국내 인터넷 웹사이트에 소개된 소아 및 청소년 비만치료의 실태 및 문제점

신상원,김은영,노영일,양은석,박상기,박영봉,문경래,Shin, Sang Won,Kim, Eun Young,Rho, Young Il,Yang, Eun Seok,Park, Sang Kee,Park, Young Bong,Moon, Kyung Rye 대한소아소화기영양학회 2005 Pediatric gastroenterology, hepatology & nutrition Vol.8 No.1

목 적: 검증되지 않는 방법이나 성인비만치료 방법을 성장과 발달을 과정에 있는 소아에게 그대로 적용하게 되면, 건강에 악영향을 주게 된다. 여과 없이 무제한적으로 노출되고, 최근 급격히 이용률이 증가하고 있는 정보전달 매체인 인터넷 웹사이트에 소개된 소아 및 청소년 비만치료의 실태 및 문제점에 대해 알아보고자 한다. 방 법: 2004년 7월1일부터 8월1일까지 1개월 동안 야후 코리아의 검색엔진을 사용하여 '소아비만'이라는 검색어로 검색된 203개의 웹 사이트를 대상으로 하였다. 실제 하이퍼텍스트로 접근할 수 없거나 중복된 경우를 제외한 203개의 웹 사이트를 최종분석 대상으로 선별하였다. 각 분석 대상은 의료기관, 피부미용실, 단식원 및 그 외 사설 정보센터로 분류하여, 현재 실행되고 있는 치료 행태의 종류 및 성인비만과는 구분된 소아비만치료의 특수성을 고려하 고 있는지의 여부에 대해 분류하였다. 결 과: 비만치료에 대한 구체적인 항목을 표방한 경우가 157곳(77.3%)였고, 단순한 정보만 제공한 경우가 46곳(22.7%)이었다. '소아비만' 치료를 표방한 사이트의 구성은 한의원(52.2%), 의원 및 병원(35.0%), 그 외 다이어트식품회사, 피부 관리소 등 기타 순이었다. 의원 및 병원 중, 소아과 의원 및 병원은 35곳(22%)에 불과하였으며, 성형외과 7곳, 가정의학과와 내과가 각각 6곳, 정신과와 신경과 2곳 순이었다. 성인과는 구분된 올바른 소아비만 치료를 하고 있는 사이트의 구성은 한의원 중 19곳(23%), 소아과 병원 및 의원 중 26곳(93%), 내과 및 가정의학 과 등 타과 의원 중 7곳(25%)이었으며, 한의원 63곳 (77%), 소아과 이외의 타과 의원 21곳(75%)에서 성인비만치료를 그대로 여과없이 소아비만에 적응하여 치료하고 있었다. 결 론: 소아 비만에 대한 잘못되거나 부정확한 정보가 인터넷 정보로 무분별하게 제공되고 있으므로 소아과 의사의 더 많은 관심과 인터넷을 통한 홍보 관리 시스템의 적극적인 개발이 필요하다. Purpose: The purpose of this study was to evaluate the quality and problems of Web sites for management of childhood and adolescent obesity. Methods: We evaluated 203 Web sites identified from the search engine, Korean Yahoo, using the word of 'childhood and adolescent obesity'. 203 Web sites were classified according to medical institutions, health information Web sites, beauty shops. etc. We surveyed whether childhood and adolescent obesity distinguished with adult obesity was considered, or not. and researched the unique managements of childhood and adolescent obesity including the cardinal treatment. Results: Of the 203 Web sites, 157(77.3%) provided detailed information about treatment of obesity, 46(22.7%) provided only simple information about one. The sites providing detailed information were composed of 52.2% of oriental medicine clinics, 35.0% of clinic & hospitals including pediatric hospitals. Distribution of the sites about management of childhood and adolescent obesity distinguished with adult's one was only 23% of oriental medicine clinics, but 93% of childrens hospitals. Conclusion: Without considering the speciality of childhood obesity, inaccurate information are distributing on internet web sites. It is necessary for concern and development of advertizing system on the internet distributing accurate information about treatment of childhood obesity.

이온빔 나노 패터닝을 위한 양극산화 알루미나의 이온빔 투과

신상원,이종한,이성구,이재용,황정남,최인훈,이관희,정원용,문현찬,김태곤,송종한,Shin S. W.,Lee J-H,Lee S. G.,Lee J.,Whang C. N.,Choi I-H,Lee K. H.,Jeung W. Y.,Moon H.-C.,Kim T. G.,Song J. H. 한국진공학회 2006 Applied Science and Convergence Technology Vol.15 No.1

양극 산화된 알루미나 (anodized aluminum oxide : AAO)는 균일하고 일정한 크기의 나노기공 패턴을 지니고 있다. AAO를 이온빔 나노 patterning을 위한 이온조사 시 마스크로서 이용하기 위해 AAO 나노 기공을 통과하는 이온빔의 투과율(AAO에 입사한 이온에 대한 투과이온의 양의 비)을 측정하였다. Al bulk foil을 양극 산화하여 두께가 $4{\mu}m$이고 종횡비(두께와 기공의 지름의 비)가 각각 200:1, 100:1 인 AAO를 Goniometer에 부착하여 500 keV의 $O^{2+}$ 이온빔에 대해 나노기공을 정렬시킨 후, 기울임 각에 따른 투과율을 측정한 결과, 종횡비가 200:1, 100:1 일 때 투과율은 각각 약 $10^{-8},\;10^{-4}$로 거의 이온빔이 투과하지 못하였다. 반면에 $SiO_2$ 위에 증착된 Al 박막으로 양극산화하여 종횡비가 5:1인 AAO의 이온빔 투과율은 0.67로 투과율이 현저히 향상되었다. 높은 종횡비를 갖는 AAO의 경우에는 범과 AAO 기공의 정렬이 쉽지 않은데다 알루미나의 비전도성으로 인한 charge-up 현상으로 인해 이온빔이 극히 투과하기 어렵기 때문이다. 실제로 80 keV의 Co 음이온을 종횡비 5:1인 AAO에 조사시킨 후에는 AAO 나노기공과 동일한 크기의 나노 구조체가 형성됨을 주사전자현미경(scanning electron microscopy: SEM) 관찰을 통하여 확인하였다. Anodic alumina with self-organized and ordered nano hole arrays can be a good candidate of an irradiation mask to modify the properties of nano-scale region. In order to try using porous anodic alumina as a mask for ion-beam patterning, ion beam transmittance of anodic alumina was tested. 4 Um thick self-standing AAO templates anodized from Al bulk foil with two different aspect ratio, 200:1 and 100:1, were aligned about incident ion beam with finely controllable goniometer. At the best alignment, the transmittance of the AAO with aspect ratio of 200:1 and 100:1 were $10^{-8}\;and\;10^{-4}$, respectively. However transmittance of the thin film AAO with low aspect ratio, 5:1, were remarkably improved to 0.67. The ion beam transmittance of self-standing porous alumina with a thickness larger than $4{\mu}m$ is extremely low owing to high aspect ratio of nano hole and charging effect, even at a precise beam alignment to the direction of nano hole. $SiO_2$ nano dot array was formed by ion irradiation into thin film AAO on $SiO_2$ film. This was confirmed by scanning electron microscopy that the $SiO_2$ nano dot array is similar to AAO hole array.

태음인(太陰人) 표열증(表熱證) 설사(泄瀉)에 대한 고찰

신상원 ( Shin Sang-won ) 대한한의학원전학회(구 대한원전의사학회) 2018 대한한의학원전학회지 Vol.31 No.2

Objectives : The first object is to reveal the mechanism of diarrhea based on exterior heat syndrome for Taeumin as explained in Donguisusebowon’s Taeeumingansuyeoliyeolbyeonglon. The second objective is to review the treatment for Taeumin as explained in Leejema’s Galgeunnabogjatang because the drug composition of Galgeunnabogjatang, the drug that treats this syndrome, is not written. Methods : As the first step, the paper will review the disease pathology for Taeumin written, and check the existence of disease path that can be viewed as exterior heat syndrome. As the second step, the paper will review the probability of exterior heat syndrome deriving from Taeumin disease path and morph into the exterior heat syndrome. Results : Using the first step to discover the direct correlation between exterior heat syndrome and the theory of disease for Taeumin led to a failure, but through the second step, the paper was able to confirm the probability that exterior heat syndrome could derive from Wiwansuhanpyohanbyeong’s Wiwanhanjeung. Based on this, the paper was able to determine the Galgeunnabogjatang suitable for the treatment of exterior heat syndrome. Conclusions : Exterior heat syndrome is created when healthy qi is stimulated to quickly build up the pathogen of Taeumin exterior heat syndrome, but only exterior heat is generated and the cold remains. Its main symptoms are fever, excessive sweating, and difficult painful red-urination. Exterior heat syndrome diarrhea refers to the diarrhea which is generated from the Taeumin’s disease pathology. The paper determined that Galgeunnabogjatang, which is listed in Donguisusebowon the seventh edition Boyubang.

포뮬러 형태 자작자동차의 경량화 및 주행 성능 향상을 위한 최적설계에 관한 연구

신상원(Sang-Won Shin),강신욱(Sin-Wook Kang),하승현(Seung-Hyun Ha),박진표(Jin-Pyo Park),김대완(Dae-Wan Kim),이무연(Moo-Yeon Lee) 한국산학기술학회 2017 한국산학기술학회논문지 Vol.18 No.10

경량화는 현재 자동차 산업에 있어 가장 중요하게 여겨지는 화두 중 하나이다. 내연기관은 물론 미래형 자동차, 친환경 자동차 개발을 위해 경량화는 자동차 산업에 있어서 결코 빠질 수 없는 소재이다. 친환경 자동차를 개발하는데 있어 연비향상과 주행성능향상은 경량화가 핵심이기 때문이다. 본 연구팀에서도 포뮬러 형태의 자작자동차를 제작하면서 경량화와 최적설계를 통한 주행 성능 향상에 주안점을 두고 연구를 시작하였다. 본 연구는 전년도 제작 차량을 바탕으로 다음의 네 가지 항목으로 나누어 진행하였다. 첫 번째, 엔진의 교체를 통한 엔진룸의 구조설계 및 경량화. 두 번째, 프레임의 최적설계를 통한 부재의 단순화 및 경량화 연구. 세 번째, 프레임의 최적설계에 따른 서스펜션의 구조설계 및 해석. 마지막으로, 업라이트와 허브의 설계 및 경량 부품 사용을 통한 경량화 등이다. 이러한 목표설정을 두고 차량 설계를 진행하였으며 결과적으로 전년도 차량대비 48 kg을 감량하여 19.5% 만큼의 경량화 하였고 이에 가속도 또한 80 m 기준 6.65 s에서 5.8 s만큼 단축시켰다. Weight reduction is one of the important issues in the automotive industry and the development of internal combustion engines vehicles, future vehicles, and eco-friendly vehicles for improving fuel efficiency. The objective of this study is to investigate the improvement of driving performance by weight reduction and optimum design for a formula-type self-designed on-road vehicle. This study is divided into the four steps. Firstly, the engine room was replaced and designed with a lighter engine. Secondly, an optimization study was conducted to simplify and lighten the vehicle components with the design of the frame. Thirdly, the structure design was optimized and the suspension was analyzed with the design of the frame. Finally, the design of an upright and hub with reduced weight was carried out usinglighter parts. As a result, we reduced the weight of the vehicle by 48.5kg compared to the previous year (19.5%) and increased the acceleration from 6.8 s to 5.8 s.s.

甘草의 調和諸藥 효능에 대한 고찰

신상원(Shin Sang-won),윤은경(Yoon Eunkyung),조소형(Jo Sohyung),황지현(Hwang Jihyun) 대한한의학원전학회 2020 대한한의학원전학회지 Vol.33 No.1

Objectives : To examine the meaning of ‘harmonizing all medicinals(調和諸藥)’ of Gancao’s property to grasp its essence which would further lead to better understanding of formula composition where Gancao is both included and excluded. Methods : Contents on Gancao from previous texts were analyzed and integrated with basic descriptions on qi and flavor, shape and colour, origin, name, etc., to form a single Xiang(象) or image. Further discussion was developed from this point in a way to better understand the harmonizing property of Gancao. Results & Conclusions : Gancao’s ‘harmonizing all medicinals’ property is achieved through its ‘mitigate urgency’ function. The meaning of ‘harmonizing all medicinals’ could be understood in terms of both mitigating the whole formula and mitigating each medicinal ingredient. First, Gancao’s function of mitigating the whole formula is to mediate conflict that occurs from difference in property among each ingredient where each medicinal’s property remains intact to perform its effects soundly. Second, to mitigate each medicinal ingredient is to balance the effects of severly biased medicinals to obtain desired effects. Both approaches are same in essence in that they mitigate urgency to achieve the original goal. Gancao’s ‘harmonizing all medicinals’ is to arbitrate others, which sets Gancao apart from other ingredients to function at a more basal level.

『금궤요략(金?要略)』의 ‘양기쇠자위광(陽氣衰者爲狂)’에 대한 고찰(考察) - ‘양기(陽氣)’의 개념(槪念)을 중심으로 -

신상원 ( Shin Sang-won ),김종현 ( Kim Jong-hyun ) 대한한의학원전학회(구 대한원전의사학회) 2017 대한한의학원전학회지 Vol.30 No.4

Objective : Korean medicine normally explained Kuang as a symptom arising from the exaltation caused by excessive yangqi. Therefore, a lot of arguments existed surrounding Jinkuiyaolue's explanation of Kuang as Yangqishuai. Therefore, the paper will review the exisitng opinions regarding this issue, and studied the original meaning of Jinkuiyaolue. Method : First, the opinions of the historical doctors related to the clauses within Jinkuiyaolue are reviewed. Existing opinions are divided into categories, and their meanings and limitations are analyzed. Followed by this, Huangdineijing and later generations' annotations were studied to discover a way to distinquish Yin and Yang of Jinkuiyaolue's Yangqi within the Sinqi. Result & Conclusion : The disease pathogen as explained within Jinkuiyaolue can be understood as an activity of Simqi, and it's difficult to view it as the Yin and Yang in terms of blood qi. Therefore, Jinkuiyaolue refers to the deficiency in terms of the aspect of Yang within the activity of Sinqi. The Yangqi of this can be viewed as an activity of Shenming.

『東醫壽世保元』의 天機의 ‘極’과 人事의 ‘克’의 의미에 대한 고찰 : 『大學』의 ‘明明德’, ‘新民’의 用例를 중심으로

辛相元(Shin Sang-won) 대한한의학원전학회 2021 대한한의학원전학회지 Vol.34 No.3

Object : To examine the meaning of ‘geuk(極)’ and ‘geuk(克)’ of Cheon-gi and Insa respectively, for better translation of the contents and to understand the structure of the Donguisusebowon cosmology. Method : The meanings of the characters ‘極’ and ‘克’ based on examples in the Daxue were examined together with content-related books such as the Shujing and the Shijing. Related concepts such as Taiji and Huangji were investigated as well. Result & Conclusion : Through investigation of the character usages and contexts in the Daxue, the archetypes of the two characters ‘極’ and ‘克’ were discovered. Based on these findings, the characteristics of Cheon-gi and Insa were thoroughly studied, which enabled better understanding of the structure of the world view that has been created by their integration. ‘Geuk(極)’ refers to Cheon-gi as the open world wherein all beings of different horizons are connected through a common principle. ‘Geuk(克)’ refers to Insa as an individual world that could be fully established by manifestation of one’s moral abilities that lie within everybody. The two worlds integrate with each other, becoming two poles of the world humans belong to, while the human heart, in correspondence to these two worlds, create two poles within themselves, of which one pursues the public world while the other rejects the personal.

공공 WiFi 지역을 경유하는 경로 찾기 시스템 구현

신상원(Sang-Won Shin),이영찬(Youngchan Lee),김대영(Dae-Young Kim) ICT플랫폼학회 2020 JOURNAL OF PLATFORM TECHNOLOGY Vol.8 No.2

라임병에 관하여

신상원(Sang-Won Shin),박승철(Seung-Chul Park) 한국농촌의학 지역보건학회 1991 농촌의학·지역보건 Vol.16 No.2

宗氣의 의미에 대한 考察: 기존 논의에 대한 재검토를 중심으로

辛相元(Shin Sang Won) 대한한의학원전학회 2019 대한한의학원전학회지 Vol.32 No.3

Objectives : To determine and analyze problems in existing discussions on Zong Qi and to establish a new concept of Zong Qi based on the initial idea that gave birth to this concept through examination of early texts. Methods : Descriptions of Zong Qi in contemporary theoretical texts published in both Korea and China were thoroughly examined. Also, theories of major doctors that dealt with this concept were selectively examined, after which problems of existing discussions on Zong Qi were analyzed. Next, verses that mention contents related to Zong Qi in the 『Huangdineijing』 were studied for better understanding of the concept. Results & Conclusions : The findings determined that existing discussions could not explain the meaning of Zong Qi properly. Based on new discussions, Zong Qi can be understood as a concept of maintaining the constancy of life dynamic in the Later Heaven(後天) that is lead by Qi from food and drinks. Clinical observation of aforementioned life phenomenon maintained by Zong Qi and additional discussion on its concept is necessary.