중풍(中風) 환자(患者) 중(中) 언어장애(言語障碍)에 대한 임상적(臨床的) 고찰(考察)

신우진,서수현,홍현우,이성도,김재연,감철우,박동일,Shin, Woo-Jin,Seo, Soo-Hyun,Hong, Hyun-Woo,Lee, Sung-Do,Kim, Jae-Yun,Kam, Chul-Woo,Park, Dong-Il 대한한방내과학회 2004 大韓韓方內科學會誌 Vol.25 No.3

This clinical study on 93 cases of Dyslogia after stroke confirmed through brain CT, MRI scan and clinical observation. They were hospitalized in the oriental medical hospital of Dong-Eui University from january to September 2003. The following results were found: I. The ratio between males and females was 1.6:1. Of Dyslogia p who had suffered stroke, most were in their sixties. 2. Categorized by attack site, right hemiplegia patients comprised 15 cases(l6.1%), and left hemiplegia patients, 71 cases(54.8%), so the ratio between Rt. and Lt. was 1:4.7. 3. Categorized by preceeding disease, hypertension was seen 51 cases(54.8%), and diabetes mellitus was seen 21 cases(22.6%). 4. Categorized by repeat attack, it was the first attack for 71 cases(76.3%), and the second attack for 13 cases(l4.0%), and for 9 cases(9.7%) it was the third or nth attack. 5. According to the classification of Zhang Zhongjing, apoplexy involving Bu-organs comprised 42 cases(45.2%), apoplexy involving meridians 39 cases(41.9%), apoplexy involving Jang-organs 11 cases(11.8%), and for apoplexy involving collaaterals there was one case(1.1%). 6. According to the classification of Cheng Zhongling, 43 cases(46.7%) were classed heart meridian, 25 cases(27.2%) were classed Spleen meridian, and 24 cases(26. 1%) were classed Kidney meridian. 7. According to the classification of Sun Simiao, 49 cases(52.7%) were classed Pyungo, two cases(2.2%) were classed Pungeui, ,seven cases(7.5%) were classed Pungbi( I ), and two cases(2.2%) were classed Pungbi( II ).

지황음자(地黃飮子)를 투여(投與)한 중풍(中風) 실어증(失語症) 환자 치험1례

신우진,홍현우,김지윤,정재욱,서상호,김종환,장자원,박동일,Shin Woo-Jin,Hong Hyun-Woo,Kim Ji-Yun,Jeong Jae-Ook,Seo Sang-Ho,Kim Jong-Hwan,Jang Ja-Won,Park Dong-Il 대한한방내과학회 2003 大韓韓方內科學會誌 Vol.24 No.4

Aphasia is speech disorder caused by injuries on the speech nerve center. It usually occur due to a disease in the right cerebral cortex and is divided into the various aphasia such as Global aphasia, Broca's aphasia, Wernicke's aphasia, conduction aphasia, Anomic aphasia, etc. Jihwangumja is used the cerebral infarction with Aphasia due to deficiency syndrome of kidneys. The purpose of this study is to examine the efficacy of oriental treatment for cerebral infarction with aphasia by Jihwangumsa. In the hospital, the patient showed the symptoms of mental disorder, Rt. hemiparesis G3/G4, aphasia, chest discomfort, obstipation, frequent urination, etc. The case showed that acute infarction on Lt. fronto-temporo-parietal lobe in Brain-CT. We identified the patient's clinical conditions and treated accordingly. As a result of treatment, symptoms were markedly improved and he was discharged. Further elaboration of oriental diagnostic classification could possibly lead to the fundamental treatment.

간경변 환자의 한방치험례

신우진,Shin, Woo-Jin 대한한방내과학회 2009 大韓韓方內科學會誌 Vol.30 No.1

Object : Liver cirrhosis is a disease of the liver in which normal cells are replaced by scar tissue. The purpose of this case is to report the improvement of liver cirrhosis after herb-med, acupuncture & moxibustion complex therapy. Methods : We provided herb-med, acupuncture & moxibustion complex therapy to a patient who suffered from ascites and fatigue. We examined LFT & Child-Pugh class to evaluate the effectiveness of oriental treatment. Result and Conclusion : We observed that herb-mod. acupuncture & moxibustion complex therapy decreased symptoms of liver cirrhosis and improved general condition of a patient who suffered from ascites and fatigue. In the LFT result, Child-Pugh class was improved.

표면 처리 방법에 따라 칫솔질이 IPS Empress 도재의 외부 stain에 미치는 영향에 대한 분광 측색 방법적 분석

신우진,전영식,한동후,Shin, Woo-Jin,Jeon, Young-Sik,Han, Dong-Hoo 대한치과보철학회 1997 대한치과보철학회지 Vol.35 No.2

The purpose of this study was to evaluate the long term tooth-brushing effect on the color change of specially treated IPS Empress porcelain surface. Staining techique with blue stain and liquid was used. The surfaces of the specimen were treated with 5% and 10% Hydrofluoric acid, 50mm and 250mm alumina sandblast, and then blue stain and liquid were used for external stain. After 29,200, 58,400, 87,600, 116,200 brushing strokes (equivalent to 2, 4, 6, 8 years each), color changes of the stained layer were measured with spectrophotometer(CM-3500d, MINOLTA, Tolkyo, Japan). The result of this study was obtained as follows : 1. The color changes were great after 29,200 tooth brushing strokes in every group, but from 29,200 strokes to 116,800 strokes, there were no significant color changes in each group. (p>0.05) 2. The greastest color changes were observed in 5% HF treated group and the least color changes were observed in $50{\mu}m$ aluminar sandblast treated group in every stroke (p<0.05), but no statistical difference between groups compared with control group (p>0.05). According to these results, pretreatment of I.P.S. Empress porcelain with alumina sandblast improved the color stability It is thought that about 8 year-tooth brushing strokes does not change the color of IPS Empress porcelain significantly on this condition, but long term follow-up will be needed.

국내에서 제작된 고정성 보철물의 수명과 실패 요인 및 양상

신우진,전영식,이근우,이호용,한동후,Shin Woo-Jin,Jeon Young-Sik,Lee Keun-Woo,Lee Ho-Yong,Han Dong-Hoo 대한치과보철학회 2005 대한치과보철학회지 Vol.43 No.2

Statement of problem. Every effort has been continually made to obtain objectivity in measuring the longevity of fixed restorations, such as by establishing unified judgement standard for deciding success and adopting statistical method that analyzes the data of successful and failed cases at the same time. In Korea, however desired level of development has not to be made in this field yet. Purpose. This study, adopting California Dental Association (CDA) quality evaluation system, established objective standard for deciding success, and inferred the longevity of fixed restorations and their failure analysis through adopting Kaplan-Meier survival analysis. Material and method. In order to assess the longevity of flxed restorations serviced in Korea and causes of failure, a total of 1109 individuals (aged 15-74, 716 women and 393 men loaded with 2551 unit fixed restorations, and 1934 abutments) who lived in Kyung-In Province were examined and the findings were as follows : Results. 1. Length of service of fixed restorations serviced in Korea was 6.86$\pm$0.15 yr (mean), 5.5 yr (median), and the rate of success was 65.82% in 5 year survival, and 21.15% in 10 year survival. 2. When there was patient's need for replacing old prosthetics, longevity of fixed restorations was 7.51$\pm$0.27 yr (mean), 7 yr (median), and the rate of success was 61.08% in 5 year survival, and 17.57% in 10 year survival. 3. Longevity of fixed restorations was longest in the over-sixty age group(9.21$\pm$0.66) and that of the teen age group(3.39$\pm$0.28) was shortest (p<0.05). 4. Longevity of fixed restorations of women (7.38$\pm$0.18 years) was longer than that of men (6.00$\pm$0.26) (p<0.05). 5. As for the provider factor (such as unlicensed performers, university hospitals, and private clinic), there was no statistically significant difference in longevity of fixed restorations. 6. Defective margin (34.78%). periodontal disease (12.15%), periapical involvement (11.73%), was the most frequent causes of failure and poor esthetics group showed the longest life above all (p<0.05). Actual frequent causes of failure after removing old prosthetics were defective margin, periapical involvement, periodontal disease and uncemented restoration. In 75.67% of the cases, abutment state after removing old prosthetics was good enough for loading another prosthetics. 7. There was found to have statistically significant influence between longevity of single crown (6.35$\pm$0.20 yr) and that of 3 unit fixed restorations (7.60$\pm$0.30 y) (p<0.05). In each case the most frequent cause of failure was defective margin. 8. The number of cantilever pontic, pontic/abutment ratio, oral hygiene status were found to have no statistically significant influence on longevity of fixed restorations in all groups (p>0.05). 9. Longevity of fixed restorations made of non precious metal was longest (9.60$\pm$0.40 yr) semi precious and precious trailing behind(p<0.05). 10. Group function group (37.04%) and partial group function group (44.62%) were predominant in frequency but showed no correlation between them and among different types of occlusal plane and different types of occlusal surface (p>0.05). 11. Longevity of fixed restorations was longest in the centric interference group(9.35$\pm$0.62) (p<0.05) among different types of occlusal interference. Conclusion. We found that longevity of fixed restorations serviced in Korea is affected by age, gender and type of material, and that most frequent cause of failure is defective margin. In order to assess the accurate longevity of axed restorations, unified research design. overcoming inter-observer difference and establishing the objective research items are needed. Furthermore, it is thought that prospective approach through thorough study and regular follow-ups is needed just from the start of research. Nationwide detailed stud

국내 최초로 도입된 GC-IRMS와 응용분야 소개

신우진,이광식,고경석,Shin, Woo-Jin,Lee, Kwang-Sik,Ko, Kyung-Seok 대한자원환경지질학회 2007 자원환경지질 Vol.40 No.5

가스크로마토그래피와 동위원소질량분석기를 온라인으로 연결하여 이루어지는 성분별동위원소분석기술은 지구과학, 환경과학 및 법의학 분야에서 안정동위원소 분석의 최신 기술이다. 1990년대부터 GC-IRMS는 법의학 분야에서 식품의 진위감별과 환경과학 분야의 유기오염물질의 오염원 추적에 널리 이용되어 왔다. 국내에서는 한국기초과학지원연구원에 2005년 초에 처음으로 GC-IRMS가 설치되었다. 이 연구에서는 한국기초과학지원연구원에서 운영중인 GC-IRMS를 간단히 소개하고 제조사가 다른 BTEX의 성분별탄소동위원소의 예비분석결과를 소개한다. Compound-specific isotope analysis (CSIA) by isotope ratio mass spectrometer (IRMS) interfaced with gas chromatography (GC) is a state of the art analytical technique for stable isotopes in earth sciences, environmental sciences and forensics. Since early 1990s, GC-IRMS has been widely used to investigate the authenticity of food in forensic science and to trace the sources of organic contaminants in environmental science. In Korea, a GC-IRMS was firstly installed at the Korea Basic Science Institute (KBSI) in early 2005. In this study, we introduce the GC-IRMS of the KBSI shortly to stimulate various isotope-related researches of Korea, and report preliminary CSIA results for BTEX of different manufacturers.

도시부동산개발연구위원회의 미래전망

신우진(Shin, Woo-Jin) 대한국토·도시계획학회 2020 도시정보 Vol.- No.454

봉와직염으로 오인된 아킬레스건 봉합술 후 발생한 아킬레스건 내 결절성 통풍

신우진(Woo Jin Shin),홍성하(Sung-Ha Hong),서승표(Seung-Pyo Suh),이승기(Seung Gi Lee) 대한정형외과학회 2021 대한정형외과학회지 Vol.56 No.3

통풍은 임상적으로 흔하게 접하는 질환으로서 특이적인 임상 양상, 혈액 검사 소견, 방사선적 소견으로 대부분의 경우 진단에 어려움이 없다. 그러나 통풍은 때때로 비특이적인 임상 양상을 나타내기도 하며 다른 질환들로 오인될 수 있다. 저자들은 통풍 과거력이 없는 35세 남자 환자에서 아킬레스건 봉합술을 시행한 부위에 11년 후에 처음 발생하여 봉와직염으로 오인된 아킬레스건 내결절성 통풍 1예를 문헌 고찰과 함께 보고하고자 한다. A diagnosis of gout is often straightforward because gout has well known clinical presentations, laboratory analyses, and radiologic features. On the other hand, gout can mimic other diseases by showing a range of atypical clinical manifestations. This paper reports a 35-year-old male with no prior history of gout who developed tophaceous gout at his previously repaired Achilles tendon 11 years after surgery. He was initially misdiagnosed with cellulitis because of his atypical clinical features. This case is presented with a review of the relevant literature.

젊은 여성에서 임신 및 수유와 연관된 골다공증성 척추 압박골절

신우진(Woo-Jin Shin),서승표(Seung-Pyo Suh),염지웅(Ji-Ung Yeom),김윤성(Yun-Seong Kim) 대한정형외과학회 2021 대한정형외과학회지 Vol.56 No.3

임신 및 수유와 연관된 골다공증은 젊은 여성에서 골다공증성 척추 압박골절을 일으킬 수 있는 희귀한 질환이다. 환자들은 주로 요통을 호소하며, 이는 임신과 출산, 수유에 의한 통증으로 오인되기 쉬워 빠른 진단과 치료가 어렵다. 저자들은 요통을 주소로 내원한 29세 여자 환자와 31세 여자 환자에 대해 신체 진찰, 단순 방사선 검사, 전신 골주사 검사, 자기공명영상 검사, 골밀도 검사, 혈액 검사 등을 통하여 임신과 수유에 연관된 골다공증성 척추 압박골절을 진단하였으며, 테리파라타이드(teriparatide) 주사와 흉요천추 보조기 착용, 칼슘과 비타민 D 제제 복용을 통해 증상이 호전된 2예를 경험하였기에 문헌 고찰과 함께 보고하는 바이다. Osteoporosis associated with pregnancy and lactation is a rare disease that can cause osteoporotic vertebral compression fracture (OVCF). Patients usually complain of severe back pain, which is easily mistaken for pain due to pregnancy, childbirth, and lactation, making a rapid diagnosis and treatment difficult. The authors diagnosed OVCF related to pregnancy and lactation through a physical examination, simple radiography, whole-body bone scan, magnetic resonance image, bone marrow density, and blood tests in a 29-year-old female patient and a 31-year-old female patient who presented with low back pain. This paper reports two cases of symptom improvement through a teriparatide injection, wearing thoracic lumbar sacral orthosis and taking calcium and vitamin D with a review of the literature.

영업시간 제한 및 휴무일 지정에 따른 대형마트와 기업형슈퍼마켓(SSM)의 매출액 감소 효과에 관한 연구 - 대구광역시를 중심으로 -

신우진(Shin, Woo-Jin) 대한부동산학회 2012 大韓不動産學會誌 Vol.30 No.2

대기업의 지원을 통해 급속하게 성장한 대형마트 및 기업형슈퍼마켓(SSM)과 지역상권을 유지해온 전통시장과 일반슈퍼마켓의 영세상인들 간의 갈등이 심화되고 있다. 이에 정부에서는 2012년 2월에 유통법 개정을 통해 대형마트와 SSM의 업무시간 제한 및 휴무일 지정을 의무화하도록 하면서, 2012년 4월에는 전국에 걸쳐서 대형마트 및 SSM에서 이를 시행하도록 하였다. 업무시간 제한 및 휴무일 지정은 대기업과 영세상인의 상생방안으로는 의미가 있으나, 실효성이 있는가에 대한 의문은 지속적으로 제기되고 있다. 이에 대구광역시 달서구에 위치한 이마트 3개 점포의 주중과 주말 이용자 총 251명을 대상으로 설문조사를 실시하여 유통법 개정에 따른 이용자들의 소비패턴 변화를 조사하였다. 다음으로 2011년 기준 대형마트(이마트, 홈플러스, 롯데마트, 코스트코) 매출액과 설문응답자의 법규개정 전후의 소비패턴 변화를 통해 유통법 개정에 따른 대구광역시 대형마트, SSM, 전통시장, 일반슈퍼마켓의 매출액 증감분을 산정하였다. 분석 결과, 대형마트 이용자들은 법규 개정 이전에 비해서 개정 이후의 주중에는 일반슈퍼마켓과 전통시장을 상대적으로 많이 이용하였고, 주말에는 토요일 또는 휴무일 지정일이 아닌 일요일에 대형마트를 집중적으로 이용하는 것으로 보였다. 또한, 휴무일에는 일반슈퍼마켓의 이용률이 높아진 것으로 분석되었다. 매출액 증감분에 대한 분석 결과, 유통법 개정 전⋅후로 대구광역시 내에 모든 대형마트(이마트, 홈플러스, 롯데마트, 코스트코)의 연평균 매출액 감소액은 약 396억원/년이고 SSM 연평균 매출액 감소액은 약 39억원/년으로 나타났다. 총 감소분 약 435억원/년 중에서 약 159억원/년은 전통시장, 약 276억원/년은 일반슈퍼마켓에서 매출액이 증가하는 효과가 있는 것으로 분석되었다. 본 연구의 결과는 유통법 개정의 필요성을 뒷받침하는 자료로 활용될 수 있을 것으로 기대한다. There has been severe tension with wholesale mart & super-supermarket(SSM) and small-scale businessmen in traditional market & small supermarket. To resolve the conflict, the revised enforcement regulations, which contain restricting working hours and setting up scheduled day off of wholesale mart and SSM, were effectuated in February 2012. The revised enforcement regulations can be a win-win strategy between big enterprises and small-scale businessmen; however, the regulations’ effectiveness is skeptical. To investigate the users’ consumption pattern change, it surveyed about 251 users of E-Mart in Dalseogu, Daegu, during the weekday and weekend in July. Study results showed that users of wholesale mart used traditional markets and small supermarkets more during weekday and used wholesale marts more in Saturday during weekend after effectuating the revised enforcement regulations. Next, sales decrement of wholesale mart, SSM, traditional market, small supermarket in Daegu by the revised enforcement regulations is calculated with sales of wholesale mart(E-Mart, Home Plus, Lotte Mart, Costco) and users’ consumption pattern change. As a result, all wholesale marts have sales decrement of 39.6BKW(billion Korean Won)/year and all SSMs have sales decrement of 3.9BKW/year in Daegu. Among total sales decrement of 43.5BKW/year, all traditional markets get sales increment of 15.9BKW/year and all small supermarkets get sales increment of 27.6BKW/year in Daegu. This study is expected to make a significant contribution to support the need of the revised enforcement regulations.