하고 있는 것과는 근본적으로 다르며 유체 막과 시편의 접촉표면의 상대속도의 자승(Vp2)에 대한 강한 의존성이 포함된다는 것을 보여준다. Tribological properties of a Magneto-Rheological (MR) fluid in a finishing process are studied. The MR fluid under investigation contains about 85 wt.% of micro-sized Carbonyl Iron (CI) particles, and about 15 wt.% of water and surfactant(s) compound. In this study, a mathematical model is proposed for the description of tribological behavior of the MR fluid in the finishing process by considering both solid- and fluid-like characteristics of the fluid in a magnetic field in conjunction with the help of Archard theory and Amonton’s law of friction. The validity of the proposed model is proved through experimental efforts by means of the modified Stribeck curve. As a result, the friction coefficient turns out to have linear relationship with the modified Hersey number,, and it can be seen that the MR finishing under investigation is processed in hydrodynamic lubrication regime. It is also shown that the proposed model is substantially different from Preston’s equation in that material removal rate is not only a function of the product of applied normal pressure and relative velocity, but also strongly depends on the square of relative velocity.

소프트웨어開發에 있어서 工程 標準化에 關한 硏究

이성오 朝鮮大學校 産業大學院 1993 국내석사

로봇 축구 게임을 위한 영상 처리 시스템의 설계

이성오 고려대학교 2000 국내석사

ADO를 이용한 가상대학 시스템의 설계 및 구현

이성오 광운대학교 정보과학기술대학원 2001 국내석사

21세기의 대학은 정보통신의 급격한 발전과 웹의 보편화로 인하여 원격교육 시스템은 시간과 공간의 벽을 넘는 다양한 멀티미디어 기술과 더불어 열린교육, 평생교육의 장으로서 수요자 중심의 가상대학이 활발히 운영, 발전되어지고 있다. 본 논문에서는 이러한 열린교육 환경에서 경제적이며 효율성을 높일 수 있도록 웹 기반의 교육응용 프로그램이 상호작용이 가능하도록 ADO를 이용하여 가상대학 시스템을 설계하였고, 특히 과거 시스템으로부터의 문제점을 분석, 보완하여 다양한 사용자의 요구에 효과적으로 대처할 수 있으며, 안정된 시스템으로 언제 어디서나 원격교육이 이루어질 수 있도록 하였다. 또한, 대규모 가상대학시스템으로부터 소수의 인원으로 구성된 원격교육학습에 이르기까지 적용이 가능하도록 하였으며, 운영·관리·확장 등을 고려하여 Windows NT 기반에서 시스템을 설계하였고, 다양한 멀티미디어 컨텐츠를 지원할 수 있도록 하였다.

Multimodal biometrics and its applications

이성오 고려대학교 대학원 2009 국내박사

This dissertation presents multimodal biometrics and its applications. The term "biometrics" has been used to refer to the field of technology devoted to identifying individuals using biological traits, such as those based on retinal or iris scanning, fingerprints, or face recognition. Among various kinds of biometrics, we focus on two biological traits, face and fingerprints, because of their popularity. Firstly, we suggest pose-invariant, view-based enhanced Fisher linear discriminant models for face recognition. They are based on the view-specific eigenface method as the preprocessor to estimate various poses of the face in the input image. For face detection, we introduce two different detection methods based on the fuzzy neural network and deformable templates. As an extension of face-related research, we present facial expression recognition based upon Gabor-wavelets linked to enhanced Fisher linear discriminant models. This work deals with how the machine classifies human facial expressions, which has been a challenging problem for many researchers from diverse areas. To enhance the performance of face-related feature detection, a pose-invariant facial feature extraction method using active appearance models and 3D head tracking is also developed. Secondly, image-matching-based fingerprint recognition methods are proposed. These techniques compensate for the limits of the conventional minutiae matching method such as deformation, bad quality and small fingerprint area with an insufficient number of minutiae. In addition to fingerprint recognition methods, we introduce a new fingerprint classification method based on a feature map consisting of orientation and inter-ridge spacing for latent fingerprint retrieval within large-scale databases. Some of the limitations imposed by unimodal biometrics can be overcome by including multiple sources of information to establish identity. Therefore, we suggest multimodal biometrics based on two biological traits, face and fingerprints. Finally, a user tracking system based on Intelligent Space is developed for the testbed of the proposed identification technologies. In usual cases, what we experience is left in our brains' memories or other static media such as diaries, videotapes, CDs, etc. However, our memories are too inaccurate to put confidence in, and static media-stored information is fragmentary and hard to search. The proposed analytic information storage system of what happened in a space and a space based on the Intelligent Space functions can solve the above problems.

Smart Grid 환경에서 유혀 전력 평형조건을 이용한 배전 계통 거리 계전 알고리즘

이성오 울산대학교 2010 국내석사

최근 화석 에너지 고갈의 심각성이 나타나므로써 저탄소 녹색 성장이 대두되었다. 이로 인해 국내외에서는 녹색에너지의 접근이 용의한 Smart Grid에 관심을 가지고 이를 추진하고 있다. 이러한 Smart Grid는 각종 통신 네트워크와 지능형 설비, 센서시스템을 갖추고 있어 배전 계통내의 전력을 보다 효율적으로 공급할 수 있다. 그러나 배전 계통에 녹색 에너지를 연계하므로써 문제점도 발생 할 것으로 판단된다. 기존의 배전 계통의 한방향 전력 조류와는 달리 양방향 전력 조류가 형성되므로 전압 조정 문제, 단락 용량 초과, 보호 협조, 단독 운행, 상불평형 등의 문제가 발생할 수 있으며, 사고 발생시 사고 전류가 기존의 계통보다 커지며, 양방향 조류로 인해 사고 위치를 추정함에 있어 어려움이 생길 것이다. 이렇듯 분산전원이 연계된다면 지금 사용하고 있는 보호 방식은 더 이상 유효하지 않을 것이다. 그러나, 앞서 말헌 것과 같이 Smart Grid환경에서는 통신네트워크와 센서시스템이 발달하여 지금보다 많은 정보를 취득 가능할 것이며, 다양한 정보를 이용할 수 있다. 이러한 정보를 활용한다면 지금의 보호 방식과 다른 보호방식을 적용하여 배전 계통을 보호 할 것이다. 따라서, 본 논문에서는 보호 구역 내의 유입전력과 소비전력 평형을 이용해 사고를 판단하고, 사고 이후 부하점 전류를 이용할 수 있을 때와 그렇지 못할 때에 따라 사고 위치를 추정하는 방법을 각각 제안하였다. 이는 보호구역 내에 사고가 발생했을 때, 전류 정보를 취득하는데 많은 시간이 소요되거나 통신 장애로 인해 부하 전류 정보를 제공받지 못하는 경우를 반영한 것이다. 이렇듯 2가지 경우에 대해 양방향에서 사고 전류가 유입될 때, 사고 위치 추정 방법을 제시하고자 한다. 이러한 2가자의 경우에 대해 사고 모의는 EMTP를 사용하였으며, 다양한 고장 발생 조건을 검토하여 본 논문의 타당성을 입증하였다. 추후 배전 계통에 많은 분산 전원이 접목될 것이라고 볼 때 본 알고리즘은 우리나라 배전 계통 사고 위치 추정에 유용할 것으로 사료된다.

金融環境變化와 地方銀行의 對應方案에 관한 연구

이성오 창원대학교 2000 국내석사

만성통증환자의 자가 치료 : 치료과정에서의 주체성발현을 위한 노력

이성오 전북대학교 대학원 2007 국내석사

이 논문은 만성통증환자의 의도적인 자가 치료가 환자의 몸에 대한 주체성을 발현하는 구체적인 행위임을 밝히려는 목적으로 한다. 이를 위해 연구자는 만성통증환자의 두가지 행위를 연구하였다. 첫째, 만성통증환자가 의료기관을 이용하는 것이다. 환자는 통증이 처음 시작될때는 일반적으로 참는 경향을 보인다. 그러나 통증이 계속되면서 환자는 약국, 개인병원, 종합병원을 순차적으로 방문한다. 각 단계마다 환자는 통증과 몸에 대한 다른 인식을 보인다. 연구자는 이를 연구하기 위해 약국, 개인병원, 종합병원에 대한 순차적인 현지조사를 실시하였다. 둘째, 만성통증환자의 의도적인 자가치료이다. 지금까지 '자가치료'는 환자가 몸에 이상을 느낄 때 의료기관을 이용하는 것이 아니라 비처방약을 통해 자신의 통증을 다스리려는 노력으로 정의 되어 왔다. 이 논문에서는 기존의 자가 치료의 개념을 확대하여 '의사의 권고를 따르지 않고 자신의 의지대로 의료기관을 이용하는 행위'로 정의하고자 한다. 이에 대한 연구를 위해 연구자는 만성통증환자의 다양한 자가 치료의 사례를 수집하여 분석하였다. 결론적으로 연구자는 만성통증환자의 의도적 자가 치료에서 3가지 특징을 발견할 수 있었다. 첫째, 통증이 심하지 않고 질환에 대한 원인이 명확해 치유에 대한 희망이 보이는 통증 환자는 자기 몸에 대한 치료를 의사/병원에게 맡긴다. 자신의 몸을 지키는데 큰 어려움이 없을 것이라고 판단하기 때문이다. 둘째, 질병 치료 시간이 길어지면서 환자는 질병치유를 의사/병원에 전적으로 맡기기 보다는 자신의 진단과 판단에 따른 ‘의도적 자가 치료’를 중요시하게 된다. 왜냐하면 환자는 의사가 자신의 질환에 대해 정확한 인식을 하지 못한다고 여기기 때문이다. 이 같은 인식을 바탕으로 환자는 지금까지의 치료 과정에서 습득된 경험과 지식을 바탕으로 의도적 자가 치료를 시작한다. 셋째, ‘의도적 자가 치료’는 수동적이었던 질병에 대한 환자의 태도가 능동적으로 바뀌면서 발현되는 양상이라고 할 수 있다. 몸에 대한 권리를 사실상 의사/병원에게 양도했던 환자는 이들로부터 통증 치유의 희망을 발견하지 못하면서 자기 몸에 대한 권리를 되찾아오기 시작한다. 환자는 의도적 자가 치료를 시행하면서 이를 통해 자신의 몸에 대한 주체성을 구체화 시킨다. This paper is aimed to prove that the intentional self-medication of the chronically sick is a concrete activity to embody their subjectivity towards their own bodies. To do this, I studied two kinds of activities of the chronically ill. First, they use the existing medical system. The ill usually tend to stand their pain at the beginning stage. When they realize that it is not something just to stand, they begin to try to treat it using the medical system with an order; a pharmacy, a private clinic, and a general hospital. Through each step, the chronically ill have different recognition towards their bodies and pain. To scrutinize such a change of recognition, I did field work orderly at pharmacies, private hospitals, and general hospitals. Second, the chronically sick do 'intentional self-medication .' So far, 'self-medication' tends to be defined as an activity that the sick treat their pain, not using the medical system, but taking non-prescribed medicine (OTC: Over The Counter), when they feel something wrong with their health. In this study, expanding the concept of 'self-medication', I define it as 'an activity that the sick cure their pain willfully without following doctor's instruction.' For the study of 'intentional self-medication ,' I collected and analyzed various cases of it done by the chronically ill. In conclusion, I found three features of chronic pain patients' intentional self-medication. First, the chronically ill who have relatively light pain and hope for recovering, knowing the cause of their pain clearly, follow doctors' instruction. They think that there are a few impediments to keep their health because they know their problems exactly. Second, as the time of treatment extends, the ill come to make much of 'intentional self-medication' with their own judgment instead of trusting doctors' instruction entirely. This is the reason why they think that doctors don't understand their pain and its cause exactly. With such recognition, the sick start to do intentional self-medication based on their experience and knowledge acquired by the treatment process so far. Third, 'intentional self-medication' appears when patients' attitude towards their pain change from passive to active. The ill who have actually assigned the right for their bodies to doctors begin to take it back from them when they lose the hope that doctors will control their pain clearly. That is, the ill embody the subjectivity of their bodies with intentional self-medication.