말초성 안면마비 입원환자 250례에 대한 임상적 고찰

강나루,탁명림,변석미,고우신,윤화정,Kang, Na-Ru,Tark, Myoung-Rim,Byun, Soek-Mi,Ko, Woo-Shin,Yoon, Hwa-Jung 대한한방안이비인후피부과학회 2010 한방안이비인후피부과학회지 Vol.23 No.3

Objectives : This study was performed to analysis the effect of oriental medical care for inpatients with facial paralysis that had visited Dept. of Otolaryngology Oriental medical hospital Dong-eui university. Methods : From January 2008 to September 2010, a clinical study was done on 250 inpatients who were treated as facial nerve paralysis at the Dept. of Otolaryngology Oriental medical hospital Dong-eui university. This study was assessed using the chart analysis. Results : 1. The distribution of sex : female 54.8%, male 45.2%. The distribution of age was pregented that fifty to sixty was the most in 67 cases(26.8%). 2. The distribution of the period of admission : female 12.5 days, male 9.9 days. 3. The distribution of past history : hypertention(18.8%), diabetes-mellitus(10.85%), facial paralysis(9.25%), cerebrovascular disease(4.4%), liver disease(5.6%), hyperlipidemia(1.2%), otitis media(1.2%), herpes zoster(1.2%), cardiac disease(2.45%), thyroid disease(1.2%). 4. The distribution of the region of facial paralysis : Rt(55.36%), Lt(56.52%). 5. Check the mastoid pain : 66.8%(female 73.91%, male 58.04%). 6. Out of prescription(Ko-Bang, 古方), Galgeun-Tang(葛根湯) and Gaejigeogaegayoungchul-Tang was used most in each 34 cases, Daesiho-Tang(大柴胡湯) 30 cases, Galgeungabanha-Tang(葛根加半夏湯) 27 cases, Sihogaeji-Tang(柴胡桂枝湯) 14 cases, Hwanggigaejiomul-Tang 12 cases, Odu-Tang(烏頭湯) 10 cases, Chijadaehwangsi-Tang 10 cases, Gaejigagalgeun-Tang(桂枝加葛根湯) 7 cases, Banhasasim-Tang(半夏瀉心湯) 5 cases, Injinho-Tang(茵蔯蒿湯) 5 cases in order. 7. The distribution of herb group : Mahwang-Jae(麻黃劑) 31.72%, Gaeji-Jae(桂枝劑) 26.00%, Siho-Gae(柴胡劑) 20.70%, Chija-Gae(梔子劑) 7.49%, Buja-Jae(附子劑) 4.41%, Banhahwanggeum-Gae(半夏黃芩劑) 3.08%, Daehwang-Gae(大黃劑) 2.64%, Bockryeong-Gae(茯笭劑) 1.76%, Jisil-Gae(枳實劑) 1.32%, Insam-Gae(人蔘劑) 0.88% in order. 8. The distribution of House-Brackmann grade of admission : Gr Ⅳ 74.85%, Gr.III 13.6%, Gr.V 11.6% in order. 9. The distribution of House-Brackmann grade of discharge : Gr.III 56%, Gr.IV 38.4%, Gr.II 5.6% in order. 10. The average number of OPD follow up is 6.46. Conclusion : This results indicated that oriental medical treatment with Ko-bang(古方) can be an effective way to treat facial paralysis. The more patients we treat with Ko-bang(古方), the more clinical report is accumulated. Then it would be helpful to map out a systematic treatment on facial paralysis.

화폐상 습진 한방 치험 1례

탁명림,강나루,고우신,윤화정,Tark, Myoung-Rim,Kang, Na-Ru,Ko, Woo-Shin,Yoon, Hwa-Jung 대한한방안이비인후피부과학회 2011 한방안이비인후피부과학회지 Vol.24 No.2

Objective : The purpose of this study is to know the effect of Ko-Bang(古方) on nummular eczema. Methods : We decided the treatment principle through the abdominal examination and symptoms. We gave Ko-Bang to the patient and observed the progress. We used visual analogue scale(VAS). Results : After the treatment the grade of VAS was decreased and the symptoms of nummular eczema were significantly improved. Conclusion : After the treatment of Hwanggijakyakgyejigoju-Tang(黃耆芍藥桂枝苦酒湯), the symptoms of nummular eczema were disappeared and Ko-Bang was effective on the treatment of intractable skin diseases.

고방(古方)으로 치료한 두드러기 환자 39례의 임상보고(臨床報告)

탁명림,김미보,변석미,고우신,윤화정,Tark, Myoung-Rim,Kim, Mi-Bo,Byun, Seok-Mi,Ko, Woo-Shin,Yoon, Hwa-Jung 대한한방안이비인후피부과학회 2009 한방안이비인후피부과학회지 Vol.22 No.3

Objectives : This study was designed to investigate the chronical features of urticaria and the effects of urticaria treatment with Ko-Bang(古方). Methods : We treated 39 patients for urticaria with Ko-Bang(古方), who visited to care urticaria at the Dept. of Dermatology Oriental medical hospital Dong-eui university from Jan, 2008 to Sep, 2009. This study was assessed using the chart analysis and the follow-up survey by telephone. Results & Conclusions : 1. 39 outpatients were surveyed, who were 20 males and 19 females. And patients who were ages 21-30 were the largest group, 11(28.21%). Among the 39 patients, acute urticaria patients were 8(20.5%), chronic urticaria patients were 31(79.5%), and contraction of a disease period between 6 weeks with 3 months was 17.9%. 2. The causes of urticaria were measured unknown 37.5%, foods 37.5%, drugs 25% in acute and unknown 35.5%, a change of temperature 29%, foods 16% in chronic. And suspected provocation factors were measured unknown and foods each 12 cases. The most of accompanied symptoms was itching sign(34 cases), the second most was self-conscious fever(10 cases). 3. Out of treat prescription(Ko-Bang,古方), Injinho-Tang(茵蔯蒿湯) was used most in 5 cases, Daehwanghwangryunsasim-Tang(大黃黃連瀉心湯), Hwangryun-Tang(黃連湯), Daesiho-Tang(大柴胡湯) were used in each 4 cases, Galgeun-Tang(葛根湯), Chijadaehwangsi-Tang(梔子大黃?湯), Sosiho-Tang(小柴胡湯) were used in each 3 cases, Gaemagakban-Tang(桂麻各半湯), Chijasi-Tang(梔子?湯),Oryeongsan(五笭散) were used in each 2 cases. 4. When the processes of treatment were classified by one poison(一毒), there were the 19 cases (48.7%) which was caused by Bun(煩), the 12 cases(30.8%) by Water(水) and the 4 cases(10.3%) by Gyur(結).

동종 조혈모세포이식 후 발생한 크립토콕쿠스 척추염 1예

고윤호,임동준,이성수,조유경,이동건,최정현,김유진,민창기,김동욱,박정미,김춘추,신완식 대한감염학회 2001 감염 Vol.33 No.4

Skeletal cryptococcosis is an uncommon infection. Cryptococcus is a common cause of meningitis and infects 7∼10% of patients with AIDS. As well as AIDS, the infection may be seen in association with leukemia, lymphoma, Hodgkin's disease, sarcoidosis, tuberculosis and diabetes, also in patients on steroid medication. But there is no case report of skeletal cryptococcosis following allogeneic hematopoietic stem cell transplantation. A 40-year-old woman was admitted to the hospital because of low back pain. She had chronic myelogenous leukemia for 2 years and underwent allogeneic hematopoietic stem cell transplantation 8 months ago. She have been treated with steroid and cyclosporine orally because of chronic graft versus host disease. On examination she was afebrile and had posterior lower lumbar tenderness. But, she had no reduced strength of low extremities. Open biopsy was underwent. Histology demonstrated budding, round-to-oval, refractile yeast-like organisms within debris. The results of a lumbar puncture were unremarkable and cerebrospinal fluid culture failed to grow bacteria and yeast. The patient was treated with amphotericin B (1 gram) and AmBisome□ (2.8 gram) over 6 weeks. Three months after cessation of therapy, the patient was doing well.(Korean J Infect Dis 33:298∼301, 2001)

PDA에서 음성인식을 위한 웹 서비스 구현

고유정,김윤중 한밭대학교 정보통신전문대학원 2004 정보통신전문대학원 논문집 Vol.2 No.1

PDA는 기동성과 휴대성을 갖추고 있지만 저장 공간과 프로세스 처리능력이 제약적이고 입력하기에 불편 함이 따른다. 이와 같은 문제점을 해결하고자 본 논문에서는 XML 웹 서비스 기술을 이용하여 기존의 음성인식 시스템을 웹 서비스로 재구성하고 PDA에서는 음성인식 웹 서비스를 요청함으로써 음성인식이 가능하도록 제안 한다. 본 시스템은 모바일 클라이언트와 음성인식 웹 서비스 프로바이더로 구성되어 있다. 모바일 클라이언트는 음성 데이터를 바이너리 포맷형식인 DIME(Direct Internet Message Encapsulation)을 이용하여 음성인식 웹 서비스를 요청한다. 음성인식 웹 서비스 프로바이더는 음성인식결과를 XML문서로 반환하는 서비스를 제공한다. A PDA has mobility and portability, but it restricted for storage and process of handing ability and it gives inconvenience people to input keys. To improve this problem, this paper suggests to be possible Speech Recognition by reconstructing Speech Recognition Web Service in PDA. This system consists of Mobile Client and Speech Recognition Web Service Provider. The mobile client requests speech data to Speech Recognition Web Service Provider using binary message format, DIME(Direct Internet Message Encapsulation). The Speech Recognition Web Service Provider offers service that converts Speech Recognition result to XML Document.

한국인의 생활사건에 관한 예비적 연구 Ⅰ. 생활사건 척도

고병학,송옥헌,신윤오 大韓神經精神醫學會 1981 신경정신의학 Vol.20 No.1

For rating emotional responses to the everyday life events, 61 life events were tested by 528 normal persons by the method of paper and pencil questionairs. Among 528 respondents, 300 persons' (men 150, women 150) were selected randomly and the reports were analysed statistically. The results were as follows; 1. Emotional responses of 61 life events were rated and the events were put in rank order according to the mean value of the emotional responses in negative sense. The most negatively responded life events were death of, spouse (M=17.574) and death of child (M=17.481), and the least responded events were many trivial life events and desirable ones in positive sense, e.g. engagement of offsprings (M=2.188) and promotion (M=1.988) etc. 2. Average number of life events which had occurred during one year (1979) was 3.213 in man, 2.580 in woman, and 3.930 in total. 3. Among the occurred life events, death of a member of the family, reunion of separated spouses, hospital admission due to serious illness, involutional period, trivial legal problems, and moving house in the same city were significant by statistically. 4. By factor analysis, it was found that the factor most highly invested emotionally was related to bereavement (M=15.528) and the least invested emotionally was related to to moving house(M=5.824).

일 도농복합지역 저소득층 노인의 건강문제 분석 : 보건소 방문간호사업 대상자 중심으로

고일선,,이태화,이경자,이정렬,임미혜,천의영,주윤미,이계철 노인간호학회 2005 노인간호학회지 Vol.7 No.2

Purpose: The purpose of this study was to analyze the health problems of low-income aged with chronic illness living in urban-rural composite area. Method: The sample consisted of 440 aged who were receiving home care services from a public health center. MDS-HC was applied to analyze the health problems of the aged. Data were collected through a face- to-face interview by six trained interviewers from June 28 to July 15, 2004. Result: Subjects had average number of 8 health problems in both urban and rural area. Lack of preventive health care measure, pain, and visual function were the most frequent health problem. The rural aged had more pain, bowel management problems, compared to the urban aged having more urinary incontinence and indwelling catheter. There were many health problems related to falls and pressure ulcers with middle-old aged in urban, and old-old aged in rural area. Conclusion: The results of this study showed strategies for care intervention of low-income elderly to put in practice. Therefore, tailored-service for each subject should be provided.

TRANSPALATAL LINGUAL ARCH에 의한 골내 응력 분포에 관한 광탄성적 연구

고기영,태기출,국윤아,김상철 대한치과교정학회 1997 대한치과교정학회지 Vol.27 No.5

본 연구는 TMA wire로 제작된 transpalatal lingual arch에 의한 골내 응력 분포를 파악하기 위하여 양측성 및 편측성 확장을 가하여 이때 발생하는 치아주위조직 응력 분포 양상을 광탄성 응력해석법으로 관찰하여 다음과 같은 결과를 얻었다. 1. 양측성 확장시 수평 변형만 적용했을 때 탄선끝이 각진 경우 둥근 탄선끝을 적용한 경우보다 응력이 치근단으로 집중되며 회전중심을 의미하는 흑색선이 변화하는 양태를 보였고 수직변형량이 증가되면서 전체적인 응력차수의 증가와 흑색선의 하방 이동 양상을 보였다. 2. 편측성 확장을 위해 수평 변형과 함께 확장측에만 수직 변형을 적용하였을 때 확장력이 확장측으로 편중되는 응력분포를 관찰할 수 있었다. 수직 변형량의 증가시 확장측 구치는 정출하는 응력을 보였고 수평변형량의 증가시 고정측치아도 경사지려는 응력분포가 관찰하였다. 3. 편측 구치의 회전을 개선하기 위해 철사끝을 비대칭적으로 toe-in한 경우 변형량이 적은 구치의 치근단 원심측에 응력분포를 관찰할 수 있었다. 4. 악궁 확장시 철사의 길이를 줄일수록 무늬차수가 증가하는 응력 분포를 보였다. The purpose of this study was to investigate the stress distribution and intensity derived from the transpalatal lingual arch in the investing bone composed of photoelastic material(PL-3). The transpalatal lingual arch wire was deflected in the horizontal and vertical direction to give the various conditions. The two-dimensional photoelastic stress analysis was performed, and the stress distrebution was recored by photography. The results were as follows: 1. In bilateral expansion, as horizontal deflection was singly applied, the stress was more concentrated on the root apex in square free end than round. In square free end, as vertical deflection was increased gradually, the black line meaning center of rotation moved inferiorly together with the increment of whole fringes. 2. In application of vertical deflection on anchorage side for unilateral expansion, the stress distribution that expansive force leaned to expansion side was observed. As vertical deflection increased, the extruding stress was observed on molar of expansion side. And as horizontal deflection increased, the tipping stress on the molar of anchorage side was observed. 3. In unilateral rotation with the asymmetric toe-in, the fringe appeared on the distal aspect of root apex.

12주간의 유산소성 운동이 비만 초등학생의 신체조성과 혈액성분에 미치는 영향

윤미수,최건식,고성경,정소봉 한국스포츠리서치 2004 한국 스포츠 리서치 Vol.15 No.5

[Purpose] The purpose of this study was to investigate the effect of aerobic exercise training on the body composition and blood components in obese elementary children after 12 weeks. [Methods] Subjects of this study were composed of 20 male students ranging in age from 9 to 12 years who were classified into two groups, obese exercise group(n=10) and normal control group(n=10). For 12 weeks, obese exercise group performed the aerobic exercise training that the program was composed by Yoon. The blood samples were taken before and after 12 week Paired t-Test was adopted to analyse the difference between before and after aerobic exercise training. [Results] body fat of obese exercise group was decreased 4.8% after aerobic exercise training(p<.01) and that of normal control group was decreased 0.1% during same time(NS). Among the blood lipoprotein, total cholesterol(p<.01), LCL-C(p<.01), and triglycerides(p<.05) of obese exercise group were decreased after aerobic exercise training, but not changed HDL-C of same group. Red blood cell, Hemoglobin(p<.65) of obese exercise group were increased after aerobic exercise training. Glucose of obese exercise group were decreased after aerobic exercise training(p<.05), but not changed in Ca and P. [Conclusion] In conclusion, aerobic exercise training for 12 weeks seems to reduce body might and body fat, and to change the profiles of blood Component in obese elementary children.

전이성 뇌종양에 대한 고식적 방사선치료의 결과

고영삼,오윤경,남택근 조선대학교 2003 The Medical Journal of Chosun University Vol.28 No.1

Background and Obiectives : To evaluate the role of palliative radiotherapy in the treatment of metastatic brain tumor with respect to response, survival and prognostic factors, retrospectively Materials ðods : From Jan 1998 to Jan 2003, a total of 57 patients diagnosed as metastatic brain tumor were referred for palliative radiotherapy Of them, forty-four patients were eligible for this study. The most common primary tumor was lung cancer in 31 patients (70.5%). A total doses of 27.5-40.0 Gy were delivered to whole brain with daily doses of 2.0-3.0 Gy To evaluate the treatment response, all patients were evaluated by neurological functional classification prior to and after radiotherapy Results : The positive response was noted in 36 patients (81.8%) and 8 patients (18.2%) did not improve. The median survival time of all patients was 6 months. 1-and 2-year survival rates were 17.4% and 2.9%, respectively. The median survival time of patients younger than 60 vs older were 9 vs 4 months (p=0.009), respectively. The median survival time of patients with stable vs progressive vs unknown primary status were 9 vs 4 vs 5 months (p=0.003), respectively Multivariate analysis showed that age and primary tumor status were independently significant prognostic factors affecting survival. Conclusion : The radiotherapy could relieve neurological symptoms effectively and promptly in most patients and prolong survival of patients. The most significant factors affecting survival were age and primary tumor status, and therefore more definitive treatment modality including surgical resection or radiosurgery should be considered in the patients with favorable prognostic factors.