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특발성 파킨슨 환자에서 경혈(經穴)에 따른 침(鍼) 치료 효과의 비교 연구
박연철,장대일,이윤호,박동석,Park, Yeon-Cheol,Chang, Dae-Il,Lee, Yun-Ho,Park, Dong-Suk 대한침구의학회 2007 대한침구의학회지 Vol.24 No.4
Objectives : This study was designed to evaluate the effect of acupuncture with various scales on symptoms of Idiopathic Parkinson's disease. Methods: Subjects were voluntarily recruited through newspapers and internet advertisement. All the subjects were confirmed as idiopathic parkinson's disease by a neurologist. The acupuncture therapy was performed twice a week for 4 weeks by oriental medical doctor at Kyung-hee University hospital. Patients were randomly assigned to three groups : sham acupuncture group, acupuncture treatment group and Sasang-Constitution acupuncture treatment group. Acupun cture points used in acupuncture treatment group were $GB_{34}$, $LR_3$, and $ST_{36}$, which were proven to be effective in rat Parkinson's disease study. Acupuncture points used in sham treatment were non-acupoints near $GB_{34}$, $LR_3$, and $ST_{36}$. In Sasang-Constitution acupuncture treatment, we classfied Sasang constitution of patients by QSCCII. Acupuncture was applied based on theory of Korean medicine. The patient's symptoms were assessed at baseline and after 4 weeks of treatment by one evaluator with Unified Kingdom Parkinson's Disease Rating Scale (UPDRS), modified Hoehn-Yahr(H-Y) stage, and Schwab & England activ ity of daily living and freezing of gait questionnaire (FOGQ). Results : The results were as follows ; 1. UPDRS IV score differences between sham group and Sasang-Constitution acupuncture treatment were statistically significant(p=0.001). 2. UPDRS total score differences between Sasang-Constitution acupuncture treatment and acupuncture treatment group, Sasang-Constitution acupuncture treatment and sham group were statistically significant(p=0.041, p=0.014). 5. FOGQ score differences between Sasang-Constitution acupuncture treatment and acupuncture treatment group, Sasang-Constitution acupuncture treatment and sham group were statistically significant(p=0.001, p=0.001). Conclusion : The results suggest Sasang-Constitution acupuncture treatment can be applicable to improve symptoms in patients with idiopathic Parkinson's disease.
최인서,성원석,조민기,김정현,박연철,김은정,백용현,김근우,서병관,In Suh Choi,Won-Suk Sung,Min-gi Jo,Jung-Hyun Kim,Yeon-Cheol Park,Eun-Jung Kim,Yong-Hyeon Baek,Geun-Woo Kim,Byung-Kwan Seo Academy of Convergence Korean Medicine 2022 대한융합한의학회지 Vol.3 No.1
Objectives: Smoking had a long negative impact on public health. The ingredients of a cigarette are major risk factors for several diseases. Owing to the problems about economic and quality of life, we need to ensure smoking cessation (SC). There are several approaches for SC including pharmacological therapy, nicotine replacement therapy, education, and behavioral intervention. However, due to some limitations, other alternative approaches are gaining popularity. Acupuncture has been reported to have few side effects and be more effective than some conventional treatments in several articles. However, there are no systematic reviews on the comparison of acupuncture combination treatment with other conventional monotherapies. Methods: Randomized controlled trials that used acupuncture as an adjunct treatment for SC will be searched and data will be summarized according to the predefined criteria. The primary outcome will be the abstinence rate, and secondary outcomes will be adverse events and biochemical indicators. We will use Review Manager to perform a meta-analysis, Cochrane Collaboration Risk of Bias tool for the risk of bias assessment, and the Grades of Recommendation, Assessment, Development and Evaluation approach to determine the quality of evidence. We will investigate the efficacy and safety of acupuncture combination treatment for SC with this study. Ethics and dissemination: This study will provide reliable clinical evidence on additional effect of acupuncture on smoking cessation. We will publish our results in a peer-review journal.
한국 신생 개인기업 생존율에 영향을 미치는 산업/기업수준의 요인 분석
곽원준 ( Won Jun Kwak ),박연철 ( Yeon Cheol Park ),박주영 ( Ju Young Park ) 한국중소기업학회 2013 기업가정신과 벤처연구 Vol.16 No.4
본 연구는 산업 및 기업특성이 신생 개인 기업의 생존율에 미치는 영향을 조사하였다. 구체적으로, 산업특성은 산업 내의 개인기업 창업율과 개인기업 비중을 그리고 기업특성은 창업 시점의 개인기업의 규모와 부가가치율을 각각 조사하였다. 본 연구에서는 국립통계청의 전국 사업체 조사자료(2006~2011년)를 사용하였다. 조사 결과, 예상했던 대로 신생 개인기업의 생존율에, 가장 큰 영향을 미치는 요소는 개인기업 창업율로 나타났고, 창업율이 높을수록 생존율은 낮아지는 것으로 나타났다. 또한, 창업 시점의 개인기업의 규모가 클수록 생존율이 높아지는 것이 발견되었다. 이와 같은 발견이 시사하는바는, 신생 개인기업의 생존율을 증가시키기 위해서는 무엇보다 동종 산업 내에서 창업하는 개인기업의 수를 적절히 조절하는 것이 필요하고 되도록 큰 규모로 창업하는 것을 장려할 필요가 있다는 점이다. 마지막으로, 예측하지 못한 결과에 대해서는 추가적인 논의가 이루어졌다. This study investigated how industry and firm characteristics would influence the survival rate of newly created independent and private firms (NIPF) on the market. The focal two industry characteristics included the entry rate and the ratio of NIPF in industry; the focal two firm characteristics included the start-up size and added-value ratio of NIPF. We used the 2006-2011 Census on Establishment database from the Korea National Statistics Office. It was found that the most important element affecting the survival rate of NIPF was the entry rate in industry: There was a negative relationship between the firm entry rate and the firm survival rate. In addition, a firm`s start-up size was found to be positively associated with the firm survival rate. That is, the bigger a firm was, the higher its survival rate was. The findings suggest that it is essential to maintain the entry rate in industry at an appropriate level and that it is crucial to increase the initial size of a new firm. Further discussion was done for unexpected findings.
김민정,송지연,성원석,김필군,유희경,박연철,서병관,우현수,백용현,박동석,Kim, Min Jung,Song, Ji Yeon,Sung, Won Seok,Kim, Pil Kun,Ryu, Hee Kyoung,Park, Yeon Cheol,Seo, Byung Kwan,Woo, Hyun Su,Baek, Yong Hyeon,Park, Dong Suk 대한침구의학회 2012 대한침구의학회지 Vol.29 No.6
Objectives : This study was performed to define clinical character of peripheral facial nerve injury. Methods : 36 patients was identified with peripheral facial nerve injury among 1128 patients who visited the Facial Palsy Center in Kyung Hee University Hospital at Gang-dong between January 2010 and November 2011. We reviewed the medical records including gender, age, cause, symptom, period of treatment, and axonal loss. Results : Most common cause of peripheral facial nerve injury was iatrogenic surgery, followed by direct trauma, neoplastic disorders. Patients with facial nerve injury commonly complain about facial palsy(ipsilateal or bilateral), followed by paresthesia, facial spasm, facial pain, auricular pain. Peripheral facial nerve injury group showed worse electrophysiological pattern and younger onset age compared with Bell's palsy group. Conclusion : This study was designed for 36 patients and further studies are necessary.
급성 말초성 안면신경마비 환자의 안면신경 손상 정도에 영향을 미치는 요인에 대한 후향적 연구: 근전도검사를 이용하여
김필군,성원석,구본혁,유희경,석경환,이주현,김민정,박연철,서병관,백용현,박동석,Kim, Pil Kun,Sung, Won Suk,Goo, Bon Hyuk,Ryu, Hee Kyung,Suk, Kyung Hwan,Lee, Ju Hyeon,Kim, Min Jeong,Park, Yeon Cheol,Seo, Byung Kwan,Baek, Yong Hyeon,Park, 대한침구의학회 2013 대한침구의학회지 Vol.30 No.5
Objectives : This research was conducted to investigate the factors that affect the level of facial nerve damage. Methods : From October 2009 to September 2013, the total number of 581 patients of Bell's palsy and Ramsay-Hunt syndrome visited Facial Palsy Center in Kyung Hee University Hospital at Gangdong for Traditional Korean and Western combined medical treatment. Of these, 453 patients of peripheral facial nerve palsy were selected for the research. After reviewing the medical records that have details of age, gender, diagnosis(Bell's palsy and Ramsay-Hunt syndrome), onset, underlying diseases(DM, HTN), and HbAlc value, the analysis on the influence factors on the level of facial nerve damage was drew out. Results : The axonal loss rate of oris branch and nasal branch were significantly higher than the axonal loss rate of frontal branch and oculi branch. In addition, the frequency of becoming a major damaged branch was also high in the oris branch nasal branch. The factors by month, weather, smoking, and alcohol did not influence EMG axonal loss rate. Male rather than female and patient with Rasmay-Hut syndrome rather than Bell's palsy had a higher axonal loss rate in all branches. Of those, front of branch of male was remarkably higher than female. Patient with DM as P/H had high axonal loss rate in all branches. Patient with HTN as P/H had high axonal loss rate in all branches except for oris branches. Patients with DM and HTN group had significantly higher value from the average of axonal loss rate than patients who are only with HTN and without DM/HTN. DM alone group had significantly higher value than patients who are without DM/HTN. However, HTN alone was not significantly high. By analysing HbAlc of the patients who were hospitalised regardless DM, axonal loss rate was high in the order of DM group, preDM group, normal group. Nevertheless, only DM group showed higher axonal rate statistically than normal group. Considering DM and HbA1c value, the patients can be divided into 4 different groups of hkDM, lkDM, hfDM and nDM. By analysing those groups, the average damaged value of the groups with diagnosis followed by treatment(lkDM, hkDM) were higher than the average rate of hfDM and statistically higher than the rate of the nDM. Conclusions : The influential factors of increasing the level of EMG damage are male(only for the frontal branch), age above sixties, HTN, DM, and HbAlc value above 6.5. Besides, the negligible factors are month, season, diagnosis, alcohol, and smoking. Further research including clinical prognosis should be conducted.
한방 복합치료를 2년간 시행한 시신경척수염 증례 보고 1례
윤진영(Jin-Young Yoon),이창희(Chang-Hee Lee),김정현(Jeong-Hyon Kim),심성은(Sung-Eun Shim),김준연(Jun-Yeon Kim),김하나(Ha-Na Kim),황지민(Ji-Min Hwang),구본혁(Bon-Hyuk Goo),김정현(Jung-Hyun Kim),박연철(Yeon-Cheol Park),남상수(Sang-Soo 임상약침학회 2019 대한면역약침학회지 Vol.7 No.1
Objectives : To report a case of patient with neuromyelitis optica who treated with Korean Medicine treatment for 2years Methods : The patients with neuromyelitis optica was treated with acupuncture, pharmacopuncture, Bee venom, electroacupuncture, moxibustion and herbal medicine for 2 years. Expanded Disability Status Scale(EDSS), sensory, motor grade, and visual acuity were checked to measure the outcome. Results : EDSS, sensory, motor grade and visual acuity of the patient improved. The symptoms briefly deteriorated due to the recurrence in June 2018 but did not leave sequelae. Conclusions : The patient with neuromyelitis optica was treated for 2 years with Korean Medicine and the treatment was effective relieving the symptoms of the patient.