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      • KCI등재

        우즈베키스탄 한방병원에서 진행한 한의약 비만관리 프로그램의 효과

        이은경,정명수,유영진,권동현,이준석,장보형,윤진원,박유리,박해모,이선동,고성규,Lee, Eun-Kyoung,Chong, Myongsoo,Ryu, Young Jin,Kwon, Donghyun,Lee, Joonseok,Jang, Bo-Hyoung,Yun, Jin Won,Park, Yu Lee,Park, Haemo,Lee, Sundong,Ko, Seong-Gyu 대한예방한의학회 2015 대한예방한의학회지 Vol.19 No.2

        Objective : As part of the Korean Medicine Official Development Assistance(ODA) and Public Health Project, we implemented a obesity management program(OMP) using Korean medicine in Uzbekistan and its follow-up study was conducted to evaluate the effectiveness of the program. Method : We recruited the participants of whose Body Mass Index(BMI) were over $25kg/m^2$ and who agreed to participate in the program at the South Korea-Uzbekistan Friendship Korean Medical Hospital in Uzbekistan. The program consisted of auricular acupuncture, functional food, and education program on diet and exercise. It was provided once a week during 7-week period. Anthropometric measurements and blood test measuring total cholesterol, triglyceride, and glucose were performed at the baseline, the end of the program, and 10-month follow-up. At the end of the program and the follow-up, survey on satisfaction and self-evaluation of the effectiveness of the program was additionally conducted. Results : 43 out of 78 participants completed the program and were included in the analysis. The analysis of the main outcomes showed that there were significant decreases in anthropometric measurements such as body weight, waist circumference, body mass index (BMI) and body fat content as well as blood test including triglycerides, total cholesterol and blood glucose levels. In the follow-up study, 24 subjects participated and 19 subjects (79.1%) reported that they succeeded in weight control. Furthermore, many participants reported that they maintained healthy lifestyles like healthy diet and regular exercise. The satisfaction with the program was also relatively high, and the education program was selected as the most motivating intervention for weight control. The outcomes such as body weight, BMI, body fat content, and blood glucose level were maintained to be at the decreased level; however, waist circumference, total cholesterol and triglycerides levels either returned back to the baseline level or were elevated to the level higher than the baseline. Conclusion : This study suggests that the OMP using Korean medicine may contribute to weight control of obese population in Uzbekistan. It is meaningful in that the study shows the possibility of implementing health promotion programs using Korean medicine in other countries with different cultures. In the future, more efforts to evaluate the effectiveness of the programs using rigorous methodologies and utilize the effective programs in ODA project will be needed.

      • KCI등재

        산업보건에의 한의학적 참여방안에 관한 연구

        이은경,정명수,천은주,김삼태,강성호,이수경,한종민,김성천,유택수,정재열,송용선,이기남,Lee E.K.,Chong M.S.,Chun E.J.,Kim S.T.,Kang S.H.,Lee S.K.,Han J.M.,Kim S.C.,Yu T.S.,Jeung J.Y.,Song Y.S.,Lee K.N. 대한예방한의학회 1999 대한예방한의학회지 Vol.3 No.2

        Oriental Medical Service established foundation that Oriental medical clinic can take part in industrial health service by being specified industrial calamity medical treatment organ, but research which develope program that Oriental Medical Service approach on the occupational disease and industrial health only dealt in the Western Medical System was insufficient. So we studied on theoretical foundation and basic bearing about .program of oriental medical health examination in the workplace, it is based on explanation and assessment reformed by western medicine. We reached the conclusion as follows, 1. We must reconsider the concept that mind of Oriental medicine is preventive medicine, and assess positively result of social medicine. 2. Importance of industrial health is being enlarged in the category of health care. 3. Western medical health in including industrial health have faced much problems at this time, we can search by alternative proposal grafting on Oriental Medicine. 4. Oriental medical participation in the industrial health have various benefits at side satisfaction of workers, effect of prevention, efficiency of cost, and increasing rate of medical treatment and return to workplace of workers with industrial calamity. 5. We must consider Oriental Medical Health Examination as one way of health management program of workers, not as formality. 6. The advantage of Oriental Medical Health Examination can increase ability of individual health management in preventive medicine and the production in workers' health management.

      • KCI등재

        Moire 영상을 이용한 근골격계 질환의 한의학적 진단에 관한 연구

        이은경,유승현,이수경,강성호,한종민,정명수,천은주,송용선,이기남,Lee Eun-Kyoung,Yu Seung-Hyun,Lee Su-Kyung,Kang Sung-Ho,Han Jong-Min,Chong Myong-Soo,Chun Eun-Joo,Song Yung-Sun,Lee Ki-Nam 대한예방한의학회 2000 대한예방한의학회지 Vol.4 No.2

        This research has conducted studies on an Oriental medicine-based method of diagnosing of occupational musculoskeletal system diseases. This researcher has searched through existing relevant medical literature. Also, this researcher has worked on a moire topography using moire topography. In this course, this researcher has reached the following conclusion in relation to the possibility of using a moire topography as a diagnosing device of musculoskeletal system diseases under Oriental medicine . 1 The Western medicine outlines its criteria of screening occupational musculoskeletal system diseases as follows A. The occupational musculoskeletal diseases must clearly include one or more of the subjective symptoms characterized by pain, hypoesthesia dysaesthesia, anaesthesia. etc . B, There should be clinically admitted objective observations and diagnosis outlining that the disease concerned shows symptoms such as tenderness, induration. and edema that can appear with occupational musculoskeletal system diseases. dyscinesia should be admitted with the disease concerned, or there should be observations and diagnosis outlining that abnormality exists in electric muscular or nervous diagnosis and examination . C. It should be admitted that prior to the occurrence of symptoms or observations and diagnosis on musculoskeletal system-related diseases, a patient has been engaged in works with conditions requiring improper work posture or work movement. That is, this is an approach whereby they see abnormality in the musculoskeletal system come from material and structural defect, and adjust and control abnormality in the musculoskeletal system and secreta . 2. The Oriental medicines sees that a patient develops the pain of occupational musculoskeletal diseases as he cannot properly activate the flow of his life force and blood thus not only causing formation of lumps in the body and blocking the flow of life force and blood in some parts of the body. Hence, The Oriental medicine focuses on resolving the cause of weakening the flow of life force and blood, instead of taking material approach of correcting structural abnormality Furthermore , Oriental medicine sees that when muscle tension builds up, this presses blood vessels and nerves passing by, triggering circulation dyscrasia and neurological reaction and thus leading to lesion. Thus, instead of taking skeletal or neurophysiological approach. it seeks to fundamentally resolve the cause of the flow of the life force and blood in muscles not being activated. As a result Oriental medicine attributes the main cause of musculoskeletal system diseases to muscle tension and its build-up that stem from an individual's long formed chronicle habit and work environment. This approach considers not only the social structure aspect including companies owners and work environment that the existing methods have looked at, but also individual workers' responsibility and their environmental factors. Hence, this is a step forward method. 3 The diagnosis of musculoskeletal diseases under Oriental medicine is characterized by the fact that an Oriental medicine doctor uses not only photos taken by himself, but also various detection devices to gather information and pass comprehensive judgment on it. Thus, it is the core of diagnosis under Oriental medicine to develop diagnosing devices matching the characteristics of information to be induced and to interpret information so induced from the views of Oriental medicine. Diagnosis using diagnosing devices values the whole state of a patient and formal abnormality alike, and the whole balance and muscular state of a patient serves as the basis of diagnosis. Hence, this method, instead of depending on the information gathered from devices under Western medicine, requires devices that provide information on the whole state of a patient in addition to the local abnormality information that X-ray. CT, etc., can offer. This method sees muscle as the central par

      • 외배엽 이형성증 어린이의 구강 회복: 증례보고

        이은경,김지연,김신,정태성,Lee, Eungyung,Kim, Jiyeon,Kim, Shin,Jeong, Taesung 대한장애인치과학회 2017 International Journal of Disability and Oral Healt Vol.13 No.1

        본 증례에서와 같이 외배엽 이형성증 환자에서는 획일화된 치료 방법은 없다. 술자 입장에서는 기능적 또는 형태적으로 완벽한 장치가 아니라 할지라도, 외배엽 이형성증의 무치악 환아에게는 심미적 요구가 만족됨으로써 자존감을 드높일 수 있는 치료가 될 수 있다. 특히 외배엽 이형성증 환아는 어린 나이에 의치 장착을 시작하기 때문에 환자의 나이와 구강상태, 심미적인 요구 수준, 저작 방법 등 여러가지를 고려한 개별적 맞춤화 과정을 통해 치료방법을 찾는 것이 중요하다. 또한 환자의 성장에 맞춰 장치를 교환해주며 타 과와의 활발한 교류로 최선의 치료를 해주는 것이 추천되며, 술자와 환자 및 환자 보호자간의 충분한 대화를 통해 치료 방법을 신중하게 결정하는 것이 좋다. Ectodermal Dysplasia is a genetic disorder caused by the abnormal development of two or more structures derived from the ectodermal layer. As an aspect in dentistry, ectodermal dysplasia is characterized by hypodontia, conical or peg-shaped teeth, reduced salivary secretion and decreased vertical dimension. These unfavorable oral conditions make children to have difficulties with mastication, esthetics, and even in social activities. This case report presents an alternative oral rehabilitation treatment of a 4-year-old boy with ectodermal dysplasia. A removable space maintainer with artificial teeth in maxillary arch was delivered according to the initial treatment plan. However, the child failed to adapt the appliance because of his masticatory habit. Then a fixed-type space maintainer was delivered on the patient's esthetic demand and it restored function, esthetics and self-esteem of the patient. The treatment described here suggests that individually customized considerations are essential for the oral rehabilitation of a patient with ectodermal dysplasia.

      • KCI등재

        다목적 활용을 위한 화천댐 용수공급능력 평가 연구

        이은경,이선미,지정원,이재응,정순찬,Lee, Eunkyung,Lee, Seonmi,Ji, Jungwon,Yi, Jaeeung,Jung, Soonchan 한국수자원학회 2022 한국수자원학회논문집 Vol.55 No.6

        In April 2020, the Korean government decided to operate the Hwacheon reservoir, a hydropower reservoir to supply water, and it is currently under pilot operation. Through the pilot operation, the Hwacheon reservoir is the first among the hydropower reservoirs in Korea to make a constant release for downstream water supply. In this study, the water supply capacity of the Hwacheon reservoir was estimated using the inflow data of the Hwacheon reservoir. A simulation model was developed to calculate the water supply that satisfies both the monthly water supply reliability of 95% and the annual water supply reliability of 95%. An optimization model was also developed to evaluate the water supply capacity of the Hwacheon reservoir. The inflow data used as input data for the model was modified in two ways in consideration of the impact of the Imnam reservoir. Calculating the water supply for the Hwacheon reservoir using the two modified inflows is as follows. The water supply that satisfies 95% of the monthly water supply reliability is 26.9 m<sup>3</sup>/sec and 24.1 m<sup>3</sup>/sec. And the water supply that satisfies 95% of the annual water supply reliability is 23.9 m<sup>3</sup>/sec and 22.2 m<sup>3</sup>/sec. Hwacheon reservoir has a maximum annual water supply of 777 MCM (Million Cubic Meter) without failure in the water supply. The Hwacheon reservoir can supply 704 MCM of water per year, considering the past monthly power generation and discharge patterns. If the Hwacheon reservoir performs a routine operation utilizing its water supply capacity, it can contribute to stabilizing the water supply during dry seasons in the Han River Basin.

      • KCI등재

        장기운용항공기 구조물의 잔여 피로수명예측 기법

        이은경,정유인,김상식,Lee, Eungyeong,Jeong, Yooin,Kim, Sangshik 한국재료학회 2015 한국재료학회지 Vol.25 No.10

        Aging aircraft structures are inevitably exposed to environment for a long time facing many potential problems, including corrosion and wide spread fatigue damage, which in turn cause the degradation of flight safety. In this study, the environmental surface damages on aging aircraft structures induced during service were quantitatively analyzed. Additionally, S-N fatigue tests were performed with center hole specimens extracted from aging aircraft structures. From the results of quantitative analyses of the surface damages and fatigue tests, it is concluded that corrosion pits initiated during service reduce the fatigue life significantly. Finally, using the fracture mechanics and the EIFS (equivalent initial flaw size) concepts, the remaining fatigue life was predicted based on actual fatigue test results.

      • SCOPUSKCI등재

        장관 궤양을 동반한 베체트 병

        이은경,윤두희,김태윤,김정원,안웅식 ( Eun Kyoung Lee,Doo Hee Yoon,Tae Yoon Kim,Chung Won Kim,Woong Sik Ahn ) 대한피부과학회 1997 대한피부과학회지 Vol.35 No.3

        Behcets disease is a chronic systemic disease of unknown etiology, which is characterized by the recurrent orogenital ulcers, eye involvement and skin manifestations. In addition to the major symptoms, it includes arthritis, vasculitis, neurologic manifestations and gastrointestinal lesions. We report a case of Behcets disease associated with intestinal ulcers. The patient, a 45-year-old female, who had been treated under the diagnosis of Behcets disease for 4 years, presented with swallowing difficulty, vaginal discharge and persistent right lower abdominal pain. Colonoscopic examination showed multiple ulcers on the ileocecal region which is reported as the most common site of gastrointestinal Behcets disease. Gastrointestinal evaluation can be useful in diagnosis of Behcets disease, especially in a patient with gastrointestinal symptoms. (Kor J Dermatol 1997;35(3): 575-578)

      • KCI등재

        고차원 대용량 자료의 시각화에 대한 고찰

        이은경,황나영,이윤동,Lee, Eun-Kyung,Hwang, Nayoung,Lee, Yoondong 한국통계학회 2016 응용통계연구 Vol.29 No.6

        본 논문에서는 고차원 대용량 자료의 시각화에서 발생할 수 있는 문제점들을 살펴보고 이에 대하여 개발된 방법들에 대하여 논의하였다. 고차원 자료의 경우 2차원 공간상에 표현하기 위하여 중요 변수를 선택해야하며 다양한 시각적 표현 속성과 다면화 방법을 이용하여 좀 더 많은 변수들을 표현할 수 있었다. 또한 관심있는 뷰를 보이는 낮은 차원을 찾는 사영추정방법을 이용할 수 있다. 대용량 자료에서는 점들이 겹쳐지는 문제점을 흩트림과 알파 블렌딩 등을 이용하여 해결할 수 있었다. 또한 고차원 대용량 자료의 탐색을 위하여 개발된 R 패키지인 tabplot과 scagnostics, 그리고 대화형 웹 그래프를 위한 다양한 형태의 R 패키지들을 살펴보았다. In this paper, we discuss various methods to visualize high dimensional large-scale data and review some issues associated with visualizing this type of data. High-dimensional data can be presented in a 2-dimensional space with a few selected important variables. We can visualize more variables with various aesthetic attributes in graphics or use the projection pursuit method to find an interesting low-dimensional view. For large-scale data, we discuss jittering and alpha blending methods that solve any problem with overlapping points. We also review the R package tabplot, scagnostics, and other R packages for interactive web application with visualization.

      • KCI등재

        집단 약동학 모형을 위한 모형 진단과 적합도 검정에 대한 고찰

        이은경,Lee, Eun-Kyung 한국통계학회 2012 응용통계연구 Vol.25 No.1

        집단 약동학 모형 추정의 결과는 환자에게 투약학 약물의 용량결정에 직접적 영향을 미치므로 추정 모형에 대한 타당도와 적합도의 검증이 중요하다. 본 논문에서는 다양한 집단 약동학 모형 적합도 검증을 위한 방법들을 비교, 분석하고 실제 임상자료를 이용하여 최적의 집단 약동학 모형을 찾고 이에 대하여 다양한 타당도, 적합도 검정을 실시하여 모형을 진단해 본다. The result of the analysis of a population pharmacokinetic model can directly influence the decision of the dose level applied to the targeted patients. Therefore the validation procedure of the final model is very important in this area. This paper reviews the validation methods of population pharmacokinetic models from a statistical viewpoint. In addition, the whole procedure of the analysis of population pharmacokinetics, from the base model to the final model (that includes various validation procedures for the final model) is tested with real clinical data.

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