PubMed를 통한 소아질환에 대한 침술치료 연구의 최신 동향

김장현,박보경,Kim, Jang-Hyun,Park, Bo-Kyoung 대한한방소아과학회 2005 대한한방소아과학회지 Vol.19 No.1

Objectives : We aimed at reviewing the studies related to the treatment of children by acupuncture therapy. Methods : We referred to PubMed by using searching words of acupuncture and the terms of pediatrics, such as child, children, adoiescence, baby, infant, juvenile. 22 journals with 23 paper were searched and reported. Results : 1. We found 23 articles in 22 journais, whose authors were in China, Japan, Germany, Russia, America, Brazil, etc. 2. Clinical trial was the method which these studies had used mostly the pattern of the rest were reviews, case reports of undetermined articles. 3. We analysed articles and found many articles of nocturnal enuresis, postoperative vomiting, etc. 4. The result of clinical studies represented the significant cure rate. 5. The acupuncture instruments on children's diseases were laser acupuncture, acupressure. and herbal skin sticking as well as body acupuncture,. Conclusion : Study of pediatric acupuncture was increasing and effective result was reported.

뇌성마비(腦性痲痺)의 한의학적(韓醫學的) 접근(接近)에 관한 최신(最新) 동향(動向)

김장현,한윤정,Kim, Jang-Hyun,Han, Yun-Jeong 대한한방소아과학회 2003 대한한방소아과학회지 Vol.17 No.2

Back ground : Cerebral palsy(CP) is a static encephalopathy caused by an insult to the brain during the prenatal, perinatal, or postnatal period (ie, up to 2 years). CP can lead to global dysfunction but always includes motor problems Objective : The purpose of this study is to investigate the current tendency of oriental approach to the CP and promote oriental treatment of CP in Korea Method : Investigation of current literature and clinical paper in Korea and Chinese Result and Conclusion : 1) CP fall under the category of wu-chi(five kinds of retardations : 五遲), wu-ruan(five kinds of flaccidity : 五軟), wu-ying(five kinds of Stiffness : 五硬) in oriental medicine and correspond to naoxing-tanhuan in current chinese medicine. 2) CP is mainly caused by weakness of the liver and kidney(肝腎不足), weakness of the spleen and stomach(脾胃虛弱), and the method of treatment is tonify the liver and kidney(補益肝腎), tonify the spleen and replenish qi(補脾益氣), but yu-chi(the faculty of speech : 語遲) is caused by deficiency of the heart(心虛) so that treated with method of invigorating the heart and nourishing blood(補心養血). Recently blood stagnancy the stagnation of qi(氣滯血瘀) is considered as the cause of CP, promoting qi circulation to invigorate blood(行氣活血) is mentioned the treatment of method. 3) In addtion to a herbal medication and acupuncture, the various treatments of scalp acupuncture(頭鍼), acupoint injection(穴位注射), catgut embedding therapy(埋鍼) etc. had been applicated to CP and for the objective evaluation of remedial value, TCD, EEG, BMD have been used.

두통(頭痛)과 배부체형(背部體形)과의 상관성에 대한 임상적 고찰

김장현,Kim, Jang-Hyun 대한한방소아과학회 2003 대한한방소아과학회지 Vol.17 No.2

This study was to investigate the relationship of headache and back shape using the Moire interferometer and Questionnaire investigations. In this study the subjects consisted of 317 pupils[168 boys(53%), 149girls(47%)] attending S high school in Sungnamsi, Kyoungkido in 2002, and their ages ranged from sixteen to eighteen. The results are following. 1. In questionnaire investigation, we observed that the ratio of headache was more than 70% and the ratio of girls are more than that of boys. The inclination for ages was not shown. 2. In moire topography, the remainder values of scapular region were from 0.5 cm to 1.1 cm in boys, and from 0.45 cm to 1 cm in girls. The remainder values of gluteal region were from 0.2 cm to 0.8 cm in boys, and from 0.4 cm to 0.6 cm in girls. The reminder values of the vertical lines of cervical and buttock region were from 0.71 cm to 1.51 cm in boys, and from 0.96 cm to 1.43 cm in girls. More frequent findings of reminder value of the vertical lines of cervical and buttock region were observed that the vertical lines of cervical region were inclined to left than the vertical lines of buttock 3. Through the Pearson's Correlation analysis of headache and Moire topography, we found the close relationship of headache and the remainder values of scapular region(Pearson correlation coefficient : 0.116, P<0.05) and gluteal region(Pearson correlation coefficient : 0.153, P<0.01). But the relevances to headache and the remainder values of neck lines, sacral lines and neck-sacral lines were not found.

영아 지루성(脂漏性) 피부염(皮膚炎)에 대한 증례(證例) 1례(例)

김장현,김기봉,Kim, Jang-Hyun,Kim, Ki-Bong 대한한방소아과학회 2006 대한한방소아과학회지 Vol.20 No.2

심한 두부(頭部) 발진(發疹), 소양(搔痒) 및 화농(化膿)을 호소하여 동국대학교(東國大學校) 분당한방병원(盆塘韓方病院) 한방소아과(韓方小兒科)에 내원(來院)한 영아 지루성(脂漏性) 피부염(皮膚炎) 환자(患者) 1예(例)에 대하여 초진(初診) 진료(診療) 후 Aroma Lotion과 Aroma oil을 혼합한 외용제(外用劑)를 사용한 도포치료(塗布治療)와 carbon 광선치료(光線治療)를 병행하여 37일간 치료(治療)한 결과 두부(頭部) 발진(發疹), 소양(搔痒) 및 화농(化膿)이 완전 소실되어 유효한 결과를 얻었기에 이에 치료경과(治療經過)를 보고하는 바이다.

국방 M&S체계 소프트웨어 비용 추청모델 개발에 관한 연구

김장현,정층영,Kim, Jang-Hyun,Jung, Choong-Young 한국국방경영분석학회 2010 한국국방경영분석학회지 Vol.36 No.3

Since the mid-nineties, Republic of Korean Army has officially adapted information technology. Starting with the Chang-Jo 21('99) training M&S Model, around seventy types of the M&S system software, including Ground Operations & Resources Requirement Analysis Model ('10), developed by Republic of Korea Army or foreign counterparts have been utilized. However, as the existing cost estimations of the Defense M&S system software fail to reflect the acquisition and development environment, the estimated costs have been frequently overestimated or underestimated. This paper provides a suitable cost estimation model for the Defense M&S system software by presenting the software cost drivers which reflect the unique software development environment of the Defense.

소아를 주요 대상으로 하는 한의원 웹사이트의 분석 및 고찰

김장현,서영민,Kim, Jang-Hyun,Seo, Young-Min 대한한방소아과학회 2006 대한한방소아과학회지 Vol.20 No.2

Objectives : The Internet is closely related to the live of modern people in the 21st Century. With increasing interest in health and disease of children, the public has access to a growing supply of information on oriental pediatrics clinic through Internet. The purpose of this study is to collect and analyze the Internet web sites concerning oriental pediatrics clinic in Korea, and study the effectiveness of internet toward oriental pediatrics. Methods : We selected 42 web sites by searching for such keyword as child and oriental Medical clinic at korea major web search engine. The sites were evaluated and analyzed on the basis of 24 is under three evaluation criteria such as quality of contents, the easy of use, reliability of web sites. Results: Study results indicated that 34% of web sites were built in 2004, 58% of oriental pediatrics clinic was located in Seoul & Kyunggi and 84% of them was connected network medical system. About health information was supplied in oriental pediatrics clinic web sites, the growth was high frequent information, 50% of web sites supplied high quality information and 19% of them was supplied high diversity information. Conclusions: It is necessary to control system as information certification system in the area of oriental pediatrics clinic web sites.

전염성 연속종 환아 1례 보고

김장현,황영준,Kim, Jang-Hyun,Hwag, Young-Jun 대한한방소아과학회 2006 대한한방소아과학회지 Vol.20 No.2

Objectives : The purpose of this study is to report Molluscum Contagiosum in an infant. Methods : We reported 5-year-old male patient who suffered from Molluscum Contagiosum. We treated him with Gami-Okbyungpung-tang. Results : After this treatment, the symptoms(papule on both thigh and gluteal sulcus region, itching) were improved. Conclusion : We had goal effects in oriental medical treatment on Molluscum Contagiosum. The further study is needed.

소아폐렴(小兒肺炎)의 한의학적(韓醫學的) 연구(硏究)에 대한 고찰(考察) -중의학(中醫學) 문헌(文獻)을 중심(中心)으로-

김장현,권혁란,Kim, Jang-Hyun,Kwon, Hyuk-Ran 대한한방소아과학회 2003 대한한방소아과학회지 Vol.17 No.1

Pneumonia is an acute or recurrent infection of the parenchyma of the lung causing cough, fever, and respiratory distress. Pneumonia was named 'Feiyanchuansou(肺炎喘嗽)' in chinese medicine. This study was progressed for oriental medical treatment for pediatric pneumonia in china. The purpose of this study is current oriental medical approach to pediatric pneumonia In this study, the authors tried to figure out the cause of the pediatric pneumonia and its treatment and came to the conclusion as follows: 1. The study for pediatric pneumonia consists of basic, clinical and experimental study. 2. Basic study consists of etiology and pathogenesis(病因病耭), the rule of treatment(治療原則) and method of treatment(治法). 3. Clinical study consists of symptoms-based treatment(辨證論治), adequate prescription treatment(專病專方), acupuncture(鍼灸治療), and western diagnosis based treatment. 4. The majority of experimental study was pharmacology that consists of antiviral and antibacterial effect, removing heat(淸熱), releasing pulmonary qi(宣肺), dissipating phlegm(化痰).

새로운 인간(人間) 태반(胎盤)유래의 항응고(抗凝固) 단백질(蛋白質) PP27 (annexin Ⅴ형(型) 단백질(蛋白質))의 정제(精製)와 특성(特性)

김장현,Kim Jang-Hyun 대한한방소아과학회 2000 대한한방소아과학회지 Vol.14 No.2

It has long been known that Jahage(紫河車) extracts of Placenta hominis are effective for immunological and vascular diseases in human body and thus, was used a major constituent of traditional oriental medicines. From full-term human placenta, we have purified a new type anticoagulant protein, PP27, using different chromatographic techniques of a phenyl TSK gel 650M column, DEAE, HA and Mono-Q columns. PP27 showed single band on SDS-PAGE with a molecular mass (Mr) of 27 kDa under denaturing conditions and a calibrated Sepharose 4B column chromatography indicated a molecular mass of 23 kDa, indicating that the value is similar to those of other PP4 enzyme reported to date. Isoelectric point of PP27 was p15.2. The protein was found to inhibit the coagulation time in a concentration-dependent manner. PP27 was acted as a vascular anticoagulant of annexin type, inhibits the blood clotting process by binding of the essential lipids in a reaction which is dependent on $Ca2^+$ ions. In the presence of $Ca2^+$ ions, PP27 combines with platelet membranes neutralizing their procoagulant effect. Coagulation triggered by the addition of thromboplastin/ lipid- mixtures is extinguished by PP27.

주의력결핍 과잉행동장애 치료에 대한 문헌적 고찰 -최근 중의 잡지를 중심으로-

김장현,김희은,Kim, Jang-Hyun,Kim, Hee-Eun 대한한방소아과학회 2006 대한한방소아과학회지 Vol.20 No.2

Objective : The aim of this study was to investigate treatment of Attention Deficit Hyperactivity Disorder(ADHD) in current Traditional Chinese Medical Journals. Methods : From January 2000 to December 2005, we searched Traditional Chinese Medical Journals. Results : 21 articles were selected and classified into two large groups, case report and comparison study. Totally 1137 cases, complete cures are 276, significant improvements and some improvement 1028, complete cure rate 24.27%, total improvement rate 90.41%. Conclusion : Oriental medical treatments for ADHD were investigated to be effective in most trials. But there remains a debate about outcome criteria. Further studies are needed. Treatment methods were herbal medicine, acupuncture, auricular acupuncture, family consult.