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중국의 변질논치(辨質論治)이론과 한국 사상체질(四象體質)의학에서의 체질(體質)이론 비교연구
김은희,서영광,정의홍,김선형,이수경,고병희,김달래,Kim, Eun-Hee,Seo, Young-Kwang,Jung, Yee-Hong,Kim, Sun-Hyung,Lee, Soo-Kyung,Koh, Byung-Hee,Kim, Dal-Rae 사상체질의학회 2009 사상체질의학회지 Vol.21 No.1
1. Objectives This study is for comparing between theory about "Constitution" in China and Sasang constitutional Medicine in Korea 2. Method I refered to the literatures about "Constitution" published in China and Korea 3. Result and Conclusion 1) "Constitution" in Traditional Chinese Medcine(TCM) is reinterpretation of Traditional Chinese Medcine, while, Constitution in Sasang Constitutional Medicine is an innovative concept developed from Traditional Korean Medicine. 2) The concept of "Constitution" in Chinese Medicien is related to long-term-period symptom or physical condition, while, the concept of Constitution in Sasang Constitutional Medicien includes not only long-term-period symptoms or physical conditions but also natural superiority and inferiority of individual according to 4 type Constitution. 3) The concept of Constitution in Sasang Constitutional Medicien has organized mind-body system than Concept of "Constitution" in Chinese Medicine. According to the theory of Sasang Constitutional Medicine, Mind is one of the best important things related type of disease. Lectures of Sasang Constitutional Medicine give a full detail of correlation of Mind and disease. 4) Finally, The concept of "Constitution" in Chinese Medicien is changeable but the Concept of "Constitution" in Sasang Constitutional Medicien is not changeable. changeable elements in Sasang Constitutional Medicien are symptoms and syndromes of disease.
김은희(Kim, Eun-Hee) 한국변형영유아교육학회 2009 변형영유아교육연구 Vol.3 No.1
본 연구는 관계의 본질적 의미를 탐색하고자 시도된 김은희(2008)의 연구에 참여하였던 공동체 T유치원 교사들이 ‘관계의 렌즈로 들여다보기’를 통해 관계를 재개념화하고 관계형성을 위한 교사의 역할을 반성, 사고와 실천의 변화를 가져오는 참여실천연구이다. 교사 11명과 본 연구자는 6주간 유치원 일과에서 참여관찰, 기록, 공유, 면담 과정을 거치면서 차원⋅요소(8×5)로 구성된 관계의 매트릭스에 근거하여 매주 차원별 요소별 관계의 상황과 내용 및 상호작용의 질을 반성하였다. 연구과정에서 도출된 참여관찰기록, 면담자료, 일일⋅주간 저널, 교사 협의록, 교사저널을 참여관찰, 면담, 내용분석 방법으로 질적 분석하였다. 이러한 과정은 교사들로 하여금 관계의 의미를 알고 교실의 관계를 돌아보면서 부족한 관계형성의 내용과 질을 향상시킬 수 있는 실천을 의식적으로 시도하게끔 하였다. 연구 결과, 연구과정에서 교사들은 관계의 본질적 의미를 탐색할 수 있었고, 관계의 개념 및 역할 뿐 아니라 교사자신의 역할에 대한 사고가 변화됨을 볼 수 있었다. 관계형성을 위한 교사의 실천 또한 연령에 따라 차원별, 요소별로 다르게 나타났다. 이를 토대로 연령별 서로 다른 관계차원의 양상과 요소 간 관계를 지원하는 현장교사를 위한 실천 tip을 제시하였다. This study was a participatory action research to investigate the change in the community T kindergarten teachers' thinking and practices on re-conceptualization of relationships by looking through the lens of relationships. The teachers who had been involved Dr. Kim's research(2008) to study the essential meaning of relationships. With 11 teachers who have been participated in this research in the community T kindergarten, this researcher had reflected weekly the situation and contents of dimensional and elemental relationships, and the quality of interaction based on the matrix of relationships composed of the dimensions and elements (8 x 5) over the period of 6 weeks by using participatory observation, documentation, sharing, and interviews. The interpretation and coding of the data from documentation of participatory observation, materials of interviews, daily journals, weekly journals, teacher's assembly records, and teacher's records were ongoing and based on a qualitative analysis of the participatory observation, interviews, and analysis of contents. This process gave opportunities for the teachers to understand the meaning of relationships, and improve the part of insufficient formation of relationships as well as the quality of the relationships in the classroom. In the results of this study, the teachers could investigate the essential meaning of relationships and they could be aware of the change in their thinking of the teacher's role. The results of the teacher's practices of relationship formation were different depending upon children's age in dimensional and elemental relationships. Based on the results, the researcher provided practical tips for classroom teachers who support the relation between different aspects and elements in dimensional relationships in each age group of children.
북미 법규 강화를 고려한 국내 자동차의 천정강도 시험특성에 관한 연구
김은희,이재광,이문구,홍민성,Kim, Eun-Hee,Lee, Jae-Kwang,Lee, Moon-Gu,Hong, Min-Sung 한국생산제조학회 2009 한국생산제조학회지 Vol.26 No.3
In order to reduce the risk of roll over crash, one of the greatest risk events, National Highway Traffic Safety Administration(NHTSA) issued Notice of Proposed Rulemaking(NPRM) enhancing the safety standard on roof crush resistance, FMVSS No. 216 and changing some part of the test procedure. According to this NPRM, the boundary Gross Vehicle Weight Rating(GVWR) of the vehicles applied by this standard is extended from 2,722kg(6000 lb) to 4,536 kg(10000 lb) and the applied test force is increased from 1.5 times to 2.5 times of Unloaded Vehicle Weight (UVW). Also the current limit on the amount of roof crush, 127mm(5 inch), is replaced with a new requirement of maintaining enough headroom without touching the head of a seated 50% male dummy. In this paper, we carried out the rollover crash test on some domestic cars and investigated their safety due to the KMVSS No. 92 and the enhanced safety standard, FMVSS No. 216, respectively. The result shows that most of them can satisfy the new standards but further tests will be necessary, especially for heavier cars.
Heme oxygenase-1 유도를 통한 화학 암예방 및 세포보호와 그 분자생물학적 기전
김은희,김성환,나혜경,서영준,Kim, Eun-Hee,Kim, Sung-Hwan,Na, Hye-Kyung,Surh, Young-Joon 한국환경성돌연변이발암원학회 2006 한국환경성돌연변이·발암원학회지 Vol.26 No.4
Heme oxygenase(HO)-1 is an important antioxidant enzyme that plays a pivotal role in cellular adaptation and protection in response to a wide array of noxious stimuli. Thus, HO-1 induction has been associated with prevention or mitigation of pathogenesis of various diseases, including acute inflammation, atherosclerosis, degenerative diseases, and carcinogenesis. Recent progress in our understanding of the function of molecules in the cellular signaling network as key modulators of gene transcription sheds light on the molecular mechanisms underlyuing HO-1 gene expression. A panel of redox-sensitive transcription factors such as activator protein-1, nuclear factor-kB, and nuclear factor E2-related factor-2, and some of the upstream kinases have been identified as prime regulators of HO-1 gene induction. This review summarizes molecular mechanisms underlying HO-1 expression and the significance of targeted induction of HO-1 as a potential chemopreventive or chemoprotective strategy.
Clinical features of infantile hepatic hemangioendothelioma
김은희,고경남,박미림,Bo Eun Kim,임호준,서종진 대한소아청소년과학회 2011 Clinical and Experimental Pediatrics (CEP) Vol.54 No.6
Purpose: Infantile hepatic hemangioendothelioma (IHHE) is the most common type of hepatic vascular tumor in infancy. We conducted this study to review our clinical experience of patients with IHHE and to suggest management strategies. Methods: We retrospectively analyzed the medical records of 23 IHHE patients (10 males, 13 females) treated at the Asan Medical Center between 1996 and 2009. Results: Median age at diagnosis was 38 days (range, 1 to 381days). Seven patients (30%) were diagnosed with IHHE based on sonographically detected fetal liver masses, 5 (22%) were diagnosed incidentally in the absence of symptoms, 5 (22%) had congestive heart failure, 3 (13%) had skin hemangiomas, 2 (9%) had abnormal liver function tests, and 1 (4%) had hepatomegaly. All diagnoses were based on imaging results, and were confirmed in three patients by histopathology analysis. Six patients were observed without receiving any treatment, whereas 12 received corticosteroids and/or interferonalpha. One patient with congestive heart failure and a resectable unilobar tumor underwent surgical resection. Three patients with congestive heart failure and unresectable tumors were managed by hepatic artery embolization with/without medical treatment. At a median follow-up of 29 months (range, 1 to 156 months), 21 (91%)patients showed complete tumor disappearance or >50% decrease in tumor size. One patient died due to tumor-related causes. Conclusion: IHHE generally has a benign clinical course with low morbidity and mortality rates. Clinical course and treatment outcome did not differ significantly between medically treated and non-treated groups. Surgically unresectable patients with significant symptoms may be treated medically or with hepatic artery embolization Purpose: Infantile hepatic hemangioendothelioma (IHHE) is the most common type of hepatic vascular tumor in infancy. We conducted this study to review our clinical experience of patients with IHHE and to suggest management strategies. Methods: We retrospectively analyzed the medical records of 23 IHHE patients (10 males, 13 females) treated at the Asan Medical Center between 1996 and 2009. Results: Median age at diagnosis was 38 days (range, 1 to 381days). Seven patients (30%) were diagnosed with IHHE based on sonographically detected fetal liver masses, 5 (22%) were diagnosed incidentally in the absence of symptoms, 5 (22%) had congestive heart failure, 3 (13%) had skin hemangiomas, 2 (9%) had abnormal liver function tests, and 1 (4%) had hepatomegaly. All diagnoses were based on imaging results, and were confirmed in three patients by histopathology analysis. Six patients were observed without receiving any treatment, whereas 12 received corticosteroids and/or interferonalpha. One patient with congestive heart failure and a resectable unilobar tumor underwent surgical resection. Three patients with congestive heart failure and unresectable tumors were managed by hepatic artery embolization with/without medical treatment. At a median follow-up of 29 months (range, 1 to 156 months), 21 (91%)patients showed complete tumor disappearance or >50% decrease in tumor size. One patient died due to tumor-related causes. Conclusion: IHHE generally has a benign clinical course with low morbidity and mortality rates. Clinical course and treatment outcome did not differ significantly between medically treated and non-treated groups. Surgically unresectable patients with significant symptoms may be treated medically or with hepatic artery embolization.
간호대학생의 자아탄력성과 비판적 사고 성향 및 전공만족도에 관한 연구
김은희,Kim, Eun Hee 한국임상보건과학회 2016 한국임상보건과학회지 Vol.4 No.4
Purpose. This study was conducted to define Ego resilience, Critical thinking disposition and satisfaction in major, and to relationships among above variables. Methods. Participants in the study were selected as 163 P city nursing students in Korea. Data were collected from October 26 to December 16, 2016. Date were analyzed by frequencies, t-test, ANOVA, Scheffes' test and Pearson's correlation coefficients using SPSS WIN/PC 22.0. Results. It was found that there were significant differences in the ego resilience depending on relationship with friends and admission motivations. Satisfaction in major was significantly different according to relationship with friends. Significant correlations were found between ego resilience, critical thinking disposition, and satisfaction in major in nursing students. Conclusions. It is necessary to develop and implement program for improving ego resilience and critical thinking disposition in order to increase the satisfaction of major in nursing students.
형개련교탕(荊芥連翹湯) 추출물의 경구투여(經口投與)가 rat의 수태능(受胎能) 및 초기(初期) 배발생(胚發生)에 미치는 영향(影響)
김은희,황순이,김상찬,지선영,Kim, Eun-Hee,Hwang, Sun-Yi,Kim, Sang-Chan,Jee, Seon-Young 대한한의학방제학회 2008 大韓韓醫學方劑學會誌 Vol.16 No.1
Objectives : this study was to access the effect of Hyeonggaeyeongyotang water extracts, a polyherbal formula has been used as folk medicine, on the fertility and early embryonic development of male and female Wistar rats when administered by oral gavage. Methods : In male rats, Hyeonggaeyeongyotang extract were dosed 4 weeks before pairing and 2 weeks after mating including the mating periods up to termination after necropsy of the majority of the females. In female rats, they were dosed 2 weeks before pairing, and from Day 0 to Day 7 of gestation. This study was conducted in accordance with the recommendations of the KFDA Guideline [2005-60] for Detection of Toxicity to Reproduction for Medicinal Products. Results: 1. No Hyeonggaeyeongyotang extract treatment-related changes on the clinical signs and mortalities, the Food consumptions, the Body weights and gains were demonstrated in all dosed levels tested in this study except for 500ml/kg-dosing male group in which a significant(p<0.05) increase of body gains was detected during day 0-7 after dosing. 2. No Hyeonggaeyeongyotang extract treatment-related changes on the pre-coital intervals, the estrus cycles, the mating index, conception rate and fertility index were demonstrated in all dosed levels tested in this study. 3. No Hyeonggaeyeongyotang extract treatment-related gross findings on reproductive organs, the weights of reproductive organs, histopathological findings on reproductive organs, the corpora lutea number, implantation site number, live fetus number, number of resorpted embryo and pre-and post-implatation loss were demonstrated in all dosed levels tested in this study. Conclusions : Base on the results, it is considered that the NOAEL (No-Observed-Adverse-Effect Level) for fertility and early embryonic development toxicity of Hyeonggaeyeongyotang extract was under 2000ml/kg/day in Wistar male and female rats because there no treatment-related changes on the fertility and early embryonic developmental index were demonstrated in all dosed levels tested.
자궁암 환자의 수신증으로 인한 소변불리와 조영제로 유발된 발진을 사상방으로 관리한 치험 1례
김은희,서영광,김달래,고병희,전성하,최원철,이수경,Kim, Eun-Hee,Seo, Young-Kwang,Kim, Dal-Lae,Ko, Byung-Hee,Cheon, Seong-Ha,Choi, Won-Cheol,Lee, Soo-Kyung 사상체질의학회 2007 사상체질의학회지 Vol.19 No.3
1. Objectives This paper reports a case of cervical cancer patient who showed positive results to Sasang Constitutional Medicine. The target symptoms were urinary disorder due to unilateral hydronephrosis and urticaria due to adverse drug reactions. 2. Methods We measured urinary output and interval. We evaluated skin urticaria by severity and size of itchy site. The patient treated using Sasang Constitutional Medicine. 3. Results and Conclusions Significant improvement was observed in urinary output and interval.
김은희,서영광,김달래,고병희,전성하,어완규,최원철,이수경,Kim, Eun-Hee,Seo, Young-Kwang,Kim, Dal-Lae,Koh, Byung-Hee,Cheon, Seong-Ha,Eo, Wan-Kyu,Choi, Won-Cheol,Lee, Soo-Kyung 사상체질의학회 2007 사상체질의학회지 Vol.19 No.2
1. Objectives In this case report, We report a case of advanced non-seminomatous germ tell tumor(NSGCT) of the testis to retroperitoneal lymph node. We successfully managed with sasang medical treatment. 2. Methods We treated a man with NSGCT of testis with retroperitoneal lymph node metastasis. We evaluated pain grade by VAS(visual analogue scale). and fever grade by body temperature(by axillary thermometer) 3. Results Pain and fever were improved with the Sasang constitutional medicine. 4. Conclusions Cancer pain and fever was markedly improved by Sasang Constitutional management. Further studies are needed to evaluate the cause of the improvement.