중성어혈 약침치료를 병행한 요골신경마비 환자 치험 4례

최은희,천혜선,이주희,류혜선,양동선,홍석,Choi, Eun-Hee,Chun, Hea-Sun,Lee, Ju-Hee,Ryu, Hye-Seon,Yang, Dong-Seon,Hong, Seok 대한약침학회 2011 Journal of pharmacopuncture Vol.14 No.4

Objectives: This study was to investigate the clinical effect of additional Jungsongouhyul Pharmacopuncture on radial nerve palsy patients. Methods & Results: The patients were hospitalized or outpatients in Department of traditional korean medical hospital, Dongshin University from 28th, Oct. 2009 to 25th, Aug, 2010. All patients were treated by additional Jungsongouhyul Pharmacopuncture. To evaluate the wrist drop and numbness of fingers, coding result, Verbal numerical scale (VNS) were used. As the result, symptoms are improved remarkably according to improvement of coding result, VNS score. Conclusions: Patients were treated during 3.5 weeks in average. All cases were excellent results by additional Jungsongouhyul Pharmacopuncture. But further studies are required to investigate exact effects.

관찰 중심의 아동 평가에 대한 고찰 - 관찰법을 중심으로 -

최은희,Choi, Eun-Hee 대한감각통합치료학회 2011 대한감각통합치료학회지 Vol.9 No.1

연구의 목적은 아동평가 중 관찰의 유형과 기능에 대해 알아보고자 하는 것이다. 다른 분야와 마찬가지로 아동의 평가에는 관찰, 면담, 표준화된 평가 방식들이 다양하게 이용된다. 감각통합 치료접근을 사용하는 치료사들의 경우, 아동 평가 중 특히 초기평가에서 기본적으로 관찰법을 이용한다. 명확한 관찰은 평가의 신뢰성과 타당성을 높이는 근간이 된다. 따라서 관찰의 기본적인 방법들과 요소에 대해 알아봄으로써, 향후 치료사의 관찰능력을 제고하는데 활용할 수 있을 것이다. The purpose of this study is to investigate the types and functions of observations at the stage of child assessment. We can use various methods of evaluation. It includes observation, interview, and standardized tests. Most of occupational therapist using sensory integrative approach usually evaluate their clients based on observations especially in the period of initial assessment. The accurate observation is closely connected with reliability and validity of the assessment. Here present some types of observation and the things we should check in ordinary observing moments. It will be considerable aspect when we study how to improve observation ability of the therapists in the future.

수도권 보금자리주택 대상계층의 지불가능성 분석: 공공분양, 10년임대, 분납임대주택을 중심으로

최은희,김옥연,이종권,Choi, Eun-Hee,Kim, Ok-Yeon,Lee, Jong-Kwon 한국토지주택공사 토지주택연구원 2013 LHI journal of land, housing, and urban affairs Vol.4 No.4

본 논문의 목적은 대상계층을 설정하고 유형별 공공주택을 공급하는 보금자리주택을 평가해 보기 위한 것이다. 특히 수도권 보금자리지구가 지정되고 보금자리주택 공급이 발표되면서, 정책대상계층의 접근성에 대한 논의가 불거졌는데, 본 연구에서는 등장한 여러 논의 중에서 두 가지에 주목하였다. 하나는 주변시세애 비해 과도하게 낮게 책정된 분양가 혹은 임대료로 인해 청약에 당첨된 입주자에게 역시 과도한 개발이익 수혜가 돌아가는 것이 아니냐는 것이고, 다른 하나는 그렇게 낮게 책정된 분양가 혹은 임대료라고 하더라도 일부 지역의 경우 주변 시세가 워낙 높아, 저소득층이나 무주택 서민인 정책대상계층이 접근하는 것이 쉬울 것인가 하는 것이다. 두 가지 논의는 완전히 다른 것 같으면서도 다르지 않다. 상대적인 가격에서는 우위를 점하지만, 절대적인 가격에서는 여전히 낮지 않다고 보는 것이기 때문이다. 본 연구는 이 두 가지 논의에 착안하여 분석을 시도하였다. 특히 보금자리주택은 저소득층을 위한 장기공공임대주택(국민임대주택, 영구임대주택 등) 뿐 아니라 공공분양주택과 유사한 역할을 하는 10년임대주택과 분납임대주택도 존재하는 점을 감안하여 이 세 가지 유형에 대해 정책대상계층의 지불가능성이 어느 정도인지 파악하고자 하였다. 유형별, 지역별, 면적별 지불가능성의 차이를 비교해 봄으로써 기존의 논의에 대한 의문을 어느 정도 해결해 보려고 했으며, 향후 공공주택 공급 프로그램과 관련한 정책적 시사점도 도출해 보고자 하였다. The purpose of this paper is to appraise Bogeumzari Housing Program(BHP) which is providing public housing of different types for the target brackets on a matching system basis. Especially, on government's announcing BHP plan with the designation of several Bogeumzari districts in Seoul Metropolitan area, they raised a question about target groups' receiving the benefits of BHP plan and this paper focuses on the question. We tried to analyze two topics. First one is about the exorbitant windfall profits to the future potential residents derived from low price or rental cost of Bogeumzari Housing in comparison with neighborhood's market price. Second one is the low possibility of low-moderate income household's access to absolutely high price Bogeumzari Housing that is because the market price is so high in some area. BHP includes not only long-term public rental hosing(Permeant rental housing, National rental housing) for low income households but also other types of public rental housing(10-year rental housing, shared-ownership rental housing) for moderate income households. So, in this study we tried to find out the affordability of each bracket in three public housing types, which are public sales housing(condominium), 10-year rental housing and shared-ownership rental housing. Through analyzing the housing affordability by types, regions, size, we tried to seek the answer to the controversy and propose policy implications related to the future public housing programs.

Optimization of Operation Conditions for Improving the Nitrogen Removal Efficiency in Wastewater Treatment Plant

최은희,브람 클라벡,마타이 오스터하우스,Choi, Eun-Hee,Bram, Klapwijk,Mathijs, Oosterhuis The Korean Society of Agricultural Engineers 2010 한국농공학회논문집 Vol.52 No.1

네덜란드 브리젠빈 하폐수처리장 최종방류수의 $NH_4$-N 및 TN(Total Nitrogen)농도를 방류수 수질기준인 각각 4 mg/L와 10 mg/L에 맞추기 위한 최적의 운전조건을 도출하기 위해 다양한 제어시스템이 시뮬레이션 되었다. 본 연구에 사용된 모델은 IWA(International Water Association) 활성슬러지 모델 No.1 (ASM No.1)이었고, GPS-X가 시뮬레이터로 사용되었다. 모델링을 위한 매개변수 민감도 분석결과 ASM No.1의 총 19개 매개변수 중 8개 변수 ($Y_H$, ksh, koh, $b_H$, ${\mu}_a$, $k_{NA}$, kh, ka)가 방류수 수질에 영향을 미치는 것으로 조사되었고 이들 매개변수에 대해 보정을 수행하여 사용하였다. SRT, 호기/무산소기간, 외부탄소원 주입시간 변화에 따른 방류수질 변화를 시뮬레이션하였는데, 호기/무산소 11h/1h인 조건에서 SRT가 20일에서 25일로 증가되면 $NH_4$-N가 5.0 mg/L에서 2.9 mg/L로 감소되었고 호기/무산소 2h/1h의 조건에서는 SRT증가에 따라 $NH_4$-N은 큰 감소를 보이지만, 바이패스되는 유입수량의 감소로 탈질율이 낮아 방류수 TN이 11.1~11.5 mg/L로 예측되는 결과가 도출되었다. 탈질율을 높이기 위한 아세트산 주입은 동일한 양의 아세트산을 무산소 전기간 (1h)동안 균일 주입하는 것 보다는 무산소 초기 15분내에 주입하는 것이 효율적인 것으로 나타났다.

가미통성산(加味通聖散)이 자발성 고혈압 흰쥐에 미치는 영향

최은희,임대웅,정태산,안가영,천혜선,전상윤,홍석,Choi, Eun-Hee,Lim, Dae-Woong,Jung, Tae-San,An, Ga-Yong,Chun, Hea-Sun,Jeon, Sang-Yun,Hong, Seok 대한한방내과학회 2010 大韓韓方內科學會誌 Vol.31 No.3

Objective : This study was examined to investigate the effect of Gamitongseong-san(GTS) extract on spontaneous hypertension. Methods : After administering GTS extract to SHR for 4 weeks, we measured anti-oxygen effects, weight of body, heart and kidney, blood pressure, heart rate, aldosterone, catecholamine, electrolyte, uric acid, and BUN. Results : 1. GTS increased 2,2-diphenyl-1-picrylhydrazyl(DPPH) scavenging activity and superoxide dismutase(SOD) similar activity depending on the concentration. 2. GTS significantly decreased heart weight in spontaneously hypertensive rat. 3. GTS significantly decreased blood pressure and heart rate in SHR. 4. GTS significantly decreased aldosterone. 5. GTS significantly decreased norepinephrine and epinephrine. 6. GTS significantly decreased $K^+$. 7. GTS significantly decreased BUN. Conclusions : These results suggest that GTS may be usefully applied for the treatment of hypertension.

지역단위 미이용 바이오매스 발생량 추정

최은희,이문용,윤영만,김창현,윤성이,Choi, Eun-Hee,Lee, Mun-Yong,Yoon, Young-Man,Kim, Chang-Hyun,Yoon, Sung-Yee 한국유기농업학회 2012 韓國有機農業學會誌 Vol.20 No.4

This study was carried out to evaluation of biomass generation mechanisms and to propose the estimation method of biomass generation. Agricultural by-product biomass is generated during crops cultivation and after harvest. However these are not uniformly generated yearly and these depending on the seasons. For planning of biomass utilization, accurate information of the biomass resources is needed, especially characteristic and productivity of biomass are necessary. Agricultural by-product biomass are generated in a wide area being scattered and it is one of the major reason why agricultural biomass utilization is not activated compared with other waste biomass. In this study, estimation and evaluation biomass generation is achieved in specific spatial and temporal boundary, A-city in Gyeongi-do and september to November respectively. Quantity and quality of by-product biomass show big difference depending on the crop species and cultivation periods and these difference bring up that accurate biomass estimation should be considered during planning of biomass utilization and technology selecting for biomass converting to energy and other forms.

하우스푸어 규모 추정 및 정책 방향에 대한 고찰

최은희,이종권,문효곤,김경미,Choi, Eun-Hee,Lee, Jong-Kwon,Moon, Hyo-Gon,Kim, Kyeong-Mi 한국토지주택공사 토지주택연구원 2014 LHI journal of land, housing, and urban affairs Vol.5 No.4

글로벌 금융위기를 겪고 난 이후, 주요 선진국에서는 가계부채/GDP 비율이 하락하는 경향을 보이고 있으나, 우리나라는 여전히 상승추세에 있으며, 가계부채 중 제일 큰 비중을 차지하는 주택담보대출은 최근 주택가격 하락으로 하우스푸어를 양산한 결과를 초래하였다. 본 연구는 최근 사회적 문제로 대두되고 있는 하우스푸어의 규모를 분석하는 한편, 하우스푸어의 형성배경에 주목하였다. 이는 하우스푸어의 문제가 일차적으로 개인과 금융기관 간의 금융거래에 기인하는 문제임에도 불구하고, 다양한 사회경제적 요인이 내재하고 있음을 간과할 수 없기 때문이다. 또한 이들 하우스푸어 문제를 해결하기 위해 사회적으로 어떠한 정책 방향을 설정해야 하는지 공적 개입 측면에서 현황과 향후 방향을 제안해보고자 한다. 우선 재무적관점에서 하우스푸어 규모를 추정하기 위한 판단지표로 DSR, LTA를 활용하였다. 재무적 위험을 판단하기 위한 임계치로 DSR은 40%, LTA는 100%로 가정하였다. 한편 LTA 산정과정에서 부동산자산의 평가액은 조사가격의 60%와 100%의 두가지 경우를 가정하였다. 다음으로 하우스푸어의 형성배경으로 사회 경제적 여건변화에 따른 가계의 차입의존도 증가, 금융기관의 과잉 대출경쟁, 부동산 시장의 장기침체, 주택담보대출 관련 제도적 문제 등이 원인인 것으로 파악되었다. 이처럼 하우스푸어의 발생에 대한 책임소재는 개인적인 문제 뿐 아니라 구조적 요인과 정책실패요인도 존재하고 있으며, 주택시장과 국민경제에 미치는 영향을 간과할 수 없다는 점에서 공적 개입의 필요성이 존재한다. 공적개입의 기본 방향은 공적 자금 부담을 최소화하고 시장기능을 활성화하는 차원에서 이루어져야 할 것이다. 또한 현재 하우스푸어 관련 정책으로 수행되고 있는 희망임대주택 리츠사업의 경우, 장기적으로는 대출거래 당사자인 대출기관도 책임을 부담하는 방식으로의 개선이 필요하다. After global financial crisis, the ratio of household debt to GDP was decreasing in other advanced countries such as the U.S., and the U.K. and so on. But, in Korea, household debt (of which residential mortgage loan account for a large part) ratio is still increasing. This paper focuses on the scale and characteristics of households in negative housing equity (those are called House-poors in Korea), and also the socio-economic backgrounds of the formation process. In financial perspective, the problem of negative housing equity depends on financial debt repayment capability. We used DSR (Debt Service Ratio) and LTA (Loan to Asset ratio) as financial indicators to evaluate the debt repayment capability. The critical value of DSR is assumed as 40%, and LTA 100%. The socio-economic backgrounds of the House-poors are as follows : increasing households debt dependency, over lending competition of financial institutions and unreasonable loan in household economy, instability of real estate market, week regulation on mortgage loan. Finally, this paper suggests some implications about the range and the target of public intervention.

한국형 낙상 위험 사정도구의 타당성 평가연구

최은희,고미숙,이신애,박정하,Choi, Eun Hee,Ko, Mi Suk,Lee, Shin Ae,Park, Jung Ha 병원간호사회 2020 임상간호연구 Vol.26 No.2

Purpose: The purpose of this study was to test the predictive validity of the Fall Assessment Scale-Korean version (FAS-K) and to find the most appropriate cutoff score to screen high-risk fall groups in adult patients in general hospitals in Korea. Methods: We performed a prospective evaluation study in medical and surgical ward patients at two major general hospitals in Seoul. Data were collected from Nov. 1, 2018 to Feb. 28, 2019, nurses performed 651 observation series. The researcher measured the fall risk assessment score by applying FAS-K, MFS (Morse Fall Scale), and JHFRAT (Johns Hopkins Hospital Fall Risk Assessment tool) to the patients twice a week between 10 am and 12 noon. Data were analyzed using Pearson's corelation coefficients, and the sensitivity, specificity, predictive value, and the area under the curve (AUC) of the three tools. Results: The FAS-K was positively correlated with the MFS (r=.70, p<.001) and the JHFRAT (r=.82, p<.001). According to the receiver operating characteristics (ROC) curve analysis of the FAS-K, sensitivity, specificity, and positive and negative prediction values were 85.3%, 49.4%, 8.5%, and 98.4%, respectively, when the FAS-K score was 4. Therefore, the cut-off score of the FAS-K to identify groups with high fall risk was 4. Conclusion: The FAS-K is a valid tool for measuring fall risk in adult inpatients. In addition, the FAS-K score, 4, can be used to identify high-risk fall groups and know specific points in time to provide active interventions to prevent falls.

다환방향족탄화수소 (PAHs) 에 노출된 굴, Crassostrea gigas의 생리 반응 변화

최은희,최중기,이원영,윤주현,심나영,김수경,임현정,Choi, Eun Hee,Choi, Joong Ki,Lee, Won Young,Yoon, Ju Hyun,Shim, Na Young,Kim, Su Kyoung,Lim, Hyun Jeong 한국패류학회 2014 The Korean Journal of Malacology Vol.30 No.3

PAHs (Polycyclic Aromatic Hydrocarbons: PAHs) is the hydrophobic inorganic material composed of carbon and hydrogen that is easily adsorbed biological organisms in the ocean. Bivalves is the indicator of environment monitoring because of reflect growth, physiological response of bivalve followed their habitat environment. The aim of research is understand the change of oysters (Crassostrea gigas) physiological response under exposed PAHs concentration for control, 1, 10 and $100{\mu}g/L$. We investigated induced immune change response for oyster hemocyte and effect of tissue RNA/DNA ratio for mantle, gill and adductor muscle individually. As a result of experiment change of immune response the oyster hemocyte when exposed PAHs showed that viability and adhesion is no significant difference (ANOVA test, p < 0.05). However phagocytosis decreased under the over $10{\mu}g/L$ of PAHs concentration and ROS increased with the increase of PAHs concentration. The change of RNA/DNA ratio is R/D ratio decreased with the increase of PAH concentration in adductor muscle. However gill and mantle showed no change of R/D ratio with PAHs concentration. The oysters when exposed inorganic pollutant that decreased of physiological condition and damaged protein synthesis of adductor muscle.

근위축성 측삭 경화증 환자 치험 1례

최은희,전주현,김연미,이재민,고승경,강민완,김성래,양기영,김영일,이현,Choi, Eun-Hee,Jeon, Ju-Hyun,Kim, Yeon-Mi,Lee, Jae-Min,Go, Seung-Kyoung,Kang, Min-Wan,Kim, Sung-Lae,Yang, Gi-Young,Kim, Young-Il,Lee, Hyun 대한침구의학회 2007 대한침구의학회지 Vol.24 No.4

Amyotrophic Lateral Sclerosis(ALS) is Motor Neuron Disease(MND) that reveals muscle relaxation, bulbar palsy, extremities weakness, Pneumonia, in severe case, leads to death. Objectives : Amyotrophic Lateral Sclerosis is one of the incurable disease. In Oriental medicine, Wei symptom is similar as Amyotrophic Lateral Sclerosis, so we diagnosed it as Wei symptom and treated in Oriental medical system. Methods : The patient was treated by acupunture, moxibustion, herb medication, physical treatment. The improvement of the patient was judged by Amyotrophic Lateral Sclerosis Functional Rating Scale (ALSFRS), Grasping power on right arm, circumference of thigh and calf. Result : The patient had better condition for a while but the sputum irritated breathing and the day before he discharged vital sign was not stable and could not breath well. Conclusion : It is necessary to have more examination about the incurable syndromes such as Amyotrophic Lateral Sclerosis, and keep the patient's life better and expand their lives.