체력관리 전문가 집단 만들기: 건강운동관리사의 전문성과 사회적 경계

진현주 ( Jin¸ Hyunju ),김효민 ( Hyomin Kim ) 한국체육학회 2021 한국체육학회지 Vol.60 No.2

이 연구의 목적은 대중의 체력을 관리해온 전문 지식인 집단인 건강운동관리사 집단의 전문성을 둘러싸고 만들어지고 있는 사회적 경계를 드러내는 것이다. 지난 70여년의 세월 동안 한국 사회에서 체력의 사회적 개념은 공공 보건 구호의 캐치프레이즈인 ‘체력은 국력’에서, 개인의 삶의 역량과 기술을 반영하는 ‘생존 체력’의 구호로 변모해왔다. 이 연구는 변화해온 체력의 개념과 체력 관리라는 영역에서 전문화의 시도가 어떻게 이루어졌으며, 해당 직역의 전문성이 어떠한 사회적 도전에 직면해 있는지 드러낼 것이다. 이를 위해 본 연구에서는 대중의 신체를 관리하는 유일한 정부 공인 집단인 운동처방사(현, 건강운동관리사)가 어떠한 사회적 환경에서 등장하여 어떠한 제도를 통해 자신을 형성했는지 추적하는 것을 통해, 운동처방사가 기반해 왔던 학문적 지식장의 변화, 제도적 변화, 그러한 변화 안에서 겪어야 했던 갈등이 어떻게 건강운동관리사의 변화를 견인했는지 탐색한다. 이어서 그 갈등을 과학기술학(STS: science and technology studies)의 전문성에 관한 논의를 통해 고찰함으로써, 기존의 체육학 학술장에서 추구해 온 ‘자기 완성’으로서의 전문성 반성만으로는 현재의 건강운동관리사가 처한 사회적 갈등을 돌파할 수 없으며, 의학과 체육학의 경계에 존재하고 있는 건강운동관리사의 전문성은 체력관리 관련 제도를 둘러싼 내·외부의 동원을 모두 포함해 동시적으로 산출되는 것임을 지적할 것이다. This study aims to reveal and unfold the social boundary made around the expertise of sports/exercise specialist, a group of experts who have managed the physical fitness of the public. Over the past 70 years, the social concept of physical fitness in Korean society has been transformed. The catchphrase of ‘physical strength is national power’ has changed to the slogan of ‘physical stamina for survival’, reflecting increased the social interests in individual capabilities and skills. This study investigates how the attempts of expertification have been made and un-made around physical fitness as an ever-changing notion. Firstly, the study follows the pathways through which exercise prescriptors(currently, sports/exercise specialists) have formed as an institutionalized group. Secondly, the study examines how sports/exercise specialists as a group have been transformed in response to the conflicts stemming from changes in academic fields and regulatory frameworks. Lastly, the study discusses the aforementioned conflicts through insights obtained from science and technology studies (STS) literature on expertise. The study concludes that expertise of sports/exercise specialists, who currently occupy the boundary between medicine and sports medicine, is to be produced both inside and outside of the institutionalized system of managing physical fitness. In order to settle the conflicts emerging around the expertise of sports/exercise specialists, the issue of expert-making needs to be seen as a social problem, which cannot be sufficiently resolved if conceptualized as individual self-completion.

한국인 말단 멜라닌세포모반의 유병률 및 분포, 더모스코피 소견에 관한 연구

진현주 ( Hyunju Jin ),김건욱 ( Gun Wook Kim ),김원정 ( Won Jeong Kim ),송마가렛 ( Margaret Song ),김훈수 ( Hoon Soo Kim ),고현창 ( Hyun Chang Ko ),김병수 ( Byung Soo Kim ),김문범 ( Moon Bum Kim ),문제호 ( Je Ho Mun ) 대한피부과학회 2015 大韓皮膚科學會誌 Vol.53 No.8

Background: An awareness of the prevalence and morphologic patterns of acral melanocytic nevi (AMN) is crucialin the diagnosis of AMN and for its differentiation from acral melanoma. Although studies regarding prevalence and dermoscopic patterns of AMN in other ethnic groups have been reported, studies in Korean populations are scarce. Objective: To investigate the prevalence, number and dermoscopic patterns of AMN cases in a Korean population. Methods: We investigated the prevalence and dermoscopic patterns of AMN in a Korean population. Results: Six hundred Korean patients were enrolled in this study. AMNs were observed on the hands in 53.2% of patients and on the feet in 30.5% of patients. The prevalence of AMN according to anatomical location was as follows: dorsum of hands (43.8%), palms (15.7%), both palms and dorsum of hands (6.3%), dorsum of feet (24.8%), soles (9.2%), and dorsa of feet and soles (3.5%). On volar skin, the common dermoscopic patterns were as follows: parallel-furrow (51.7%), lattice-like (12.1%), globular (9.2%), fibrillar (8.6%), reticular (7.5%), and homogeneous (5.7%). On dorsal skin, reticular (41.0%), homogeneous (27.0%), globular (21.6%), and reticular-homogeneous (7.7%) patterns were commonly observed. The prevalence of AMN increased with patient age until patients reached their forties and decreased according to age once patients reached their sixties. Conclusion: The results of our study show that AMN on hands and feet are common in Korean patients and that characteristic dermoscopic patterns of AMN exist. This study provides information regarding the prevalence and dermoscopic patterns of AMN in a Korean population. (Korean J Dermatol 2015;53(8):612∼616)

경찰 체력검정의 역사적 변화: 남녀 차이의 사회적 논란과 과학적 합리성

진현주 ( Jin Hyunju ),김효민 ( Hyomin Kim ) 한국체육학회 2020 한국체육학회지 Vol.59 No.2

체력은 체육학에서 명실공히 주요한 연구 주제이다. 체력에 관한 다양한 연구 중에서도 체력검정, 즉 신체를 측정하고 신체가 가진 역량을 평가하는 작업에 대한 연구는 체육학 내에서 가장 오래된 역사를 지니고 있다. 그러나 최근 한국 사회에서 경찰, 군대 등에 지원하는 남녀의 체력검정 기준의 차이를 둘러싼 논란은, 기존의 연구 성과에 따라 ‘검정’될 수 있는 체력이 있다는 인식을 대중이 널리 공유하는 것과는 별개로, 체력검정 기준에 대한 보편적 합의가 아직 사회적으로 형성되지 않았음을 시사하고 있다. 이에 본 논문에서는 체력을 측정하는 방법의 학술적, 사회적 변화 양상을 추적하여 체력검정 기준의 합리성에 대한 역사적 고찰을 시도하였다. 먼저 기존에 형성되어온 체력의 학술적 개념의 변화에 대한 조사를 통해 체력 개념의 다양한 정의와 의미를 탐색한 후, 경찰공무원의 체력검정을 중심으로 신체 검정의 기준과 관점의 변화를 살펴, 기존 체력검정의 합리성을 평가해온 기준을 분석하고 그 합리성이 의미하는 바를 문제화(problematization)하고자 하였다. 이 연구는 특정 직군의 체력검정 기준으로 인해 제기된 사회적 논란을 통해 그동안 당연하게 합리적 근거를 가진 것으로 받아들여져 왔던 ‘체력’, 그리고 그것이 객관적으로 ‘검정’될 수 있다는 관념이 실상은 고정된 진리가 아니라 다양한 네트워크를 통해 형성되고 도전받아 변화하는 유동적 열린 체계임을 지적할 것이다. Physical fitness is a major research topic in sport studies. Among diverse sub-topics of physical fitness, the physical fitness test, that is the measurement and evaluation of physical fitness, has the longest history as a research area. However, the recent controversy in Korea over gender-normed physical fitness requirements in army or police recruitment indicates that despite widely shared common understanding of physical fitness that can be “tested” in accordance with research outcomes of sport studies, there is still no general agreement on the legitimate standards for physical fitness test. By tracking the relevant academic and social discussions, this paper presented a historical review of the logical rationale provided for physical fitness tests. This paper first explored definitions and meanings of physical fitness established in sport studies; then it examined the historical changes in standards for and perspectives upon occupational physical fitness tests for Korean police officers. By so doing, this paper analyzed and problematized how certain physical fitness tests have so far been (un)-successfully justified as rational methods of measurement. Through the investigation of social debates over what count as legitimate standards for occupational physical fitness tests, we demonstrated that the concept of “physical fitness” and the notion that it can be “tested” with an objective measure is not a fixed reality based upon well-founded rationales but a porous and flexible system that is continuously constructed by heterogeneous networks while facing challenges.

Methotrexate로 성공적으로 치료된 전신고리육아종 3예

천상진 ( Sang-jin Cheon ),박성민 ( Sungmin Park ),이현주 ( Hyun Joo Lee ),김태욱 ( Taewook Kim ),진현주 ( Hyunju Jin ),류향석 ( Hyangsuk You ),심우행 ( Woo-haing Shim ),김건욱 ( Gun-wook Kim ),김훈수 ( Hoon-soo Kim ),고현창 ( Hyun 대한피부과학회 2018 대한피부과학회지 Vol.56 No.7

Granuloma annulare is a benign granulomatous skin disease, clinically characterized by dermal papules tending to form annular shapes. Granuloma annulare is classified into localized, generalized, subcutaneous, and perforating types. Localized granuloma annulare is likely to resolve spontaneously, while generalized granuloma annulare usually takes a chronic course. Topical steroids, phototherapy, isotretinoin, dapsone, hydroxychloroquine, and other various treatments have been proposed, but some cases have been resistant to all of those treatment modalities. We experienced 3 cases of generalized granuloma annulare demonstrating a recalcitrant course that were successfully treated with methotrexate and propose that methotrexate may be an effective option for recalcitrant generalized granuloma annulare treatment. (Korean J Dermatol 2018;56(7):437∼442)

흔적 다지증 1예

천상진 ( Sang-jin Cheon ),진현주 ( Hyunju Jin ),류향석 ( Hyang-suk You ),심우행 ( Woo-haing Shim ),김정민 ( Jeong-min Kim ),김건욱 ( Gun-wook Kim ),김훈수 ( Hoon-soo Kim ),고현창 ( Hyun-chang Ko ),김병수 ( Byung-soo Kim ),김문범 ( 대한피부과학회 2018 大韓皮膚科學會誌 Vol.56 No.3

Rudimentary polydactyly is a congenital anomaly of the hand clinically ranging from a small wart-like tumor to a pedunculated structure near the thumb or little finger. The histology reveals a marked neural proliferation, dilated blood vessels, and some Meissner corpuscles in the dermis. The etiology is unknown and there are a few theories. First, Hare believed that it represented a vestigial form of supernumerary finger, and termed it rudimentary polydactyly. Since then, Shapiro et al. has argued that rudimentary polydactyly is an amputation neuroma after finding histological similarity between acquired traumatic neuroma and rudimentary polydactyly. Recently Brehmer- Andersson et al. asserted that rudimentary polydactyly is a neuroma that can arise in any area containing Meissner corpuscles after observing a penile lesion with similar histology as rudimentary polydactyly. We report a case of rudimentary polydactyly characteristically not showing any prominent Meissner corpuscles. With this case, we provide support for the theory of Shapiro et al. (Korean J Dermatol 2018;56(3):202∼205)

Philosophical Analysis of the Name of the Discipline ‘Physical Education’ and Proposal of Alternative Terminology

김정효(Jeong-Hyo Kim),진현주(Hyunju Jin) 대한운동학회 2024 아시아 운동학 학술지 Vol.26 No.1

OBJECTIVES The primary objective of this study is to clarify the concepts of physical education and sport from a philosophical perspective and propose the potential of kinesiology as a promising alternative. METHODS The method of philosophical argumentation was employed to carefully examine the logical consistency of physical education, sport, and kinesiology. The conceptual tools of connotation and denotation were used to analyze these definitions, and their compatibility was thoroughly assessed. RESULTS Through deductive analysis, it was discovered that both physical education and sport face inherent challenges of limited externalization and excessive externalization. These challenges hinder the accurate representation of reality or weaken the distinct identity of the disciplines. Conversely, it was argued that kinesiology possesses the conceptual capacity to encompass both physical education and sport as a discipline. CONCLUSIONS Considering the apparent conceptual constraints of physical education, it becomes reasonable to reassess the nomenclature of our field. This paper has demonstrated the philosophical significance of kinesiology and its potential as a viable alternative. However, since philosophical arguments may not always perfectly align with practical reality, further exploration and evaluation from diverse perspectives are necessary to determine the suitability of adopting the term ‘kinesiology’ as an alternative.

편측선상모세혈관염 3예

하대룡 ( Dae-lyong Ha ),진현주 ( Hyunju Jin ),유향석 ( Hyang-suk You ),심우행 ( Woo-haing Shim ),김정민 ( Jeong-min Kim ),김건욱 ( Gun-wook Kim ),김훈수 ( Hoon-soo Kim ),고현창 ( Hyun-chang Ko ),김병수 ( Byung-soo Kim ),김문범 ( M 대한피부과학회 2018 大韓皮膚科學會誌 Vol.56 No.4

Unilateral linear capillaritis (ULC) is a rare variant of pigmented purpuric dermatosis (PPD). ULC is clinically characterized by unilateral linear macules on the lower extremities, which fade spontaneously. We present three patients with linearly distributed purpuric macules on only one side of the lower extremities. Skin biopsy showed histopathological features of PPDs. We diagnosed ULC based on these clinicopathological findings. For all patients, the skin lesions began to fade spontaneously within several months to a few years after onset. ULC has been reported rarely, with only about 20 cases worldwide and no cases described in the Korean literature. (Korean J Dermatol 2018;56(4):273∼275)

비육돈(78∼118 ㎏)의 표준전장 인 요구량

정용대(Yong Dae Jeong),김조은(Jo-Eun Kim),민예진(Ye-Jin Min),최요한(Yo-Han Choi),김두완(Doo-Wan Kim),진현주(Hyunju Jin),조은석(Eun Seok Cho) 한국산학기술학회 2021 한국산학기술학회논문지 Vol.22 No.9

본 연구는 비육돈에서 내생인 손실량(endogenous phosphorus loss)을 고려한 표준전장 인(STTD P, standardized total tract digestible phosphorus) 요구량을 평가하기 위해 실시하였다. 시험동물은 120두(수 60두; 암 60두)의 3원 교잡돈(Landrace×Yorkshire×Duroc; 개시체중, 78.05±2.47 kg)을 randomized complete block design을 활용해 처리구당 12반복, 반복당 2두(암 1두, 수 1두)씩 배치하였다. 시험사료내 STTD P 수준은 0.14, 0.19, 0.24, 0.29 및 0.34%로 설정하였고 모든 시험사료내 총칼슘 및 총인 비율은 1.25:1로 고정하였으며 사양시험은 5주간 수행하였다. 사양시험 종료일에 처리구당 6두씩 선발하여 대퇴골, 중수골 및 혈액을 수집하여 골광화(bone mineralization) 및 혈액특성을 분석하였다. 일당증체량은 STTD P 수준이 높아짐에 따라 증가하였다(linear and quadratic, p <0.05). 일당사료섭취량 및 사료효율은 STTD P 수준에 따른 유의한 변화가 없지만 STTD P의 섭취량(iSTTD P)은 선형적으로 증가하였다(p <0.05). 또한, iSTTD P:gain 비율은 증가하였다(Linear, p <0.001; quadratic, p =0.051). 혈중 인농도는 사료내 STTD P 수준이 높을수록 증가하는 경향을 보였다(Linear, p =0.059). 대퇴골 내 칼슘 및 인농도는 각각 선형(p <0.05) 및 비선형(p <0.05) 반응을 나타냈다. 사료비는 STTD P가 높을수록 선형적으로 증가하였다(p <0.05). 혈중 대사지표는 사료 내 STTD P 수준에 영향을 받지 않았다. 분석된 조사항목 중 유의한 선형 및 비선형 증가를 나타낸 일당증체량에 대해 회귀분석을 실시한 결과, 비육돈의 STTD P의 요구량은 0.23%로 확인되었다. This study was conducted to estimate the standardized total tract digestible phosphorous (STTD-P) requirement for finishing pigs. A total of 120 crossbred pigs (Landrace × Yorkshire × Duroc; barrows, n=60; gilts, n=60; initial body weight (BW), 78.05±2.47kg) were allotted by randomized complete block design so that two pigs (one male and female, respectively) were housed per pen with 12 replicates per treatment. The levels of dietary STTD-P treatments were 0.14, 0.19, 0.24, 0.29, and 0.34%, respectively, to contain 60, 80, 100, 120, and 140% of the requirement of the National Research Council(NRC) for finishers with the fixing of the calcium : phosphorus (Ca:P) ratio at 1.25:1. Increasing STTD-P showed a quadratic response in the ending BW (p <0.1) and the gain:feed (p <0.05). The average daily gain (ADG) showed linear (p <0.05) and quadratic (p <0.05) responses with increasing STTD-P. Also, the intake of STTD-P (iSTTD-P) increased linearly (linear, p <0.05) with rising STTD-P levels. Similarly, iSTTD-P:gain ratio increased linearly (linear, p <0.001; quadratic, p =0.051) with increasing STTD-P. Ca and P concentration in femur showed linear (p <0.05) and quadratic (p <0.05) responses, respectively. Similarly, ash and Ca concentrations in the metacarpal showed quadratic (p <0.05) and linear (p <0.1) increases, respectively, but there was no statistically significant response in blood characteristics to changes in the level of dietary STTD-P. Based on ADG with significantly linear and quadratic responses, the STTD-P requirement was 0.23% by regression analysis using the quadratic polynomial model.

전신 스테로이드 치료 중 중증 근무력증 환자에서 발생한 다발성 발진성 피부섬유종 1예

박근휘 ( Geun-hwi Park ),김태욱 ( Taewook Kim ),박성민 ( Sungmin Park ),이현주 ( Hyun Joo Lee ),진현주 ( Hyunju Jin ),심우행 ( Woo-haing Shim ),김건욱 ( Gun-wook Kim ),김훈수 ( Hoon-soo Kim ),고현창 ( Hyun-chang Ko ),김병수 ( Byun 대한피부과학회 2019 대한피부과학회지 Vol.57 No.4

Dermatofibroma is a fibrohistiocytic tumor of the skin that commonly occurs as a solitary lesion on the lower extremities of young women. Multiple eruptive dermatofibromas (MEDFs), defined as the presence of 5 to 8 dermatofibromas appearing within a period of 4 months, are rare, and the etiology of MEDFs remains unknown. However, MEDFs are frequently thought to be associated with altered immunity, such as autoimmune diseases and immunosuppression. It is unclear why MEDFs occur in association with these conditions, but this relationship may suggest that MEDFs are the result of an abortive immunoreactive process. We herein describe a middle-aged woman who developed multiple dermatofibroma. She had myasthenia gravis for 8 years, and developed MEDFs after undergoing oral corticosteroid treatment (245 mg/week) for 3 months. Therefore, our case suggests that the use of immunosuppressants is a more dominant factor for the development of MEDFs than underlying autoimmune diseases. (Korean J Dermatol 2019;57(4):194∼196)

TRPS1 유전자의 새로운 과오돌연변이를 보인 제 3형 모발-비-수지 이형성 증후군

노동영 ( Dongyoung Roh ),김태욱 ( Tae-wook Kim ),박성민 ( Sung-min Park ),이현주 ( Hyun-joo Lee ),진현주 ( Hyunju Jin ),유향석 ( Hyang-suk You ),심우행 ( Woo-haing Shim ),김건욱 ( Gun-wook Kim ),김훈수 ( Hoon-soo Kim ),김병수 ( By 대한피부과학회 2018 大韓皮膚科學會誌 Vol.56 No.8

Trichorhinophalangeal syndrome (TRPS) is a rare autosomal dominant hereditary disease caused by mutations in the TRPS1 or the EXT1 gene. Patients show 3 different forms (TRPS I-TRPS III) of this condition sharing similar clinical features including sparse hair, a bulbous nose, an elongated philtrum, short stature, and shortened phalanges. A 10-year-old girl presented with sparse hair and thin hair shafts since birth. She also showed a bulbous nose, an elongated philtrum, brachydactyly of the great toes, and a short stature. Radiological examination showed cone-shaped epiphyses and shortened phalanges. Genetic analysis revealed a novel missense mutation c.2759G>C (p.Trp920Ser) in the TRPS1 gene. We diagnosed this patient with TRPS type III. To our knowledge, only 3 reports have described a genetically analyzed TRPS1 gene mutation among the 11 reported cases of TRPS in the Korean literature. Furthermore, we identified a novel missense mutation in the TRPS1 gene. (Korean J Dermatol 2018;56(8):494∼498)