슬관절 수술 후 재활에 대한 Continuous Passive Motion 치료와 한의 병행치료의 체계적 문헌 고찰

하현주 ( Hyun Ju Ha ),오민석 ( Min-seok Oh ) 대한한의학회 한방재활의학과학회 2017 한방재활의학과학회지 Vol.27 No.3

Objectives The objective of this study is to report the evidence that continuous passive motion (CPM) therapy combined with Korean Medicine is effective for knee injuries. Methods We searched 2 Korean medical electronic databases, and 2 Chinese electronic databases to find randomized controlled clinical trials (RCTs) that treat knee injuries with Korean Medicine combined with CPM therapy. We selected studies by screening. We extracted data from selected RCTs, and analyzed RCTs by using Cochrane`s Risk of bias criteria. Results 386 studies are searched, and 7 RCTs are selected. According to the study, several kinds of Korean Medicine such as hydrotherapy, decoction, acupuncture, moxibustion, and manual therapy are used with CPM therapy for the knee joint postoperative rehabilitation. We found the encouraging evidence that Korean Medicine and CPM combined therapy is more effective than single CPM therapy by alleviating pain, increasing range of motion, and improving knee function, etc. However, the risk of bias in most RCTs was judged to be uncertain. Conclusions Combination of Korean Medicine and CPM therapy can compensate the defect of single CPM therapy, and promotes the recovery of knee joint function. (J Korean Med Rehabil 2017;27(3):33-45)

도홍사물탕(桃紅四物湯)이 골절 유합에 미치는 실험적 연구

하현주 ( Hyun Ju Ha ),오민석 ( Min-seok Oh ) 한방재활의학과학회 2020 한방재활의학과학회지 Vol.30 No.2

Objectives The purpose of this study is to evaluate the bone healing effect of Dohongsamul-tang (Taohongsiwu-tang; DH) on femur fractured mice. Methods Mice were randomly divided into 4 groups (naive, control, positive control and DH). All groups except naive group were subjected to bone fracture on both hind limb femurs. Naive group received no treatment at all. Control group was fed with normal saline, and positive control group was orally medicated with tramadol. DH-treated group was orally medicated with DH. We analysed the levels of BMP2, COX2, Col2a1, Sox9, Runx2, and Osterix genes on 3, 7 and 14 days after fracture. Alkaline phosphatase, aspartate aminotransferase, alanine aminotransferase, blood urea nitrogen, creatinine, total cholesterol, and triglyceride levels were measured for safety assessment. Results In morphological, histological analysis, callus formation process of DH-treated group was faster than the control group. BMP2, Sox9 gene expression were significantly increased at 7 days after fracture compared to the control group. COX2, Col2a1 gene expression were significantly increased at 14 days after fracture compared to the control group. Total cholesterol was significantly increased by DH at 3 days. Triglyceride was significantly decreased by DH at 3, 7 days after fracture compared to the control group. Conclusions Dohongsamul-tang promoted bone healing process after fracture by stimulating the bone regeneration factors. And DH shows no hepatotoxicity, nephrotoxicity and serum lipid abnormality. In conclusion, it seems that DH helps to promote fracture regeneration after bone fracture by regulating gene expressions related to bone repair. (J Korean Med Rehabil 2020;30(2):47-66)

골반 골절에 한방재활치료를 적용한 증례 보고 및 보존적 치료에 대한 국내 문헌 분석

하현주 ( Hyun Ju Ha ),구지향 ( Ji Hyang Gu ),최봉석 ( Bong Seok Choi ),오태영 ( Tae Young Oh ),오은미 ( Eun Mi Oh ),이옥진 ( Yu-chen Li ),오민석 ( Min-seok Oh ) 대한한의학회 한방재활의학과학회 2018 한방재활의학과학회지 Vol.28 No.2

The objective of this study is to investigate conservative treatment of pelvic fracture, and report that Korean rehabilitation treatment is effective for pelvic fracture. We reported a case about pelvic fracture treated with Korean rehabilitation treatment. We searched 10 domestic electronic databases to find reports on conservative treatment of pelvic fracture. We selected and analyzed 12 studies. In this case, pain, range of motion, and Oswestry Disability Index of patient were improved by Korean rehabilitation treatment. In analysis, traction, pelvic sling, hip spica cast, pelvic belt, medication are used in western medical treatment. Acupuncture, herbal medicine, cupping, moxibustion, physical therapy, manual therapy are used in Korean medical treatment. Most of conservative treatments are effective for pain, bone union, osteoporosis, dysfunction. In this study, we expect further study of Korean rehabilitation treatment program for pelvic fracture to compensate existing conservative treatment. (J Korean Med Rehabil 2018;28(2):135-148)

건강한 자비의 함양을 위한 불교와 심리학의 학제적 고찰

하현주(Ha, Hyun-ju) 불교학연구회 2018 불교학연구 Vol.54 No.-

최근 심리학계에서는 불교의 자비에 기반한 심리치료 프로그램을 개발하고, 치료 효과를 입증하면서 자비의 가치에 주목하고 있다. 심리학 내에서는 자비를 증진하기 위한 개입방법으로 자비명상이 치료적으로 활용되기도 하고, 자신에게도 우호적인 태도를 함양하는 자기자비가 자존감에 대한 새로운 대안으로 각광받으며 활발하게 연구되고 있는 상황이다. 한편, 자기자비가 불교의 무아와 자타불이의 사상과 모순된다는 비판이 제기되기도 하는데, 자비가 치료적으로 활용되는 과정에서 본래의 의미가 변색되지 않은 채 건강하고 진정한 자비로서 적용되기 위해서는 불교의 철학적 바탕과 심리학적 방법론 사이의 활발한 학제적 접근이 요구된다. 본 논문에서는 불교와 심리학의 관점에서 각각 자비를 조망해보고, 건강한 자비란 무엇인지 고찰함으로써 향후 자비 연구를 위한 토대를 마련하고자 한다. 자비의 불교적 정의와 자리이타 (自利利他), 자타불이 (自他不二), 삼연자비 (三緣慈悲)와 같은 자비의 특징을 살펴봄으로써 진정한 자비의 측면을 탐색하고자 하였다. 또한, 자비와 유사한 듯 보이지만 진정하고 건강한 자비가 아닌 유사 자비 (pseudo-compassion)의 양상으로 자기애적 자비와 반동형성적 자비, 결핍과 희생에 기반한 자비, 슬픔에 압도된 자비를 제언하였다 . 건강한 자비가 갖추어야 할 특성으로 상호연결성과 지혜, 평정심에 기반한 자비, 상호치유 과정으로서의 자비를 제안함으로써, 보다 건강하고 지속가능한 자비를 함양하기 위한 방편을 모색하고자 하였다. 향후 불교와 심리학의 학제적 접근이 더욱 활발해진다면, 자비에 대한 심층적 이해와 자비 실천을 위한 함양방법이 더욱 체계적으로 제시될 수 있으리라 기대한다. Recently, in the fields of psychology, a variety of compassion-based programs have been widely developed and have proved their therapeutic effects on a series of mental problems. Especially, compassion meditation has been used therapeutically as an intervention to promote compassion, and self-compassion which develops a friendly attitude toward oneself is being actively studied as a new alternative to self-esteem. On the other hand, there is a criticism that self-compassion is contradictory to the Buddhist concepts of non-self (anattā), non duality of I and the not-I. In order to apply compassion without the discoloration of original meaning in the course of the therapeutic use of it, an active interdisciplinary approach between Buddhist philosophical background and psychological methodology is required. In this perspective, I try to establish an interdisciplinary base for future study by considering authentic and healthy compassion in terms of Buddhism and psychology. I examined the Buddhist definitions of compassion and the characteristics such as ‘By benefiting oneself, one benefits others( 自利利他 )’, ‘non duality of I and the not-I( 自他不二 )’, ‘the three kinds of causal compassion( 三緣慈 悲 )’. I also suggested patterns of pseudo-compassion, which seem to be similar to compassion but not genuine and healthy aspects of it; narcissistic compassion, compassion as a reaction formation, compassion overwhelmed by sadness, and compassion based on destitution and sacrifice. I sought to find a way to cultivate healthier and more sustainable compassion by proposing it based on interconnectedness, wisdom, equanimity and as a process of mutual healing. If interdisciplinary approaches to Buddhism and psychology become more active in the future, it will be able to suggest more systematic ways to cultivate in-depth understanding and practicing compassion.

마음챙김 명상의 심리치료적 적용을 위한 제언

하현주(Hyun Ju Ha),권석만(Seok Man Kwon) 동국대학교 불교문화연구원 2010 佛敎學報 Vol.0 No.56

최근 다양한 심리적 장애에 대하여 마음챙김의 치료적 효과가 입증되어 왔다. 선행 연구에서는 마음챙김 명상 중 경험할 수 있는 다양한 부정적 경험에 대해서 다루지 못했다는 한계가 있다. 또한 마음챙김 명상 중 개인의 심리적 특성에 따라 어떠한 경험 양상이 나타나는지에 대한 탐색적 연구가 미흡한 상황이다. 이에 본 연구에서는 마음챙김 명상 경험에 영향을 미치는 명상 수행자의 심리적 특성(자아강도와 외상경험, 성격특성, 수행을 시작하게 된 동기)들을 살펴봄으로써 마음챙김 명상을 심리치료에 보다 효과적으로 적용하기 위한 의견을 제시하고자 하였다. 자아강도가 낮거나 심각한 외상경험으로 인해 심리적으로 취약해진 개인은 마음챙김 명상을 통해 긍정적인 이득을 얻기 이전에 자기비판적 태도로 스스로를 관찰하게 되거나 미해결 감정들이 증폭되고, 외상적 기억들이 재경험되는 고통스러운 처리 과정을 거칠 수 있고, 개인의 성격적 특성에 따라 명상을 자기 자각이 아닌 현실 도피의 수단으로 오용할 수도 있다는 점에 유의하여야 한다는 것을 제안하고자 하였다. 따라서 치료자나 수행 지도자들은 심리적으로 취약한 이들에게 마음챙김 명상을 적용할 때에 수행자의 심리적 특성들을 세심하게 고려하는 것이 필요하리라 생각된다. Currently, it has been proven that mindfulness meditation has therapeutic effects on treating various psychological disorders. Researchers, in previous studies, focused on positive experiences and effects of mindfulness meditation and overlooked negative experiences while practicing. There also have been few studies exploring the aspects of meditative experiences dependent on psychological traits of individuals. In this study, we explored meditator`s psychological traits such as ego strength, traumatic experiences, personality traits, motivation to practice meditation which influence on their experiences of mindfulness meditation and suggested some implications for more effective clinical application of mindfulness meditation to psychotherapy. This study suggests that those with low ego strength and the vulnerable due to traumatic experiences are subject to get through painful process such as self-critical observation and amplification of unsolved emotions, and retraumatization during the recall of traumatic memories. In addition, it needs to be noted that some people misuse meditation as a means of reality avoidance. Therefore, clinicians and meditation teachers should delicately consider the psychological traits of meditators in applying mindfulness meditation.

컴포넌트 기반 소프트웨어 개발을 위한 도메인 아키텍쳐 설계

하현주(Hyun-Ju Ha),염근혁(Keunhyuk Yeom) 한국정보과학회 2000 한국정보과학회 학술발표논문집 Vol.27 No.2Ⅰ

CBD(Component-Based Development)는 이미 존재하는 소프트웨어 컴포넌트를 조립함으로써 시스템을 개발하는 방법이다. 컴포넌트를 이용하여 시스템을 개발하는 것은 개발시간과 비용을 줄이고, 생산성을 향상시키는 등 여러 가지 장점을 가진다. 그러나 여러 벤더에 의해 개발된 컴포넌트를 조립하는 것은 쉬운 일이 아니다. 이를 위해 컴포넌트가 어떤 문맥에서 사용되는 지 이해하는 것이 필요하며 이 문맥은 아키텍쳐에 의해 결정된다. 따라서 본 논문에서는 컴포넌트 기반 개발을 위한 도메인 아키텍쳐를 제안한다. 도메인 아키텍쳐는 도메인을 구성하는 컴포넌트와 그들간의 관계에 대한 정보를 제공함으로써, 어플리케이션 개발을 쉽게 한다. 또한 도메인 아키텍쳐는 관련된 여러 시스템을 위한 아키텍쳐이므로, 도메인 아키텍쳐 상의 컴포넌트는 재사용성이 높다.

친환경 실내디자인에 대한 실무자의 의식도 실천정도

하현주(Ha, Hyun-Ju),오찬옥(Oh, Chan-Ohk) 한국실내디자인학회 2011 한국실내디자인학회논문집 Vol.20 No.3

As the environmental pollution is intensified, the interest in the conservation and quality of global environment is also increasing. Interior design affects on environmental conservation as well as the quality of outdoor and indoor environment through all phases of interior design. Therefore, interior designers should do environment-friendly design. The purpose of this study was to examine the consciousness and application degree of environment-friendly interior design in actual project by interior designers. The study was conducted by a questionnaire survey. The subjects were 215 interior designers working in Seoul area. The major findings of this study were as follows : 1) The 33 representative elements of environment-friendly interior design were selected and categorized into 5 fields : resources and materials, energy savings, ecological environments, indoor environments, and space effectiveness. These would be useful to carry out environment-friendly interior design projects and related researches. 2) Many interior designers didn’t understand what the environment-friendly interior design is correctly, even though they were interested in it. Therefore, the educational program of environment-friendly interior design should be developed. 3) Even though interior designers thought most elements of environment-friendly interior design very important, they didn’t apply them well to actual projects. This implies that alternatives for activating them are needed.

친환경 실내디자인에 대한 실무자의 의식 및 실천정도

하현주(Ha, Hyun-Ju),오찬옥(Oh, Chan-Ohk) 한국실내디자인학회 2010 한국실내디자인학회 학술대회논문집 Vol.12 No.3

Recently, the interest in "health" increased along with the quality of life, consciousness on environment-friendly design is rising. Therefore, the purpose of this study is to plan guidelines for the realization of environment-friendly Design for Interior space. Survey research method is used in this research to collect data. The respondents in this questionnaire survey were 215 interior designers. The major findings of this study are as follows ; Most of the respondents were aware of the risk factors of environment-friendly design in interior space. The overall risk factors on environment-friendly design in interior space showed to be higher than average but, the overall performance on environment-friendly design in interior space showed to be lower than the risk factors. Therefore, it is thought that the "economic burden" issue could be raised in their Architectural Practice. Also, problems in environment-friendly design in interior space planning features showed to be of interior space was "lack of awareness of users of space and "lack of awareness of interior designers", and "policy support." Thus we must solve these problems, which are "economic burden", "lack of awareness of interior designers", "policy support". Through this, broad application of environment-friendly design in interior space will be possible.

학생 정신건강 지역협력모델이 학교 정신건강 인식에 미치는 영향

하경희(Kyung Hee Ha),김진아(Jin A Kim),김우식(Woo Sik Kim),홍현주(Hyun Ju Hong),김선연(Seon Yeon Kim) 대한소아청소년정신의학회 2016 소아청소년정신의학 Vol.27 No.2

Objectives: The purpose of this study was to examine the effect of the Students’ Mental Health School-Community Cooperative Model on the school mental health awareness of the participants (school administrators, teachers, students). Methods: Data were collected from 140 schools that participated in the project. The questionnaires were composed of items about the school mental health policy, climate and capacity. The data was analyzed through paired t-tests between pre and post, and a comparison was made between the 1st and 2nd phase regions. Results: The total scores of the teacher and student groups increased significantly, whereas those of the school administrators did not. The awareness of the teachers showed more changes in the 1st phase regions, while those of the students changed more at the 2nd phase. Conclusion: Based on the results, the expansion of the Students’ Mental Health School-Community Cooperative Model was proposed.

우리나라 고등학교의 정신건강이 학업성취도와 학업중단율에 미치는 영향

방은주(Eun Ju Bang),김두형(Du Hyung Kim),노법래(Beop Rae Roh),유혜승(Hye Seung Yoo),장지현(Ji Hyeon Jang),하경희(Kyung Hee Ha),박은진(Eun Jin Park),홍현주(Hyun Ju Hong) 대한소아청소년정신의학회 2016 소아청소년정신의학 Vol.27 No.3

Objectives: The purpose of this study was to explore the influence of high school students’ mental health on their academic achievement and school dropout rate by using longitudinal data. Methods: For this study, 153 high schools were randomly sampled on a nationwide scale. The descriptive data was collected from a school information internet site which is organized by the Korean Ministry of Education. We used the schools’ mean scores on the Adolescent Mental Health Problem-Behavior Questionnaire-II (AMPQ-II) scale which was used for estimating students’ mental health in the 2013 school-based mental health screening test. The data analysis was conducted by using hierarchical regression analysis. Results: The results of this study showed that the AMPQ-II scale’s mean scores have significant effects on the following year’s academic achievement and annual dropout rates. Especially, the AMPQ-II scale’s mean scores tend to increase the school dropout rate in vocational schools. Conclusion: The finding of this study is that Korean high school students’ mental health states significantly influence their academic achievement and school dropout rate.