보건의료전문가의 고령친화용품 수요 및 품질에 대한 예비조사연구 - 한방용품 및 생활용품 중심으로-

김경철,김이순,김규곤,문인혁,황이철,권자연,신순식,Kim, Gyeon-Cheol,Kim, Yi-Soon,Kim, Kyu-Kon,Moon, In-Hyuk,Hwang, Lee-Cheol,Gwon, Ja-Youn,Shin, Soon-Shik 대한동의생리학회 2006 동의생리병리학회지 Vol.20 No.6

This is a pilot study to survey the general demand of senior-assistive necessities before a standardization system for senior-assistive necessities is developed as well as to describe health professionals' opinions about the demand and quality of Oriental medical aids and necessities for daily living for the elderly. This is a descriptive survey in which 29 health professionals are questioned, using structured questionnaires based on ISO 9999. The questionnaires were developed by 7 expert conduction standardization system of senior-assistive products in Korea. The data is analyzed by descriptive statistics. The result is as follows : First, with regard to the demand for all of the items in Oriental medical aids for the elderly, the demand of cupping glasses is the highest, followed by instrument used to apply heat treatment, massage equipment, thermo-therapeutic mattress, and heat or ice packs. With regard to the demand for all of the items for the necessities for daily living for the elderly, chairs are the highest, followed by rolling chairs, beds for health, and heigh adjustable beds. Second, with regard to quality of Oriental medical aids, ${\ulcorner}$aids for hair care${\lrcorner}$ are the best, whereas ${\ulcorner}$aids for boiling Oriental medicine${\lrcorner}$ are the worst. In quality of the necessities for daily living, ${\ulcorner}$chairs${\lrcorner}$ are the best, whereas ${\ulcorner}$beds${\lrcorner}$ are the worst. Above all, this result shows that with ${\ulcorner}$aids for heat or cold treatment${\lrcorner}$, there is relatively high demand and low quaily of Oriental medical aids, and with ${\ulcorner}$Beds${\lrcorner}$, there is relatively high demand and low quality. Therefore, aids for heat or cold treatment and beds in th necessities for daily living are required to be developed for standardization of senior-assistive necessities.

전외측 대퇴부 천공지 피판을 이용한 하지 연부조직 결손의 재건

김경철,정재익,김성언,김학수,류인혁,Kim, Kyung-Chul,Chung, Chae-Ik,Kim, Seong-Eoun,Kim, Hak-Soo,Rhyou, In-Hyeok 대한미세수술학회 2006 Archives of reconstructive microsurgery Vol.15 No.2

This study investigated the clinical application of anterolateral thigh (ALT) perforator flap in reconstruction of soft tissue defect of lower extremity. There were twenty-one patients who had been taken soft tissue reconstruction with anterolateral thigh perforator flap. There were 19 males and 2 females between 3 and 65 years (mean, 36 years). This study included 4 cases of pedatric case of under 10-year-old. All cases were a cutaneous flap. Flap size averaged $160\;cm^2\;(20{\sim}450\;cm^2)$. 19 cases were musculocutaneous perforator flaps and 2 were septocutaneous perforator. T-shaped pedicle were used to reconstruct and to preserve major artery of lower extremity in 2 cases. 19 cases flaps survived completely and 2 cases flap were marginal necrosis partially. There was venous congestion in one case of type of reverse island flap but that was improved after salvage procedure with leech. While the donor sites were closed directly in 5cases, 16 cases underwent skin graft. ALT flap is suitable for coverage of defects in lower extremity where have various condition and reliable in children as in adult.

부항-뜸 병행치료와 뜸 단독치료가 뇌졸중 환자의 변비 완화에 미치는 효과 비교

김경철,김이순,이해웅,Kim, Gyeong-Cheol,Kim, Yi-Soon,Lee, Hai-Woong 대한예방한의학회 2009 대한예방한의학회지 Vol.13 No.3

Objectives : This comparative study aimed to identify the effect of the Buddeumi(cupping-and-moxibustion device) therapy and moxibustion-only therapy on treating constipation of stroke patients who were admitted in the hospital of oriental medicine. The research design was a nonequivalent control group pretest-posttest design. Methods : The subjects of the study consisted of 23 stroke patients, and they were divided into two groups : one was the experimental group of 11 patients and the other was the control group of 12 patients. The Buddeumi therapy and the moxibustion-only therapy were given respectively. Each Buddeumi and moxibustion-only therapies on the 天樞(ST25, right & left) in abdomen were administered to the each group for 40 minutes a total at 10 times. The posttest included the frequency of defecation with the Constipation Assessment Scale every day for one week after the experiment. The data were analyzed by the $x^2$ test, t-test, Fisher exact test, and repeated measures ANCOVA using SPSS/WIN 12.0 program. Results : The results were as follows : First, Hypothesis 1 : 'The patients who are given the Buddeumi therapy in the experimental group have a lower Constipation Assessment Scale than the control group.' was supported(F=4.367, P=0.049). Second, Hypothesis 2 : 'The patients who are given meridian acupressure in the experimental group have a higher frequency of defecation per week than the control group.' was supported(F=0.947, P=0.034). Accordingly, 'The patients who are given the Buddeumi therapy in experimental group have a higher effect on constipation than the control group.' was supported. Conclusion : The Buddeumi therapy reduced the constipation assessment scale of stroke patients and increased the frequency of their defacation per week. Therefore, the Buddeumi therapy could be an effective treatment for constipation of stroke patients.

1996년도 제35차 대한소화기학회 추계학술대회 / 일반연제 : 간 ; B 형 간염바이러스성 만성 간질환에서 지질 과산화 Inducible nitric oxide synthase mRNA 발현양상

김경철,이관식,한광협,전재윤,이상인,문영명,강진경,박인서 ( K . C . Kim,K . S . Lee,K . H . Han,C . Y . Chon,S . I . Lee,Y . M . Moon,J . K . Kang,I . S . Park ) 대한소화기학회 1996 대한소화기학회지 Vol.28 No.1

윤길영의 변증체계 고찰

김경철,홍동균,Kim, Gyeong Cheol,Hong, Dong Gyun 대한한의진단학회 2016 大韓韓醫診斷學會誌 Vol.20 No.1

Objectives Syndrome differentiation and treatment (辨證論治) was one of the core theories in Korean medicine and syndrome differentiation (辨證) constitutes a branch of disease diagnosis in Korean medicine. Yoon Gil-Young, one of the modern outstanding scholar of basic medical science in Korean medicine, wrote on basic theories of Korean medicine such as physiology, pathology, formula science, etc. Hereby we will analyze and discuss his works to understand his recognition of historical changes in the syndrome differentiation. Methods We conducted researches into the two works of Yoon Gil-Young's, which are "The Clinical Formula Science of Eastern Medicine (東醫臨床方劑學)" and "The theory of Four-Constitution Medicine (四象體質醫學論)". From Yoon's academic standpoint which connects the basic medical science with the clinical medicine, we analyzed his opinion about the system in the Theory of 'Syndrome Differentiation'. Results According to Yoon's research work on the Theory of 'Syndrome Differentiation', the system of syndrome differentiation, which had its deep root in the theory of Yin and Yang (陰陽) & the theory of abbreviation of the five circuit phases (五運) and the six atomspheric influences (六氣) of the "Huangdi's Internal Classic (黃帝內經)". Conclusions Yoon Gil-Young's theory of differentiation of syndromes and treatment is widespread so much that he studied on the learning field of Traditional Korean Mediciine and ingenious as well. He explain on the main principles of differentiation of syndromes based on "Huang Di Nei Jing" and the system of differentiation of syndromes is composed of Traditional Korean Medical Physiology.

실측에 의한 특고압 수용가의 고조파 평가에 관한 연구

김경철,김유준,Kim, Kyung-Chul,Kim, You-June 한국조명전기설비학회 2007 조명·전기설비학회논문지 Vol.21 No.3

전기로를 포함하는 비선형 부하를 가진 규모가 큰 제철소는 특고압 수용가이다. 이득 비선형 부하는 고조파 전류를 발생시키고, 전력계통의 전압을 왜곡시킨다. 고조파 측정결과로 고조파는 시간에 따라 변하는 특성을 가지고 있었다. 시간에 따라 변하는 고조파를 해결하기 위해 쓰이는 가장 보편적인 방법은 누적확률을 사용하는 것이다. 본 논문에서는 전기로 부하의 시간에 따라 변하는 고조파를 국제 고조파 기준인 IEC 61000-3-6, IEEE 519와 JIS C 61000-3-2에 의해 평가하고자 한다. A large steel industry which has nonlinear loads including electric arc furnaces is one of the extra high voltage customers. These nonlinear loads generate harmonic currents and create distortions on the sinusoidal voltage of the power system. Harmonic field measurements have shown that the harmonic contents of a waveform varies with time. A cumulative propablistic approach is the most commonly used method to solve time varying harmonics. In this paper the in varying harmonics of electric arc furnace loads are evaluated by international harmonic standards(IEC 61000-3-6, IEEE 519 and JIS C 61000-3-2).

현장시험에 의한 독립접지 시스템의 전위간섭 해석에 관한 연구

김경철,최종기,백승현,박상영,김종욱,Kim, Kyung-Chul,Choi, Jong-Kee,Paik, Seung-Hyun,Park, Sang-Young,Kim, Jong-Uk 한국조명전기설비학회 2004 조명·전기설비학회논문지 Vol.18 No.6

독립접지는 개별적으로 접지를 사용함으로써 다른 접지로부터 영향을 받지 않고 설비를 보호하기 위한 것이다. 한정된 부지 내에 많은 접지극이 존재하면 전위간섭 문제가 발생하게 된다. 본 논문에서는 간섭 전위를 계산하기 위한 간략식을 사례연구 접지 시스템에 적용하여 측정 데이터를 근거로 제안 하였다. 정확도를 알아보기 위해서 제안식에서 얻은 결과와 CDEGS 프로그램으로 구한 결과를 비교하였다. The purpose of isolated grounding system is to protect own electrical facilities from the other grounding systems in order to avoid the potential interference between ground grid areas. But the physically close distances involved could lead to potential interference problems. The simplified equation for determining potential interferences based on the measured data under the case study grounding system is proposed in this paper. The results obtained with the equation to verify the accuracy have been compared with the results obtained from the CDEGS program.

고령자 맥상과 병증지표 개발을 위한 기초적인 연구

김경철,김훈,신순식,이해웅,Kim, Gyeong-Cheol,Kim, Hoon,Shin, Soon-Shik,Lee, Hai-Woong 대한예방한의학회 2008 대한예방한의학회지 Vol.12 No.1

In the situation providing the aged society, the contents of the symptoms of senility centering around the aged-pulse condition were arranged. The results were as follows. In the questions about the aged symptoms, the results of indicating the gradual physical-age following the aged symptoms with the real age(from 40 to 100, 7 grade) and the gradual physical-age following the ageing grade of male and female (the 3 grade of the female / the 4 grade of the male) could have the differentiations. And the distinction of the aged pulse condition was observed two pulse condition ; the one is the minute pulse condition(Mi, Sei ;微細) as lowering function and the other is the Hyun, Ghin(弦, 緊) pulse condition as the blood's tention and contration.

현장시험에 의한 고속전철 부하의 고조파 시뮬레이션에 관한 연구

김경철,김유준,Kim, Kyung-Chul,Kim, You-June 한국조명전기설비학회 2007 조명·전기설비학회논문지 Vol.21 No.6

고속전철 부하는 동기 전동기를 제어하기 위해 컨버터와 인버터를 포함한 많은 비선형 부하를 가지고 있다. 고조파 측정 결과로 고조파는 시간에 따라 변하는 특성이 관측되었다. 순시치 측정에 의한 고조파 평가는 측정 순간에 따라 고조파가 다를 수 있으므로 모호한 결과를 초래할 수 있다. 시간에 따라 변하는 고조파를 해결하기 위해 쓰이는 가장 보편적인 방법은 누적확률을 사용하는 것이다. 고조파 시뮬레이션은 사례연구 시스템의 전압 및 전류 왜곡을 평가하기 위해 이용되었다. 본 논문에서는 고속전철 부하의 고조파 현장 측정, 국제 고조파 관리 기준인 IEC 61000-3-6과 IEEE Std. 519에 의한 고조파 평가, EDSA 프로그램을 사용한 시뮬레이션을 심도있게 다루고자 한다. High speed electric trains have nonlinear loads including converters and inverters for the control synchronous motors. Harmonic field measurements have shown that the harmonic contents of a waveform varies with time. Direct application of the harmonic assessment to the snapshot measurements would result in ambiguous conclusions depending on which instant is sampled. A cumulative probablistic approach is the most commonly used method to solve time varying harmonics. Harmonic simulations are performed to evaluate the harmonic voltage and current distortions throughout the system. This paper provides an in depth analysis on harmonics field measurement of the high speed electric train loads, harmonics assessment by the international harmonic standards IEC 61000-3-6 and IEEE Std. 519-l992, and harmonics simulation using EDSA program for the case study.

기공(氣功) 치료기(治療器)의 분석(分析) 연구(硏究)

김경철,이용태,Kim, Kyung-Cheol,Lee, Yong-Tae 제3의학회 1997 제3의학 Vol.2 No.1

In order to basic study of the oriental medical engineering, the Qigong infrasound treatment apparatus is analyzed. The results is followed : 1. SY-201 type Qigong Infrasound Treatment Apparatus is composed of oscillator, amp, transducer. 2. The Qi production process is analyzed that EM wave changed sound wave of superlow frequency number and penetrated the human body deeply.