(${\ll}$속명의류안(續名醫類案)${\gg}$에 기재(記載)된 천(喘) 및 효천(哮喘)에 관(關)한 의안(醫案) 연구(硏究)

이주일,서운교,Lee, Ju-Il 대한한의학방제학회 2007 大韓韓醫學方劑學會誌 Vol.15 No.1

Objectives : Select and analyze the case record of dyspnea and wheezing asthma recorded in Xu Ming Yi Lei An that is the most abundant and wide in contents in existing case records that are systematic, comprehending relatively modern Traditional Chinese Medicine to secure more deep and objective basis of Traditional Chinese Medicine approach for dyspnea and wheezing asthma to analyze and review possibility for clinical application in this study. Methods: The study was conducted with the case records of dyspnea and wheezing asthma in whole Xu Ming Yi Lei An. Pattern identify and classify selected case records and again classified with deficiency syndrome and excess syndrome. Also analyzed prescriptions and herbs used in the case records. Nature of herbs and properties and flavors that were used in the case records were classified and frequency of each nature of herbs were analyzed. Applicable case records were interpreted and suggested prescriptions, pulse feelings, pattern classification were analyzed and described. Results : Among the 5254 case records stated on the complete collection, it is researched that there are 63 case records for the symptom complex of dyspnea as 1.2% of the whole case records, and the case records on the symptom complex of wheezing asthma are 14 as the 0.27% of the total examples. 63 case record examples related with symptom complex of dyspnea were pattern identified and classified. As a result, deficiency syndrome of the Kidney(33 %), deficiency syndrome of the Spleen(26.0%), Wind-Cold(12.3%), phlegm turbidity(12.3%), Heat in the Lung(8.2%), asthenia of the Lung(8.2%) were investigated as above order. 14 case record examples related with wheezing asthma were pattern identified and classified. As a result, phlegm-Heat(26.3%), upper excess and lower deficiency(26.3%), external affections Wind-Cold(15.8%), Dampness-phlegm(10.5%), Lung asthenia(10.5%), Cold phlegm(5.3%), mutual deficiency and detriment of Heart and Kidneys(5.3%) were investigated as above order. Symptom complex of dyspnea has 67.1% of deficiency syndrome, 32.9% of excess syndrome resulting more deficiency syndrome than excess syndrome. Symptom complex of wheezing asthma has 42.1 % of deficiency syndrome and 57.9% of excess syndrome resulting more excess syndrome than deficiency syndrome. In case of symptom complex of dyspnea prescription used in the case record, the order of frequency is as following. Palmijihwang-tang, Bojung-ikgitang, Yungmijihwang-tang, Ijintang, Sojaganggitang, Igongsan. In case of symptom complex of wheezing asthma prescription in the case record, Yungmijihwang-tang, Ohotang, Dodamtang were mostly used. Herbs used in case records of symptom complex of dyspnea are Ginseng Radix, Poria, Glycyrrhizae Radix, Aconiti Iateralis Preparata Radix, Atractylodis Macrocephalae Rhizoma, Dioscoreae Rhizoma, Angelicae Gigantis Radix, Rehmanniae Radix Preparat, Pinelliae Rhizoma, Zingiberis Rhizoma Recens are mostly used. Nature of herb properties used for symptom complex of dyspnea and symptom complex of wheezing asthma are herbs that are warm properties. When the symptom complex of dyspnea and the symptom complex of wheezing asthma were treated. if the patient felt tenderness at Pyesu, doctors conducted pricking blood around the opposite Pyesu or Sipseon acupoint. when the patient didn't have tenderness at Pyesu by soft press, pricking blood was performed both sidees, right and left Pyesu. In case of the treatment of symptom complex of dyspnea and symptom complex of wheezing asthma, when they got treatment, when the symptom complex of disease is severe, a doctor cauterized the opposite Pyesu while the other Pyesu felt tenderness, and decided how the above treatment is performed whether the degree of the symptom compolex of disease is severe or not. In case of the treatment of symptom complex of dyspnea and symptom complex of wheezing asthma, if the person felt tenderness at Pyesu and is caught by the Wind-Cold pathogen, slight a

백일해(百日咳) 유발균(誘發菌) Bordetella pertussis에 대한 호장근(虎杖根)의 생육(生育) 억제(抑制) 효과(效果)

이주일,서운교,정운석,Lee, Ju-Il,Seo, Un-Kyo,Jung, Wun-Suk 대한한방내과학회 2005 大韓韓方內科學會誌 Vol.26 No.3

This study was designed to identify the effects of Reynoutria Japonica on antibacterial activity aganist Bordetella pertussis ATCC 9797 which is cause of whooping cough. The ethanol- and water-extracts of more than 80 oriental herbal medicine were Investigated by Kirby -Bauer method to determine their inhibitory effects on growth of B. pertussis ATCC 9797 in vitro. For that Reynoutria Japonica was selected. The ethanol-soluble extract of Reynoutria Japonica showed relatively high antivacterial activity against B. pertussis ATCC 9797. However, the water-soluble extract of Reynoutria Japonica showed no antibacterial activity. The ethanolic extract was further fractionated with organic solvents such as hexane, chloroform, and ethyl acetate, in that order. Among the fraction tested, the chloroform fraction showed the highest antibacterial activity when the ethanol-soluble extract of Reynoutria Japonica minial inhibitory concentration(MIC) was $25{\mu}g/m{\ell}l$. Results support a role far Reynoutria Japonica in inhibiting the cell growth of B. pertussis ATCC 9797, but further experimentation is required.

위기영혈변증(衛氣營血辨證)을 통한 Klebsiella pneumoniae에 대한 임상증례 보고

이주일,서운교,Lee, Ju-Il,Seo, Un-Kyo 대한한방내과학회 2007 大韓韓方內科學會誌 Vol.28 No.1

Inspiratory pneumoniais one of the common complications in stroke patients who have dysphagia. Pneumonia due to Klebsiella bacteria shows higher fatality than other bacteria. For this reason, K. pneumoniae can be fatal to immune deficient patients. The purpose of this paper is to report the adapting pattern identification according to principles of defense, Gi, nutrients and blood on K. pneumoniae treatment. In this case, improvement was seen in a stroke patient with dysphagia diagnosed with K. pneumoniae by X-ray, sputum culture, and by using Cheonghobyulgaptang as a way of nourishing Eum and clearing heat, because in this case K. pneumoniae was presumed to cause Eumdeficiency due to the chronic low fever, cough, sputum and weakness. This paper proposes that adapting pattern identification according to principles of defense. Gi, nutrients and blood can increase the efficiency of K. pneumoniae treatment.

북강활 에틸아세테이트분획의 비만세포에서의 염증반응 억제효과

서운교 ( Un Kyo Seo ),이주일 ( Ju Il Lee ),박준홍 ( Jun Hong Park ),박용기 ( Yong Ki Park ) 대한본초학회 2008 大韓本草學會誌 Vol.23 No.4

Objectives: In this study, the pharmacological effects of the ethylacetate extract of Ostericum koreanum(North Kangwhal; NK) on allergic inflammation were investigated in activated human mast cells. Methods: North Kangwhal was extracted with 80% methanol for 24 h, and then fractionated with ethylacetate(NK-EtOAc extract). HMC-1 cells, an human mast line, were pre-incubated with different concentrations of NK-EtOAc extract for 30 min, and then stimulated with PMA(50 nM/ml) and A23187(1 μM/ml) at indicated times. The cell toxicity was determined by MTT assay. The concentrations of prostaglandin E2(PGE2) and cytokines(TNF-α, IL-8) were measured by enzyme-linked immunosorbant assay. Results: NK-EtOAc extract(10~50 ㎍/ml) significantly inhibited the productions of PGE2, TNF-α and IL-8 in PMA/A23187-stimulated HMC-1 cells without cell toxicity(0~50 ㎍/ml). NK-EtOAc extract also inhibited PMA/A23187-induced phosphorylation of ERK1/2 MAPK and the NF-κB p65 subunit translocation into the nuclear of HMC-1 cells. Conclusions: This study suggests that NK-EtOAc extract may have an anti-inflammatory property through suppressing the production of inflammatory mediators in activated mast cells and its molecular mechanism underlies the blocking of NF-κB pathway.

형법개정과 형법의 제한적 역할

이주일(Lee Ju-Il) 한국법학회 2011 법학연구 Vol.42 No.-

형사법개정특별분과위원회의 활동을 통하여 형법개정의 큰 틀이 만들어 졌다. 주된 내용을 보면 형법 제53조의 작량감경사유를 제한하고, 2005년 폐지되었던 보호감호제도를 새롭게 도입하는 방안, 형벌제도를 정비하여 형벌의 종류를 종래의 9가지에서 사형, 징역, 벌금, 구류 등 4가지로 간소화하는 내용, 벌금형에 대한 집행유예제도 등이다. 형법의 기본원칙인 죄형법정주의 원칙을 명문화하였다. 유기징역의 상한제를 최대 50년으로 형법이 개정되고, 이에 따라 흉악범의 양형기준이 최대 50년으로 하는 양형기준안이 국회를 통과하였다. 물론 최근에 문제된 흉악범 혹은 성폭력범죄에 대한 엄벌주의가 이슈가 되는 시점에서 이루어진 점이 문제의 출발점이라 생각된다. 그리고 보호감호제도를 다시 도입하는 법무부 형법개정안에 대하여 이중처벌금지원칙과 적정절차원칙에 반하여 위헌이라는 지적 있음에도 보호수용이라는 명칭만 바꾸어 법무부의 입법예고에 들어간 점들이 새로운 논란의 대상이 되고 있고, 특히 삼진아웃제의 도입등은 수용자의 폭증을 가져오는 문제가 있다는 점들을 지적하면서 비판되고 있다. 그러나 형법의 역할을 어디까지 인정할 것인가에 대한 논의는 배제된 상태에서 형벌의 강성화를 통하여 공동체의 안전을 담보하기 위한 적극적 역할을 예정하고 있다. 형법의 역할과 그 범위에 대한 논의 없이 사회위험을 예방하기 위한 입법자의 정당한 도구로 역할확대를 당연한 것으로 받아들여서는 안 될 것이다. 따라서 형법의 역할에 대한 제한적 인식 없이 형법개정논의를 시작하는 것은 시민사회의 자율성 및 형벌에 대한 예측가능성을 심대하게 훼손될 것이고, 따라서 형법의 역할에 대한 제한적 논의가 필요하다.

절도죄의 보호법익에 대한 재검토

이주일 ( Lee Ju-il ) 한국외국어대학교 법학연구소 2007 외법논집 Vol.28 No.-

The larceny is most frequent from property crime. The criminal Law first priority task to the benefit and protection of the law. The discussion which is principal during that time from larceny was one which decides the object of larceny. The crime which is not the act object it is but is not a crime which is not the benefit and protection of the law. Illegal this to be decided from inside limit of the benefit and protection of the law. The protection law becomes the ground of punishment at the criminal law which ripens decision of protection of law large grade is important from point. Our court of justice confronts to the thing where the victim abandons the right of ownership the formation of larceny and it recognizes. It is like that it confronts to protection legal of larceny and it thinks that the new interpretation is necessary. It arranged the theory of protection legal of larceny from 1st chapter. In order for the larceny to be formed from our court of justice the what kind of law it will ripen from 2 chapters and is protecting against described. From conclusion crisis of protection legal concept about under asserting the law which is principal it did by the right of ownership, and the right of possession which ripen the protection legal concept which is a Legal security division peace it asserted. The organization of society becomes complicated anger at day and the social dangerous characteristic which is brought about from right of property a prediction possibility also it escapes. The society it is stabilized from this situation inside, the role of the criminal law which guarantees a prediction possibility is coming to be necessary. Rightly there is a necessity which will interpret a protection legal concept newly to consequently like this necessity, the new reading more is necessary from meaning whose also protection legal of the larceny which is a head of a family basic crime shedding of blood of property crime is like this. The new protection legal concept being necessary with it tries to observe from the judicial precedent which precedes is not included together in protection legal concept of existing, despite, the social dangerous characteristic exists and from that dangerous characteristic the protective clothing necessity at criminal law is punishing about under existing with larceny. It divides with protection legal who is principal and secondary protection legal “the legal security division peace of the property” there is a possibility becoming protection legal of larceny with secondary protection legal.

제주지사 사건의 절차적 문제점에 관한 검토

이주일 ( Lee Ju-il ) 한국외국어대학교 법학연구소 2009 외법논집 Vol.33 No.4

The Supreme Court revised the Korea law of criminal suit and prescribed 'illegality collection exclusion of evidence law' in 2 of the 308 group. The Supreme Court changed. The admissibility of evidence of the evidence collected by the investigation in which it violates law is not recognized. Because of accompanying the breach of the fundamental human rights, in order to be according to on the warrant attention, the object legal disposition prescribes. Accordingly our Supreme Court denied the admissibility of evidence of the evidence collected by the procedure of violating law in the event in which we look at. It is encouraging that it denies the admissibility of evidence of the evidence collected by the procedure changing the attitude in which it recognizes the difference of the admissibility of evidence of the statement evidence and ratio statement evidence in a convention in the object legal disposition and in which it violates law. But in this event, it can not help is pointing out if the Supreme Court changes a position that there is the procedural several points. If it is the collection of evidence violated to the warrant attention, it is unable to be appropriate with first to view as the evidence in which it immediately violates law. It is rightly decided even about coming under a seizure, and the proprietary in which it can search without a warrant that there had to be a review Because it was clear to be the point of time of time when the secretary of the governor of Jeju attempts to the destruction of evidence, that should be discussed with second. As to this thing, when being the flagrant delict and seizing the evidence in which an accomplice possesses, a secretary has to inquire the procedural problem about in which the exception of the warrant attention is not recognized. Lastly, our court said to be not only the important crime but it repeats the review about the standards our court looks at. Because, a qualification as the public official is deprived due to the pronouncement of the prison sentence in which it is quite light unlike the dissimilar crime in the case of this law and the proper comparison cannot become the general crime and the that it formally compares thing. In this kind of a reason, the determination of our Supreme Court tries to point out that there is the problem. Theministers secretary is allowed that it confiscates as the flagrant delict of the obstruction of justice through destruction of evidence without a warrant. It says accordingly to be the investigation in which it violates law. This kind of a verdict thinks that there is the procedural problem.

형법상 보충성의 원칙에 대한 소고

이주일(Lee Ju-Il) 한국비교법학회 2005 비교법학연구 Vol.5 No.-

물리치료사에 대한 의사의 “지도”의 목적론적 해석

이주일 ( Ju-il Lee ) 대한물리의학회 2018 대한물리의학회지 Vol.13 No.2

PURPOSE: The law pertaining to medical service technologists does not discuss the scope and limits of doctors’ guidelines. My paper aims to discuss these topics. METHODS: This study was based on a review of literature and an analysis of judicial precedents. RESULTS: Physical therapists have often noted the need for independent practitioners in their articles on health care. Their continued discussions on professional and educational differences have centered round this issue, but their ideas have not been accepted. Practitioners have continued to interpret doctors’ guidelines in hospitals without discussing their scope. However, the Supreme Court presented a meaningful decision outlining the conceptual limits and the scope of medical practice. The court suggested, basing its interpretation in the goal of clarifying the concept of medical activities smoothly, was to follow a specific judgment on the levels of education, testing, and professionalism. CONCLUSION: The role of physical therapists is expanding in this country, in order to meet the needs of the ultra-aged society. Education is already responding to rising training needs. By dividing the doctors’ guidelines into indirect and direct types, if there’s no medical risk near or around the health center or hospital, it is a good idea to allow the management of physical therapy partially, while understanding the scope and limitations of these guidelines clearly. A teleological interpretation of the law is especially relevant, and can be implemented immediately by the authoritative interpretation on part of the health authorities without any legal amendments.

노인요양원의 내부마케팅요인이 조직유효성과 지각된 서비스품질에 미치는 영향에 관한 연구

이주일(Ju-Il Lee),이택호(Taik-Ho Rhee),강성수(Seong-Soo Kang) 한국산업경제학회 2016 산업경제연구 Vol.29 No.3

본 연구의 목적은 노인요양시설에서 내부 마케팅 요인과 조직유형성이 지각된 서비스 품질에 어떠한 영향을 미치는 가 연구하는 것이다. 노인요양시설 종사자들의 만족을 높일 수 있는 내부마케팅 요인의 실행요인을 도출하고 내부마케팅요인이 조직유효성(동기부여, 직무만족, 조직몰입)에 미치는 영향을 분석하였다. 그리고 내부마케팅요인, 동기부여, 직무만족, 조직몰입, 지각된 서비스 품질의 개념들 간 직간접적인 영향을 살펴보았다. 연구를 위해 291명에게 설문조사를 하였고, 283명의 설문이 최종적으로 이용되었으며 8개는 누락되거나 신뢰할 수 없어서 제외하였다. 본 연구의 결과를 요약하면 다음과 같다. 첫째, 내부마케팅요인은 동기부여와 조직몰입에 유의한 정(+)의 영향을 미치는 것으로 나타났으나, 직무만족에는 통계적으로 유의하지 않은 것으로 나타났다. 둘째, 동기부여, 직무만족, 조직몰입 간에는 통계적으로 영향을 미치지 않는 것으로 나타났다. 셋째, 조직몰입은 지각된 서비스 품질에 유의한 정(+)의 영향을 미치는 것으로 나타났으나, 동기부여, 직무만족은 지각된 서비스 품질에 통계적으로 영향을 미치지 않는 것으로 나타났다. 연구결과를 바탕으로 시사점과 연구의 한계점 및 향후 연구방향을 제시하였다. The purpose of this study is to identify the influence of internal marketing factors, organizational effectiveness on perceived service quality of elderly care facilities. This study drew practice factors of internal marketing factor for elderly care facilities to increase the employees" satisfaction, and through this investigated the effects of internal marketing factor on organizational effectiveness(motivation factor, job satisfaction, organizational commitment). And this study tried looking into direct and indirect influences among each of the composite concepts - motivation factor, job satisfaction, organizational commitment and perceived service quality. For the study subjects, 291 employees were selected to be surveyed. 283 employees were selected as a final significant sample after having ruled out 8 employees judged to contain unreliable and insincere answers. Summary of data analysis under this study is as follows, First, internal marketing factor appeared to have positive influence on motivation factor and organizational commitment while job satisfaction didn"t. Second, Statistically among the motivation factor, job satisfaction, organizational commitment were shown to not have an impact. Third, organizational commitment appeared to have positive influence on perceived service quality, while job satisfaction and motivation factor didn"t. Based on these findings, the implications and the limitations of the study were presented.