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뇌졸중 쥐 모델에서 운동기능 회복을 위한 경막외 뇌피질전기자극 치료의 적용
신용일(Y.I. Shin),김완(W. Kim),김효준(H.J. Kim),김형일(H.I. Kim) 한국재활복지공학회 2010 한국재활복지공학회 학술대회논문집 Vol.2010 No.11
최근 만성기 뇌졸중 환자에서 재활치료와 더불어 시행한 뇌피질 전기자극치료가 기능회복에 효과적이다는 몇몇의 보고가 있다. 특히 최근에는 기존의 경두개 자기자극치료 또는 경두개 직류전기 자극치료와 달리 경막외 뇌피질 직접 전기자극치료에 대한 연구가 보고되고 있으며, 이는 기존의 치료법에 비해 뇌자극 부위의 국소화와 더불어 전기자극 중 원하는 재활치료를 병행하기에 좋다는 편리성, 전기자극 프로그램의 다양성과 같은 장점이 있다. 그러나 아직까지 다양한 뇌병변에 따른 기능회복에 대한 전기자극의 파라미터가 확립되지 않았다. 이에 본 연구에서는 뇌경색 동물모델에서 운동기능 회복에 효과적인 전기자극 파라미터를 알아보고자 하였다. 연구결과 뇌경색의 병변 크기에 따라 효과적인 전기자극의 패턴이 다르게 나타님을 볼 수 있었다. 향후, 이에 대한 전임상연구와 임상연구가 활발히 이루어지길 기대한다.
한국 기초의학 과정중 병원봉사 실습제 도입에 관한 연구
문창현(C H Moon),이성낙(S N Lee),임인경(I K Lim),김형일(H I Kim),이영돈(Y D Lee),전기홍(K H Jeun) 한국의학교육학회 1990 Korean journal of medical education Vol.2 No.2
Given the social responsibility of the medical profession, education for human understanding is perceived as one of the absolute requirements in the curriculum of medical colleges. In order to fulfill this requirement as least partially Ajou University College of Medicine had carried out HSTP for the first time in Korea during the first three years of the six-year-medical education. This program has provided an excellent opportunity for the student to experience many different aspects of the hospital, including patient care and early informal contacts with the hospital staff, and to understand the general management of medical institutions. HSTP is planned to run for 8 weeks during summer or winter vacation and is divided into two or three separate periods of practice in general hospitals. It started during the 1990 summer vacation with 81 students (91% of total enrollment) assigned to 14 different hospitals. The training performance was evaluated and analyzed using questionnaires and interviews with participating students and hospital staffs. According to the survey results, students appreciated the opportunity for an early enhancement of human relationships with hospital staffs. Moreover, before-and-after test results showed that students had experienced a change in their perceptions of different aspects of the medical profession. These findings seem to verify the positive effects of the HSTP both in education and practice. Rotating assignments to several departments has especially helped students to understand various hospital functions and made it easier to continue their clinical clerkship. Overall responses of students and hospitals to the implementation of this program were very positive (students 82%, medical doctors 89%, nursing staff 85%), although significant differences were observed between the experienced doctor group (positive responses) and the young resident group (negative). Hospitals in general seem to agree that the HSTP is a good approach to access and solve the current problems facing the medical professionals. Moreover, they promised to support this program continuously. There are several factors tob considered for improvement of the current program, such as standardization of training conditions and extension of each training term in a hospital. In conclusion, HSTP seems to be an effective complement to the education for human understanding in medical education in Korea.