산업보건에의 한의학적 참여방안에 관한 연구

이은경,정명수,천은주,김삼태,강성호,이수경,한종민,김성천,유택수,정재열,송용선,이기남,Lee E.K.,Chong M.S.,Chun E.J.,Kim S.T.,Kang S.H.,Lee S.K.,Han J.M.,Kim S.C.,Yu T.S.,Jeung J.Y.,Song Y.S.,Lee K.N. 대한예방한의학회 1999 대한예방한의학회지 Vol.3 No.2

Oriental Medical Service established foundation that Oriental medical clinic can take part in industrial health service by being specified industrial calamity medical treatment organ, but research which develope program that Oriental Medical Service approach on the occupational disease and industrial health only dealt in the Western Medical System was insufficient. So we studied on theoretical foundation and basic bearing about .program of oriental medical health examination in the workplace, it is based on explanation and assessment reformed by western medicine. We reached the conclusion as follows, 1. We must reconsider the concept that mind of Oriental medicine is preventive medicine, and assess positively result of social medicine. 2. Importance of industrial health is being enlarged in the category of health care. 3. Western medical health in including industrial health have faced much problems at this time, we can search by alternative proposal grafting on Oriental Medicine. 4. Oriental medical participation in the industrial health have various benefits at side satisfaction of workers, effect of prevention, efficiency of cost, and increasing rate of medical treatment and return to workplace of workers with industrial calamity. 5. We must consider Oriental Medical Health Examination as one way of health management program of workers, not as formality. 6. The advantage of Oriental Medical Health Examination can increase ability of individual health management in preventive medicine and the production in workers' health management.

우즈베키스탄 한방병원에서 진행한 한의약 비만관리 프로그램의 효과

이은경,정명수,유영진,권동현,이준석,장보형,윤진원,박유리,박해모,이선동,고성규,Lee, Eun-Kyoung,Chong, Myongsoo,Ryu, Young Jin,Kwon, Donghyun,Lee, Joonseok,Jang, Bo-Hyoung,Yun, Jin Won,Park, Yu Lee,Park, Haemo,Lee, Sundong,Ko, Seong-Gyu 대한예방한의학회 2015 대한예방한의학회지 Vol.19 No.2

Objective : As part of the Korean Medicine Official Development Assistance(ODA) and Public Health Project, we implemented a obesity management program(OMP) using Korean medicine in Uzbekistan and its follow-up study was conducted to evaluate the effectiveness of the program. Method : We recruited the participants of whose Body Mass Index(BMI) were over $25kg/m^2$ and who agreed to participate in the program at the South Korea-Uzbekistan Friendship Korean Medical Hospital in Uzbekistan. The program consisted of auricular acupuncture, functional food, and education program on diet and exercise. It was provided once a week during 7-week period. Anthropometric measurements and blood test measuring total cholesterol, triglyceride, and glucose were performed at the baseline, the end of the program, and 10-month follow-up. At the end of the program and the follow-up, survey on satisfaction and self-evaluation of the effectiveness of the program was additionally conducted. Results : 43 out of 78 participants completed the program and were included in the analysis. The analysis of the main outcomes showed that there were significant decreases in anthropometric measurements such as body weight, waist circumference, body mass index (BMI) and body fat content as well as blood test including triglycerides, total cholesterol and blood glucose levels. In the follow-up study, 24 subjects participated and 19 subjects (79.1%) reported that they succeeded in weight control. Furthermore, many participants reported that they maintained healthy lifestyles like healthy diet and regular exercise. The satisfaction with the program was also relatively high, and the education program was selected as the most motivating intervention for weight control. The outcomes such as body weight, BMI, body fat content, and blood glucose level were maintained to be at the decreased level; however, waist circumference, total cholesterol and triglycerides levels either returned back to the baseline level or were elevated to the level higher than the baseline. Conclusion : This study suggests that the OMP using Korean medicine may contribute to weight control of obese population in Uzbekistan. It is meaningful in that the study shows the possibility of implementing health promotion programs using Korean medicine in other countries with different cultures. In the future, more efforts to evaluate the effectiveness of the programs using rigorous methodologies and utilize the effective programs in ODA project will be needed.

Moire 영상을 이용한 근골격계 질환의 한의학적 진단에 관한 연구

이은경,유승현,이수경,강성호,한종민,정명수,천은주,송용선,이기남,Lee Eun-Kyoung,Yu Seung-Hyun,Lee Su-Kyung,Kang Sung-Ho,Han Jong-Min,Chong Myong-Soo,Chun Eun-Joo,Song Yung-Sun,Lee Ki-Nam 대한예방한의학회 2000 대한예방한의학회지 Vol.4 No.2

This research has conducted studies on an Oriental medicine-based method of diagnosing of occupational musculoskeletal system diseases. This researcher has searched through existing relevant medical literature. Also, this researcher has worked on a moire topography using moire topography. In this course, this researcher has reached the following conclusion in relation to the possibility of using a moire topography as a diagnosing device of musculoskeletal system diseases under Oriental medicine . 1 The Western medicine outlines its criteria of screening occupational musculoskeletal system diseases as follows A. The occupational musculoskeletal diseases must clearly include one or more of the subjective symptoms characterized by pain, hypoesthesia dysaesthesia, anaesthesia. etc . B, There should be clinically admitted objective observations and diagnosis outlining that the disease concerned shows symptoms such as tenderness, induration. and edema that can appear with occupational musculoskeletal system diseases. dyscinesia should be admitted with the disease concerned, or there should be observations and diagnosis outlining that abnormality exists in electric muscular or nervous diagnosis and examination . C. It should be admitted that prior to the occurrence of symptoms or observations and diagnosis on musculoskeletal system-related diseases, a patient has been engaged in works with conditions requiring improper work posture or work movement. That is, this is an approach whereby they see abnormality in the musculoskeletal system come from material and structural defect, and adjust and control abnormality in the musculoskeletal system and secreta . 2. The Oriental medicines sees that a patient develops the pain of occupational musculoskeletal diseases as he cannot properly activate the flow of his life force and blood thus not only causing formation of lumps in the body and blocking the flow of life force and blood in some parts of the body. Hence, The Oriental medicine focuses on resolving the cause of weakening the flow of life force and blood, instead of taking material approach of correcting structural abnormality Furthermore , Oriental medicine sees that when muscle tension builds up, this presses blood vessels and nerves passing by, triggering circulation dyscrasia and neurological reaction and thus leading to lesion. Thus, instead of taking skeletal or neurophysiological approach. it seeks to fundamentally resolve the cause of the flow of the life force and blood in muscles not being activated. As a result Oriental medicine attributes the main cause of musculoskeletal system diseases to muscle tension and its build-up that stem from an individual's long formed chronicle habit and work environment. This approach considers not only the social structure aspect including companies owners and work environment that the existing methods have looked at, but also individual workers' responsibility and their environmental factors. Hence, this is a step forward method. 3 The diagnosis of musculoskeletal diseases under Oriental medicine is characterized by the fact that an Oriental medicine doctor uses not only photos taken by himself, but also various detection devices to gather information and pass comprehensive judgment on it. Thus, it is the core of diagnosis under Oriental medicine to develop diagnosing devices matching the characteristics of information to be induced and to interpret information so induced from the views of Oriental medicine. Diagnosis using diagnosing devices values the whole state of a patient and formal abnormality alike, and the whole balance and muscular state of a patient serves as the basis of diagnosis. Hence, this method, instead of depending on the information gathered from devices under Western medicine, requires devices that provide information on the whole state of a patient in addition to the local abnormality information that X-ray. CT, etc., can offer. This method sees muscle as the central par

해외 고등교육 Ⅱ-미국 공립대학의 재정 운영 : CCAC 사례를 중심으로

이은경,Weidman,John C,Lee, Eun-Gyeong,Weidman, John C 한국대학교육협의회 2008 大學敎育 Vol.154 No.-

<銀世界>의 상징성 연구

李銀卿,Lee, Eun Kyeong 한국외국어대학교 1987 우리어문학연구 Vol.1 No.1

유리체절제술에서 파이브린 글루를 이용한 결막부착술

이은경,김정열,Eun Kyoung Lee,M,D,Jung Yeul Kim,M,D 대한안과학회 2008 대한안과학회지 Vol.49 No.8

Purpose: To investigate the efficacy of fibrin glue for conjunctival closure in vitrectomy. Methods: Two hundred five eyes of 200 patients who underwent conjunctival closure for vitrectomy with a minimum follow-up period of six months were evlauated. Postopertive pain, foreign body sensation, tearing, subconjunctival hemorrhage, surgery time and complication were evaluated prospectively in 105 eyes of 100 patients undergoing surgery with fibrin glue, and in 100 eyes of 100 patients undergoing surgery with sutures. Results: One day postoperatively, pain scores (p<0.05), foreign body sensation (p<0.05), tearing (p<0.05), and subconjunctival hemorrhage (p<0.05) were significantly lower in the fibrin glue group than in the suture group. One week postoperatively, the scores of foreign body sensation (p<0.05), tearing (p<0.05), subconjunctival hemorrhage (p<0.05) were significantly lower in the fibrin glue group than in the suture group. The mean surgery time in the fibrin glue group (2.2±0.5 minutes) was significantly shorter than that in the sutures group (7.4±0.6 minutes) (p<0.05). Conclusions: The Use of fibrin glue for conjunctival closure in vitrectomy can reduce postoperative discomfort and surgical time. It is especially useful for a second operation or for cases with a thin, atrophic conjunctiva. J Korean Ophthalmol Soc 49(8):1283-1288, 2008

형식도야이론의 재해석 : 교육목적으로서의 ‘일반능력’의 타당성

이은경(Eun-Kyung Lee) 한국도덕교육학회 2018 道德敎育硏究 Vol.30 No.2

핵심역량기반 교육이론과 형식도야이론은 근본적으로 동일한 이론적 문제를 제기한다. 그 문제는 바로 삶의 전반에 걸쳐 동일하게 발휘되는 ‘일반능력’이라는 것이 존재하는가, 그리고 그것이 존재한다면 그것은 어떤 매체에 의하여 함양되는가 하는 것이다. 두 이론은 모두 일반능력-즉, ‘핵심역량’(key competency)과 ‘정신능력’(mental faculty)-이 존재한다는 데에는 의견의 일치를 보이지만 그 매체에 대해서는 상이한 대답-활동과 지식-을 내어놓고 있다. 듀이에 의하면, 형식도야이론은 정신능력과 그것의 매체로서의 지식의 관계를 사실상 분리된 것-즉, ‘이원론’-으로 파악한다는 점에서 한계를 가진다. 듀이의 견해를 따르면 일반능력을 교육목적으로 삼을 수 있는가의 여부는 일반능력과 매체와의 관계를 어떻게 파악하는가에 따라서 결정될 수 있다. 그 관계를 파악하는 데에는 두 가지 방식이 있을 수 있는데, 하나는 일반능력은 교육실천 이전에 ‘사전에’ 결정될 수 있고 그것을 실현하는 데 효과적인 것이면 어느 것이나 매체가 될 수 있다는 관점이며, 다른 하나는 일반 능력은 교육실천, 즉 지식을 가르치고 배운 ‘결과로’ 획득되는 것이며 일반능력이 무엇인지는 교육실천에 의하여 비로소 확립된다는 관점이다. 이 두 경우에 ‘일반성’의 의미와 ‘전이’는 완전히 판이하게 이해될 가능성이 있다. 본 논문은 이홍우의 형식도야이론에 대한 고찰을 중심으로 ‘일반능력’을 교육목적으로 삼을 수 있는가를 탐색하고자 한다. 그 세부적 논의는 그의 ‘순환론의 오류’와 ‘추상의 오류’에 관한 논의를 거점으로 하여 형식도야이론에 대한 종래의 비판-즉, 듀이의 이원론-이 타당한가를 검토하는 방식으로 이루어진다. 형식도야이론과 핵심역량기반 교육이론은 모두 ‘일반능력’의 중요성에 주목한다는 점에서, 형식도야이론의 재활가능성은 그 자체로 그것의 현대판 이론인 핵심역량기반 교육이론의 정당성을 검토하는 시금석이 될 것이다. 이것을 논의하는 과정에서 교육과정이론이 해명해야 할 근본적이고 항구적인 문제가 무엇인가가 드러날 가능성이 있다. The purpose of this study is to analyze the conception of ‘general competency’ and to identify its validity as an educational aim. The main issues of key competence-based theory(CBT) and formal discipline theory(FDT) are whether or not ‘general competency’ is and how it is to be cultivated. They both conclude that there is general competency to be applicable in a wide variety of contexts in social lives, but they disagree how to cultivate general competency. The difference of method is necessarily implied the difference of the conception of general competency. The relation of general competency and its method can be understood by the two viewpoints, i.e., means-ends viewpoint and metapractical viewpoint. I think that CBT takes the former, but FDT takes the latter. In metapractical view point, the meaning of ‘general’ should be understood, in its proper sense, ‘universal’ to be equally realized in all things and to be the standard of all things. From the viewpoint of metapraxis, general competency is not an end which is determined before practice and regarded as leading it, but ‘the ideal form’ which is realized imperfectly in our life and must be established through our practice. J. Dewey says that the conception of General competency of FDT is to be based upon the error of dualism, but the dualism can be reinterpret to be based upon the two unmistakable errors of formal logic, i.e., the error of abstraction and the error of circularity by Hong-woo Lee. The two errors, which are genuine and should be avoided in formal logic, are inescapable in any education aiming at the cultivation of the Mind-Nature. In other words, the two formal logical errors are overcome or nullified in the practice of education.

유전치 Resin Infiltration을 위한 표면처리 방법의 대안

이은경,신종현,김지연,정태성,김신,Lee, Eungyung,Shin, Jonghyun,Kim, Jiyeon,Jeong, Taesung,Kim, Shin 대한소아치과학회 2018 大韓小兒齒科學會誌 Vol.45 No.2

Resin infiltration has been used as a treatment option for the management of early caries lesions recently. However, the etching procedure with hydrochloric acid might be somewhat stressful for the clinicians due to safety problem especially for young children, leading to less utility. This study aims at searching for some alternative surface pretreatment methods of resin infiltration for the early caries lesions in primary anterior teeth by comparing penetration depth of various methods. No significant difference was found in penetration ratio between etched surface with 15% hydrochloric acid and 35% phosphoric acid. However, the penetration ratio was significantly higher in groups pretreated either with dental pumice or abrasive metal strip (p < .05). By the result of this study, etching with phosphoric acid as an alternative of hydrochloric acid was thought clinically acceptable as a pretreatment method for resin infiltration in early caries lesions for primary anterior teeth. It was notable that surface conditioning with dental pumice or metal strip before etching was effective in increasing the penetration. This procedural modification might be much more correspondent with minimally invasive concept and hopefully contribute to increased safety and utility in pediatric dentistry. 본 연구는 유전치 순면의 백색병소에 대한 표면처리 방법에 따른 레진 침투법의 침투 깊이를 공초점 레이저 주사 현미경으로 조사함으로써, 유치의 초기 우식병소에 대한 레진침투법 적용 과정에서, 염산 이외의 대안적 표면처리 방법을 모색할 목적으로 시도되었다. 15% 염산 단독으로 2분간 산부식 한 대조군과 35% 인산 단독으로 2분간 산부식을 시행한 I군 간의 유의한 차이는 보이지 않았다. 하지만 이 두 그룹과 인산 산부식 전 치면세마용 퍼미스 또는 연마용 metal strip으로 표면 전처리를 한 그룹 간에는 레진 침투율에서 유의한 차이를 확인하였다(p < .05). 유전치 초기 우식 병소에 레진 침투법을 시행할 때에는 35% 인산 단독 산부식만으로도 15% 염산을 이용한 산부식에 비견할 만한 침투 효과를 보이는 것을 확인하였다. 또한 레진의 침투 효과를 높이기 위해서는 산부식 전 병소 표면에 기계적 마모술을 적용하는 것이 효과적인 방법이 될 수 있음을 보여주었다. 이러한 방법은 소아치과 영역에서 레진침투법을 사용하기에 비교적 안전하고 쉽게 활용할 수 있는 표면처리 방법이라 볼 수 있다.

전통타악기를 활용한 즉흥연주가 청각장애 대학생의 스트레스에 미치는 효과

이은경,Lee, Eun Kyung 한국음악치료교육학회 2008 인간행동과 음악연구 Vol.5 No.2

본 연구는 전통타악기를 활용한 즉흥연주가 청각장애 대학생의 스트레스에 미치는 효과를 알아본 연구로 독순법이 가능한 21~22세의 후천적 청각장애대학생 4명을 선정해 40분의 개별세션과 50분의 그룹세션을 주 1회씩 총 20회기를 진행하였다. 전겸구 김교헌(1991)이 개발한 대학생용 생활스트레스 척도를 개선한 척도를 이용한 양적 자료와 연구자 및 음악치료사 2인의 관찰을 통해 수집한 질적 자료를 이용해 전통 타악기를 활용한 즉흥연주가 청각장애 대학생의 스트레스에 효과적으로 해소되었음을 확인하였다. 결과적으로 본 연구를 통한 양적분석과 기술적인 분석을 볼 때, 청각장애를 가진 대학생들에게도 소리가 중심이 되는 음악이 치료의 도구로 사용될 수 있음이 입증되었고, 대인관계와 생활 속에서 발생하는 스트레스의 대처관리에 음악이 사용될 수 있음이 확인되었다. 또한 이러한 결과는 향후 다양한 연령대의 청각장애인을 대상으로 하는 음악치료연구의 중요성을 시사한다. This study investigated the effects of traditional percussion improvisation to hearing-impaired college students who are under stress. For the research, between 21 to 22 years old four hearing-impaired college students, who could do lip reading, were chosen. In quantity program, improved version of college student stress measuring method which invented by Gyoung-gu Jun and Gyo-hyeon Kim(1991) were applied, and graphs has been used for analysis. In quality program, for reliability, the researcher and two music therapists observed and analysed it. The period of research was from Dec 26, 2007 to Feb 21, 2008. There were total twenty sessions and two sessions were assigned for each week. One was 40 minutes individual session, and the other one was 50 minutes group session. Even though auditory function is critical in music playing or listening, this study showed the positive results of the therapeutic use of music on stress management for college students with hearing impairment. Future studies are important to continue to investigate the effectiveness of music therapy for hearing impaired clients who are under stress with various age range.

Disciplinary Health Education : 무용교육 정도에 따른 청각장애인의 사회 · 정서 발달에 관한 연구

이은경,홍양자 ( Eun Kyung Lee,Yang Ja Hong ) 한국체육학회 1994 국제스포츠 학술대회 Vol.1994 No.-