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      • 동결견(凍結肩) 환자의 동서협진 치료의 임상효과 비교연구 : 견관절 가동운동범위(ROM) 변화를 중심으로

        남동우,김행범,양동훈,임사비나,김건식,이두익,이재동,최도영,이윤호 경희대학교 동서의학연구소 2006 東西醫學硏究所 論文集 Vol.2006 No.-

        Objectives : To establish an effective collaborate medicine treatment of acupuncture and western medicine for treating frozen shoulder patients. Methods : 59 voluntary patients were randomly assigned to Eastern treatment group(E group, n=22), Western treatment group(W group, n=17) and East-West treatment group(EW group, n=20). The E group received acupuncture treatment on LI15, TE14, GB21 and Master Dong's acupuncture points, Shin-gwan and Gyun-joong, twice a week for 4 weeks. The W group received suprascapular nerve block, subacromial injection and trigger point injection, twice a week for 4 weeks. The EW group received acupuncture and injection treatment including nerve block. All groups were instructed to practice self exercise during their daily lives. Evaluations were made before treatment and after treatment based on the change in shoulder Range of Motion(ROM) and the patient's satisfaction concerning the treatment was measured by Visual Analogue Scale(VAS). The obtained data were analyzed and compared. Results : The patient's satisfaction scores were E group 5.67, W group 7.73 and EW group 7.67. The E group and the EW group showed significant improvement in abbduction, adduction and flexion(p<0.05). The W group showed significant improvement in adduction(p<0.05). Abduction significantly improved(p<0.05) in the EW group compared to E group and W group. Flexion also showed improvement in the EW group, but the difference among the 3 groups was statistically insignificant. The three group's difference of change in extension and adduction was insignificant(p>0.05). Conclusion : Acupuncture and nerve block alone significantly improved ROM in frozen shoulder patients. Also collaborate treatment of acupuncture and nerve block significantly improved ROM in frozen shoulder patients. But the difference of the three treatments were significant only for improving abduction(p<0.05).

      • KCI등재

        동결견(凍結肩) 환자의 동서협진 치료의 임상효과 비교연구 - 견관절 가동운동범위(ROM) 변화를 중심으로 -

        남동우,김행범,양동훈,임사비나,김건식,이두익,이재동,최도영,이윤호,Nam, Dong-Woo,Kim, Haeng-Beom,Yang, Dong-Hoon,Lim, Sa-Bi-Na,Kim, Keon-Sik,Lee, Doo-Ik,Lee, Jae-Dong,Choi, Do-Young,Lee, Yun-Ho 대한침구의학회 2006 대한침구의학회지 Vol.23 No.5

        Objectives : To establish an effective collaborate medicine treatment of acupuncture and western medicine for treating frozen shoulder patients. Methods : 59 voluntary patients were randomly assigned to Eastern treatment group(E group, n=22), Western treatment group(W group, n=17) and East-West treatment group(EW group, n=20). The E group received acupuncture treatment on LI15, TE14, GB21 and Master Dong's acupuncture points, Shin-gwan and Gyun-joong, twice a week for 4 weeks. The W group received suprascapular nerve block, subacromial injection and trigger point injection, twice a week for 4 weeks. The EW group received acupuncture and injection treatment including nerve block All groups were instructed to practice self exercise during their daily lives. Evaluations were made before treatment and after treatment based on the change in shoulder Range of Motion(ROM) and the patient's satisfaction concerning the treatment was measured by Visual Analogue Scale(VAS). The obtained data were analyzed and compared. Results : The patient's satisfaction scores were E group 5.67, W group 7.73 and EW group 7.67. The E group and the EW group showed significant improvement in abbduction, adduction and flexion(p<0.05). The W group showed significant improvement in adduction(p<0.05). Abduction significantly improved(p<0.05) in the EW group compared to E group and W group. Flexion also showed improvement in the EW group, but the difference among the 3 groups was statistically insignificant. The three group's difference of change in extension and adduction was insignificant(p>0.05). Conclusion : Acupuncture and nerve block alone significantly improved ROM in frozen shoulder patients. Also collaborate treatment of acupuncture and nerve block significantly improved ROM in frozen shoulder patients. But the difference of the three treatments were significant only for improving abduction(p<0.05).

      • SCOPUSSCIEKCI등재
      • SCOPUSSCIEKCI등재
      • SCOPUSSCIEKCI등재
      • KCI등재

        蟠蔥散의 適應病理와 臨床活用에 關한 小考

        林樂哲,金聖勳,金東熙,全基石 대한동의병리학회 1998 동의생리병리학회지 Vol.12 No.2

        蟠蔥散은 《太平惠民和劑局方》에 收載된 이래, 胃腸, 少腹(下腹部), 前陰, 子宮 等의 虛寒(虛冷)性 症狀과 少陰人 裏寒證 等에 應用되고 있다. 蟠蔥散을 投與한 患者 106例를 對象으로 性別 및 年齡分布, 投與量, 處方構成, 症狀의 頻度 및 症候 分析을 한 결과 總 患者中 女子患者가 男子에 比하여 월등히 많았고, 投與 分量은 成人은 20貼 以內가 가장 많았으며 症狀의 頻度는 腹痛(右側下服痛, 小腹痛, 胃酸痛, 産後腹痛), 生理痛, 腰痛, 過敏性腸症候群, 不姙, 冷帶下順으로 나타났다. 本 方의 適應症은 虛冷에서 오는 疝氣作痛을 비롯해서 胃腸疾患, 胸脇背項에 連한 拘及痛, 小腹이나 外腎의 腫刺痛, 婦人의 子宮系疾患等으로 要約할 수 있으며, 特히 少腹冷痛과 四象 體質中 少陰人의 裏寒證에 效果的이었다. To use effective application of Ban Chong San(BCS) effectively, bibliographical study of BCS and clinical evaluation of BCS on distribution of sex, age, frequency of treatment and changes of symptoms of 106 patients treated with BCS from 1997. 9. 1. to 1997. 12. 31 at my clinic. The result were summarized as follows. 1. Among total 106 patient, a number of women and men were 90 (85%) and 16(15%) respectively 2. The number of children was 8.(7.5%) 3. Approximately, BCS was administrated to the adults for 10 days, 20 chups. 4. Chief symptoms were abdominal pain right abdominal pain, lower abdominal pain, stomachache, postpartal abdominal pain, menstrual pain, lower back pain, hypersensitive intestine syndrome, sterility, leucorrhea. 5. BCS can be effective in stabbing pain, gastric disease, terrible pain, connected chest back, stabbing pain of lower abdominal region or kidney region and uretus disease of women : induced by cold.

      • KCI등재
      • 한국의 외국인력 정책

        임현진,설동훈 서울대학교 사회과학연구원 2000 한국사회과학 Vol.22 No.3

        현행 외국인력 정책인 '산업기술연수제도'와 '연수취업제도' 의 문제점을 극복하기 위한 대안으로서 '고용허가제도' 의 내용을 탐색하고, 그 실시 방안을 설계한다.현행 외국인력 정책은 ①명분과 실제가 일치하지 않는 표리부동한 편법, ② 미등록노동자 수의 증가를 막는데 실패한 제도, ③ 외국인노동자 인권침해를 유발한 제도, ④ 외국인노동자 선발을 둘러싼 비리를 양산한 제도, ⑤ 미등록노동자가 산업연수생보다 법률적으로 우대받는 제도라는 치명적 문제점을 갖고 있다.본 연구는 외국인력 정책 대안으로서 고용허가제도의 내용을 정리하고, 구체적 시행계획을 설계하여 제시하고 있다.고용허가제도는 '국내 노동시장 보완성의 원칙' 과 '차별 금지의 원칙' 에 기초를 두고 있는데, 국내 외국인노동자에게 '근로자' 신분을 부여하여 합법적으로 취업할 수 있도록 하는 외국인력 관리 방식이다.고용허가제도가 실시되면 한국 정부의 직업안정기관이 외국인력 수입의 주체가 될 것이며, 송출비리와 불법체류자 양산 등 각종 문제를 해소할 수 있을 것이다. In this paper, we discuss various problems of Korea's current foreign labor policy instituted in such systems as the 'Industrial and Technical Training Program for Foreigner's(ITTP) and the 'Working After Training Program for Foreigners'(WATP).As and alternative to these current systems, we suggest an the 'Employment Permit Program for Foreigners'(EPP) and illustrate how this new system with public employment security organizations as labor importing agencies would help solve such problems as the rising number of undocumented workers in Korea. The ITTP, Korea's first foreign labor import scheme, prevents foreign workers-so-called industrial trainees-from acquiring proper working status and accompanying benefits.As such, industrial trainees and other undocumented migrant workers lack the means to protect themselves from abuses of employers and routine threats to deport them.In 1998, the WATP was introduced as an improvement to the ITTP.In this new system, trainees who pass certain skills tests after a two-year of industrial traineeship are allowed to enjoy workers rights under the Labor Standards Act and the Minimum Wages Act.However, the problems resulting from the ITTP remain as (1) industrial trainees continue to be abused and are still only de facto laborers; (2) the number of undocumented (or illegal) migrant workers has not been reduced with the WATP; (3) migrant workers' basic human rights continue to be violated; and (4) undocumented migrants are better paid than the legal industrial trainees, which further encourages the trainees to leave their designated work places. We propose the EPP as a solution to the above problems and discuss a detailed implementation plan of the system.This new system is based on the principles of local labor market complementarity and of non-discrimination of migrant workers.Once the Korean government passes and implements the Employment of Foreign Workers Act, as we propose in this paper, public employment agencies would bee able to import foreign workers as legitimate "laborers" to Korea way, it would become possible for the Korean society to reap the maximum economic benefits from the inflow of unskilled migrant workers without depriving the migrant workers of their social and economic rights.

      • KCI등재

        STRESS DISTRIBUTION OF ENDODONTICALLY TREATED MAXILLARY SECOND PREMOLARS RESTORED WITH DIFFERENT METHODS : THREE-DIMENSIONAL FINITE ELEMENT ANALYSIS

        임동열,김현철,허복,김광훈,손권,박정길 대한치과보존학회 2009 Restorative Dentistry & Endodontics Vol.34 No.1

        본 연구의 목적은 근관치료 된 치아를 구조와 물성이 다른 post와 core 그리고 전장관으로 수복한 후 과도한 교합하중을 가했을 때 치아에 나타나는 응력분포를 조사하기 위함이다. 발치 된 상악 제2소구치를 micro-CT로 단층촬영하고 3D Doctor로 윤곽선을 추출한 다음 HyperMesh Ver. 6으로 삼차원 치아모형을 만들고 다음과 같은 세 가지 방볍으로 수복한 유한요소모형을 제작하였다. 1) 스테인레스 스틸 포스트와 복합레진 코어 그리고 도재소부전장금관으로 수복한 모형 2) fiber 포스트와 복합레전 코어 그리고 전부도재관으로 수복한 모형 . 3)포스트, 코어와 전장관이 일체형인 간접복합레진 EndoCrown으로 수복한 모형. 형성된 모형의 협측 또는 설측교두에 500N의 하중을 가하였으며 하중의 방향은 치아 장축에 대해 45도 이었다. 치관부와 치근부의 von Mises 응력을 ANSYS 9.0 프로그램으로 분석한 결과 포스트와 코어의 형태보다는 전장관 재료의 탄성계수가 근관치료된 상악 소구치의 응력분포를 좌우하였다. 치관부에서는 재료의 탄성계수가 높은 전장관으로 수복한 모형이 낮은 응력분포를 보였다. 치근부에서는 재료의 탄성계수가 낮은 전장관으로 수복한 모형이 낮은 응력분포를 보였다 The purpose of this study was to evaluate the influence of elastic modulus of restorative materials and the number of interfaces of post and core systems on the stress distribution of three differently restored endodontically treatcd maxillary second premolars using 3D FE analysis Model 1, 2 was restored with a stainless steel or glass fiber post and direct composite resin. A PFG or a sintered alumina crown was considered. Model 3 was restored by EndoCrown. An obliquc 500 N was applied on thc buccal (Load A) and palatal (Load B) cusp. The von Mises stresses in the coronal and root structure of each model were analyzed using ANSYS. The elastic modulus of the definitive restorations rather than the type of post and core system was thc primary factor that influenced the stress distribution of endodontically treated maxillary premolars. The stress concentration at thc coronal structure could be lowered through the use of definitive restoration of high elastic modulus The stress concentration at the root structure could be lowered through the use of definitive restoration of low elastic modulus.

      • KCI등재후보

        한국어 조사의 하위 부류와 결합 유형

        임동훈 국어학회 2004 국어학 Vol.0 No.43

        본고는 한국어 조사 전체를 대상으로 분포와 의미가 상관적이라는 전제 아래 그 하위 부류를 나누고, 각 하위 부류 간에 존재하는 결합상의 제약과 결합 순서를 밝히고자 하였다. 격조사는 여러 통사적, 의미적 특성에 따라 문법격 조사와 의미격 조사로 나뉘는데 전자에는 ‘이/가, 을/를, 의’가, 후자에는 ‘에/에게, 에서, 으로/로, 와/과’가 속한다. 그리고 특수조사는 통합상의 특징과 의미의 성격에 따라 후치사와 첨사로 나뉘는데, 전자에는 ‘만, 까지, 다가, 밖에, 부터, 조차, 처럼, 같이, 보다, 만큼, 뿐, 대로’ 등이, 후자에는 ‘은/는, 이야/야, 도, 이나/나, 이라도/라도’가 속한다. 후치사는 기원적으로 보어를 취하는 명사나 동사가 문법화한 것으로서 선행 명사의 형태에 영향을 받지 않으며 의미격 조사에 후행하는 특징이 있고 첨사는 그 의미가 선행 명사구만을 한정하지 않아 항상 명사구의 맨 뒤에 통합하는 특징이 있다. 문법격 조사, 의미격 조사, 후치사, 첨사 간의 통합 관계는 명사 어기에 의미격 조사가 가장 가까이 오고 문법격 조사와 첨사가 가장 뒤에 오며 그 사이에 후치사가 끼어들 수 있다. 물론 후치사 앞에 의미격 조사가 항상 오는 것은 아니어서 명사 어기 뒤에 바로 후치사가 결합할 수도 있다. 그리고 의미격 조사는 의미가 조화될 수 있는 범위에서 제한적으로 서로 결합할 수 있고 후치사는 원칙적으로 서로 결합하지 않으며 문법격 조사와 문법격 조사, 첨사와 첨사, 문법격 조사와 첨사는 서로 결합하지 못한다. Korean has about 100 'Josa's and they can be combined with each other. So the total number of josa forms in Korean is too numerous to understand and predict their distributions. The purpose of this paper is to classify Korean josas on the basis of their syntactic and semantic properties, and to reveal the combination patterns between them. Korean josas are divided into case markers and non-case markers, and the former can be classified into grammatical case markers and semantic case markers. 'i/ga, eul/reul, ui' belong to grammatical case markers, and 'e/ege, eseo, euro/ro, wa/gwa' belong to semantic case markers. Non-case markers can be classified into postpositions and particles, and the former includes 'man, kkaji, daga, bakke, buteo, jocha, cheoreom, gachi, boda, mankeum, ppun, daero' etc, the latter includes 'eun/neun, iya/ya, do, ina/na, irato/rado' etc. Historically postpositions developed from nouns and verbs requiring syntactic complements, and comes after nominal bases and semantic case markers. Particles have some modal functions and comes farthest from the nominal bases. The combination patterns between grammatical case markers, semantic case markers, postpositions and particles are that semantic case markers comes closest to the nominal bases, and grammatical case markers and particles comes farthest from the nominal bases, and postpositions can be inserted between semantic case markers and grammatical case markers, particles. The combination between semantic case markers can be possible as far as theri meanings are coherent, and the combination between postpositions is very restricted, and the relation between grammatical case markers each other, and between particles each other, and between grammatical case markers and particles is exclusive.

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