추나요법 건강보험 급여화 이후 추나요법 이용 현황 분석 (2019-2021)

박정식,임형호,Park, Jung-Sik,Lim, Hyung-Ho 한방재활의학과학회 2022 한방재활의학과학회지 Vol.32 No.4

Objectives The purpose of this study was to analyze the Chuna manual therapy usage status after the application of Chuna manual therapy health insurance. Methods This study analyzed the health insurance data (2019-2021). From April 2019 to December 2021, monthly data were collected by simple Chuna, complex Chuna (own expense 50%), complex Chuna (own expense 80%), and special (dislocation) Chuna. Results The major results are as follows. First, in hospital-level medical institutions, simple Chuna and complex Chuna (own expense 50%) occupied a similar proportion. In clinic-level medical institutions, simple Chuna occupies the largest proportion. Second, the amount of use decreased in all medical institutions after September, which is thought to be the result of restrictions on Chuna manual therapy health insurance. Conclusions Therefore, it is necessary to conduct research by receiving more detailed data onr Chuna manual therapy health insurance. Through this, an improved policy of Chuna manual therapy health insurance should be discussed.

적응 콤 필터링을 이용한 이동 통신 환경에서의 강인한 음성 인식

박정식,정규준,오영환,Park Jeong-Sik,Jung Gue-Jun,Oh Yung-Hwan 대한음성학회 2003 말소리 Vol.46 No.-

In this paper, we employ the adaptive comb filtering for effective noise reduction in mobile communication environment. Adaptive comb filtering is a well-known method for noise reduction, but requires correct pitch period and must be applied just in voiced speech frames. To satisfy these requirements we use two kinds of information extracted from speech packets, one of which is the pitch period information measured precisely by a speech coder and the other is the frame rate information related to a decision on speech or silence frame. Experiments on speech recognition system confirm the efficiency of this method. Feature parameters employing this method give superior performance in noise environment to those extracted directly from output speech.

수학 문장제 표상능력 향상을 위한 웹 기반 시스템의 설계

박정식,고대곤,Park, Jung-Sik,Kho, Dae-Ghon 한국정보교육학회 2001 정보교육학회논문지 Vol.5 No.2

Elementary school students feel more difficult the mathematical word problems than the numberical formula. I think that this reason isn't the ability of mathematical calculation but the problems representation. It is demanded exactly understanding about the requirements of problem for improving ability of the mathematical word problem representation. It is necessary that we take multimedia data and communication for this, because web advances multimedia materialization and promotes mutual communication, then it gives us with the most environment for word problem representation learning. According to, this thesis is designed web-based system to improve ability of the mathematical word problem representation, applied the sixth grade it experimentally.

근골격계 통증환자의 통증유형과 체형진단을 통한 신체지표 관련성 연구

박정식,박창현,송윤경,Park, Jung-Sik,Park, Chang-Hyun,Song, Yun-Kyung 척추신경추나의학회 2015 척추신경추나의학회지 Vol.10 No.1

Objectives : The purpose of this study is body parameters characteristics through posture analysis system of musculoskeletal problem patient Methods : Posture analysis system were performed for 164 patients to measure body parameters such as Q-angle, body inclination, neck inclination, PCMT(posterior cervical muscle tension), Knee flexion and posture balance. Statistical analysis using statistical analysis techniques and Pearson correlation coefficients was performed to assess the body parameters obtained by posture analysis system. Results : More than half of people out of 164 reported low back pain, 34.8% of the total was found to have neck pain. There was not a significant difference between genders from the characteristics of gender based body parameters expect for the statistical difference in Q angle, PCMT. There was a significant correlation between low back pain and multiple response status. There was a significant correlations between knee pain and Q angle. Also There was a significant correlations between pelvic pain and posture balance of ankle. Conclusions : Posture analysis system can be used to perform the analysis in place of X-ray measuring body posture and clinical parameters. The results of this study are expected to be the basis for further research on the clinical application of posture analysis system.

지적장애학생의 대학 기반의 전환 프로그램 준비에 대한 교사와 부모의 인식 비교

박정식 ( Park Jung-sik ) 한국지적장애교육학회(구 한국정신지체아교육학회) 2016 지적장애연구 Vol.18 No.4

본 연구는 중등이후교육의 여러 선택 가운데 대학 기반의 전환 프로그램의 준비에 대한 교사와 부모의 인식 정도를 밝혀 지적장애학생의 대학 기반 전환 프로그램 준비에 필요한 정보를 제공하는 데 연구의 의의가 있다. 구체적인 연구의 목적은 지적장애학생의 지역대학 기반의 전환 프로그램 준비에 대한 교사와 부모의 인식(교육, 자기결정, 일상생활, 대학, 꿈) 수준을 알아보고, 인식 간의 관계성을 밝히는 것이다. 연구의 목적을 달성하기 위해 대구, 경북, 부산, 경남 지역의 특수학교에 근무하는 특수교사와 부모를 대상으로 설문조사를 실시하였다. 연구의 결과는 첫째, 교사와 부모들은 교육, 자기결정, 일상생활, 대학, 꿈 영역 모두에서 보통이상의 지원과 관심을 가지고 있다. 이 중에서 교사와 부모들은 자기결정에서 가장 높은 관심과 지원을 보이고 있는 반면, 대학관련 지원에서 가장 낮은 지원을 보이고 있다. 또한 4가지 영역에서 모두 교사집단이 부모집단 보다 높은 관심과 지원을 하고 있고, 반면 대학관련 지원은 부모가 교사보다 유일하게 높은 관심을 가지고 있다. 둘째, 지적장애학생의 지역대학 진학 준비에 대한 지원 간의 상관에서, 교육, 자기결정, 일상생활, 대학, 꿈 모든 부분에서 서로 간 보통 이상의 정적 상관을 가진다. 교육 지원 영역은 자기결정과 일상생활 영역과 높은 상관을 가지고, 자기결정 영역은 일상생활 영역과 높은 상관을 가지며, 꿈 영역은 대학과 높은 상관관계를 가진다. This study reveals the characteristics of support for teachers and parents on the preparation of university - based transition programs among the various choices of post - secondary education, and it is meaningful to provide information necessary for the preparation of university-based transition programs for students with intellectual disabilities. The purpose of this study is to investigate the characteristics of teachers `and parents` support (education, self - determination, daily life, university, dream) for the preparation of local university-based transition programs for students with intellectual disabilities and to clarify the relationship between characteristics. In order to achieve the purpose of the study, we conducted questionnaires on special teachers and parents working in special schools in Daegu, Gyeongbuk, Busan, and Kyungnam. The results of this study are as follows: First, teachers and parents have more than usual support and interest in education, self-determination, everyday life, university, and dream area. Teachers and parents have the highest level of interest and support in self-determination, while they have the lowest support in college-related support. In addition, the teacher group has higher interest and support than the parent group in all four areas, while the university-related support is the only concern of parents more than the teacher. Second, the correlation between the support of students with intellectual disability and the preparation for admission to local universities has a positive correlation with each other in education, self-determination, everyday life, university, dreams. Second, the correlation between the support of students with intellectual disability and the preparation for admission to local universities has a positive correlation with each other in education, self-determination, everyday life, university, dreams. Educational support area has high correlation with self - determination and daily living area, self - determination area has high correlation with daily living area, and dream area has high correlation with university.

고칼슘혈증과 급성신부전으로 발현한 Renal Sarcoidosis

박정식(Jung Sik Park),이상구(Sang Koo Lee),김순배(Soon Bae Kim),박종하(Jong Ha Park),정재걸(Jae Gul Chung),이우제(Woo Je Lee) 대한신장학회 2000 Kidney Research and Clinical Practice Vol.19 No.2

We report a case of renal sarcoidosis accompanied by hypercalcemia and renal insufficiency. A 52-year-old woman presented to hospital with nausea, pruri-tus, general weakness and weight loss. Laboratory tests revealed a serum creatinine was 3.6mg/dL, cal-cium ll.lmg/dL(ionized calcium 5.6mg/dL), hemoglobin 10.2g/dL, parathyroid hormone <3.0pg/mL, 24 hour urinary protein 1,127mg/day and 24 hour urinary calcium 489mg/day. Chest X-ray showed normal and both kidneys were within normal size with mild increased echo- genicity on renal ultrasound. Renal biopsy showed interstitial nephritis with mononuclear cell infiltration and mild interstitial fibrosis. Non-caseating granuloma with epitheloid and giant cells were seen. Following corticosteroid therapy, renal function and hypercalcemia were dramatically improved. Within 1 month, calcium level was normal and the creatinine level fell to 2.0mg/dL and subsequently remained stable while corticosteroid was progressively tapered off. She has been followed up for 11 months with normal seum calcium level and the creatinine level of 1.9mg/dL.

혈액투석 환자에서 Erythropoietin 저항성

박정식(Jung Sik Park) 대한내과학회 2000 대한내과학회지 Vol.58 No.5

N/A

성인 요로 감염 환자에서 99mTc - DMSA 삼중검출기 SPECT 영상의 유용성

박정식(Jung Sik Park),문대혁(Dae Hyuk Moon),김순배(Soon Bae Kim),이명혜(Myung Hae Lee),류진숙(Jin Sook Ryu),배원규(Won Gyu Bae),박수길(Su Kil Park),홍창기(Changgi D . Hong),조경식(Kyung Sik Cho) 대한핵의학회 1992 핵의학 분자영상 Vol.26 No.2

N/A Although early diagnosis of urinary tract infection is important, the radiologic evaluation is still controversial because of the low sensitivity and the lack of cost-effectiveness. This study was carried out to evaluate the clinical utility of high resolution triple head Tc-99m-DMSA SPECT imaging in urinary tract infection. We prospectively performed Tc-99m-DMSA planar and SPECT imaging, ultrasound of kidney (US), intravenous pyelography (IVP) and voiding cystourethrography (VCU) in all 60 adult patients with UTI [26 with first episode of acute pyelonephritis (APN), 22 with recurrent APN, and 12 persistent asymptomatic pyuria] and 25 normal persons. To assess reversibility of the renal cortical defect (RCD), Tc-99m-DMSA SPECT was repeated 1 to 8 months later in those patients with abnormal initial findings. Overall detection rate of Tc-99m-DMSA SPECT imaging was 83% (50/60), but planar, US, IVP and VCU showed abnormal findings in 68%, 28%, 32% and 13%, respectively. 25 out of 27 patients with nonnal or single RCD were all normal in other radioligic studies. Only two patients showed vesicoureteral reflux (VUR) on VCU (grade I) and mild hydronephrosis on IVP. But, high proportion of those with multiple RCD showed abnormal findings on US (17/33), IVP (18/33), and VCU (7/33): 67% in any of these 3 studies. Especially, 3 out 7 patients with VUR showed multiple RCD on Tc-99m- DMSA SPECT without any abnormality on IVP or US. 25 normal persons showed normal findings in all studies except one false positive finding on Tc-99m-DMSA SPECT imaging. Follow-up Tc-99m-DMSA SPECT was done in 28 patients (13 with single RCD, 15 with multiple RCD). All 13 patients with single RCD showed improvement. Those with multiple RCD presented improvement in 4, no change in 10, and aggravation in 1 on follow-up studies. With these results, we conclude: 1) Tc-99m-DMSA SPECT imaging is superior to planar imaging, US, IVP or VCU in detection of renal lesion in urinary tract infection. Tc-99m-DMSA SPECT is useful as a initial diagnostic tool in adult patients with urinary tract infection. 2) The multiple RCD on Tc-99m- DMSA SPECT represent the high probability of irreversible tissue change and need of extensive urological work-up.

척추질환의 한의적정성 평가 연구 -입원환자 중심으로-

박정식 ( Jung Sik Park ),임형호 ( Hyung Ho Lim ) 한방재활의학과학회 2015 한방재활의학과학회지 Vol.25 No.3

Objectives The purpose of this study is to assess the quality of spinal disease focusing on Korean medical hospital admission patients. Methods The disease code related to spinal disease was selected based on the contents of development of clinical quality indicators for spinal disease. The assessment analysis of feasibility was conducted through medical history analysis that targets spinal disease patients, current development of clinical quality indicators for spinal disease, and relevant literature. Results The indicator items of structure, process, and results were classified and selected, and so were the detailed indicator entries. After that, the appropriate reference value was chosen. The final selected quality indicators were 3 items from structure, 9 items from process, 4 items from results, including 3 monitoring items, total 16 items was chosen. Conclusions Clinical research for the adequacy assessment should be conducted and the index entry and indicators should be reassessed through an expert group discussion. Training for the evaluation indicators and association with relevant society will motivate hospitals to voluntarily improve their quality. (J Korean Med Rehab 2015;25(3):11-26)

Historical Discourse and Intertextuality/Intra-textuality

박정식 ( Jung Sik Park ) 한국현대영미소설학회 2010 현대영미소설 Vol.17 No.1

Though intertextuality has found unique expression in postmodern fictions that are characterized as ironic, parodic, and paradoxical, this paper puts forth an alternative use of intertextuality (or intra-textual engagement), practiced at various communication levels but not duly observed, and illustrates the rich potentials and diversities of intertextual activities, which cannot be reified by any dominant language theory. With the instances of some news-reports and court transcriptions related to the Detroit Riot in 1967, as encapsulated in John Hersey`s The Algiers Motel Incident, the paper argues that the coexistence of various textual modes and epistemological frames are less the formal expression of a textual aporia than the condition of historical knowledge. The writers, whether they be historians or reporter-writers, penetrate, intersect, and saturate the historical event through various textual representations, and by so doing, they reconcile news content with narrative form, and social reality with discursive representation. Though discrete and fragmentary, these multiple textual versions of reality form a composite relationship as a story, each complementing and supporting one another, and also contradicting and floating, but, nevertheless, approximating to what Jerome Bruner calls "a properly pragmatic view of the Real."