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      • KCI등재
      • KCI등재후보

        온열요법과 기치유요법이 어깨근통증 압통역치에 미치는 영향

        이석복 ( Lee Seok Bok ),이민선 ( Lee Min Sun ),이형환 ( Hyung H Lee1 ) 한국자연치유학회 2014 Journal of Naturopathy Vol.3 No.1

        In this study, we wanted to understand the influence of thermotherapy, Qi-therapy, and their combination therapy on the oppressive muscular pains in shoulders. For the clinical study, 102 subjects were divided into 3 groups of thermotherapy, Qi-therapy, and the combination therapy to see the differences in the therapeutic effects. The treatments were taken 5 times for 2 weeks in 3-day intervals and pre- and post-treatment assessments were undertaken for the visual pain assessment (VAS, visual analogue scale) and experimental pressure threshold in 8 points in the relevant muscles (PPT). VAS score was decreased by 39% after thermotherapy, 66.5% after Qi-therapy, and 72.3% after combination therapy, all with significance (p<.05). The experimental pressure thresholds of shoulder muscles, the upper trapezius muscles, the lower trapezius muscles, the anterior trapezius muscles. the supraspinous muscles, the greater pectoral muscles, and the sternocleidomastoid muscles were increased by 4.3~11.3% after thermotherapy, 5.9~19.9% after Qi-therapy, and 9.3~25.4% after combination therapy. The experimental pressure thresholds in the 8 points in the relevant muscles did not show a significant difference between the Qi-therapy and combination therapy in the upper and lower trapezius muscles, however, did show a significant difference to the thermotherapy. In the shoulder muscles, anterior and posterior trapezius muscles, supraspinous muscles, supraspinous muscles, greater pectoral muscles, and sternocleidomastoid muscles, there were significant superiorities in Qi-therapy over thermo therapy, and in the combination therapy over Qi-therapy. In conclusion, it could be understood that both thermotherapy and Qi-therapy have been effective in the improvement of pains, and especially combination therapy showed better effectiveness. It is expected to apply these natural therapies to the pain treatment of human body to contribute to the improvement of health and welfare.

      • KCI등재

        지역사회 정신의학 전공의 교육과정 실태조사

        홍진표,황순찬,이영문,이선형,신나리,이종일,박종익,장동원,정인원 大韓神經精神醫學會 2008 신경정신의학 Vol.47 No.1

        Objectives : There is a increasing need to recruit and retain more psychiatrists who can plan and implement organized programs to work with chronic mentally ill patients in community settings. The aim of study is to discover what training is currently in place to prepare psychiatrist for work in "community" or "public" settings. Methods : Survey questionnaires were mailed to 85 residency training directors and 10 leaders of community mental health in 2005. Response rate was 75%. Results : Academic seminar about community mental health were not administered to residents in 63% of training hospitals. Forty one out of 64 training hospitals had community mental health rotation programs, Community mental health center (50%) and day hospital (36%) were the most common type of programs. Few general hospital had affiliation with community mental health programs. The amount of time for clinical rotation varied from less than three months part time to 6 months fulltime, with most frequent form of one day per week for three month in second or third year of psychiatry residents. Conclusion : Further steps are needed to improve residency training curricula and to encourage well qualified psychiatrist to choose careers in community psychiatry.

      • 관상동맥 질환에서 SDF-1α의 농도

        김보영,박용규,박형서,노상필,정승현,이유선,이정우,이재환,최시완,정진옥,성인환 충남대학교 의과대학 의학연구소 2003 충남의대잡지 Vol.30 No.1

        Atherosclerosis is now viewed as an inflammatory disease of the vascular system. Expression of several chemokines, including monocyte chemoattractant protein(MCP)-1, MCP-4, RANTES(regulated on activation normal T-cell expressed and secreted), and interleukin-8(IL-8) are increased in human atherosclerotic plaques compared with normal vessels. They are involved in the pathogenesis of atherosclerosis and plaque rupture by activating and directing leukocytes into the atherosclerotic lesions. However, some are involved in homeostatic functions such as normal leukocyte traffic and growth regulation. SDF-la is a multi-functional cytokine that is involved in myelogenesis, hematopoiesis, angiogenesis and injured gastric mucosal regeneration in the gastric ulcer patient. SDF-la is recently shown to be highly expressed in atherosclerotic plaques and a potent platelet agonist. At least in high concentrations, SDF-la may mediate antiinflammatory and matrix stabilizing effects in unstable angina. Many studies are going on to know the function of SDF-la in coronary artery diseases. I investigated the difference of the plasma level of SDF-la between control group and coronary artery disease group. Total 75 subjects were enrolled. The diagnosis of coronary artery disease was confirmed in all patients by coronary angiography. Control subjects in this study were confirmed normal by coronary angiography. Clinical profile and risk factors were also reviewed. Control subjects in this study were 27 (M=10, F=17). Plasma for the study was collected before the angiography and centrifuged. SDF-la analysis was performed by ELISA. Plasma level of SDF-la is significantly increased in patients with stable angina(n=20) and unstable angina group(n=28) compared with healthy control group(n=27). the risk factors do not influence the plasma level of SDF-la in coronary artery diseases. In this study, plasma level of SDF-la is increased in patients with stable angina and unstable angina groups compared with healthy control group(P<0.05). the risk factors do not influence the plasma level of SDF-la in coronary artery diseases.

      • KCI등재

        서울시 소재 종합사회복지관 가족복지프로그램 분석을 통한 건강가정지원센터 프로그램의 방향

        이선형,김근홍 한국사회복지정책학회 2005 사회복지정책 Vol.21 No.-

        본 연구는 서울시 소재 종합사회복지관의 가족복지프로그램을 분석하여 건강가정지원센터 프로그램의 방향을 논의하고자 하였다. 우선 Ⅱ장은 가족의 변화를 살펴봄으로써 전통적 가족의 관점을 벗어날 것과 함께, 가족의 구조적 변화와 기능적 변화를 놓고 볼 때 기능적 변화에 더 초점을 맞출 것을 제안했다. Ⅲ장에서는 시범 운영되고 있는 건강가정지원센터를 개괄적으로 살펴보기 위해 우리나라 가족복지서비스의 전반적인 문제점과 3개 센터의 사업내용을 살펴보았다. Ⅳ장에서는 Ⅱ장과 Ⅲ장에서 살펴 본 내용을 근거로 하여 건강가정지원센터 프로그램의 방향을 제안하기 위해 현재 대표적인 가족복지서비스 제공기관인 종합사회복지관의 가족복지프로그램을 분석하였다. 총 47개 복지관의 인터넷에 게재 되어 있는 가족복지프로그램을 대상으로 조사하여 얻은 결과를 분석한 결과 센터를 위한 다음과 같은 제안점을 얻었다. 첫째, 건강가정지원센터의 프로그램은 가족원 개별로 접근하기보다는 전체가족의 상호작용 문제를 중심으로 접근해야 한다는 점이다. 둘째, 현재까지 가족복지서비스 프로그램의 특성이 구조적 결손가족의 기능적 결선에 대한 보완에 초점을 맞추었다면, 앞으로는 기능적 결손 보완을 통한 전체가족의 접근에로의 변화를 제안하고자 한다. 셋째, 잔여적으로 선별적으로 서비스보다는 보편적 서비스 제공에 초점을 맞추되, 둘째 내용과 같은 맥락이지만 그 대상을 전체가족에게 확대해야 할 것이다. The purpose of this study is to discuss the direction of the Family-support Center program. It is discussed the change of family(esp. functional changes) in Korea and the in chapter Ⅱ. In the chapter Ⅲ, it is reviewed the present condition of the family welfare policy and service, Family-suppor Center. In the chapter Ⅳ, it is analysed that the family welfare program of 47 Community Welfare Center. The reason to analyze this center is that it is the central organization operating family welfare program. The result is as follows. First, Community Welfare Center program was focused on individual not family. So Family-support Center will be better than focusing on the family-unit. Second, now existing program is inclined to supplement family structural deficit. So Family-support Center will be better than balancing between the family structural deficit and functional deficit. Till now many study about the family were accomplished, but there is not the study about this emphasis. Finally, in the same meaning, Family-support Center will be better than focusing the universal service not the residual service.

      • 서비스제공자와 고객간 신뢰의 영향요인 연구

        李仙熙,全柱炯 문화관광연구학회 2002 문화관광연구 Vol.4 No.4

        The studies of trust between service providers and customers just have recently discussed an issues for academics and managers. Trust is regarded one of the core variables as formulating, developing, maintaining the relationship between service providers and customers. This paper is reviewed the concept and typology of trust, and factors induced to trust by the past research. Based on the theoretical study, I research the empirical analysis, sampled 10 travel agencies randomly in Seoul and surveyed the tourists using the order-made tour by the questionnaire. The result of this paper I present the findings significantly the factors including competence, benevolence and similarity, integrity, interaction and openness and cooperation extracted from 23 variables. And also trust has been influenced on the 5 factors between service providers and customers. The service providers of travel agencies should improve his competence, integrity and openness, interaction with the tourists by cooperatively.

      • KCI등재

        WCDMA 시스템에서 송신 다이버시티 기법의 성능 비교 분석

        이상호,김영선,박형래 한국항행학회 2003 韓國航行學會論文誌 Vol.7 No.2

        본 논문에서는 3세대 이동통신시스템의 요소 기술인 송신 다이버시티 기법에 대한 성능 분석을 수행한다. WCDMA 시스템의 규격으로 채택된 송신 다이버시티 기법은 귀환 데이터의 유무에 따라 개루프 송신 다이버시티와 페루프 송신 다이버시티로 나뉘어지며 DPCH 신호의 시공간 부호화를 통해 다이버시티 이득을 얻는다. 이러한 송신 다이버시티 기법의 성능 분석을 위해 WCDMA format #13을 목표 시스템으로 하여 이동속도, 경로 수, 파워 컨트롤, 귀환 데이터의 지연에 대한 영향을 컴퓨터 시뮬레이션을 통해 비교 분석한다. In this paper, we analyze the performance of transmit diversity techniques which are the key technologies of the third generation mobile communication systems. Transmit diversity techniques adopted on the specification of 3GPP are classified into open-loop and closed-loop and closed-loop methods depending on the existence of feedback data. In WCDMA systems, the DPCH signal is space-time coded to provide a mobile station with diversity. Computer simulations shall be performed to analyze and compare their performance considering the effect of mobile speed, number of path, power control, and delay of feedback with the WCDMA slot format #13 for application to WCDMA systems.

      • RFID 시스템용 충돌 방지 알고리즘 제안

        이우경,김선형 순천향대학교 부설 산업기술연구소 2005 순천향 산업기술연구소논문집 Vol.11 No.2

        In this thesis, a RFID baseband system is implemented based on the international standard ISO/IEC 18000-6 Type-B using FPGA, and also anti-collision algorithm is implemented to improve the system performance. We compares the performance of the proposed anti-collision algorithm with that binary tree algorithm and bit-by-bit algorithm, and also validated analytic results using OPNET simulation. The convolutional encoding, viterbi decoding and spread spectrum is also implemented to improve the system performance

      • KCI등재

        일과성전기억상실증의 국소 뇌혈류 변화 : Statistical Parametric Mapping을 이용한 Tc-99m ECD SPECT분석 Statistical Parametric Mapping analysis of Tc-99m ECD SPECT

        이승재,양동원,손영민,김범생,정용안,손형선,주라형 대한치매학회 2003 Dementia and Neurocognitive Disorders Vol.2 No.1

        Background & Objectives:Transient global amnesia (TGA) is a clinical syndrome characterized by sudden memory loss of recent events, transient inability to retain new information, and retrograde amnesia in the absence of other neurological signs and symptoms, resolving within 24 hours. This study investigated alterations in regional cerebral blood flow (rCBF) in patients with TGA by using statistical parametric mapping 99 (SPM99). Methods:5 patients with TGA and 9 age-matched normal control subjects were evaluated. Tc-99m-ethyl cysteinate dimer (ECD) SPECT were performed within 1 to 4 days of the event to measure the regional CBF, and SPM99 were applied to the objective analysis of SPECT data between two groups. Follow-up ECD SPECT was done at 49 to 107 days (mean 76.8) after the previous SPECT to evaluate the long term changes of the regional CBF. Results:The SPM analysis of SPECT images revealed significantly decreased rCBF in the left superior temporal gyrus, the left parietal supramarginal gyrus and the left thalamus (corrected p=0.01) and increased CBF in the contralateral mirror regions in patients with TGA. Follow-up SPECT showed persistent rCBF changes in the same regions. Conclusions:We demonstrate decreased perfusion in the left cerebral hemisphere and increased perfusion in the right cerebral hemisphere in patients with TGA. This reciprocal change of rCBF might suggest that imbalanced neuronal activity between two hemispheres may be important in the pathogenesis of the TGA. Also, the abnormal rCBF changes appeared to last long after the complete recovery of clinical manifestation of TGA.

      • KCI등재후보

        유아교육기관의 조형활동을 위한 박물관 활용 실태조사

        이형선,정영희 이화여자대학교 사범대학 교육과학연구소 2004 교육과학연구 Vol.35 No.2

        본 연구는 유아교육기관의 조형활동을 위한 박물관 활용실태를 알아보고자 하는데 그 목적이 있다. 연구를 위해 서울, 경기, 부산, 대전, 광주, 제주지역의 유아교육기관에 근무하고 있는 교사 583명을 대상으로 질문지를 사용하였으며, 수집된 자료는 교원들의 배경변인인 근무기관, 교사연령, 학력, 근무경력, 담당학급 유아의 연력을 독립변인으로 조형활동을 위한 박물관 활용에 대한 실태를 종속변인으로 설정하고 Window용 SPSS 10.0 프로그램을 이용하여 각 문항별로 빈도와 백분율을 산출하였다. 본 연구의 결과는 다음과 가다. 첫째, 박물관 견학은 1년에 2회 실시가 가장 높았으며 교육과정으로 연계되기까지는 어려움이 따르는 것으로 나타났다. 둘째, 박물관 견학의 중점내용은 전통문화의 경험이 가장 높게 나타났으며 박물관견학의 계획은 단원이나 주제와의 연계를 가장 많이 고려하는 것으로 나타났다. 셋째, 박물관 견학 후 연계활동으로 조형활동을 실시했을 때 지도효과가 높으며 특히 감상활동과 '느낌으로 표현하기'에 중점을 두는 것으로 나타났다. This study was a survey about the realities of the art activities for museum tours conducted by infant education institutions. It was targeted on the teachers at state and public kindergartens and nurseries as well as private kindergartens and nurseries. 583 questionaries were determined as final research materials. A questionnaire was composed of total of 13 items: 5 of background variables as basic matters, 8 of museum tours. The analysis of collected questionnaires was conducted by establishing the working place, age, academic career, working career and being in charge which are background variables of the teachers working for an infant educational institution as independent variables and the realities of art activities and museum tours as dependent variables in order to grasp the contents of art activities for museum tours by the infant education institutions. Thus, the frequency and percentage were produced by each item using a SPSS 10.0 program for Windows. The finding are as follows: First, it was revealed that a museum tour was made about twice a year and its linkage with curricula entailed difficulties. Second, it was revealed that a study tour was made to experience traditional culture, its plan was made by considering the linkage with certain lessons and themes. Third, When art activity was carried out as a linkage class after the study tour, the effects of instruction were high. The above findings will be able to provide a foundation for instructing more effectively art education through infants' museum tour.

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