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      • KCI등재
      • KCI등재후보

        온열요법과 기치유요법이 어깨근통증 압통역치에 미치는 영향

        이석복 ( Lee Seok Bok ),이민선 ( Lee Min Sun ),이형환 ( Hyung H Lee1 ) 한국자연치유학회 2014 Journal of Naturopathy Vol.3 No.1

        In this study, we wanted to understand the influence of thermotherapy, Qi-therapy, and their combination therapy on the oppressive muscular pains in shoulders. For the clinical study, 102 subjects were divided into 3 groups of thermotherapy, Qi-therapy, and the combination therapy to see the differences in the therapeutic effects. The treatments were taken 5 times for 2 weeks in 3-day intervals and pre- and post-treatment assessments were undertaken for the visual pain assessment (VAS, visual analogue scale) and experimental pressure threshold in 8 points in the relevant muscles (PPT). VAS score was decreased by 39% after thermotherapy, 66.5% after Qi-therapy, and 72.3% after combination therapy, all with significance (p<.05). The experimental pressure thresholds of shoulder muscles, the upper trapezius muscles, the lower trapezius muscles, the anterior trapezius muscles. the supraspinous muscles, the greater pectoral muscles, and the sternocleidomastoid muscles were increased by 4.3~11.3% after thermotherapy, 5.9~19.9% after Qi-therapy, and 9.3~25.4% after combination therapy. The experimental pressure thresholds in the 8 points in the relevant muscles did not show a significant difference between the Qi-therapy and combination therapy in the upper and lower trapezius muscles, however, did show a significant difference to the thermotherapy. In the shoulder muscles, anterior and posterior trapezius muscles, supraspinous muscles, supraspinous muscles, greater pectoral muscles, and sternocleidomastoid muscles, there were significant superiorities in Qi-therapy over thermo therapy, and in the combination therapy over Qi-therapy. In conclusion, it could be understood that both thermotherapy and Qi-therapy have been effective in the improvement of pains, and especially combination therapy showed better effectiveness. It is expected to apply these natural therapies to the pain treatment of human body to contribute to the improvement of health and welfare.

      • KCI등재

        지역사회 정신의학 전공의 교육과정 실태조사

        홍진표,황순찬,이영문,이선형,신나리,이종일,박종익,장동원,정인원 大韓神經精神醫學會 2008 신경정신의학 Vol.47 No.1

        Objectives : There is a increasing need to recruit and retain more psychiatrists who can plan and implement organized programs to work with chronic mentally ill patients in community settings. The aim of study is to discover what training is currently in place to prepare psychiatrist for work in "community" or "public" settings. Methods : Survey questionnaires were mailed to 85 residency training directors and 10 leaders of community mental health in 2005. Response rate was 75%. Results : Academic seminar about community mental health were not administered to residents in 63% of training hospitals. Forty one out of 64 training hospitals had community mental health rotation programs, Community mental health center (50%) and day hospital (36%) were the most common type of programs. Few general hospital had affiliation with community mental health programs. The amount of time for clinical rotation varied from less than three months part time to 6 months fulltime, with most frequent form of one day per week for three month in second or third year of psychiatry residents. Conclusion : Further steps are needed to improve residency training curricula and to encourage well qualified psychiatrist to choose careers in community psychiatry.

      • 관상동맥 질환에서 SDF-1α의 농도

        김보영,박용규,박형서,노상필,정승현,이유선,이정우,이재환,최시완,정진옥,성인환 충남대학교 의과대학 의학연구소 2003 충남의대잡지 Vol.30 No.1

        Atherosclerosis is now viewed as an inflammatory disease of the vascular system. Expression of several chemokines, including monocyte chemoattractant protein(MCP)-1, MCP-4, RANTES(regulated on activation normal T-cell expressed and secreted), and interleukin-8(IL-8) are increased in human atherosclerotic plaques compared with normal vessels. They are involved in the pathogenesis of atherosclerosis and plaque rupture by activating and directing leukocytes into the atherosclerotic lesions. However, some are involved in homeostatic functions such as normal leukocyte traffic and growth regulation. SDF-la is a multi-functional cytokine that is involved in myelogenesis, hematopoiesis, angiogenesis and injured gastric mucosal regeneration in the gastric ulcer patient. SDF-la is recently shown to be highly expressed in atherosclerotic plaques and a potent platelet agonist. At least in high concentrations, SDF-la may mediate antiinflammatory and matrix stabilizing effects in unstable angina. Many studies are going on to know the function of SDF-la in coronary artery diseases. I investigated the difference of the plasma level of SDF-la between control group and coronary artery disease group. Total 75 subjects were enrolled. The diagnosis of coronary artery disease was confirmed in all patients by coronary angiography. Control subjects in this study were confirmed normal by coronary angiography. Clinical profile and risk factors were also reviewed. Control subjects in this study were 27 (M=10, F=17). Plasma for the study was collected before the angiography and centrifuged. SDF-la analysis was performed by ELISA. Plasma level of SDF-la is significantly increased in patients with stable angina(n=20) and unstable angina group(n=28) compared with healthy control group(n=27). the risk factors do not influence the plasma level of SDF-la in coronary artery diseases. In this study, plasma level of SDF-la is increased in patients with stable angina and unstable angina groups compared with healthy control group(P<0.05). the risk factors do not influence the plasma level of SDF-la in coronary artery diseases.

      • <소>에 나타난 갈등 구조

        이선형 김천대학교 2003 김천대학교 논문집 Vol.24 No.-

        In the narrative literature, especially in the dramatic text, the ele- ment the most important that causes the dramatic tension is the con- flicts. We can thus seize the relation between the dramatis personae, their characters, and the structure of the scene depending on the analy- sis of the conflicts. The conflicts of various aspects are appeared also in "the Bull" of You Chi-Jin. This play estimated that present well the tragic situation of the Korean farmers under the colonization by the Japan. The bull consid- ered as the most precise fortune for the peasant family is situated in the center of the conflicts. Gukseo is a typical farmer and a tenant. His two sons covet each other the bull. For the first son, the bull is the funds for the marriage, while it is the cost of the voyage for the second who want to leave his home town. They can resolve their each problem with this bull. By the way, the proprietary of the rice field attempts to confiscate this bull under the cloak of Gukseo's debt. This conflict around the bull and the intrigue de the play are unfolded in this structure. After all, it is the proprietary who holds the bull. However, Gukseo doesn't resist from the injustice. Why does not he resist this extortion? We critique often that it s caused by his character: ambiguous, irres- olute, etc. It is true that he has not any intention to react against the absurd reality. It seems that the tragedy of his family derives from the obscure attitude of the hero. Because Gukseo is taken away the bull, his first son cannot marry and his second son cannot leave this territory. All of his family fall in the despaired situation. What means the character of Gukseo? What is reveled by the struc- ture of conflicts? The hero, has he the tendency of the skepticism or the defeatism while he denies the revolt and accepts his miserable situa- tion? Differently from his father, the first son resists actively against the proprietary. He sets finally proprietary's storehouse on fire. We can. compare there the style of the resistance of Gukseo and one of his son. For latter, the revolt is strong, but short. He is arrested by the police and his revolt is finished like that Contrarily. Gukseo having a irres- olute. Consequently, the life style of Gukseo can be a form of the resistance, weak but strong, as like the miners of Germ who descendent silently to the end of the novel in the mine waiting for the germ.

      • KCI등재

        노인 가계지출구조 분석을 통한 집단 내 이질성에 대한 연구

        이선형,김근홍 한국사회복지정책학회 2003 사회복지정책 Vol.16 No.-

        본 연구는 노인의 가계지출구조를 통해 노인가계의 집단의 특성을 분석하고 이를 통해 집단내의 이질성을 탐색하는 데에 목적이 있다. 우리 나라의 노인문제나 그에 대한 문제 의식은 근대화의 속도만큼이나 빠르게 진행되고 있다. 이에 따라 노인에 대한 많은 연구들이 이루어지고 있으며, 노인집단의 특성별 차이를 부분적으로 다루어 분석한 연구들은 더러 있으나 노인집단 내에서의 이질성에 초점을 맞추어 분석한 연구는 전무한 실정이다. 이에 본 연구는 통계청의 1999년도 도시가계조사 원자료를 통해 노인을 여러 집단으로 나누어 이들의 가계지출패턴이라는 분석 틀을 이용해 각 집단의 특징을 유형별로 분석하였다. 그 결과 전반적으로 집단별로 분석해도 일관적으로 나타난 것은 식료품비와 주거비의 비중이 높다는 것이다. 즉 소비지출에서 식료품비가 차지하는 비율로 측정되는 엥겔계수가 높아 생활수준은 전반적으로 낮다고 볼 수 있다. 다음으로 노인의 특징에 따른 집단을 구분하여 살펴보면, 비록 소비지출액수의 다소에 따른 가계지출 패턴에서는 큰 차이를 나타내지 않았지만, 건강상태와 취업상태에 따라서는 차이를 나타냈다. 이러한 결과는 노인가계의 유형을 다양화하는 작업이 필요함을 시사하는 것이라 하겠다. 그럼으로써 노인이 동질적인 집단이라는 인식변화에 도움이 될 것이라 사료된다. 더욱이 노인에게 서비스를 제공하는 이들에게도 이들의 생활양식에 맞는 다양하고 구체적인 정책적 활용방안을 보여줄 수 있을 것이다. The purpose of this study is investigation about the heterogeneous characteristics of the elderly group through analysis of the household expenditure between the elderly. Korean elderly problem and a critical mind about it is progressing as rapid as modernization speed. Till now many study were accomplished, but there is not the study about heterogeneity between the elderly group. Therefore this study is analyzed out heterogeneous characteristics the elderly only using. Income and Expenditure Survey, national data by NSO(National Statistical Office). Final result is as follow. It is large proportion of food expenditure and house expenditure. Because Engel Coefficient(proportion of food expenditure) means level of living, that means the living of the elderly only is not so good. Next, according to not the consumption level but the condition of health and employment, household expenditure pattern is different result. This result means that there is different living pattern. And it is necessary of different and proper service through the patternization of the elderly. This will be of use to change a fixed idea about the elderly and to offer policy suggestions to service provider ton the elderly.

      • 완전 방실차단을 동반한 급성 심근염

        이유선,정진옥,박용규,박형서,노상필,정승현,김정희,이재환,최시완,성인환 충남대학교 의학연구소 2003 충남의대잡지 Vol.30 No.2

        급성 심근염환자에서 발행한 완전 방실차단을 영구 심장박동 조율기로 치료한 1예를 경험하였기에 문헌고찰과 함께 보고하는 바이다. Myocarditis, an inflammatory process involving the myocardal wall, may be caused by most infectious agents. Irrespective of its etiology, it presents commonly with evidence of heart failure, hypotension, and various electrocardiographic abnormalities. Patient with myocarditis may be asymptomatic or may have a rapidly progressive fatal disease. Medical management of patients with myocarditis includes specific therapy for underlying infection and control of the complication of myocarditis such as congestive heart failure and arrhythmia. Recently we had experienced myocarditis with complete atrioventricular block in 37-year-old man. Although he had shown complete recovery of heart failure, he had shown complete atrioventricular block, so we inserted permanent pacemaker. We report it with review of the literature.

      • KCI등재

        Overlay 기반의 WiBro와 WLAN 이종망 연동을 위한 Vertical 핸드오버 구현 및 성능 측정에 관한 연구

        이재호,류형근,강선무,이재용,김승천 한국정보사회진흥원 2007 정보화정책 Vol.14 No.3

        유비쿼터스 사회를 위한 미래 네트워크는 다양한 이종 무선망이 혼합된 형태가 될 것으로 예상되고 있다. 본 논문에서는 개별 무선망의 특징을 최대한 활용하여 1,270,000㎡ 면적의 KAIST(Korea Advanced Institute of Science and Technology) 대학교 캠퍼스에 IEEE 802.16e/WiBro와 IEEE 802.11/WLAN 를 복합적으로 설치하여 건물외부에서는 WiBro, 건물내부에서는 WLAN으로 자동 스위칭 되는 Vertical 핸드오버 System을 구축하고 이동 성능을 분석하였다. 이종망 통합 과정에서 제조사 및 통신사업자의 사정으로 인하여 Mobile IP를 지원하지 않는 라우터들이 존재하였고, 특히 현재 WiBro에 사용되는 ACR(Access Control Router)은 Mobile IP를 지원하지 않기 때문에 이를 해결하기 위하여 Overlay 기반의 Mobility 기법을 적용하였다. 본 연구에서는 실제로 대규모 통신망을 구현하고, 이에 대한 성능시험을 시행한 후 handover delay 시간 분석을 통한 현장 적용 가능성 및 개선 필요사항을 도출하였다. 그 결과 이종망간 핸드오버 시간은 평균 2.58초로써 일반 데이터 서비스는 이종망간 연속성이 보장됨을 확인하였고, 음성∙영상과 같은 실시간 서비스는 중간에 지연시간이 발생하나 응용서비스 세션 자체는 유지됨을 확인하였다. The future network is forecast with the fact that the form where the various heterogeneous wireless networks. In this paper we build both IEEE 802.16e/WiBro and IEEE 802.11/WLAN network on the KAIST(Korea Advanced Institute of Science and Technology) campus(1,270,000m2) as well as established the vertical handover system which supported WLAN in the building and WiBro outside the building. A Mobile IP is considered for the efficient vertical mobility function in IEEE 802.16/WiBro and IEEE 802.11/WLAN environment. However, during the deployment of WiBro, only some of the ACRs(Access Control Router) can support the Mobile IP function. Therefore, WiBro network can not support the mobility function for the mobile node. In this paper, we implement an overlay-based Mobile IP function and measure the performance through a field trial. Moreover, we evaluate the possibility of commercial deployment and suggest areas that need to be improved. The average handover time between WiBro and WLAN was 2.58 seconds. As a result, the user application session maintained but real time applications were delayed during the handover time.

      • KCI등재

        수종 치과재료의 제I급 와동에서의 변연 누출에 관한 실험적 연구

        이선희,손흥규,최형준 大韓小兒齒科學會 1996 大韓小兒齒科學會誌 Vol.23 No.1

        Microleakage is a problem of all filling materials of losted teeth structure and is clinically undetectable. Because marginal leakage may be responsible for pulp irritation, pulp inflammation, necrosis and recurrent caries, it is essential to prevent and control it. For the evaluations of microleakage of various class I filling materials, 175 extracted teeth were filled with amalgam, light curing composite resin, glass inomer cement, IRM and Fermit-N. After thermocycling, speciemens were placed in 1% methylene blue dye solution for 24 hours in an incubator set 37℃. The teeth were sectioned at filling body center and margin and degree of dye penetration was observed with a stereomicroscope. The following results were obtained. 1. Light cured composite resin has the excellent results and microleakage is increased in the order of amalgam, IRM, Fermit-N, glass ionomer cement.(SAS-6.0 system) and there was a statistically significancy in marginal leakage for each filling materials.(Kruskal-Wallis analysis, P<0.05) 2. Microleakage of the center and margin was statistically insignificant (Mann-Whitney analysis P<0.05) 3. There was less microleakage for amalgam than light cured composite resin but was statistically insignificant (Mann-Whitney analysis, P<0.05) and also showed less marginal leakage for Fermit-N compared to glass ionomer cement but also was statistically insignificant. (Mann-Whitney analysis, P<0.05).

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