진료비 가감지급의 방향과 과제

김선민,김계숙,김남순,Kim, Sunmean,Kim, Kyesook,Kim, Namsoon 한국의료질향상학회 2006 한국의료질향상학회지 Vol.12 No.2

미국 보건부의 질 향상활동

김선민,김재선,박영희,안미라,김형호,은상준,박건희,Kim, Sun Mean,Kim, Jae Sun,Park, Younghee,Ahn, Mi Ra,Kim, Hyeong-Ho,Eun, Sang Jun,Park, Kunhee,Shin, Youngsoo 한국의료질향상학회 2007 한국의료질향상학회지 Vol.13 No.1

양극산화법에 의한 TiO₂ 나노튜브 어레이의 제조와 성장거동

김선민,김기원,류광선,김유영,조권구,Kim, Seon-Min,Kim, Ki-Won,Ryu, Kwang-Sun,Kim, Yoo-Young,Cho, Kwon-Koo 한국분말야금학회 2011 한국분말재료학회지 (KPMI) Vol.18 No.1

Recently, $TiO_2$ nanotubes have considerably researched because of their novel application about photocatalysis, dye-sensitized solar cells (DSSCs), lithium ion battery, etc. In this work, self-standing $TiO_2$ nanotube arrays were fabricated by anodic oxidation method using pure Ti foil as a working electrode in ethylene glycole with 0.3M $NH_4F$ + $2%H_2O$. Growth behavior of $TiO_2$ nanotube arrays was compared according to temperature, voltage and time. The morphology, structure and crystalline of anodized $TiO_2$ nanotube arrays were observed by FE-SEM (field emission scanning electron microscope) and XRD (X-ray diffraction).

만주족과 인삼

김선민,Kim, Seonmin 고려인삼학회 2019 인삼문화 Vol.1 No.-

만주족의 선조인 여진족은 그들이 거주하는 만주의 자연환경에 따라 채집과 수렵활동을 주된 생계수단으로 삼았다. 여진족의 거주지는 대부분 삼림이 울창하고 하천이 발달하여 다양한 동식물의 서식지로는 적합했지만 농경에는 맞지 않았다. 여진족 사회조직 역시 채집과 수렵활동에 적합한 방식으로 형성되었고 그것은 이후 청나라 고유의 사회 군사조직인 팔기제도로 발전했다. 한편 채집과 수렵으로 획득한 자연자원을 주변의 농경사회과 교환하는 일은 여진 사회의 발전에 절대적으로 중요했다. 인삼을 비롯한 만주의 자연자원을 중원의 한인들과 교역하는 일은 오래전부터 있었지만, 대외무역이 여진 사회에 근본적인 변화를 초래할 만큼 확대된 것은 16세기의 현상이었다. 당시 외부에서 유입된 은은 중국 내지의 경제를 활성화시키고 나아가 만주를 비롯한 명의 변경지역의 경제에도 큰 영향을 미쳤다. 만주의 자연환경에 기초한 수렵 채집활동이 16세기에 이르러 중원에서 유입된 은과 조우하여 변경 사회를 자극했고, 분산되어 있던 여진 부락은 경쟁과 통일의 과정을 거쳐 마침내 만주족으로 변모하여 1636년 청나라를 건설하기에 이르렀다. 1644년 만주족은 중원 정복에 성공하고 북경으로 수도를 옮겼다. 중원으로 들어간 후에도 청황실의 만주족은 만주 인삼의 가치를 잊지 않았을 뿐만 아니라 그 이익을 독점하기 위해 많은 노력을 기울였다. 17세기 말까지 만주 인삼은 만주족의 제도인 팔기를 중심으로 운영되었다. 만주에 주둔한 팔기 병사들은 민간인의 출입을 통제하여 인삼의 생산지를 한인의 접근으로부터 보호했다. 만주 인삼의 채취는 황실 내무부, 부트하 울라 총관, 성경상삼기 등 황제에게 직속된 기구에서 담당했다. 이들은 부트하 병정이나 팔기 병정을 파견하여 지정된 장소에서 정해진 액수의 인삼을 채취하여 납부하게 했다. 황실의 귀족만이 만주에 사람을 보내 인삼을 채취할 수 있는 특권을 누렸고, 그조차 엄격히 제한되었다. 18세기도 만주의 인삼은 여전히 국가에 의해 독점적으로 관리되었다. 청의 인삼 정책은 황실의 발상지인 만주와 그 자연자원을 민간인의 침탈로부터 보호하고 만주족 고유의 전통을 유지한다는 원칙에 따라 운영되었다. 동시에 만주의 인삼은 국가의 중요한 재정 수입원으로 개발되었다. 국가가 필요한 만큼의 수입을 징수하기 위해서는 인삼을 대량으로 채취해야 했는데, 부트하 병정이나 팔기 병정을 파견하는 것만으로는 안정적인 인삼세수를 기대할 수 없었다. 그 결과 상인들이 인삼업에 개입하기 시작했고 청의 인삼 정책은 이후 점점 더 상인에 의존하는 방향으로 발전해갔다. 청대 인삼의 국가 독점은 1853년에 공식적으로 중단되었지만, 부유한 상인이 채삼인을 고용하고 인삼을 대신 납부하는 현상은 18세기에 이미 나타나고 있었다. 청대 만주족의 인삼 독점은 사실상 한인 상인의 참여로 유지되었다고 할 수 있다. The Jurchens, the ancestors of the Qing Manchus, had lived scattered in Manchuria and had made their living mostly on ginseng gathering and animal hunting. Their residential areas, rich with deep forest and numerous rivers, provided great habitation for all kinds of flora and fauna, but not so proper for agriculture. Based on their activities of foraging and hunting, the Jurchens developed a unique social organization that was later transformed into the Banner System, the most distinctive Qing military institution. By the sixteenth century, that the external trade brought considerable changes to Jurchen society. A huge amount of foreign silver, imported from Japan and South America to China, first invigorated commercial economy in China proper, and later caused a huge influence on Ming frontier regions, including Manchuria. In the late sixteenth century when the tradition of foraging and hunting encountered with silver economy, the Jurchen tribes became unified after years of competition and transformed themselves into the Manchus to build the Qing empire in 1636. In 1644 the Manchus succeeded in conquering the China Proper and moved into Beijing. Even after that, the Manchu imperial court never forgot the value of Manchurii ginseng; instead, they paid great efforts to monopolize this profitable root. Until the late seventeenth century, the Qing court used the Banner System to manage Manchurian ginseng. The banner soldiers stationed in Manchuria checked unauthorized civilian entrances in this frontier and protected its ginseng producing mountains from the Han Chinese people. All the process of ginseng gathering was managed by the institutions under the direct control of the imperial court, such as the Imperial Household Department, the Butha Ula Office, and the Three Upper Banner in Shengjing. Banner soldiers were dispatched to the given mountains, collect the given amount of ginseng, and send them to the imperial court in Beijing. The state monopoly of ginseng was maintained throughout the eighteenth and nineteenth centuries under the principle that Manchuria and its natural resources should be guarded from civilian encroachment. At the same time, Manchurian ginseng was considered as an important source of state revenue. The imperial court and financial bureau wanted to collect ginseng as much as they needed. By the late seventeenth century as the ginseng management by the banner soldiers failed in securing the ginseng tax, the Qing court began to invite civil merchants to ginseng business. During the eighteenth century the Qing ginseng policy became more dependent on civil merchants, both their money and management. In 1853 the Qing finally ended the ginseng monopoly, but it was before the early eighteenth century that wealthy merchants hired ginseng gatherers and paid ginseng tax to the state. The Qing monopoly of ginseng was in fact maintained by the active participation of civil merchants in the ginseng business.

체감의이인탕(體感薏苡仁湯) 복용(服用)과 전침시술(電鍼施術)이 체지방(體脂肪) 감소(減少)에 미치는 효과(效果) (한방치료((韓方治療)의 부분비만(部分肥滿) 개선(改善) 효과(效果))

김선민,김길수,Kim, Sun-Min,Kim, Kil-Soo 한방비만학회 2002 한방비만학회지 Vol.2 No.1

Background & Methods: In order to study the effect of electro-lipolysis-acupuncture, 57 outpatients who have had herbal medication in Kirin Oriental Hospital were devided to two groups; acupuncture-treated group(46) vs non-acupuncture-treated group(11) Acupuncture-treated group was given electro-lipolysis-acupuncture at least two times a week and administered with herbal diet medication, whereas non-acupuncture-treated group was administered only with herbal diet medication. Results: Mean age, body weight and BMI of these two group at the start point of the treatment were $27.22({\pm}7.64)\;vs \;29.09({\pm}8.73),\;67.76({\pm}9.34)\;vs\;67.00({\pm}10.69),\;and\;26.20({\pm}3.02)\;vs\;26.14({\pm}4.10)$ in the order of acupuncture-treated and non-acupuncture groups. After one month of treatment, change rate of body weight, BMI, total fat, percentage of fat was significantly higher in acupuncture-treated group. Also the change rate of arm circumference, hip circumference and thigh circumference was significantly higher in acupuncture-treated group. The change rate of abdominal circumference and WHR of acupuncture-treated group was higher than that of non-acupuncture-treated group with no statistical significance. The circumference reduction rate according to herbal dieting program was higher in this order, abdomen, arms, chest, thighs and hips. On the other hand, chest circumference change rate over weight loss rate, which is the portion no acupuncture treatment was given to, and AMC change rate was higher in non-acupuncture-treated group. Conclusion: These results imply that herbal dieting program combined with electro-lipolysis-acupuncture is more effective on reducing body fat, size reduction of localized obesity and preservation of muscle than herbal prescription only dieting program.

백서 주령에 따른 carboxyhemoglobin의 해리양상에 관한 실험적 연구

김선민,김헌,조수헌,Kim, Sun-Min,Kim, Heon,Cho, Soo-Hun 대한예방의학회 1991 예방의학회지 Vol.24 No.4

One, two, six and ten week old Sprague-Dawley rats were exposed to carbon monoxide at 3,700 ppm for 30 minutes, and carboxyhemoglobin was measured immediateley. 5, 30, 60, 90, 120 minutes after the exposure. In each time after the exposure, the means of the carboxyhemoglobin levels were compared among the week age groups. The regression analysis was done using the natural logarithm of the carboxyhemoglobin concentration as a dependent variable and the time after the exposure as an independent vaiable. From the regression equation, the half lives of the carboxyhemoglobin were calculated. The one week old rats showed significantly higher carboxyhemoglobin level than other week age rats in the entire time after the exposure. The corrected carboxyhemoglobin concentration calculated by subtracting the normal carboxyhemoglobin level from the measured carboxyhemoglobin at each age group, showed no uniform differences. 백서 주령이 일산화탄소(CO) 폭로후 carboxyhemoglobin (HbCO) 형성 및 해리에 미치는 영향을 관찰하기 위하여 주령 1주, 2주, 6주 및 10주의 Sprague-Dawley계 백서에 일산화탄소를 폭로시킨 후 HbCO를 측정하여 다음과 같은 결론을 얻었다. 1. CO에 급성으로 폭로된 후 형성되는 HbCO의 농도는 백서 주령에 따라 유의한 차이를 보였으며, 이는 1주군에서 현저히 높았고, 폭로후 120분이 경과되어도 다른 주령군에 비하여 유의하게 높았다. 2. CO에 폭로되지 않은 백서에서의 HbCO농도는 각 주령군마다 유의한 차이를 보였으며, 비폭로군에서 얻어진 주령별 평균 HbCO농도를 CO폭로후 얻어진 개개의 관측치에서 뺀 후 이를 비교한 결과 1.에서와 같은 차이를 보이지 않았다. 3. CO폭로후 경과시간과 HbCO 농도와의 관계를 알아보는 회귀분석에서 폭로후 경과시간은 HbCO농도에 유의한 영향을 미치며, HbCO가 해리되는 속도는 주령 1주군에서 유의하게 높았다.

창출(蒼朮) 에탄올 추출물이 비만세포 매개 염증반응에 미치는 영향

김선민,김경준,Kim, Sun-Min,Kim, Kyung-Jun 대한한방안이비인후피부과학회 2011 한방안이비인후피부과학회지 Vol.24 No.1

Objective : Atractyloides Chinensis Rhizome (ACR) is widely used in oriental medicine as a remedy for an inflammation and an allergic disease. However, as yet there is no clear explanation of how ACR affects the production of inflammatory cytokine. This study was to determine the effects of ACR on the mast cell-mediated inflammatory responses. Method : The amount of inflammatory cytokine production induced by the phorbol myristate acetate (PMA) plus calcium ionophore(A23187) in the human mast cell line (HMC-1) incubated with various concentrations of ACR was measured. The TNF-${\alpha}$ protein levels were analysised by Western blots. The TNF-${\alpha}$, IL-6 and IL-8 secreted protein levels were measured by the ELISA assay. The TNF-${\alpha}$, IL-6 and IL-8 mRNA levels were measured by the RT-PCR analysis. NF-${\kappa}$B, phospho-I${\kappa}$B and MAPKs were examined by Western blot analysis. The NF-${\kappa}$B promoter activity was examined by a luciferase assay. Results : 1. The expressions of TNF-${\alpha}$ and TNF-${\alpha}$ mRNA were decreased dose-dependently at 0.05-0.2mg/$m\ell$ of ACR and significantly decreased at 0.2mg/$m\ell$. 2. The expressions of IL-6 and IL-6 mRNA were decreased dose-dependently at 0.05-0.2mg/$m\ell$ of ACR and significantly decreased at 0.2mg/$m\ell$. 3. The expressions of IL-8 and IL-8 mRNA were decreased dose-dependently at 0.05-0.2mg/$m\ell$ of ACR and significantly decreased at 0.2mg/$m\ell$ specially. 4. The expressions of Phosphorylated-JNK were decreased, not p38, ERK 5. The expressions of NF-${\kappa}$B were decreased dose-dependently at 0.1-0.2mg/$m\ell$ of ACR. The expressions of Phosphorylated I${\kappa}$B were significantly decreased at 0.2mg/$m\ell$. In addition, ACR suppressed PMA plus A23187-induced NF-${\kappa}$B promoting activity. Conclusion : It is suggested that ACR should suppress through inhibition of NF-${\kappa}$B activity and cytokine production.

우리나리 보건복지 사업의 전망과 과제

김선민,Kim, Seon-Min 한국가톨릭의료협회 2002 한국가톨릭병원협회지 Vol.32 No.-

악관절 환자에서 Bite block을 이용한 역동적 자기공명 영상의 유용성

김선민,이평재,권영호,Kim Sun Min,Lee Pyeong Jae,Kwon Young Ho 대한방사선사협회 2004 대한방사선사협회지 Vol.30 No.1

Purpose : When wish to confirm form of purpose temporomandibularl joint negative plate and degree of displacement, application of own fairness reflex can supply much diagnostic data. Market wished to search usefulness of own fairness roller retroaction en

완충녹지 활용의 적정성 평가 -대전시 서구 완충녹지를 대상으로

김선민,이시영,Kim, Sun Min,Lee, Shi Young 한국토지주택공사 토지주택연구원 2019 LHI journal of land, housing, and urban affairs Vol.10 No.4

This study was started to study the buffer zone of Daejeon metropolitan city in order to study the policy and environment for the suitability evaluation of the use of green buffer zone. The target of the study was selected as the buffer zone of western buffer, which is frequently used in the Daejeon Metropolitan City, and a preliminary index was selected to evaluate the suitability of the green buffer zone. AHP analysis was conducted to increase the reliability of the preliminary indicators and the weight was analyzed by questionnaires to experts and practitioners. In addition, based on the existing statistical data, we rebuilt the green buffer zone and investigated the current condition, and compared and analyzed the green buffer zone and the places where they did not. The results are as follow. First, unlike the statute interpretation that construction can not be done in buffered green spaces, green buffer zones have been utilized in various ways. However, the lack of advanced citizen consciousness of the residents, the responsibility of the responsible person, and the problem of the management office alone are causing problems. Second, according to the results of AHP questionnaire analysis, functional and stability among the appropriateness indexes of green buffer zone utilization were evaluated highly. Park accessibility and utilization potential also weighed somewhat, and it was judged that the epochal trend was more important in the use of green buffer zones. Third, analysis of the status of Western green buffer zones in Daejeon showed that the utilization rate was more than half. This suggests the necessity of judging the appropriateness of the application of the green buffer zone effectively due to the change of the perception of the green buffer zone of the residents. Fourth, as a result of comparing and analyzing the site where the site is used and the site where it is not, it is found that it is used within a range that does not greatly affect each index. However, as the stability has decreased, we have decided that the utilization method is most damaging to the green zone, and we should strive to improve the stability in future. Finally, the analysis of a red clay road and a red clay road sites decreased from Class I of stability to Grade II. However, the fall figure showed a difference between the 13 % drop rate of the target location and the 5% decline rate of utilization. The difference was analyzed as the difference of width of a red clay road. This can be regarded as one of the ways of damaging the green zone to the minimum extent, which is a great advantage in selecting the future utilization plan.