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기능성 소화불량증 환자의 피로도와 기혈수 변증의 상관성 분석
김현경,이준석,엄국현,이선령,김소연,허원영,김진성,류봉하,윤상협,Kim, Hyun-Kyung,Lee, Joon-Suk,Eom, Guk-Hyeon,Lee, Seon-Young,Kim, So-Yeon,Hur, Won-Young,Kim, Jin-Sung,Ryu, Bong-Ha,Yoon, Sang-Hyub 대한한방내과학회 2006 大韓韓方內科學會誌 Vol.27 No.2
Objectives: The aim of this study was to investigate the correlation between fatigue degree and Comprehensive diagnosis of Qui Xui Shui in patients with functional dyspepsia. There again, we investigated an association between scores obtained from Comprehensive diagnosis of Qui Xui Shui and state of skin sympathetic tone or cardiovascular reactivity. Methods: Subjects were 56 patients with Functional dyspepsia and 8 healthy People. Fatigue degree was assessed by questionnaires consisting of subjective complaints of fatigue. Comprehensive diagnoais of Qui Xue Shui was investigated by questionnaire and physical examination, total score and composition score were calculated from the symptom score. Skin sympathetic tone was measured by Ryodoraku Score(RS) and Cardiovascular Reactivity(CV Reactivity) was checked by Pulse diagnostic apparatus. All patients were divided into two groups by RS $40{\mu}A$(below and above) or by CV Reactivity(decreased and increased or not decreased). Results: There was highly significant correlation between Fatigue Degree and total score and each composition score of Comprehensive diagnosis of Qui Xui Shui. And total score of patients was significantly higher than that of health controls : in the patients, females than males. Significance related with the level of RS $40{\mu}Aor$ the state of CV Reactivity were not remarkable in both patients and health control group. Conclusions: Fatigue degree seems to have a special feature reflecting the state of Comprehensive Diagnosis of Qui Xui Shui in patients with functional dyspepsia.
기능성 소화불량증 환자의 피로도에 대한 체표 교감신경 활성 및 심혈관 반응의 연계성 (양도락과 맥진검사의 진단적 가치)
김현경,유종민,장선영,이준석,엄국현,이선령,김진성,류봉하,류기원,윤상협,Kim, Hyun-Kyung,Ryu, Jong-Min,Jang, Sun-Young,Lee, Joon-Suk,Eom, Guk-Hyeon,Lee, Seon-Young,Kim, Jin-Sung,Ryu, Bong-Ha,Ryu, Ki-Won,Yoon, Sang-Hyub 대한한방내과학회 2005 大韓韓方內科學會誌 Vol.26 No.2
Background & Object: The aim of this study was to investigate the association of degree of fatigue and gastric motility, measured by EGG, with skin sympathetic tone or cardiovascular reactivity in patients with functional dyspepsia. Methods: Subjects were 56 patients with Functional dyspepsia and eight healthy people. Degree of fatigue was assessed by questionnaires consisting of subjective complaints of fatigue. Skin sympathetic tone was measured by Ryodoraku Score and Cardiovascular Reactivity was checked by Pulse diagnostic apparatus. Gastric motility was estimated by EGG. First, all patients were divided into two groups by Ryodoraku Score $40{\mu}A$(below and above). Second, they were subdivided into two groups by Cardiovascular Reactivity(decreased and increased or not decreased). Estimates were made on the extent differences of degree of fatigue or state of gastric motility in each group. Results: 1. Fatigue scores was significantly higher in females and in the Ryodoraku-Score-below-$40{\mu}A$ group. It was higher in the decreased cardiovascular reactivity group than the increased group, but to no significanct extent. Also, gastric motility was better in the Ryodoraku-Score-above-$40{\mu}A$, group than in the below group. Conclusions: These results suggest that degree of fatigue and gastric motility are associated with skin sympathetic tone, but not associated with cardiovascular reactivity, and that $40{\mu}A$ is a useful cutoff point in Ryodoraku Score for assessing degree of fatigue in functional dyspepsia patients.
사회복지조직에서 실천하는 조손가정 조모의 양육스트레스 감소를 위한 집단미술치료프로그램 효과성 연구
김현경(Kim, Hyeon Kyung),강영숙(Kang, Young Sook) 한국비영리학회 2017 한국비영리연구 Vol.16 No.1
본 연구는 지역사회의 사회적경제의 발전방안을 모색하고자 지역사회리더의 사회적 기업 인식을 살펴보고 지역사회리더의 지역공동체의식과 리더십이 사회적 기업 인식에 미치는 영향을 분석하였다. 본 연구의 목적을 달성하기 위하여 H시에 거주하는 8개동 주민자치 위원 및 통장, 그리고 지역사회보장협의체 위원 등 총 241명을 대상으로 설문조사하였다. 연구결과, 사회적 기업 인식에 영향을 미치는 지역공동체의식은 이웃의 소중함과 친밀도로 나타났으며, 지역공동체의식은 사회적기업의 기여도 인식에 유의미한 영향을 미치는 것으로 나타났다. 사회적 기업의 기여도 인식에 영향을 미치는 하위변수로는 소통과 화합으로 나타났다. 끝으로 지역사회리더의 리더십이 사회적 기업 인식과 사회적 기업 기여도 인식에 유의한 영향을 미치는 것으로 나타났다. The purpose of this study was to examine the effects of the group art therapy on reducing parenting stress in grandmothers of children with grandparent families. The subjects of the study includes 7 grandmothers receiving National Basic Living Security and living in Seoul. These participants took part in 8 sessions without falling off the group art therapy. The data were analyzed with mixed methods. The following results were obtained: Group art therapy was found to bring about a significant decrease in parenting stress in quantitative data analysis. Also Group art therapy was found to bring a significant decrease in parenting stress in qualitative data analysis. There were many changes in the colour, houses, trees, the size and location of the person, and the relationships in the participants of the group art therapy.
환자 교육이 류마티스관절염 환자의 만족도에 미치는 영향: 교육 시행자에 따른 무작위 임상 시험
조수경 ( Soo Kyung Cho ),김담 ( Dam Kim ),최정임 ( Jeongim Choi ),이승 ( Seung Lee ),배가은 ( Ga Eun Bae ),김현경 ( Hyeon Kyung Kim ),유다소미 ( Dasomi Yoo ),성윤경 ( Yoon Kyoung Sung ) 대한류마티스학회 2016 대한류마티스학회지 Vol.23 No.2
Objective. To examine the impact of patient education (PE) on patients’ satisfaction in rheumatoid arthritis (RA) and to compare nurse-led education with medical doctor (MD)-led education. Methods. Patients were enrolled by categorizing in two groups, nurse-led and MD-led education, randomization was performed. Face-to-face education was conducted two times, and changes in patient satisfaction before and after PE were assessed using the visual analogue scale (VAS; 0 to100 mm) and patients’ satisfaction questionnaire (PSQ). Changes in patients’ reported outcomes (PRO) were measured using disease activity score with 28 joint-erythrocyte sedimentation rate (DAS28-ESR), health assessment questionnaire (HAQ), and European quality of life-5 dimension (EQ-5D). Changes in patients’ satisfaction and PRO between before and after PE were compared using paired t-test, and the comparison between nurse-led and MD-led education was analyzed using independent t-test. Results. A total of 120 patients, 60 patients from each group, were randomized to receive either nurse-led or MD-led education. Among them, 113 patients completely received education and final assessment. In total patients, patients’ satisfaction was significantly increased from 87.8±13.1 mm to 92.3±8.8 mm in VAS (p<0.01), and from 3.7±0.4 to 4.0±0.4 in PSQ (p<0.01). There was no improvement in DAS28-ESR, HAQ, but there was mild improvement in quality of life (QOL) after PE. Improvement of patients’ satisfaction by PSQ after nurse-led education was 0.4±0.4 and it was higher than 0.3±0.5 after MD-led education, but it was not statistically different (p=0.25). Conclusion. PE for RA patients improved patients’ satisfaction and QOL. Nurse-led education showed comparable improvement in patients’ satisfaction with MD-led education. (J Rheum Dis 2016;23:109-117)
김도훈,양보경,김현경,김나영,정순재,김익수,남재성,이재헌,정대수,Kim, Doh-Hoon,Yang, Bo-Kyung,Kim, Hyeon-Kyoung,Kim, Na-Young,Jeong, Soon-Jae,Kim, Ik-Soo,Nam, Jae-Sung,Lee, Jai-Heon,Chung, Dae-Soo 한국식물생명공학회 2003 식물생명공학회지 Vol.30 No.3
Genetic variation of Perilla germplasms was investigated using RAPD markers. Forty-two Perilla frutescens lines and cultivars collected form locals were subjected to RAPD analysis using 220 primers. Among them only 13 primers showed polymorphic bands and these 13 primers provided a total of 144 bands, consist of 115 polymorphic and 29 monomorphic ones. The polymorphic bands were subjected to phylogenetic analysis using UPGMA and maximum parsimony (MP) methods. In the UPGMA method, similarity coefficiency of 42 Perilla frutescens lines and cultivars ranged from 0 to 0.7842. The dendrogram of 42 lines and cultivars obtained through UPGMA method resulted in two major groups, and the similar clustering pattern was found by MP method, suggesting Perilla germplasms utilized in this study truly can be divided into two major groups. Although the two major groups were consistent roughly with their phenotypes (under of node, weight of 1,000 grains, and oil content), in detail, much inconsistency also was present.
한방치료가 기능성 소화불량증 환자의 위전도 소견에 미치는 효과
유종민,장선영,김현경,이준석,엄국현,이선령,김진성,류봉하,류기원,윤상협,Ryu, Jong-Min,Jang, Sun-Young,Kim, Hyun-Kyung,Lee, Joon-Suk,Eom, Guk-Hyeon,Lee, Seon-Young,Kim, Jin-Sung,Ryu, Bong-Ha,Ryu, Ki-Won,Yoon, Sang-Hyub 대한한방내과학회 2005 大韓韓方內科學會誌 Vol.26 No.2
Background & Object: The aim of this study was to investigate the effects of Traditional Korean medical therapy on gastric myoelectrical activity in patients with functional dyspepsia. Methods: 29 patients(male 10, female 19) were divided into two groups; Inpatient group(N=10, male 1, female 9) and outpatient group(N=19, male 9, female 10). 10 healthy people participated in this study as normal controls. Gastric motility was recorded and analyzed by electrogastrography(EGG) during fasting and postprandial periods. Hospital treatment included electroacupuncture on ST36, acupuncture, and herbal medicine. Outpatients were treated with herbal medicine and acupuncture. Inpatients underwent hospital treatment for two weeks, and after discharge they were treated as outpatients for six weeks. In inpatient group, EGG was recorded before and after hospital treatment and it was recorded at six weeks after discharge. In outpatient group, EGG was recorded before starting treatment and it was recorded once a every six weeks for twelve weeks. Results: There was no significant difference in EGG parameters between before and after therapy in outpatient group. In inpatient group, postprandial normal slow wave increased after hospital treatment(from $33.94{\pm}14.13$ to $62.63{\pm}20.18$, p<0.05) and postprandial tachygastria decreased(from $43.53{\pm}13.99$ to $28.30{\pm}16.63$, p<0.05) and arrhythmia decreased(from $20.35{\pm}15.91$ to $5.67{\pm}6.80$, p<0.05). Conclusions: Results suggest that hospital treatment through electroacupuncture on ST36, acupuncture, and herbal medicine is useful to improve gastric myoelectrical activity in Patients with Functional Dyspepsia.
한방병원에 내원한 위마비 및 비위마비성 기능성 소화불량증 환자에 대한 위 운동성 및 임상적 속성에 관한 연구
이준석,이선령,엄국현,김현경,장선영,유종민,김진성,류봉하,류기원,윤상협,Lee, Joon-Suk,Lee, Seon-Young,Eom, Guk-Hyeon,Kim, Hyun-Kyung,Jang, Sun-Young,Ryu, Jong-Min,Kim, Jin-Sung,Ryu, Bong-Ha,Ryu, Ki-Won,Yoon, Sang-Hyub 대한한방내과학회 2005 大韓韓方內科學會誌 Vol.26 No.4
Little is known concerning the pathophysiology and symptomatology of gastric dysmotility of patients who have sought treatment in eastern traditional medicine. The aim of this study was to investigate gastric electrical activity and clinical characteristics between gastroparesis and non-gastroparetic functional dyspepsia(FD) and assess the necessity to distinguish them for eastern traditional medical treatment. 60 patients were surveyed by questionnaire. Gastric electrical activity was recorded and analyzed using electrogas-trography. Patients were divided into gastroparesis and non-gastroparetic FD by 1.0 of power ratio. Healthy persons were used as reference. Postprandial normogastria of gastroparesis decreased and that of non-gastroparetic functional dyspepsia increased compared before and after meals. Suggested causes of onset were the meat diets that most patients were on in the gastroparesis group, and that drugs that patients in the non-gastroparetic FD group were taking. Distribution of main symptom was equally regular in patients with gastroparesis, but patients with non-gastroparetic FD showed mainly upper abdominal pain and fullness. Values for the gastroparesis group were double those for the non-gastroparesis FD group in frequency of upper GI endosopic examination. Results suggest that effective application of eastern traditional medical treatment requires that first a clear distinction be made in state of gastric dysmotility and clinical characteristics of gastroparesis and non-gastroparesis FD when treating dyspepsia.
이선령,김소연,허원영,엄국현,김현경,이준석,윤상협,류봉하,김진성,Lee, Seon-Young,Kim, So-Yeon,Hur, Won-Young,Eom, Guk-Hyeon,Kim, Hyun-Kyung,Lee, Joon-Suk,Yoon, Sang-Hyub,Ryu, Bong-Ha,Kim, Jin-Sung 대한한방내과학회 2006 大韓韓方內科學會誌 Vol.27 No.2
Objectives: We performed this study to check the effect of Cold-Heat attribute analyzed quantitatively by questionnaire on halitosis patient. Methods: We made a questionnaire composed of 15 items(6 categories) about the contents of Cold-Heat and asked 105 subjects to answer in the form Likert-like seven-points score. And then, we extracted Cold-Heat attribute from 15 items, 6 categories, 6 weighted categories, heat score and cold score. On the other hand we measured the halimeter measurements. VAS, winkle tongue coating index. Afterward, the data were analyzed by statistical methods. Results:1) In the 15 items, question number 6, 7, 8 is negative correlated with halimeter measurements. Question number10 is positive correlated with halimeter measurements. And question number 11, 12, 14 is positive correlated with VAS. 2) In the 6 categories, constipation is negative correlated with halimeter measurements. Chill is positive correlated with VAS. And Cold-limbs is positive correlated with halimeter measurements. 3) In the 6 weighted score categories, constipation is negative correlated with halimeter measurements. Chill is positive correlated with VAS. And Cold-limbs is positive correlated with halimeter measurements. Conclusions: Further clinical research is necessary in the development of the questionnaire's items. And to get the better of this study, we should research more analytic method made casual relationship clear between Cold-Heat attributes and the index of halitosis.
당뇨병성 위마비 환자에 대해 한방치료 후 위 운동성 및 혈당조절이 호전된 2예 보고
장선영,엄국현,이선령,김현경,이준석,유종민,김진성,류봉하,류기원,류재환,윤상협,Jang, Sun-Young,Eom, Guk-Hyeon,Lee, Seon-Young,Kim, Hyun-Kyung,Lee, Joon-Suk,Ryu, Jong-Min,Kim, Jin-Sung,Ryu, Bong-Ha,Ryu, Ki-Won,Lew, Jae-Hwan,Yoon, Sang-H 대한한방내과학회 2005 大韓韓方內科學會誌 Vol.26 No.1
Diabetic gastroparesis is a disorder in a diabetic of delayed gastric emptying in the absence of mechanical obstruction. It is estimated that about 20%-50% of diabetics suffer from gastroparesis. Clinical Sympoms include early satiety, bloating, nausea, anorexia, vomiting, abdominal pain, and weight loss. Severe gastroparesis might result in recurrent hospitalization, malnutrition, and even death, but, no exact treatment has yet been established. Electrogastrography has been known to be a simple, non-invasive, and effective method in assessing gastric motility and EGG has been used to diagnosis diabetic gastroparesis and to estimate its prognosis. Recently, two cases of diabetic gastroparesis were observed. For this cases, manual acupucture, electroacupucture, lumbar skin warming and herb medicine were applied. After application of these therapies, gastrointestinal symptoms improved and these therapeutic effects were confirmed in EGG. Moreover, blood glucose control improved, so patients were able to discontinue insulin injection and change to p.o.medication. In light of this encouraging application of oriental medicine, this is reported along with investigation of the literature.