사상체질론의 정신의학적 타당성에 대한 연구

민성길,김동기,박진균,전세일 大韓神經精神醫學會 2001 신경정신의학 Vol.40 No.3

연구목적 : 건간한 의대상 312명과 신경증적 장애를 가진 환자 288명을 대상으로 하였다. 사상체질의 구별은 노정우 및 김달래 두 전문가에 의한 판정, 그리고 경희의대 사상체질 설문지(QSCC Ⅱ)에 의한 판정 등 3가지 방법에 의하였다. 연구 대상에게 정신과적 증상척도(SCL-90), 체질특성척도 및 성격척도를 사용하여 자가 평가하게 하였다. 각종 척도들의 타당도와 신뢰도는 입증되었다. 이 척도들을 통계적으로 분석하고 고전적 설명과 어느 정도 일치하는 지를 검토하였다. 연구결과 : 1) 3가지 분류방법간에 차이가 컸었다. 그 중 전문가의 직접적 면담에 의한 감별보다 QSCCⅡ 설문지형이 비교적 감별력이 컸다. 3) QSCCⅡ가 감별력이 비교적 크다고 하더라도 그 결과가 소음군의 대인공포-강박증, 불면-식용상실, 무력-예민-소화기-한기-피부증후군 그리고 정력부족등 신경증적 증상과 소극-비사교적, 내향형 성격 및 이성적 성격특징 등 몇가지 특징을 감별하는 데에만 비교적 유의하였고, 태음군의 특정인 독특한 신념, 온기, 활달-사교적 성격에 대해서는 부분적으로 그 특징을 감별하였다. 또한 소양군의 활달-사교형 성격과 감정형 성격의 특징 등은 극히 부분적으로 감별하였다. 결 론 : 이러한 결과는 현존하는 사상체질 구분방법에 일치점이 결여되어 있다는 것, 각종척도를 사용한 결과는 사상체질에 관한 고전적 설명을 부분적으로만 입증하고 있다는 것, 따라서 사상체질구분에 대한 향후보다 객관적인 연구가 필요하다는 것을 시사한다. Object : This study is to examine the validity of constitutional classification of Sa-sang medical theory. This theory classifies the human constitution to 4 types according to classical oriental philosophy on yin and yang. Subjects and Method : Subjects were 312 medical students and 288 neurotic patients with diagnosis of neurotic, stress related and somatoform disorders and minor depressive episodes according to ICD-10. Medical students were classified to 4 Sa-sang Constitution Classification(QSCCⅡ). For assessmnent of symptoms and signs, Korean version of SCL-90, a constitution scale and personality scale which were designed for this study were used. These instruments were found to be reliable and valid through statistical analysis. Subjects were asked to rate these scales. The data were analysed with factor analysis and factor scores were compared among 4 Sa-sang constitutions by ANOVA and t-test. The data from patient group were analysed with factor analysis and the results were compared with the Sa-sang medical theory. Results : Results of classification by 3 ways were inconsistent showing a significant difference among them. Among them, QSCCⅡ was most reliable. In QSCC Ⅱ, only the factor scores of factors of homophobia-obsession, weakness-sensitiveness-indigestion-chillness-skin syndrome, sexual weakness, passive-unsociable personality, introverted personality and rational, personality, were significantly high in So-um (small yin) group of medical students. A factor of warmnes and active-sociable personality were significantly high in Tae-um(big yin)group. Also active-sociable and effective pesonality was partly related with So-yang(small yang)group. Conclusion : These results suggest that those present classification methods inconsistent, that these methods are proving only parts of Sa-sang medical theory, and that objective and scientific studies are needed for reliability and validity of Sa-sang medical theory.

기억의 정치와스토리텔링 통일독일 수도 베를린의 발명 -도시공간의 형성과 기억의 도구화에 관하여-

전진성 ( Jin Sung Chun ) 대구사학회 2012 대구사학 Vol.106 No.-

Inventing the Capital of the reunified Germany, Berlin -The formation of urban space and the instrumentalization of memory- Chun, Jin-sung [Abstract] A Space is to be invented by the process of differentiating itself from other spaces. Berlin, the Capital of the reunified Germany, is the arena of contesting identities, while the new Berlin`s city planners have appealed to alleged lost tradition. What distinguishes Berlin from other western metropolises is her extreme imbalance between remembering and forgetting, so that Berlin never comes to a collective memory in accord and only turns out to be lieux de memoire, the artificially created sites of memory. Although the so-called Berlin Republic has staked much of her administration on a policy of national unity, her most representative lieux de memoire such as Potsdamer Platz, the upcoming Berlin City Palace, and Reichstag cannot hide the unmasterable disparity between outward self-display and conflict at home, between selective memory and traumatic disturbances. This issue is getting more acute in the Holocaust memorial sites which have much more flourished since the reunification. Whereas the Memorial to the Murdered Jews of Europe in the heart of Berlin is facing the dangers of using German people`s mourning for the victims for claiming their own moral superiority, the Topography of Terror has the merit of galvanizing the campaign against forgetting historical responsibility of the so-called perpetrator nation. So the case of Berlin helps to understand that modern city holds diverse identities, and therefore that the domination of a particular memory is always accompanied by the repression of other memories.

菟絲子 의效能에 대한 硏究

진상식,황의현,김형창,김천수,오광수,한종현 한국전통의학연구소 2002 한국전통의학지 Vol.12 No.1

The purpose of this study is to determine the effect of Semen Cuscutae on phenylephrine(PE) and KCI induced contraction of isolated rat thoracic aorta. Contractile force was measured with force displacement transducer under 1.5 g loading tension. Contraction evoked by PE (ED_(50)) was relaxed significantly by Semen Cuscutae. The mean percent relaxing of PE induced contraction was 60.6% (p<0.01) after 300 ㎕/㎖ Semen Cuscutae, but the mean percent contraction of KCI induced contraction was 10.4% (p<0.05) after 300 ㎕/㎖ Semen Cuscutae. Vasorelaxation by Semen Cuscutae was significantly reduced after with and without endothelial cells. Pretreatment of aortic rings with L-NAME (100 μM), a nitric oxide synthase inhibitor, indomethacin (3 μM), an inhibitor of cyclooxygenase, methylene blue (10 μM), guanylyl cyclase inhibitor, propranolol (1 μM), a β-adrenoceptor antagonist, atropine (1 μM), a muscarinic receptor antagonist and diltiazem (10 μM), a Ca^(2+)-channel blocker was recovered the effect aorta. These results indicate that Semen Cuscutae can relax EP induced contraction of isolated rat thoracic aorta and that this increasing contraction related to epithelium and various effect.

치조골 상실에 따른 상악 치아군 저항중심의 변화에 관한 유한요소해석

성상진,김인태,국윤아,전윤식,김성훈,모성서 대한치과교정학회 2009 대한치과교정학회지 Vol.39 No.5

효과적인 교정치료계획의 수립을 위하여 치열군의 저항중심의 위치에 대한 평가는 필수적이다. 이번 연구의 목적은 상악 치열군(4전치, 6전치, 14치아)에서 치조골 손실에 따른 저항중심의 위치변화를 조사해보고자 하였다. 상악 전치열 14개 치아와 치주인대 및 0 mm, 2 mm, 4 mm 손실된 치조골의 3차원 유한요소 모델을 제작하였고 각 치아군(4전치, 6전치, 14치아)별로 치관부를 협측, 설측호선 및 splint wire로 고정하여 치아군 모델을 제작한 후 상악 중절치의 절단연 중점에서 연장된 splint wire에 4전치와 6전치군에는 200 g, 14치아군에는 400 g의 후방 견인력과 압하력을 적용하여 저항중심의 수직적, 수평적 위치를 분석하였다. 4전치군에서 저항중심의 수직 위치는 치조골 0 mm, 2 mm, 4 mm 손실에 따라 중절치의 절단연에서 치근방향 13.5 mm, 14.5 mm, 15 mm, 수평 위치는 후방 12 mm, 12 mm, 12.5 mm, 6전치군에서는 치근방향 13.5 mm, 14.5 mm, 15.5 mm, 후방 14 mm, 14 mm, 14.5 mm, 14치아군에서는 치근방향 11 mm, 13 mm, 14.5 mm, 후방 26.5 mm, 27 mm, 25.5 mm에 위치하였다. 모든 치아군에서 저항중심은 치조골 손실에 따라 치근첨 방향으로 이동하였으나, 치조정과의 거리는 가까워졌고, 4전치군과 6전치군에서 저항중심은 치조골 손실에 따라 후방으로 이동하였으나, 14치아군에서는 치조골 2 mm 손실 시에는 후방으로 이동하였으나, 4 mm 손실 시에는 전방으로 이동하였다. Objective: The aim of this study was to investigate the changes in the center of resistance of the maxillary teeth in relation to alveolar bone loss. Methods: A finite element model, which included the upper dentition and periodontal ligament, was designed according to the amount of bone loss (0 mm, 2 mm, 4 mm). The teeth in each group were fixed with buccal and lingual arch wires and splint wires. Retraction and intrusion forces of 200 g for 4 and 6 anterior teeth groups and 400 g for the full dentition group were applied. Results: The centers of resistance were at 13.5 mm, 14.5 mm, 15 mm apical and 12 mm, 12 mm, 12.5 mm posterior in the 4 incisor group; 13.5 mm, 14.5 mm, 15 mm apical and 14 mm, 14 mm, 14.5 mm posterior in the 6 anterior teeth group; and 11 mm, 13 mm, 14.5 mm apical and 26.5 mm, 27 mm, 25.5 mm posterior in the full dentition group respectively according to 0 mm, 2 mm, 4 mm bone loss. Conclusions: The center of resistance shifted apically and posteriorly as alveolar bone loss increased in 4 and 6 anterior teeth groups. However, in the full dentition group, the center of resistance shifted apically and anteriorly in the 4 mm bone loss model.

유산균(L.lactis CBT-8)및 발효 추출물의 Helicobacter pylori 억제 능력

진춘조,박형석,이혜운,김성렬,강동구,이준상,이재동,왕준호 건국대학교 의과학연구소 2002 건국의과학학술지 Vol.12 No.-

Helicobacter pylori infection was the cause of chronic gastritis, duodenal ulcer and gastric MALT lymphoma. The eradication rates of H. pylori using antibiotics are around 80%. Lactobacilli have been demonstrated to have in vivo and in vitro inhibitory effects on H. pylori infection. We aimed to evaluate the inhibitory effect of L. lactis CBT-8 and its extract on H. pylori in human stomach. Thirty-five H. pylori-infected volunteers(30-49 yr)were randomized into two groups which were treated with L. lactis CBT-8 and its extract(Group A n=17) or milk containing L. lactis CBT-8(Group B, n=18). They underwent 13C-urea breath tests before and after treatment. The DOB30 of group A(n=14) was decreased 41.0% after treatment(26.0±4.9 before, 15.3±2.1 after treatment)(p<0.05). the DOB30 of group B(n=13) was decreased 22.3% after treatment(22.0±2.2 before, 17.1±1.7 after treatment)(p<0.05). In conclusion, L. lactis CBT-8 was effective in suppressing H. pylori infection in human stomach.

한국의 기념비 문화에 끼친 독일 반(反)기념비의 영향 : 기념비적 역사에서 민주적 기억문화로

전진성(Jin-Sung Chun) 한국독일사학회 2020 독일연구 Vol.- No.44

이 글은 독일에서 연원한 반기념비가 한국사회 기억문화의 지형에 일으키고 있는 변화상을 소개하고 그 성격을 규명한다. 소위 기념비적 역사를 가장 전형적으로 체현하는 매체인 기념비의 매체적 한계를 극복하기 위한 대안으로 등장한 반기념비는 과거의 특정한 사건이나 사실보다는 기억하는 행위 그 자체를 재현하는 기념비다. 민족적 영광이 아니라 오히려 죄업을 기억하는 ‘경고비석’이라는 특유의 기념비 유형을 발전시킨 독일 현지에서도 기념비가 지닌 특유의 물화 를 극복하기 힘들다는 점은 베를린 중심부에 자리잡은 신위병소의 사례에서 드러난다. 국내의 <평화의 소녀상>과 <베트남 피에타>도 <4월 학생혁명 기념탑>과 <수호자상>으로 대표되는 한국의 파시즘적 기념비 문화를 넘어서고는 있지만 평화의 통속적 알레고리를 넘어서지 못한다. 한국형 반기념비의 맹아적 형태인 제주 4 · 3 평화기념관의 백비, 건축가 조성룡이 광주의 콜박스 사거리에 설치한 <기억의 현재>, 그리고 설치미술가 원지호의 <미리 지어진 전쟁기념물>은 보다 민주적인 기억문화의 장을 열고 있다. This article deals with the dynamic changes in the Korean monument culture and their historical significance. The German countermonument arising from the critical awareness of the monument’s inherent monumentalilty is the catalyst for that change. As the case of the Neue Wache in the heart of Berlin proves, a monument can hardly escape the danger of reification, even if it is not intended to glorify the national past. It seems much more difficult to imagine a non-reified monument in the Republic of Korea, having a strong tradition of fascist monuments like the April Student Revolution Memorial Tower and Guardian statue in the April 19th National Cemetery. Even pacifist monuments like Girl of Peace cannot avoid being reified with its abstract and nearly religious implications such as suffering and resurrection. In recent years, however, the new Korean monuments that were directly and indirectly influenced by the German countermonument open the horizon. Whereas the Unnamed Monument at the Jeju 4·3 Peace Memorial Hall reflects the unfinished political conflicts resulting from the violent history of the anti-communist wars in Korea, Thresholds for Intimate Recollections designed by senior Korean architect Joh Sung-Yong and Prepared War Memorial by young installation artist Won Jiho open a new space for a more democratic and universal memory culture. These fresh monuments in Korea are designed to rediscover experiences and memories that cannot be reduced to an unilateral, complacent narrative and thereby to reappropriate them as future assets. That is the very legacy of the German countermonuments.

한글 문서 구조 분석에 관한 연구

우성준,김광호,유명춘,하진영 강원대학교 정보통신연구소 2008 정보통신논문지 Vol.12 No.-

Although information technology has been developed fast, large amount of machine printed document images are not properly handled due to immature document layout analysis techniques. Previous research has focused on character recognition itself to improve character recognition accuracy. Recently, however, some efforts are made to analyze complex document layout automatically. In this paper, we propose document layout analysis and understanding method for various Hangul document images. Skew detection is performed using projection profile and connected component layout information. Top-down and bottom-up methods are combined to analyze document layout. After text region and non-text region determination, table is further processed to extract row, column, and cell position. We got very high performance for skew correction, zone detection, and table processig from experiments with various Hangul document images.

중추성 요붕증이 동반된 랑게르한스 세포 조직구증 1예

김진호,문준성,문선중,이지은,최재원,은미정,천경아,조인호,윤지성,원규장,이경희 신덕섭,이형우 영남대학교 의과대학 2005 Yeungnam University Journal of Medicine Vol.22 No.2

Central diabetes insipidus (DI) is a syndrome characterized by thirst, polydipsia and polyuria. Langerhans cell histiocytosis is one of the etiologies of DI. Recently we experienced a central DI associated with Langerhans cell histiocytosis. The 44 years old female patient complained right hip pain polydipsia and polyuria. We carried out water deprivation test. After vasopressin injection, urine osmotic pressure was increased form 109mOsmol/Kg to 327mOsmol/Kg (300%). Brain MRI showed a thickened pituitary stalk and at hot bone CT.CT guided biopsy revealed abnormal histiocytes proliferation and abundant lymphocytes, The final diagnosis was central DI associated with systemic Langerhans cell histiocytosis invading hip bone, L-spine and pituitary stalk. Desmopressin and etoposide chemotherapy were performed to the patient.

반응성 애착장애 아동의 애착유형

신의진,이순행,이경숙,전여숙,노경선,민성길 大韓神經精神醫學會 1996 신경정신의학 Vol.35 No.6

This study aims at examining examine the quality of attachment in children with Reactive Attachment Disorder(RAD). The subjects of this study were 26 chidren with RAD and 22 normal children as control group. The diagnosis of RAD was made according to DSM-Ⅳ and ICD-10 criteria of reactive attachment disorder. Attachment of each children was classified by using the Strange Situation Procedure(SSP). The data was statistically processed through Fisher's exact test and t-test. The results were as follows : Among the RAD children, 61.5% were classified as disorganized(D) type, 26.9% as anxious-avoidant(A) type, 11.6% as anxious-avoidant(C) type. Among the normal children, 63.5% were classified as secure attachment(B) type, 18.3% as anxious-avoidant(A) type, 13.6% as anxious-avoidant(C) type, 4.5% as disorganized(D) type. And RAD children had sifnigicantly higher proportion of disorganized(D) type and lower proportion of secure(B) type than that normal children. The above results suggest that RAD children has serious problems in their attachment relationship and there must be some consideration on serious attachment problems to make diagnosis and intervention of RAD children.

저신장 소아에서 성장호르몬 치료가 두개안면필 성장에 미치는 영향

정성호,김진욱,박용훈,황충주,이희경 대한치과교정학회 2010 대한치과교정학회지 Vol.40 No.4

Objective: The purpose of this study was to analyze the effect of growth hormone treatment (GHT) on craniofacial growth in children of short stature. Methods: Nineteen untreated children of short stature were referred from the Pediatric Department, Yeungnam University Hospital as a subject group. All subjects had lateral cephalograms taken before, after 1 year and after 2 years of growth hormone treatment. As a reference group, we selected 19 normal children with paired sampling who matched the subjects' age and sex, from the Department of Orthodontics, Kyungpook National University Hospital. Results: Before GHT, anterior cranial base length and upper posterior facial height, posterior total facial height, mandibular ramus length, and mandibular corpus length were significantly smaller in the reference group. In angular craniofacial measurements, saddle angle and mandibular plane angle were larger. SNA and SNB were smaller in the reference group. After two years of GHT, growth hormone accelerated growth in several craniofacial components. The posterior total facial height, the anterior, posterior cranial base length, and the mandibular ramus length were increased. And the difference in mandibular plane angle and ANB values compared with the reference group was decreased. Conclusions: GHT over 2 years leads to a craniofacial catch-up growth tendency, which is pronounced in interstitial cartilage and condylar cartilage. 저신장이란 같은 연령 및 성별 소아들의 표준 신장 평균치에서 -2.0 SD 이하인 경우를 말한다. 본 연구의 목적은 저신장 소아의 두개안면골격의 특성을 분석하고, 성장호르몬 치료가 신장을 성장시킴과 동시에 두개안면골격에 어떤 영향을 주는지 알아보고자 함이다. 영남대학교 의과대학 부속병원 소아청소년과에서 저신장으로 진단받은 소아를 대상으로 성장 호르몬 치료 전 그리고 치료 후 1년, 2년 후 총 3회 측모 두부 방사선 규격 사진의 촬영을 시행하였다. 대조군은 경북대학교 치의학전문대학원 교정과에 소장된 한국인 평균 신장의 2 표준오차 내의 아동들을 대상으로 측모 두부 방사선 규격사진을 2년마다 10년간 촬영한 자료를 이용하여 저신장 소아의 연령과 성별을 기준으로 짝진 표집(paired sampling)을 하였다. 성장 호르몬 치료 전 저신장 소아는 작고 후퇴된 하악골과 편평한 두개저를 가지는 것으로 나타났다. 성장 호르몬 치료 후 anterior, posterior cranial base length, upper posterior facial height, lower anterior facial height, posterior total facial height, mandibular ramus length, mandibular corpus length와 overall mandibular length 성장량이 정상군에서의 2년 성장량과 비교했을 때 유의하게 큰 것으로 나타났으며 각도 계측에서는 saddle angle, mandibular plane angle과 ANB변화량이 정상군에서의 2년 성장량과 비교했을 때 큰 변화를 보이며 정상군의 평균치를 따라잡는 경향을 보였다. 성장 호르몬 치료는 불균형적인 성장의 징후 없이 정상화를 향한 성장(따라잡기 성장)을 나타내었으며 이는 특히 하악과두의 성장과 후안면고경의 성장을 촉진시켜 저신장 소아의 convex 한 profile을 완화하는 것으로 판단된다.