임상 진료에서 소아질환(小兒疾患)에 대한 침술치료(鍼術治療)의 현황 연구

김정신,김용석,남상수,Kim, Jeung-Shin,Kim, Yong-Suk,Nam, Sang-Soo 대한침구의학회 2007 대한침구의학회지 Vol.21 No.1

Objectives : This study was performed to evaluate a recent status of acupunctural treatment in pediatric practice. Methods: 660,893 children, who visited HAMSOA oriental clinic from January 2004 to December 2005 was screened to decide the number treated with acupuncture, the diagnosis and the type of acupuncture. In addition, the questionnaire for clinician about acupuncture therapy was performed and analysed to understand their applications. Results: The number treated with acupuncture was 69,797, 10.56%. Classified with ages, 3 months and below was 729 (1.7%), 1 year - 3 months was 5,035 (11.80%), 2 year - 1 year was 6,875 (16.10%), 3 year - 2 year was 5,540 (12.98%), 6 year - 3 year was 12.636 (31.94%) and 6 year and above was 10,876 (25.48%). The most frequent diagnosis taken acupuncture was atopic dermatitis (14.93%) and the next was rhinitis (13.80%). The most frequent type of acupuncture was laser acupuncture. The clinicians answered questionnaire agreed that acupuncture therapy is effective for pediatric disease treatment and fear about acupuncture of young patients was the most important obstacle. Conclusion : The acupuncture therapy in pediatric practice is not so frequent treatment but in increasing stage. Futhermore, in-depth research about acupuncture therapy in pediatrics is demanded.

족삼리(足三里) 전침자극(電鍼刺戟)이 알러지모델 생쥐의 면역능(免疫能)에 미치는 영향(影響) 및 기전(機轉)에 관한 연구(硏究)

김정신,김용석,남상수,Kim, Jeung-shin,Kim, Yong-suk,Nam, Sang-soo 대한침구의학회 2005 대한침구의학회지 Vol.22 No.3

Objective : The aim of the study is to investigate the effect of electro-acupuncture (EA) on ST36 to modulate immune reaction in BALB/c mice immunized intraperitoneally with 2,4-dinitrophenylated keyhole limpet protein(DNP-KLH). Methods : Experimental mice were divided into four groups : 1) Normal group was not performed by any operation. 2) IM(Immunized) group was immunized intraperitoneally with DNP-KLH and aluminum hydroxide without electro-acupunture stimulation. 3) IM-EA(immunized-elctro- acupuncture) group was performed by successive electro-acupuncture on the ST36 acupoint after immunization. 4) IM-NA(immunized-naloxone) group was performed by immunization and electro-acupuncture with same method, but naloxone was injected intraperitoneally 30 minutes before eletro-acupuncture to inhibit the opiate receptor in spleen. Serum total immunoglobulin I(IgE) and antigen-specific IgE was measured in each group. The expression of interferon-${\gamma}$ and interleukin-4 mRNA in spleen was researched by real-time RT-PCR Results : Serum total-IgE and antigen-specific IgE were significantly decreased only in IM-EA group. The expression of interleukin-4 in spleen cell was significantly reduced not only in IM-EA group, but also in IM-EA group. Conclusions : Above results indicate that the mechanism of immunomodulatory effect of electro-acupuncture is related to opioid system especially in B-cell immune reaction. Further research on the T-cell immunity is necessary to explain the mechanism of immunomodulatory effect of electro-acupuncture.

소부(少府)(HT8) 자침(刺針)이 정신적 스트레스를 가한 성인의 심박변이도에 미치는 영향

김정신,황욱,배기태,남상수,김용석,Kim, Jeung-shin,Hwang, Wook,Bae, Ki-tae,Nam, Sang-soo,Kim, Yong-suk 대한침구의학회 2004 대한침구의학회지 Vol.21 No.5

Objectives : The purpose of this study was to assess the effect of acupuncture for reducing mental stress using power spectrum analysis of the heart rate variability. Methods : 5 healthy volunteers participated in this study. After instrumentation and 5-minute rest period, mental stress was provided for 5-minute. HRV was recorded before and after the mental stress. Acupuncture was put on the HT8, and needle was removed after 15min. Than 2nd mental stress was given for 5-minute with same method. For the control, same process was repeated to same subject except for acupuncture. Results : After mental stress, LF and LF/HF ratio is significantly increased. After acupuncture treatment, LF/HF ratio is significantly decreased, and LF do not significantly changed despite of mental stress. Conclusions : The result suggest that acupuncture treatment can regulate and prevent the alteration of autonomic nerve system due to mental stress.

비염(鼻炎)의 침구치료(鍼灸治療)에 대한 최근(最近) 연구(硏究) 동향(動向) -Pubmed와 중의학(中醫學) 학술지(學術紙)를 중심으로-

김정신,김용석,남상수,Kim, Jeung-shin,Kim, Yong-suk,Nam, Sang-soo 대한침구의학회 2004 대한침구의학회지 Vol.21 No.1

Objective: To research the trends of study related to rhinitis and acupuncture in PubMed, and to establish the hereafter direction of treating rhinitis with acupuncture Methods: We searched PubMed and chinese medical journals related to rhinitis and acupuncture. Results: 1. The pattern of the study was as follows: Review article(3), Randomized controlled trials(2), Clinical trial(11), Case report(12). 2. The effect of acupuncture on rhinitis is reported as follows: Acupucture treatment improves the scale of symptoms, nasal airways resistance and velocity of the mucociliary transport, decreasing absolute numbers of blood eosinophils, serum IgE and percentage of nasal eosinophils. Immunologically acupuncture treatment could reduce plasma IL-10 level, control IL-2, and balance between cell-specific pro-inflammatory and anti-inflammatory cytokines, TNF-${\alpha}$ and IL-10. After acupuncture treatment, there is statistically significant changes in IgA, IgE, E-rosette formative rate. 3. Many of these article have affirmative view for therapeutic effect of rhinitis with acupuncture. Statistical test was done only in 6 papers. There showed statically significant results in 4 articles, and in 2 article there showed some clinical improvement but no statically significant changes. 4. In Western countries, alternative treatments are frequent among adults with rhinitis or other allergic disease, and affirmative tendency for acupuncture treatment is increased.

보육실습 전ㆍ후에 따른 예비보육교사의 역할인식 차이에 관한 연구

김정신(Kim Jeung-Shin),박성미(Park Seong-Mee) 한국영유아보육학회 2009 한국영유아보육학 Vol.0 No.59

본 연구는 학력, 연령, 결혼여부와 같은 예비보육교사의 개인변인 및 실습관련 변인에 따라 보육실습 전후의 예비보육교사의 교사역할인식에 차이가 있는지를 알아보고자 하였다. 이를 통해 예비보육교사의 효과적인 보육실습을 위해 예비보육교사의 개인적변인과 실습기관의 여러 가지 배경 변인 중 교사역할인식에 영향을 주는 변인들을 알아봄으로써, 현 보육실습체제에서 보다 효율적인 보육실습기관을 선정하고 지도하여 보육실습의 효율성을 높이기 위한 기초자료를 제공하과 하였다. 연구결과는 첫째, 보육실습 후 예비보육교사의 교사역할인식은 교육과정설계자역할을 제외한 전반적 영역에서 보육실습 전에 비하여 유의미하게 낮아졌으며, 특히 연구자역할에서 그 경향이 더 뚜렷한 것으로 나타났다. 둘째, 예비보육교사의 개인변인, 실습배경변인들과 예비보육교사들의 실습 후 교사역할인식간의 상관관계를 알아본 결과 실습시설규모, 실습지도교사연령, 실습지도교사학력, 실습지도교사 역할수행 등의 변인이 유의미한 상관이 있었다. 연구결과에 따른 논의와 시사점이 제시되었다. The purpose of this study was to investigate the effects of student teaching on Teacher's Role Perception of the child educare student teacher. The subjects of this study were 163 child educare student teachers who experienced student teaching for four weeks. The result of this study can be summarized as follows: First, There are significant differences between scores of the previous student teaching and scores of the subsequent student teaching on Teacher's Role Perception of the child educare student teacher. That is, the score of the subsequent student teaching decreased. Second, There are significant correlation between scores of the subsequent student teaching on Teacher's Role Perception and the variables related to a child care center; the size of the child educare center, cooperative teacher's age, scholarship, and teacher's role performances of the cooperative teacher.

영아보육교사의 역할수행과 직무만족도가 영아권리존중보육에 미치는 영향

김정신(Kim Jeung-Shin),박성미(Park Seong Mee) 한국육아지원학회 2016 육아지원연구 Vol.11 No.4

본 연구는 영아보육교사들을 대상으로 영아보육교사의 역할수행, 직무만족도와 영아권리존중보육 간 에는 어떠한 관계가 있으며, 그 영향력은 어떠한지를 알아보는데 목적이 있다. 이를 위해 부산지역 영아 보육교사 190명을 대상으로 설문조사를 하였다. 수집된 자료는 SPSS 23.0에 의해 연구대상의 특성을 파 악하기 위하여 기술통계분석을 실시하였으며, 연구도구의 신뢰도를 파악하기 위하여, Cronbach's ⍺ 계수 를 산출하였다. 각 변인의 상관관계를 알아보기 위하여 Pearson의 적률상관계수를 실시하였으며, 영아교 사의 역할수행과 직무만족도가 영아권리존중에 미치는 영향력을 알아보기 위해서는 단계적 중다회귀분 석을 실시하였다. 연구결과는 다음과 같다. 첫째, 영아보육교사의 역할수행과 영아권리존중보육 수행은 매우 높은 수준 으로 나타났으나, 영아보육교사의 직무만족도는 낮은 수준을 보였다. 둘째, 영아보육교사의 역할수행과 영아권리존중보육이 유의미하게 높은 상관을 나타냈으며, 영아보육교사의 역할수행은 영아권리존중보육 에 영향력을 미치는 요인으로 파악되었으며, 이는 통계적으로 유의미한 것으로 나타났다. 셋째, 영아보육 교사의 직무만족도와 영아권리존중보육 수행간에도 유의미한 상관을 보였으며, 영아보육교사의 직무만족 도는 영아권리존중보육에 영향력을 미치는 요인으로 파악되었으며, 이는 통계적으로 유의미한 것으로 나타났다. This study aimed to examine the relations among infant teachers' role performances, job satisfaction, and infant care with respect for infants' rights, and verify the influence of infant teachers' role performances and job satisfaction on their infant care with respect for infants' rights. Subjects were 190 infant teachers working at child care centers. Data were coded and analyzed using the SPSS 23.0. The results can be summarized as follows. First, the infant teachers' role performances and infant care with respect for infants' rights were higer than the average. But job satisfaction of the infant care teachers was below the average. Second, there was a positive correlation between infant teachers' role perceptions and infant care with respect for infants' rights , and it was confirmed that infant teachers' role performances was the factor that influenced on infant care with respect for infants' rights in the statistically significant level. Third, there was a positive correlation between job satisfaction and infant care with respect for infants' rights. and it was confirmed that job satisfaction was the factor that influenced on infant care with respect for infants' rights in the statistically significant level.

침(鍼)과 Neuromuscular Electrical Simulation으로 치료한 요골신경마비에 대한 증례보고

황욱,김정신,배기태,남상수,김용석,Hwang, Wook,Kim, Jeung-shin,Bae, Ki-tae,Nam, Sang-soo,Kim, Yong-suk 대한침구의학회 2004 대한침구의학회지 Vol.21 No.6

Objective : Radial nerve palsy is characterized by palsy or paralysis of extensors of the wrist and digits, as well as the forearm supinators. Very proximal lesions also may affect the triceps. Numbness occurs on the dorsoradial aspect of the hand and the dorsal aspect of the radial 3 and 1/2 digits. We observed 7 patients with radial nerve palsy, the results are as follows. Methods & Results : All patients were treated by the same method and treatment was performed by acupuncture and Neuromuscular Electrical Stimulation. the electrode were placed unilaterally on the motor points of forearm. As the result, symptoms are improved remarkably. Conclusions : Patients were treated for 5.4 weeks, 14.7 times(average). The grade was that 6 cases were good and 1 case was excellent.

보육실습이 예비보육교사의 일반적 자기효능감과 보육효능감에 미치는 영향

박성미(Park Seong-Mee),김정신(Kim Jeung-Shin) 한국영유아보육학회 2009 한국영유아보육학 Vol.0 No.57

본 연구는 예비보육교사의 개인변인과 실습관련변인에 따라 실습이 일반적 자기효능감과 보육효능감에 어떠한 영향을 주는지 알아보고, 실습 후 일반적 자기효능감과 보육효능감에 영향을 주는 변인들을 확인함으로써 실습의 중요성을 재인식하고 효과적인 실습운영을 위한 기초 자료를 제공하고자 하였다. 연구결과 예비보육교사의 연령이 높을수록, 기혼인 경우, 국?공립 어린이집에서 실습한 경우 일반적 자기효능감과 보육효능감이 높아진것으로 나타났다. 그리고 실습 후 예비보육교사의 연령, 결혼여부, 실습기관의 유형과 일반적 자기효능감, 보육효능감이 유의한 상관을 보였으며, 일반적 자기효능감과 보육효능감에 영향을 주는 변인이 동일한 것으로 나타났다. The purpose of this study was to investigate the changes in the preservice teachers' perceived General Self-Efficacy(GSE) and the Efficacy of Child Care and Teaching(ECCT) by student teaching. In this study, 119 preservice teachers in P Child Educare Teachers' Training Institute were participated. The result of this study can be summarized as follows: First, there were significant differences at the preservice teachers' GSE by preservice teachers' age, preservice teachers' marital status, and the child care center type after student teaching. Second, there were significant differences at the preservice teachers' ECCT by preservice teachers' age, preservice teachers' marital status and the child care center type after student teaching. Third, There were significant relation between preservice teachers' age, preservice teachers' marital status, the child care center type, GSE and ECCT.

보육교사교육원 운영 현황 및 발전 방안에 관한 연구

황해익(Hwang Hae-Ik),박선해(Park Sun-Hae),박성미(Park Seong-Mee),김정신(Kim Jeung-Shin) 한국열린유아교육학회 2007 열린유아교육연구 Vol.12 No.4

본 연구는 보육교사교육원 운영과 발전을 위한 구체적이고 실제적인 기초 자료를 제시하고자 전국의 76개 보육교사교육원의 행정실무자와 전임교수를 대상으로 보육교사교육원 운영 현황 및 발전 방안에 대한 의견과 요구를 조사하였다. 학생 현황으로는 연령대가 다양했고, 고졸학력 뿐 아니라 2년제 이상의 대졸의 비율이 높았고, 미혼과 기혼자가 비슷한 분포를 보였다. 또한 교직원 현황, 학생 모집 및 선발, 재정 현황을 조사하였으며, 양성교육 외에 보수교육, 기타 보육 관련 교육프로그램을 운영하는 교육원이 많은 것으로 나타났다. 그리고 보육교사교육원의 역할을 긍정적으로 보고 있는 것으로 나타났으며, 보육교사교육원 관련 개정 법령 중 '보육교사 국가자격증 제도 도입'을 가장 적절하다고 보았으며, 양성교육과정에 대한 학점은행제 도입에 대해 찬성하였고, 보육교사교육원 종합평가인증제의 실시는 필요하나 충분한 시간과 검토가 요구되는 것으로 나타났다. The purpose of this study was to examine the actual conditions and development plans of 76 child educare teacher training centers all over the country to enhance the quality of the child educare teacher. 152 full-time staff members from 76 child educare teacher training centers all over the country participated in this study. Questionnaires for this study devised by the researchers were used. Questionnaires consist of items about the actual conditions and roles of their centers, appropriation of new revised law concerning for the child educare teachers training center, approval hours in academic credit banking system for training hours and necessity of evaluative-certification system for the child educare teachers training center. Academic credit banking system for training hours in the child educare teachers training center and evaluative-certification system for the child educare teachers training center are suggested for development plans of the child educare teachers training center to enhance the quality of the child educare teacher.

원저 : 저주파 전침자극이 허벅지 둘레에 미치는 영향에 대한 연구

황덕상 ( Deok Sang Hwang ),안수정 ( Soo Jeong Ahn ),김정신 ( Jeung Shin Kim ),신현택 ( Hyun Taeg Shin ),김용석 ( Yong Suk Kim ),이경섭 ( Kyung Sub Lee ) 한방비만학회 2005 한방비만학회지 Vol.5 No.1

Objectives: Although electro-acupuncture is being utilized to reduce weight in Korea, its usefulness in obesity management has not been fully evaluated yet. The objective of this study is to evaluate the effect of Electro-acupuncture on thigh circumference. Methods: 12 healthy volunteers participated in this study. We measured the circumference of both thighs, and treated the thicker one with transcutaneous electro-acupuncture at 8 acupoints, 10 times in total. The electrical parameters were : 1st step frequency set was at 15 and the treatment proceeded for 50 minutes, 2nd step at 50Hz for 10 minutes and at 3rd step the acupunctures ㎐ were removed and electrodes were attached on the lower limb at 166 for 15 minutes. In order to evaluate the effect of the ㎐ treatment, total body weight, percentage of body fat and thigh circumference were measured 4 times. Before the treatment, after 5th and 10th treatment and 1 month after completion of the whole treating procedure. Statistical significance(P<0.05) was determined using the Wilcoxon signed rank test. We did not control diet, exercise and lifestyle of the volunteers. Results: No significant change was shown in body weight after 10 times of treatment. Yet the thigh circumference of effect group significantly decreased after 5th treatment and 10th treatment. The circumference of control group that was not treated by electro-acupuncture significantly decreased too. At first, difference between the two thighs in circumference was obvious, but no difference was left after 10 times of treatments on the thicker thigh. Percentage of body fat was significantly decreased. 1 month after having completed the treatment, there was no significant difference of body weight, thigh circumferences and percentage of body fat. Conclusion: These results suggest that electro-acupuncture effectively regulates regional fat, body fat percentage and body shape.