특발성(特發性) 동안신경마비(動眼神經麻痺)로 진단된 안검하수(眼瞼下垂) 환자 치험 1례

김태연,김현정,이창원,김창환,Kim, Tae-Yeon,Kim, Hyun-Jung,Lee, Chang-Won,Kim, Chang-Hwan 대한한방안이비인후피부과학회 2013 한방안이비인후피부과학회지 Vol.26 No.3

Objective : This study reports the effect of korean medicine on ptosis patient 1 case diagnosed as idiopathic oculomoter nerve palsy. Methods : We experienced one case of ptosis diagnosed as idiopathic oculomoter nerve palsy treated with herbal medicine and acupuncture. Ptosis and associated symptoms had been estimated with difference of both eye's interpalpebral fissure and VAS(Visual Analogue Scale). Result : After the treatment, symptoms were decreased and almost disappeared. In this case, difference of both eye's interpalpebral fissure decreased from 6mm to 1mm in a month. Conclusion : This study suggests that korean medicine is effective on ptosis diagnosed as idiopathic oculomoter nerve palsy.

자락발관법(刺絡拔罐法)을 병행한 한방치료로 호전된 대상포진 후 신경통환자 치험 1례

김태연,김현정,김창환,Kim, Tae-Yeon,Kim, Hyun-Jung,Kim, Chang-Hwan 대한한방안이비인후피부과학회 2012 한방안이비인후피부과학회지 Vol.25 No.3

Objective : This study reports the effect of oriental medicine with depletion and cupping therapy on post-herpetic neuralgia(PHN) 1 case. Methods : We experienced one case of PHN treated by oriental medical treatment with depletion and cupping therapy. To evaluate the effectiveness of this treatment, we used the Visual Analogue Scale(VAS). Result : After the treatment the grade of VAS was decreased and clinical symptoms were improved. Conclusion : Oriental medicine with depletion and cupping therapy can be available for relieving symptoms related with PHN.

치아 마모 환자에서 단일 구조 지르코니아를 이용한 완전 구강 회복 증례

김태연,한중석,김성훈,여인성,이재봉,Kim, Tae-Yeon,Han, Jung-Suk,Kim, Sung-Hun,Yeo, In-Sung,Lee, Jai-Bong 대한치과보철학회 2016 대한치과보철학회지 Vol.54 No.2

심한 치아 마모는 치질의 손상, 교합면의 부조화, 기능적, 심미적 문제들을 야기할 수 있다. 치아의 마모로 인해 나타나는 수직 고경의 감소는 악골의 보상성 성장과 치아의 맹출로 어느 정도 상쇄될 수 있지만 심미적 보철물을 제작하는 데 필요한 공간과 보철물의 유지 등을 얻기 위해서는 수직 고경의 거상이 필요할 수 있다. 본 증례의 환자는 44세 남자 환자로 다수 치아에 마모를 가지고 있고 심미적인 치아를 원한다는 주소로 본원에 내원하였다. 수복을 위한 악간 공간이 부족하여 진단 왁스업을 토대로 전치부 기준 3 mm의 수직고경 거상을 결정하고, 가철성 교합 안정 장치와 임시수복물을 적정 기간 사용하여 환자의 적응도를 평가하였다. 적절한 적응을 확인한 후 단일 구조 지르코니아를 이용한 고정성 보철물로 전악 수복하였고 비기능적 습관으로부터 보철물과 주위 조직을 보호하기 위해 연질의 교합안정장치를 장착하게 하였다. 이상과 같은 치료 과정을 통해 수직 고경 거상을 동반한 보철 수복을 실시하였고 적절한 심미적, 기능적 결과를 얻었기에 이를 보고하고자 한다. Excessive occlusal wear causes loss of tooth structure, occlusal plane disharmony, impaired function and esthetic problems. Although the decrease of occlusal vertical dimension may be compensated by the growth of alveolar bone and tooth eruption, minimal increase of occlusal vertical dimension may be required for esthetics and retention of prosthesis. In this case, a 44-year-old male patient visited Seoul National University Dental Hospital with chief complaint of severe tooth wear and shade disharmony. Based on assessment of diagnostic wax-up, 3 mm increase of occlusal vertical dimension was determined. Removable occlusal splint and interim prosthesis was used to ascertain patient's comfort and adaptation. After the adaptation period, definitive prosthesis fabricated with full-contour monolithic zirconia were delivered and the patient was recommended to wear a nightguard device for prosthesis protection. This report presents a case of full mouth rehabilitation with the elevation of patient's occlusal vertical height, resulting in satisfactory esthetics and functions.

급성 허혈성 뇌졸중에 있어 한방치료와 지속적 유로키나제 정주요법과의 병행요법의 효과와 안전성

김태연,조영,이준희,류재환,이범준,Kim, Tae-Youn,Jo, Young,Lee, Jun-Hee,Lew, Jae-Hwan,Lee, Beom-Jun 대한한방내과학회 2001 大韓韓方內科學會誌 Vol.22 No.4

Objective : Stroke is the most frequent cause of death in Korea. Because it remains severe disablities disturbing normal life, it is important to carry out intervention preventing from progression of condition in patients with acute ischemic stroke within therapeutic time window. Thus early thrombolysis is beneficial for patients with acute ischemic stroke. However its therapeutic efficacy is not known in combination with oriental medical therapy. In this study, we investigated the safety and the clinical effect of continous intravenous urokinase therapy and oriental medical therapy. Methods : Twenty eight patients with acute onset of ischemic stroke no later than three days received continous infusion of urokinase and oriental medical therapy. We estimated the subjects's neurological deficit and functional status with National institute of Neurologic Disorders and Stroke Scale(NIHSS) and Europian Stroke Scale (ESS) prior to therapy, on day 3, 7, 14 after the starting urokinase therapy and on day at discharge. Results: After day 7, the scores of NIHSS and ESS were improved significantly. There are no differences in therapeutic effects of the interval between onset of stroke and initiation of therapy. Complication were noted in four(14%) patients, but these are not fatal complication and make no neurological deficiency. Conclusion : The results of these investment suggest that continuous intravenous urokinase with oriental medical therapy could be a safe and effective intervention to prevent from progression in acute ischemic stroke. But this findings should be confirmed in multicenter double blind controlled trial.

과체 토법을 병용한 한방치료의 비정형안면통 치험 2례

김태연,이창원,강주영,김창환,Kim, Tae-Teon,Lee, Chang-Won,Kang, Ju-Young,Kim, Chang-Hwan 대한한방안이비인후피부과학회 2014 한방안이비인후피부과학회지 Vol.27 No.4

Objective : The purpose of this study is to report the efficacy of using oriental medical treatment(herb-medicine, acupuncture) with Melonix Calyx Vomiting Therapy for atypical facial pain. Methods : We experienced two cases of atypical facial pain treated with oriental medical treatment(herb-medicine, acupuncture) and Melonix Calyx Vomiting Therapy(MCVT). MCVT is a traditional treatment, which induces vomiting by eating Melonix Calyx powder with water. To evaluate the results of this treatment, we used the Visual Analogue Scale(VAS) and Pain Rating Scale(PRS). Result : After using MCVT with oriental medical treatment, VAS, PRS and clinical symptoms of 2 patients were improved remarkably. Conclusion : This study suggests that using MCVT with oriental medical treatment is effective on atypical facial pain.

클라우드 컴퓨팅에서 동적 데이터 무결성을 위한 개선된 감사 시스템

김태연,조기환,Kim, Tae-yeon,Cho, Gi-hwan 한국정보통신학회 2015 한국정보통신학회논문지 Vol.19 No.8

응용 프로그램과 데이터, 파일 스토리지를 위한 동적 확장이 가능한 하부구조를 제공하는 응용으로서 클라우드 컴퓨팅에 대한 관심이 날로 증가하고 있다. 그러나 데이터 보호 측면에서 신뢰성 없는 원격 서버가 다양한 문제들을 야기할 수 있다. 그 중 사용자의 데이터를 고의적 또는 무의식적으로 연산(수정, 삽입, 삭제)을 하거나 데이터의 무결성을 감사하는 과정에서 자신의 잘못을 감추기 위해 거짓 정보를 제공할 수 있다. 본 논문에서는 서버가 악의적인 행위를 했는지를 확인할 수 있는 새로운 데이터 감사 시스템을 제안한다. 그리고 시스템의 성능과 보안 분석을 통해 제안된 구조가 클라우드 컴퓨팅 환경에 적합함을 증명한다. Cloud computing draws attention as an application to provide dynamically scalable infrastructure for application, data and file storage. An untrusted remote server can cause a variety of problems in the field of data protection. It may process intentionally or involuntarily user's data operations(modify, insert, delete) without user's permission. It may provide false information in order to hide his mistakes in the auditing process. Therefore, it is necessary to audit the integrity of data stored in the cloud server. In this paper, we propose a new data auditing system that can verify whether servers had a malicious behavior or not. Performance and security analysis have proven that our scheme is suitable for cloud computing environments in terms of performance and security aspects.

한국개화기의 외인관(2)

김태연,Kim, Tae-Yeon 대한건축사협회 1989 建築士 Vol.1989 No.6

한방병원에 입원한 두위 현훈 환자의 임상 분석

김태연,김기태,고흥,Kim, Tae-Yeon,Kim, Gi-Tae,Go, Heung 대한한방내과학회 2011 大韓韓方內科學會誌 Vol.32 No.3

Background : Vertigo is a very common complaint in clinical practice. The number of patients who complain of vertigo has been increasing due to rapid growth of the elderly population. This study was designed to review the clinical features and success of oriental medical treatment of positional vertigo. Methods : This observation was made on 70 subjects diagnosed with positional vertigo. They were hospitalized in the Semyung University Oriental Medicine Hospital. Results : The results were as follows 1. Female patients (82.9%) were more than male patients. The most common age group was 8th decade and the patients rapidly increased after the 5th decade of age. 2. The most common past history of positional vertigo was hypertension, the second was cerebral infarction, and the third was hyperlipidemia. 3. In the oriental medicine diagnosis, phlegm-dampness syndrome (痰濕交阻 眩暈) was the most common disease (92.9%), and in western medicine, BPPV was the most (82.9%). 4. In herbal medication, Banhabaekchulchunma-tang gami (45.7%) was the most commonly used, the second being Taeksa-tang (30%). 5. The vertigo score of 94.3% patients improved and none got worse. 6. In general characteristics, men over 64 years improved best. Past history had no effect on the improvement of vertigo. 7. The sooner patients visited hospital after onset, the shorter hospitalization time was. Conclusions : Vertigo attacks patients well in advanced age, with various causative diseases. Oriental medical treatments have considerable effects on positional vertigo, especially treated with Banhabaekchulchunma-tang gami and Taeksa-tang.

진전을 동반한 Fahr Disease 환자 치험례

김태연,신우재,박유진,문주호,신선미,김기태,고흥,Kim, Tae-Yeon,Shin, Woo-Jae,Park, Yu-Jin,Moon, Joo-Ho,Shin, Seon-Mi,Kim, Gi-Tae,Go, Heung 대한한방내과학회 2011 大韓韓方內科學會誌 Vol.32 No.3

Fahr disease (FD) is a rare neurological disorder characterized by presence of abnormal and associated cell loss in certain areas of the brain, mostly in basal ganglia, thalamus, cerebellum and subcortical areas. Approximately two-thirds of the patients are symptomatic. The most common neurological manifestations include movement disorders, cognitive impairment, cerebellar signs and speech disorders. We report one case of estimated FD through brain computed tomography (bilateral calcifications of basal ganglia, thalamus, centrum semiovale, subcortical white matter of occipital lobes, cerebellum). At the first time of treatment, he complained of tremors in his upper limbs. We diagnosed the patient as deficiency of qi (氣) and movement of phlegm-heat-wind (痰熱風動) type according to symptoms and treated by herbs and acupuncture of oriental medicine. During treatments, we evaluated how well the oriental medical treatments were working using visual analogue scale (VAS) and amplitude of hands. After the oriental medical treatments about tremor, VAS dropped from 10 to 2 and amplitude of hands from 20 mm to 2 mm, but the ratio of brain calcifications was not changed. This study suggests that oriental medical treatments can be applicable to improve FD.

클라우드 컴퓨팅에서 u-Fitness 기반 운동 관리를 위한 소유자의 프라이버시를 보장하는 프로토콜

김태연,조기환,최은복,Kim, Tae-yeon,Cho, Ki-hwan,Choi, Eun-Bok 한국스마트미디어학회 2017 스마트미디어저널 Vol.6 No.3

u-fitness 기반 운동관리와 관련된 민감한 신체 정보의 양이 폭발적으로 증가하고 있기 때문에 클라우드 서비스의 활용에 대한 관심이 날로 증가하고 있다. 그러나 클라우드 서버는 자신의 서버에 저장된 정보에 불법적으로 접근할 수 있으며, 누가 그 정보의 소유자인지를 알아낼 수 있고, 스토리지에 저장된 정보 간의 연관성을 불법적으로 추론할 수 있다. 또한 클라우드 서버는 저장된 정보에 대해 수정, 삭제 같은 소유자의 정당한 연산 요청에 대해 불이행할 수 있으며, 자체의 오작동으로 인해 정보를 분실하거나 손상시킬 수 있다. 따라서 우리는 클라우드 서버를 전적으로 신뢰할 수 없기 때문에 클라우드 서버를 사용하기 위해서는 위와 같은 문제들을 해결해야 한다. 우리는 클라우드 컴퓨팅 환경에서 u-Fitness 기반 운동관리를 위한 소유자의 프라이버시를 보장하는 프로토콜을 제안한다. 그리고 제안한 구조가 실제 환경에서 적용 가능함을 보안 분석과 성능 분석을 통해 보인다. There is growing interest in the use of cloud services these days because the amount of sensitive physical information related to u-fitness-based exercise management increase in explosive. However, it is possible to illegally access information stored in a cloud server, and to find out who owns the information, even, to illegally deduce an association among the information stored in its memory. The cloud server may also intentionally pass over the owner's legitimate operation requests such as modification and deletion of stored information, and may lose or damage information due to its malfunction. So, it is strongly required to solve the above problems because we can not trust the cloud server entirely. In this paper, we propose a protocol to preserve the privacy of the owner for u-Fitness-based exercise management in a cloud computing environment. And we show that our proposed architecture is applicable in real environment through security analysis and performance analysis.