건강컬럼 - 병 안 걸리는 식사법 '현미밥채식' _'현미'는 당뇨병 치료에 큰 효과가 있다

황성수,Hwang, Seong-Su 사단법인 한국당뇨협회 2011 당뇨 Vol.256 No.-

당뇨병은 혈당이 높은 상태를 말한다. 단순하게 생각하면 혈당을 내리기 위해서는 혈당의 원료가 될 수 있는 성분을 적게 섭취하면 도움이 될 것 같기도 하다. 그런 이유 때문에 당뇨병환자의 식이요법 원칙에는 밥을 적게 먹는 대신 단백질이 많이 든 동물성 식품을 더 먹어야 한다고 되어 있다. 그러나 이 같은 원칙대로 식이요법을 실시해 본 환자들은 이구동성으로 혈당 조절이 대단히 어렵다는 얘기를 한다. 필자는 당뇨병이 있으면서 뇌혈관병이 겹쳐 발생한 환자들을 많이 치료하면서 현미밥이 혈당 조절에 매우 탁월한 효과가 있음을 알게 되었다. 현미에는 탄수화물이 칼로리 비율로 85.7%나 될 정도로 대단히 많이 들어 있어서 얼핏 생각하면 당뇨병에 좋지 않는 영향을 미칠 것이라고 생각할 수 있다. 하지만 전혀 딴판이다. 지금까지 현미가 당뇨병에 좋은 몇 가지 이유를 살펴보기로 하자.

통증과 물리치료

황성수,권혜정,Hwang, Seong-Soo,Kwon, Hei-Jeoung 대한물리치료과학회 1996 대한물리치료과학회지 Vol.3 No.4

Pain is a protective mechanism for the body in that it occurs when tissues are damaged. Patients who need physical therapy intervention has various pain. Thus, pain is one of aim for physical therpay. The purposes of this review are to give information and basic data for pain control which is related physical therapy. We discuss about pain pathways, pain theory, type of pain, variance which is affected pain, assessment tools, and managing pain.

한국의 정형도수물리치료 실태조사

황성수,김명준,전범수,Hwang, Seong-soo,Kim, Myung-joon,Jeon, Beom-su 대한정형도수물리치료학회 2021 대한정형도수물리치료학회지 Vol.27 No.1

Background: The purpose of this survey was to know the current states and future suggestions of orthopedic manual physical therapy (OMPT) system on Korea. Methods: Questionnaires were directly distributed to physical therapists who participated in the training and collected at the educational or clinical site. The questionnaire was sent and collected by E-mail. Data were classified into two groups, metropolitan and city, and clinical experience was grouped into four groups. Then, 337 subjects (male: 195, female: 142) were recruited from us. Results: The states of Korea, 72.1% of therapists have been executed orthopedic manual physical therapy, the fee of one treatment was 50,000 ~ 60,000 Korean won, the time of treatment was 21~30 minutes, the number of patients of one day was under 9. The suggestion of future orthopedic manual physical therapy of Korea, 83.4% of therapist were agreed with manual physical therapy system, the education center of certificate for manual therapist was manual therapy academic group, the career of clinical experiences was 3 years, the training hours was more 300 hours, academic degree was diploma. Conclusion: In the future orthopedic manual physical therapy proposal, the environment and education system differ from country to country, but Korean OMPT agreed to an accredited orthopedic manual physical therapy system and wanted systematic management.

체세포 복제란 이식 한우의 분만 전 혈장 Progesterone과 Estradiol-l7$\beta$ 농도 변화

황성수,최선호,장유민,고응규,양병철,임기순,민관식,성환후,Hwang, Seong-Soo,Choi, Sun-Ho,Chang, Yoo-Min,Ko, Yeoung-Gyu,Yang, Byong-Chul,Im, Gi-Sun,Min, Kwan-Sik,Seong, Hwan-Hoo 한국동물번식학회 2008 Reproductive & developmental biology Vol.32 No.3

본 연구는 한우 체세포를 이용하여 생산된 복제란을 한우 대리모에 이식하여 임신이 확인된 개체에서 임신 기간 중 주요 호르몬의 발현 특성을 인공수정으로 임신된 대리모와 비교 분석하고자 실시하였다. 한우 섬유아세포를 이용하여 생산된 체세포 복제란을 자연발정으로 동기화된 한우 대리모에 이식하여 임신이 확인된 개체를 공시하였으며(n=8), 대조군으로는 인공수정으로 임신된 대리모을 사용하였다(n=5). 발정 관찰 후 60일경에 직장검사로 임신을 확인하였다. 주요 스테로이드 호르몬인 progesterone(P4)와 estradiol-l7$\beta$ (E2) 농도는 방사선동위원소 면역분석시험(RIA) 방법을 이용하였으며, 혈중 cortisol 농도는 ELISA 방법으로 측정하였다. 인공수정한 대리모의 경우 E2 농도가 분만 시기에 급격하게 증가하였으나, P4 농도는 분만 시기에 급격하게 감소하는 경향을 나타내었다. 이에 반해 복제란 이식우의 혈장 P4 농도는 분만 50일 전부터 분만 10일전까지는 대조군과 유사하게 유지되었으나, 분만예정일에는 전혀 떨어지지 않고 높은 수준으로 유지되었다. 한편, 복제란 이식우에서 분만 때까지 정상적으로 임신이 유지된 대리모들의 경우는 임신 기간 동안 cortisol 농도는 임신 후반기까지 낮게 유지되며 별다른 변화를 나타내지 않았다. 반면에 유산이 일어난 개체의 경우에는 임신 100일경에 cortisol의 농도가 급격하게 증가하는 것을 확인하였다. 이상의 결과를 종합하여 보면, 복제란 이식우의 경우 분만예정일 전 후에 일어나는 급격한 호르몬의 변화가 일어나지 않음을 확인할 수 있었으며, 이러한 현상은 복제란 이식우의 분만 지연과 밀접한 관계가 있는 것으로 사료된다. This study was performed to analyze the characterization of plasma hormonal levels during pregnancy in the Hanwoo recipients pregnant by artificial insemination (AI) or somatic cell nuclear transfer (SCNT) embryos. The synchronized recipients pregnant by SCNT embryos produced by Hanwoo fetal fibroblast cells (n=8) and by AI (control, n=5) were used. The plasma hormonal levels were measured by RIA (P4 and E2) and ELISA (cortisol), respectively. In control, the increase of E2 and the decrease of P4 were occurred immediately before the initiation of parturition. The expression pattern of plasma P4 was similar in both groups from 50 to 10 days before parturition, however, it did not decrease even at the expected date of labor in the SCNT recipients. The plasma cortisol was expressed a lower level during pregnancy in the SCNT recipients. But, the cortisol was increased in the cow aborted around 100 days of pregnancy (n=1). Based on these results, it can be postulated that the failure of the hormonal changes immediately before parturition in the SCNT recipients may be one of the most important reasons for a delayed parturition in clone calving.

물리치료사들의 장애자인식에 대한 조사연구

황성수,권혜정,Hwang, Seong-Su,Gwon, Hye-Jeong 대한물리치료사협회 1990 대한물리치료사협회지 Vol.11 No.1

냉·온수적용이 편마비환자의 손기민성에 미치는 영향

황성수,조은숙,고지영,장은정,주재욱,손정일,심희정,이종현,Hwang, Seong-Soo,Cho, Eun-Sook,Ko, Ji-Young,Jang, Eun-Jung,Joo, Jae-Uk,Son, Jung-Il,Sim, Hee-Jung,Lee, Jong-Hyeon 대한고유수용성신경근촉진법학회 2011 PNF and Movement Vol.9 No.1

Background : This study was to investigate effect of hot and cold water for the hand dexterity. Methods : A total of 37 subjects having hemiplegia(men=6, women=11) and normal(men=10, women=10) were participated in this study. After both hands was soaked in the small tube for 1 minute, we measured 'making dots in circles(BOTMP)', 'lifting small objects(JHFT)', 'disk turning(MMDT)' test. Results : In the case of normal's dominant hand, there were statistically significant differences in all tests after soaked in the hot water but there were statistically significant differences in 'disk turning' test after soaked in the cold water. In the case of hemiplegia's unaffected hand, there were statistically significant differences in 'disk turning' test after soaked in the hot water but there were statistically significant differences in 'making dots in circles', 'disk turning' test after soaked in the cold water. In the case of hemiplegia's affected hand, there were statistically significant differences in 'lifting small objects', 'disk turning' test after soaked in the hot water but there were statistically significant differences in 'making dots in circles', 'disk turning' test after soaked in the cold water. Conclusion : The hot and cold water were affected in the hand dexterity. Especially, in the case of both normal and hemiplegia, there were statistically significant differences in 'disk turning' test after soaked in the cold and hot water. Therefore, We were founded that affected in gross movement than fine movement.

체세포 복제란 이식우의 분만 전.후 TGF-${\beta}_1$ 단백질 농도

황성수,장유민,고응규,양병철,임기순,김명직,민관식,윤종택,김창근,성환후,Hwang, Seong-Soo,Chang, Yoo-Min,Ko, Yeoung-Gyu,Yang, Byong-Chul,Im, Gi-Sun,Kim, Myong-Jik,Min, Kwan-Sik,Yoon, Jong-Taek,Kim, Chang-Keun,Seong, Hwan-Hoo 한국동물번식학회 2008 Reproductive & developmental biology Vol.32 No.1

본 연구는 체세포 복제란 이식우의 분만에 있어서 혈중 스테로이드호르몬, TGF-${\beta}_1$ 농도와 분만지연의 상관 관계를 살펴보고자 실시하였다. 대조군으로는 인공수정(AI)을 통하여 임신한 암소(cow)들을 사용하였다(AI-R). 모든 AI-R들은 자연분만(n=5, 임신 $284{\pm}0.71$일)을 하였다. 분만징후를 보이지 않는 체세포 복제란 이식우(n=5, SCNT-R)들은 분만 예정일보다 10일 정도 지난 임신 292일째에 제왕절개(Caesarean section, C-sec)를 실시하여 분만하였다. 혈액 및 태반 샘플을 분만 전.후에 채취하여 형태 및 중량 등을 측정하였다. 혈장호르몬인 Progesterone(P4)와 Estradiol-$17{\beta}$(E2) 농도는 방사선동위원소 면역 분석 시험(RIA) 방법을 이용하여 측정하였다. 혈장 및 태반분엽의 TGF-${\beta}_1$ 농도는 ELISA 방법으로 측정하였다. SCNT-R에서 회수한 태반의 무게는 AI-R의 것과 비교하여 유의적으로 무거웠다(p<0.05). 분만 직전 SCNT-R들의 혈장 내 P4 농도는 AI-R들의 그것과 비교하여 유의하게 높았다(p<0.01). 하지만 SCNT-R들의 혈장 내 E2 농도는 AI-R과 비교하여 상대적으로 낮게 나타났다(p<0.01). 한편, 분만 전.후 SCNT-R들에서 혈장 또는 태반분엽의 TGF-${\beta}_1$ 단백질 발현 수준은 AI-R들과 비교하여 각각 유의적으로 높은 수준을 유지하였다(p<0.01). 이상의 결과를 종합하여 보면, 분만 시 P4 및 E2의 이상 발현과 높은 수준의 혈장 및 태반 내 TGF-${\beta}_1$ 단백질은 체세포 복제태아의 분만지연을 야기하는 중요한 요인들 중의 하나일 것이라 사료된다. This study was performed to investigate the correlations between steroids and TGF-${\beta}_1$ levels and delayed parturition in SCNT clone calving. The recipients pregnant by AI were used as control (AI-R). All AI-R were labored by natural delivery (n=5, day $284{\pm}0.71$ of pregnancy). The recipients pregnant by SCNT embryo (SCNT-R) showing no signs of delivery about 10 days after expected date were operated by Caesarean section (n=5, day 292). The blood and placentome samples were obtained and weighed at parturition. The concentrations of plasma progesterone (P4) and Estradiol-$17{\beta}$ (E2) were measured by radioimmunoassay (RIA). The levels of plasma and placental TGF-${\beta}_1$ levels were examined by ELISA. The placentomes from SCNT-R were overweight (p<0.05) compared to those of AI-R. The plasma P4 (p<0.01) level in SCNT-R at parturition was significantly higher compared to that of AI-R. In contrast, the plasma E2 level in the SCNT-R was significantly lower compared to that of AI-R (p<0.05). The plasma and placental TGF-${\beta}_1$ protein levels in the SCNT-R were significantly higher than those of AI-R at parturition, respectively (p<0.01). Based on these results, aberrant expressions of steroid hormones and high levels of plasma and placental TGF-${\beta}_1$ protein at parturition may be one of the key indicators on delayed parturition of SCNT clone calving.

물리치료 과정과 문제중심 의료기록에 관한 조사

황성수,권혜정,Hwang, Seong-Soo,Kwon, Hei-Jeong 대한물리치료사협회 1988 대한물리치료사협회지 Vol.9 No.1

뇌졸중 환자에 대한 상지기능 평가도구의 검사자간 신뢰도

황성수,김푸름,원지인,유선주,윤준병,이근우,이왕재,Hwang, Seong-Soo,Kim, Pu-Reum,Won, Ji-In,Yoo, Seon-Ju,Yoon, Jun-Byung,Lee, Keun-Woo,Lee, Wang-Jae 대한고유수용성신경근촉진법학회 2012 PNF and Movement Vol.10 No.1

Purpose : To verify the interrater reliability of upper extremity function assessment among three tools(Wolf motor function test, Motor assessment scale, Fugl-meyer assessment scale). Methods : The subjects of this study 40 (20 was physical therapists and 20 was physical therapy students). For the test one patients with chronic hemiparesis after stroke participated in the study. The Wolf Motor Function Test consists of 16 functional tasks. The motor assessment scale consists of 3 functional tasks. The fugl-meyer assessment scale consists of 8 functional tasks. All test sessions were videotaped and scored by 40 subjects. Analysis : The data was analysis by SPSS PC 14.0 with Cronbach alpha Coefficients, intraclass Correlation Coefficients Kendall tau-b value. Results : WMFT was highly scored in Cronbach's value, Cronbach's ${\alpha}=0.819$ that means high interrater reliability among assessment. WMFT was highly scored all items in p-value except one item, that means high p-value between therapists and students. WMFT was highly scored in Intrarater correlation coefficient (ICC) = 0.79, that means high interrater reliability of each examination item. WMFT was low index of coincidence from all items, MAS was low index of coincidence from a tim and FMA was low index of coincidence from 4 items. Conclusion : The interrater reliability of WMFT were compared with MAS, FMA and highly verified. WMFT can be more useful tool among upper extremity function assessment.

운동조절능력의 평가

황성수,홍완성,Hwang, Seong-Soo,Hong, Wan-Sung 대한물리치료과학회 1995 대한물리치료과학회지 Vol.2 No.4

The purposes of this review are that 1) what is the the concept of motor control, 2) what is the content of motor control assessment, and 3) which instruments or scales are used in clinical setting. Motor control is defined broadly the control of both movement and posture. And motor control focuses on understanding the control of movement already acquired. The purposes of assessment are screening, placement to apprpriate treatment program, program plan, evaluation, and progress assessment for individuals. The content of motor control assessment is included not only fexibility, tone, reflex & reaction, muscle strength, movement pattern, balance, gait, and functional ability, but also cognition, arousal, sensation, and perception. There ars many kinds of instruments or scales for assessing motor ability. Most of materials are tested the validity and reliability. But Korea has not own instrument for assessing motor ability. Therefore, Korea needs to develop the assessing tools for motor ability.