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소화기증상을 동반한 섬유근육통 환자에 대한 오두탕 치험 1례
장혜연,유상구,김도형,이영수,Jang, Hye-yeon,Yu, Sang-gu,Kim, Do-hyeong,Lee, Young-su 대한한방내과학회 2021 大韓韓方內科學會誌 Vol.42 No.5
Objective: The purpose of this study was to investigate the effects of Korean medical treatment on a fibromyalgia patient with gastrointestinal symptoms, using herbal medicines selected according to new rather than existing standards. Method: A 52-year-old female patient with fibromyalgia was treated with Odu-tang and acupuncture, cupping, and moxibustion for 22 days. To evaluate the treatment, we used the Numerical Rating Scale (NRS), American College of Rheumatology's Preliminary Diagnostic Criteria (ACR), and Korean Gastrointestinal Symptom Rating Scale (KGSRS). Result: Following treatment, pantalgia diminished, NRS, and ACR scores improved, and the GSRS score decreased from 29 to 11. Conclusion: This study suggests that Korean medical treatment could effectively reduce pain and improve digestive symptoms in patients with fibromyalgia. It also presents a new method that considers individual characteristics when choosing herbal medicine.
초등학생 어머니의 자녀에 대한 시간지원행동 유형별 지원동기와 표준설정, 만족도
장혜연,홍은실 충북대학교 생활과학연구소 2022 생활과학연구논총 Vol.26 No.1
This study aims to classify the types of time support behavior of mothers for elementary school children and analyze the characteristics shown by child support motivation, standard setting, and support satisfaction. The final 798 copies were used for data analysis. Women with elementary school children nationwide were surveyed through online surveys. The statistical methods adopted for data analysis are factor analysis, cluster analysis, chi-square analysis, one-way ANOVA and Duncan's multiple range test. The main findings are as follows. The 5 clusters of the supporting behaviors with time are extracted and the names for the each clusters were given as 'the active supporting type', 'the passive supporting type'.'the adjusting type focused children's life time', 'the independent adjusting type', and 'the independent-autonomous type'. This 5 types of the supporting behaviors with time have significantly different characteristics in family about mother's education background, parents' job status, total earned incomes, the housing ownership, and the school year of children. And the characteristics of the motivations, standard setting for supporting children with time show different aspects in the 5 types of supporting behaviors with time. In details, these difference between the 5 types is in the motivation of social contribution, internal regulation, and the assessment of resource related to time, money, human, and then the goal setting in the sub-elements of standard setting. The result about the mother's satisfactions of supporting with time significantly different between the 5 types of supporting behaviors with time. In this study the dimension of the time supporting behavior is composed of planning and implementing in family system process. So this study which finds new dimension of the time supporting behavior suggest desirable implications for the parents' supporting for children in elementary school. Especially it is recommended that the supporting behavior for children needs to develop mother's actions of planning and implementing in family system process.
열차 시뮬레이터 조작 시 운전자의 생체신호 변화에 대한 연구
장혜연,장재호,김태식,한창수,한정수,안재용,Jang, Hye-Yoen,Jang, Jae-Ho,Kim, Tea-Sik,Han, Chang-Soo,Han, Jung-Soo,Ahn, Jae-Yong 대한인간공학회 2006 大韓人間工學會誌 Vol.25 No.4
he purpose of this study is to measure bio-signal to investigate the driver's physiological response change under real situation using train simulator. The train simulator used in this study is KTX model and according to changes of driving situation, The bio-signal controlled by autonomic nervous system, such as GSR(Galvanic Skin Response), SpO2(Saturation percent O2), HR(Heart Rate), ECG(Electrocardiograph), EEG(Electroencephagram) and movement and response of eye were measured. Statistically significant difference in bio-signal data and eye movement activity pattern were investigated under several different driving speeds using analysis of variance (p<0.05). The GSR and HR value measured in average and mission speed operation is higher than in high-speed operation. β wave of EEG in average speed operation become more activated than in high speed operation. In accordance with a characteristic of rail vehicle, movement and response of eye in high-speed operation requiring relatively simple maneuver become less activated than in either average or mission speed operations. Conclusively, due to more careful driving controls in average and mission speed operation are required than in high-speed operation, level of mental and physical stresses of train driver was increased and observed through changes of bio-signal and eye movement measured in this study.
위식도역류질환의 한약 치료에 대한 최신 임상 연구 동향 - 半夏를 중심으로 -
장혜연,김영광,정서윤,김도형,김경옥,이영수 대한한방내과학회 2020 大韓韓方內科學會誌 Vol.41 No.6
Objective: The purpose of this study was to review Chinese clinical studies of the treatment of gastroesophageal reflux disease (GERD) with herbal medicine including Pinellia ternata. Methods: We searched the China National Knowledge Infrastructure (CNKI) database for clinical studies on herbal treatments including Pinellia ternata for GERD, from January 1st, 2015 to September 30th, 2019. We evaluated the risk of bias using Cochrane's risk of bias to confirm the quality of the 37 selected documents. Results: The 37 papers included high-dose and middle-dose Pinellia ternata groups. The outcome measures included treatment effectiveness rate, symptom comparisons, and endoscopy effectiveness rates or scores. In both groups, most studies showed significant improvement in the treatment group compared with the control group. The meta-analysis revealed a higher treatment effectiveness rate and a lower recurrence rate in the treatment group than in the control group. Conclusions: Comparing the treatment effect between the two groups was difficult due to the low quality of most studies. However, the results suggest that herbal remedies including Pinellia ternata showed statistically significant improvement in GERD compared to control groups.
지적장애 아동 및 청소년을 위한 실행기능향상 애플리케이션 ‘YESS’의 효과성 검증: 학교훈련 기반 예비연구
장혜연,정경미 한국재활심리학회 2022 재활심리연구 Vol.29 No.1
지적장애(Intellectual Disability)로 진단된 아동·청소년은 작업기억, 계획력, 억제력 및 인지적 유연성을 포함한 실행기능에 상당한 결함을 보이며, 이는 일상생활, 학업, 대인관계 등 다양한 적응영역에서의 어려움을 초래한다. 본 연구에서는 지적장애 아동·청소년의 실행기능 향상을 위한 앱 기반 훈련 프로그램 ’YESS’를 개발하고, 학교 세팅에서 진행되는 훈련이 실행기능 향상에 효과가 있는지 살펴보았다. 이를 위해, 연구 참가기준을 충족한 42명의 아동·청소년을 훈련집단과 대기집단에 무선할당 하고, 약 55일 동안 학교에서 앱 기반 훈련을 실시하였다. 훈련 전후로 아동의 4가지 실행기능 영역을 측정하는 인지검사와 부모와 교사를 대상으로 부모 양육스트레스, 건강관련 삶의 질, 집행기능 곤란, 교사 직무 스트레스를 평가하는 자기보고식 설문지를 실시하였다. 연구결과, 훈련 후 훈련집단이 대기집단에 비해 계획력 과제 수행이 유의미하게 증가하였고 교사가 보고한 직무소진에서 유의미한 감소를 나타냈다. 한편, 다른 3 영역의 아동 인지과제와 부모 및 교사 설문에서는 유의미한 변화가 관찰되지 않았다. 본 연구 결과를 바탕으로 앱 기반 실행기능 훈련 효과성에 대한 연구적 함의와 함께 본 연구의 한계 및 후속 연구를 위한 제언을 논의하였다.
장혜연,최희정,이계봉,Sul-Bit Cho,임인재,김희진 대한골대사학회 2016 대한골대사학회지 Vol.23 No.2
Background: Bone mineral density (BMD) is influenced by many factors. Despite the reported association between body components and BMD, most of these studies investigated the relationship between absolute muscle mass or fat mass and BMD in postmenopausal women or elderly subjects. The aim of this study is to investigate the association between muscle mass deficits (MMD) estimated from bioelectrical impedance analysis (BIA) and lumbar spinal BMD in Korean adults 20 to 49 years of age. Methods: This cross-sectional study included 1,765 men and women who visited a health promotion center for a routine checkup. The lumbar spinal BMD was measured by dual energy X-ray absorptiometry. Body composition analysis was performed using BIA. Results: The mean age of the subjects was 40.2±6.3 years. Ten thousand subjects (56.7%) were males and 126 subjects (7.1%) belonged to the low BMD (Z-score ≤-2.0). MMD had the strongest influence on BMD after adjusting for all covariates. The adjusted odds ratio of Group 3 (MDD >2.6 kg) for low BMD was 2.74 (95% CI, 1.46-5.15) after adjusting for age, gender, body mass index, height, and smoking. Conclusions: MMD estimated by BIA showed a significant association with BMD and could be regarded as an independent risk factor for low BMD in adults 20 to 49 years of age. These findings support that interventions such as physical activity or lifestyle changes may simultaneously modify both muscle and bone health in this age group.