당(唐) 태종대(太宗代) 반위(反胃) 치료법의 개발과 백제(百濟) 의자왕(義慈王)의 질병

박준형 ( Park Jun-hyoung ),서영교 ( Seo Young-kyo ) 대구사학회 2021 대구사학 Vol.142 No.-

唐은 기본적으로 隋의 의료체계를 수용하면서도 醫術世家의 秘傳에 의해 분산ㆍ난립된 醫術의 독점을 국가의 의료체계라는 公的 영역으로 흡수하고자 하였다. 나아가 당은 그 의술을 민간에 유포함으로써 점차 의술세가의 독점적 입지를 좁혀 나갔다. 공익을 위한 의술 공개는 당 왕조의 존재 이유를 백성들에게 가장 효율적으로 각인시키는 방법의 하나였고, 이는 초기 왕조의 안정화에 기여하였다. 당 태종대 당나귀오줌을 이용한 반위 치료법 개발은 이러한 의료정책의 결실이었다. 蔣ㆍ許ㆍ巢氏 醫官들의 연구를 통해 이루어낸 새로운 치료 법은 즉위 초반부터 숙환이 있던 의자왕에게도 주목받았다. 644년 초 의자왕은 당에 파견된 사신을 통해 의사를 알아보았고, 그해 말 입당한 태자 夫餘康信이 당 태종에게 蔣元昌의 왕진을 요청했다. 당시 장원창은 益州道로 파견나가 있었기 때문에 당 태종은 그를 백제에 보낼 수 없었다. 결과적으로 태자를 보내 백제의 신라공격에 대한 입장을 해명하고 신라를 침공하지 않겠다고 약속했던 의자왕이 645년에 신라를 공격했다. 그해 고구려와 전쟁을 시작한 당 태종은 신라를 이용하여 고구려의 병력을 남쪽으로 분산시키고자 했던 의도가 무산되었다. 현재 학계에서는 백제의 신라 공격 이유를 명확하게 설명하지 못하고 있다. 645년 백제의 신라 공격으로 백제와 당의 관계가 악화되었다. 이는 신라가 대당외교에서 성공할 수 있는 여건을 만들어 주었다. 이런 점에서 645년 백제의 신라 공격은 의자왕의 질병과 의사 장원창의 왕진 요청 거부가 중요하게 작용했던 결과라고 할 수 있다. Tang China(618-907), which inherited the medical system of the preceding Sui China(589-618), attempted to reorganize it by absorbing various medical traditions which were then monopolized by hereditary medical families. The hereditary remedies and knowledge of medical specialists who were employed as government physicians were integrated into the state medical system, and the newly developed remedies were open to public. The development of Banwi (反胃, gastric disorder) remedy using donkey urine was one of the cases demonstrating the success of the early Tang medical system. The remedy, developed through a joint research by the physicians from three prestigious medical families in early Tang, was soon to be known to Baekje. King Uija (r. 641-660) of Bakje, who had been suffered from Banwi, dispatched envoys to Tang to ask to send Jiang Yuan-chang to Baekje in 644. The Baekje court seems to have regarded Jiang, a physician who participated in the development of new Banwi remedy, as the most qualified person to cure King Uija. Tang government, however, could not dispatch Jiang to Baekje as he was then working near Sichuan province, hundreds miles from Chang'an, the capital of Tang. As a result, King Uija missed a chance of being treated with the new remedy. Then Baekje, which had once promised not to attack Shilla by sending a prince to Tang, resumed invasion of Shilla in 645, spoiling Emperor Taizong's (r. 626-649) plan to mobilize Baekje's army in his campaign against Goguryeo. As the aftermath of this incident, the relation between Baekje and Tang was irreversibly deteriorated, while Shilla succeeded to consolidate the Shilla-Tang alliance which led to the fall of Baekje in 660. From the perspective of medical diplomacy between Baekje and Tang during the mid 7th centuries, Tang’s failure to meet Baekje’s request for the medical support might have had a grave effect on the Baekje’s decision to move against the Tang’s interests. Park, Jun-hyoung (Naval Academy / shimani5075@hanmail.net) Seo, Young-kyo (Jungwon University / syk367@naver.com)

S-344 : The Role of Skeletal Muscle Mass in Development of Metabolic Syndrome

( Byung Sam Park ),( Jun Sung Moon ),( Ji Sung Yoon ),( Kyu Chang Won ),( Hyoung Woo Lee ) 대한내과학회 2013 대한내과학회 추계학술대회 Vol.2013 No.1

Introduction: It has been well known that abdominal adiposity is related with insulin resistance and greater risk of metabolic disorder. Skeletal muscle plays central role in insulin mediated glucose disposal of whole body, but we only know a little about the association between skeletal muscle mass and MetS (MetS). The aim of this study is to clarify the clinical role of skeletal muscle mass in developing MetS through using skeletal muscle parameters by body impedance analysis (BIA). Methods: 1,042 healthy adults aged from 20 to 75 years who visited Yeungnam university health promotion center from Jun. 2008 to Jun. 2010 were enrolled. 204 subjects who had prior MetS or chronic disease that can affect to skeletal muscle mass were excluded. After 24 months from baseline, the metabolic parameters were assessed and the development of MetS was diagnosed using modified NCEP-ATP III criteria. From the BIA (Inbody 720), we obtained skeletal muscle mass (SMM, Kg), body fat mass (BFM, Kg), and visceral fat area (VFA, cm2). Then, we had defined as follows; percent of skeletal muscle mass (SMM%, %): SMM (kg)/weight (Kg), skeletal muscle index (SMI, Kg/m2): SMM (Kg)/height (m)2, skeletal muscle to body fat ratio (MFR): SMM (kg)/BFM (Kg) and skeletal muscle to visceral fat ratio (SVR, Kg/cm2): SMM (Kg)/VFA (cm2) Results: Mean follow up periods were 28.7±5.4 months. Among total 838 subjects (46.9±9.9 years, M:F=477:361), 88 (10.5%) were newly diagnosed MetS. 5th quintile of the SMM%, MFR and SVR was associated with decreased risk of development of MetS after adjusting for confounding factors. Conclusion: Decreased skeletal muscle mass may play critical role in development of the MetS and not absolute amount of skeletal muscle mass but relative ratio to body composition may be more important.

음식물 쓰레기의 퇴비화에 관한 연구

전기일,김형갑,정병윤 진주산업대학교 농업기술연구소 1999 農業技術硏究所報 Vol.12 No.-

The purpose of this study were the food wastes composting, this study was carried out in the batch reactor with sawdust as bulking agent. The sample of food wastes for this study were collected fron the restaurant in our University. We obtained the results as follows : 1) During composting process, the highest temperature in the batch reactor was 55.8℃ after 5 days of experiment. 2) During composting process CO_2 and NH_3 were generated, after 6 days of experiment their concentrations were 20% and 640ppm respectively. 3) The volume of sample was reduced to one third in experimental period.

한의약 컨텐츠를 가미한 강원도 리조트형 웰니스 프로그램 제안

유준상, 권보인, 이재형 상지대학교 한의학연구소 2023 尙志韓醫論文集 Vol.11 No.1

Objectives: As interest in wellness tourism is increasing in Korea, we sought to propose a program with Korean Medicine Contents for eight resorts in Gangwon-do, which has forests and marine resources. Methods: The authors visited eight designated resorts in Gangwon-do, observed the facilities, and interviewed the people in charge. Questions and answers were asked and answered in the form of a questionnaire regarding any deficiencies in the interviews. Afterwards, the contents were analyzed and a Korean Medicine program suitable for each resort was proposed. Results: A total of 17 Korean Medicine Programs were proposed, of which the meditation/yoga program and diet/drink program tailored to each constitution were proposed to be applicable to all 8 resorts. The rest were proposed considering each resort's facilities, environmental characteristics, and main product programs. Conclusions: It appears that the ‘meditation/yoga program’ and ‘constitutional diet and beverage development’ sectors are programs that can be commonly carried out by all facility companies, and for this purpose, the Sasang constitution test and Korean medicine measurement within the resort in Gangwon-do are used to create a program linked to this. In addition, we believe that efforts to improve the program through verification of efficacy will be necessary in the future

운동거리이상의 정량적 평가

이경무,김재욱,이태수,김헌,황준,이주연 大韓再活醫學會 1998 Annals of Rehabilitation Medicine Vol.22 No.2

아산지역 PC방에서의 금연석과 흡연석의 공기질 차이

김준형 외 순천향대학교 기초과학연구소 2011 순천향자연과학연구 논문집 Vol.17 No.1

This study seeks to differentiate between the air quality of the smoking area and the non-smoking area in internet cafes(or PC rooms in Korean slang) through the analysis of internet cafes around universities located in Asan-si. VOCs, HCHO, CO₂, and CO content of each area were analyzed. According to our observations, the HCHO content in the smoking area was 74.26ppm, 124.26ppm for TVOC, 688.58ppm for CO₂, and 2.80ppm for CO. On the contrary, in the non-smoking area, the HCHO content was 55.49ppm, 82.86ppm for TVOC, 606.18ppm for CO₂, and 2.32ppm for CO. This shows that the air quality between non-smoking and the smoking area do not have significant difference. As people are exposed and thus more interested about indoor air pollution, there are measures taken to clean the air indoors, but there are no relevant measures taken for internet cafes. Therefore, there should be measures taken in order to control ETS content, thought to be one of the main pollutants of internet cafe air quality, through various measures such as upgraded ventilation.

기저질환이 없는 사람에서 발생한 Campylobacter fetus에 의한 재발성 심내막염 1예

전재범,정진원,김성혜,송문희,오형철,안성기,최상호,김남중,김양수,우준희,류지소 대한감염학회 2004 감염과 화학요법 Vol.36 No.6

C. fetus 심내막염은 드물게 발생하는 질환으로 주로 면역능이 저하된 환자에서 발병하고 대동맥판을 침범하는 경우가 많으며 적절한 치료가 되지 않을 경우 치사율이 높다. 저자들은 기저질환이 없던 69세 남자에서 C. fetus 심내막염을 경험하였기에 문헌고찰과 함께 보고하는 바이다. 환자는 발열로 내원하여 시행한 혈액배양 검사상 C. fetus가 동정되었고 경식도 초음파 검사상 삼첨판에 증식증이 발견되어 심내막염 진단하에 ceftriaxone에 이어 meropenem으로 총 4주간 항생제를 투여받고 호전되었다가 한달 후 다시 재발하였고 판막부전 소견 진행하여 삼첨판 치환술을 시행받고 전신상태 호전되어 퇴원하였다. Campylobacter fetus is a rare cause of endocarditis. To date, only about 30 cases of C. fetus endocarditis have been reported mainly in the elderly with chronic underlying illnesses. Most cases showed tendency to involve aortic valve. This report describes a case of native tricuspid valve infective endocarditis in a 69-year-old man without any underlying disease. Despite adequate antibiotic therapy for 4-weeks, endocarditis recurred and leading to surgical valve replacement.

한국인 성인 남자에게 구순열 및 구개열의 유병률에 관한 연구

백형선,김재훈,김동준 대한치과교정학회 2001 대한치과교정학회지 Vol.31 No.1

구순열 및 구개열은 두개 악안면 부위에서 가장 자주 발생되는 선천성 기형으로 적절한 의료진의 확보와 의료 정책의 수립을 위해서 정확한 환자 수를 파악하는 것이 필요하다. 그러나, 기존의 국내 발생률 추정 연구는 표본선정의 문제점과 이 질환이 갖는 높은 유산율과 사산을 및 다양한 형태로 인한 분류의 어려움과 한국 내에서의 특수성 중 하나인 장애아들의 해외 입양으로 인해 정확한 환자 수의 파악이 어려웠다. 따라서, 한국인에서의 체계적인 유병률 연구가 필요하리라 사료되며, 대부분의 구순열 및 구개열 환자에서 필요한 교정 치료의 수혜 정도를 파악할 필요성이 있다고 사료된다. 이에 본 연구에서는 한국 성인 남자에서 구순열 및 구개열 환자에 대한 유병률과 이들에 대한 교정 치료 수혜율을 조사하고자, 1998년도 병무청 징병 검사자 중 1979년도에 출생한 자만을 연구대상으로 하여 서울, 광주, 대구, 부산의 성인 남자 218,322명에 대해 3단계 검사를 실시한 후 다음과 같은 결과를 얻었다. 1. 1979년 생 한국 성인남자에서 구순열 및 구개열 환자의 유병률은 1000명당 0.65명이었다. 2. 전후방적 심도에 따라 1000명당 각각의 유병률은 구순열이 0.26명, 구순구개열이 0.36명, 구개열이 0.03명이었다. 구순열과 구순구개열은 비슷한 정도의 유병률을 보였으나, 구개열은 이에 비해 낮은 유병률을 보였다. 3. 횡적 심도에 따라 1000명당 각각의 유병률은 좌측 파열이 0.35명, 우측 파열이 0.16명, 양측 파열이 0.12명이었다. 좌측 파열은 우측 파열에 비해 매우 뚜렷하게 높은 유병률을 보였으며, 양측 파열은 편측 파열에 비해 낮게 나타났다. 4. 구순열 및 구개열 환자 중 성인남자에서의 한국 내 교정치료 수혜율은 35%였으며, 구순열, 구개열, 구순구개열의 순으로 28%, 29%, 67%였다. 구순열이나 구개열과 같이 단독 발생된 경우보다 파열의 심도가 심한 구순구개열의 경우에서 교정치료 수혜율이 높게 나타났다. Cleft lip and/or palate(CLP) is the most common congenital deformity in the craniofacial region. For a practical public health system for these patients it is necessary to have an understanding on the prevalence of CLP. However, it was difficult to estimate the exact number of CLP patients due to problems in sample selection, higher miscarriage and still birth rate, difficulty in classification, and adoptions to foreign countries. Therefore this study was to estimate the prevalence of CLP and the rate of orthodontic treatment, which is usually necessary in cleft lip and/or palate patients. The samples consisted of 218,322 Korean male adults from Seoul, Kwangju, Taegu and Pusan, all born in 1979. The screening method for recognizing the CLP patients was proceeded in steps and the results are as follows. 1. The prevalence of cleft lip and/or palate in Korean male adults born in 1979 was 0.65 out of the 1000 samples. 2. In the anteroposterior aspect of the 1000 samples, the prevalence of cleft lip, cleft lip and palate, and cleft palate was 0.26, 0.36 and 0.03 respectively. 3. In the transverse aspect of the 1000 samples, the prevalence of left, right and bilateral cleft was 0.35, 0.16, 0.12 respectively. The cleft in the left showed a much higher prevalence than in the right, while bilateral cleft showed a lower prevalence than unilateral cleft. 4. The orthodontic treatment rate of Korean male adults among cleft lip and/or palate patients was 35%, and it was in the order of cleft lip and palate, cleft lip, and cleft palate, being 67%, 29% and 29% respectively. The orthodontic treatment rate in patients with the more severe cleft lip and palate was higher than in patients solely haying cleft lip or cleft palate.

국내 종합병원 스페이스 프로그램 변화에 관한 연구

조준영,채종형,양내원 한국의료복지시설학회 2008 의료·복지 건축 Vol.14 No.4

Space program is not only meaning of area distribution on the planing of hospital architecture. The environment of health care such as medical examination, the level of service and constitution on hospital. And also space program implies the composition of space and plan of size in which are activity, required manpower and rooms, and mutual relation between spaces in hospital by quantitative analysis of the requered rooms and unit area. Accordingly space program is the data at the beginning of plan which can understand the pursuing direction of hospital at the beginning of plan. This study analyze how to express the role and function of hospital in space program by research of it in korean general hospital. Through those research, the purpose of this study is to sight the position of present hospital and produce the basic data for precise space program.

압출기 유압펌프의 압력제어

김교형,이준홍 嶺南大學校 工業技術硏究所 2001 工業技術硏究所論文集 Vol.29 No.2

Pressure control of hydraulic pump in aluminum extrusion is adjusted by hand to get the optimum extrusion velocity Manual control of the extrusion velocity degrades the qualify of the surface due to the unevenness control of hydraulic pressure. In this study pressure control of hydraulic pump is simulated with fuzzy memory rule for aluminum process. Pressure response of the system has shown good results.