산업장 근로자의 스트레스에 대한 한의계 연구경향

차윤엽 ( Yun Yeop Cha ),고연석 ( Youn Seok Ko ),이정한 ( Jung Han Lee ),정원석 ( Won Suk Chung ),신병철 ( Byung Cheul Shin ),전찬용 ( Chan Yong Jeon ),고호연 ( Ho Yeon Go ),선승호 ( Seong Ho Sun ),장보형 ( Bo Hyoung Jang ),송윤경 한방재활의학과학회 2013 한방재활의학과학회지 Vol.23 No.2

Objectives : The purpose of this study is to explore the trends of Korean medical study on stress in the industrial worker. Methods : We received numbers of the studies about stress in the industrial worker from 6 Korean web databases, using key words such as ‘Industry AND Stress’, ‘Oriental medicine AND Stress’, ‘Worker AND Stress’, ‘Workplace AND Stress’. We received 12 research papers and they were analyzed and the journals, the authors, the contents of 3 classification of those research papers. Results : Among them, we had 6 reviews of Dept. of preventive medicine and Dept. of third medicine, college of Korean Medicine, Won-kwang University, and the rest of them were 6 reviews. We had 4 reviews of Korean Journal of Oriental Preventive Medical Society, 2 reviews of the Journal of Traditional Korean Medicine, 2 reviews of Journal of Oriental Neuropsychiatry and so on. According to the contents of reviews, we had 7 reviews of correlation of industrial worker and stress, 4 reviews of cause on the industrial worker’s stress and 1 case report. Conclusions : We reviewed the trends of Korean medical study on stress in the industrial worker. The stress in the industrial workers were related with the type of occupation, social psychology, drinking, smoking, the satisfaction of job, the harmony of organization.And we knew that the musculoskeletal pain was related to the industrial worker’s stress. In the future, abundant case studies, follow-up trials and RCTs should be done about the industrial worker’s stress.

원저 : 폐경전 및 갱년기 과체중 한국 성인 여성의 변증 지표 차이에 대한 연구

정원석 ( Won Suk Chung ),황미자 ( Mi Ja Hwang ),이아라 ( A Ra Lee ),문진석 ( Mi Yeon Song ),최선미 ( Jin Seok Moon ),송미연 ( Sun Mi Choi ) 한방비만학회 2008 한방비만학회지 Vol.8 No.2

Objectives The aim of the study was to investigate the difference between pattern identification of premenopausal(n=39) and climacteric(n=40) korean obese and overweight women using Syndrome Differentiation Questionaire. Methods 39 premenopausal obese women(BMI≥25kg/m2) and 40 climacteric overweight and obese women(BMI≥23kg/m2) were recruited from October 2007 to March 2008 in Seoul, Korea. Subjects who had other disease were rejected. Basic anthropometry and body composition were measured. Every subjects were given and filled out the Syndrome Differentiation Questionaire, and we analyzed that using Fisher`s exact test. Results 1. Premenopausal women showed high frequency of food accumulation pattern(43.6%), but in climacteric women, liver qi depression pattern was frequent(57.5%, p=0.021). 2. In weighted Syndrome Differentiation Questionaire score, Premenopausal women showed high frequency of food accumulation pattern(43.6%), but in climacteric women, liver qi depression pattern was frequent(47.5%, p=0.004). 3. There were no correlation between anthropometry and scores of the each patterns. Conclusions In this study, we can find out that the dietary factors play major roles in obesity of premenopausal women and emotional factors in obese climacteric women in the view of oriental pattern identification diagnosis. But it seemed that there lacked of consideration that reflected the degree of obesity in this Syndrome Differentiation Questionaire.

한국 성인 비만여성의 체지방 분포와 월경 장애의 상관성 분석

정원석 ( Won Suk Chung ),최가야 ( Ga Ya Choi ),송미연 ( Mi Yeon Song ),신현대 ( Hyun Dai Shin ) 한방비만학회 2004 한방비만학회지 Vol.4 No.1

Background : Obesity is associated with menstrual disorder. Especially, upper-body obesity affects on female reproductive function. Objectives: The goals were to investigate relation between fat distribution and menstrual disorder in obese pre-menopausal Korean females. The hypothesis were tested that there is a relation between upper body obesity and menstrual disorder. Design : A cross-sectional evaluation of 66 Females (baseline age 32.15±7.32) with body mass index 31.22±4.05 kg/m2. Body composition was measured using bioimpedence analysis (BIA) and anthropometry was done by same observer. VAS and Multidimensional verval rating scale(MVRS) were checked for menstrual pain. Dual-Energy X-ray Absorptiometry (DXA) was measured for evaluating body fat distribution. Menstrual disorder and body fat distribution were compared using statistical methods. Results : TLFR and WH ratio was higher in menstrual cyclic disorder group than controls. There was negative relationship between VAS and TLFR. Conclusions : The data shows that disorder of menstrual cycle was associated with upper body obesity. WH ratio could be one of the factor of menstrual disorder. VAS was correlated with lower body obesity. Further studies for role of upper body fat distribution on female reproductive function and relationship between menstrual pain and fat distribution thought to be needed.

급성기 뇌경색 환자에 대한 황련해독탕(黃連解毒湯) 가미방(加味方)의 효과 연구

정원석 ( Won Suk Chung ),김성수 ( Sung Soo Kim ) 한방재활의학과학회 2004 한방재활의학과학회지 Vol.14 No.1

Objectives: This study was carried out to investigate neuro-protective effects of Whangryunheadoc-tang Gami-bang(Huanglianjiedu-Tang JiaWei-Fang), which is consisted of Whangryunheadoc-tang(Huanglianjiedu-Tang), Uwhangchungsim-huan (Niuhuangqingxin-yuan), and other neuro-protective herbs. Methods: A 3-week longitudinal evaluation of a herbal formula in 13 acute stage cerebral infarction patient with carotid artery stenosis. Degree of carotid artery stenosis was measured using carotid vascular doppler(CVD). Total cholesterol, total lipid, triglyceride, HDL-cholesterol, and LDL-cholesterol were measured before and after medication. For evaluating functional improvement, NIHSS and MBI were measured. Results: There was significant improvement of carotid vascular stenosis and lipid profile(LDL, HDL) in sample group. And there wewe significant functional improvement by NIHSS and MBI in each group, but when comparing two group, no statistically significant difference was found. Conclusions: Based on this results, Whangryunheadoc-tang Gami-bang (Huanglianjiedu-Tang JiaWei-Fang) has neuro-protective effect and anti- hyperlipidemic effect.

폐경 전 성인 비만여성의 비만도와 요추전만도의 상관성 분석

정원석 ( Won Suk Chung ),김성수 ( Sung Soo Kim ),송미연 ( Mi Yeon Song ) 한방재활의학과학회 2003 한방재활의학과학회지 Vol.13 No.3

Background : Obesity is associated with degenerative arthropathy of which over-weight itself can be a one of the stressor on joints. In addition, obesity also affects weight bearing joints by general activity or exercise. Objectives : The goals were to investigate correlation between obesity and lumbar lordosis in obese pre-menopausal Korean females. The hypothesis were tested that there is a correlation between obesity and lumbar lordosis. Design : A cross-sectional evaluation of 44 Females (baseline age 30.77±6.46) with body mass index 31.53±3.82 kg/m2. Body composition was measured using bioimpedence analysis (BIA) and Anthropometry was done by same observer. lateral whole spine X-ray was taken in standing position to measure lumbar lordotic angle(LLA), Ferguson angle(FA) and lumbar gravity line(LGL). Results : Body mass index (BMI) had a negative relationship with LLA (γ=-0.469), FA (γ=-0.347) and LGL (γ=-0.389). Body fat rate had a negative relationship with LLA (γ=-0.385). Waist circumference had a negative relationship with LLA(γ=-0.345) and LGL(γ=-0.346). WH ratio had no relationship with lumbar lordosis. Conclusions : The data shows that obesity related to body shape and mechanical structures. Obesity can be a one of the stressor of musculo-skeletal system especially lumbar spine, and one of the causing factor of lumbar spinal disease.

사적연금 보조금 지급 정책 도입 시 빈곤완화와 재정효과 분석

정원석(Won suk Chung),강성호(Sung Ho Kang) 한국재정학회(구 한국재정·공공경제학회) 2017 재정학연구 Vol.10 No.4

공적연금 지속가능성 제고와 노후소득보장 강화를 위해 공적연금을 축소하고 사적연금에 혜택을 강화하여 노후소득원을 확보하는 것은 세계적인 추세이다. 독일과 뉴질랜드는 사적연금 가입자에게 보조금을 지급하며 사적연금 가입률을 제고하였다. 본 논문에서는 우리나라 공적연금이 목표로 하고 있는 소득대체율 40%를 달성 하도록 독일 리스터연금을 참고하여 한국형 공·사연계연금을 설계하고 그 효과를 분석하였다. 분석결과, 공·사연계연금을 30년 운영할 경우 현재 49.6%인 노인빈곤율은 최소 0.18%p에서 최대 4.8%p 감소할 것으로 예측되었으며, 연간 재정지출은 최소 1.7조 원에서 최대 8.6조 원으로 추산되었다. 그리고 이러한 재정지출이 유인하는 가입자의 노후자금적립은 재정지출의 약 2배에 이를 것으로 분석되었다. To enhance the financial stability for public pension and strengthen retirement income, many countries reduce the public pension payment rate and provide tax treatments and subsidies for private pensions. We design a providing subsidy policy to the private pension which makes participants’ income replacement rate from the public and private 40% and analyze the policy effects. We find that if the policy runs 30 years when the olds completely replaced to the policy participants the old age poverty rate will be decreased maximum 4.8%p(minimum 0.18%p) and annual fiscal expenditure for the policy will be maximum 8.6 trillion KRW(min 1.7 trillion KRW). We also find that the policy will induce about 2 times more retirement saving than its expenditure.

Sprague-Dawley계 흰 쥐에 대한 발효녹용 추출물의 항피로 효과

정원석 ( Won Suk Chung ),김성수 ( Sung Soo Kim ),오재근 ( Jae Keon Oh ),이준환 ( Jun Hwan Lee ),김고운 ( Koh Woon Kim ),조융기 ( Yoong Ki Jo ),연창호 ( Chang Ho Yeon ),이종수 ( Jong Soo Lee ) 한방재활의학과학회 2012 한방재활의학과학회지 Vol.22 No.1

목적 : 이 연구는 Sprague-Dawley계 흰 쥐에 대한 발효녹용 추출물의 항근피로 효과를 관찰하는 것을 목적으로 하였다. 방법 : 한 군 당 10마리의 쥐를 각각 4개의 군으로 무작위 배정했다. 대조군에게는 생리식염수를 투여하였고, 양성대조군에게는 100 mg/kg 용량의 녹용 물추출물을, 실험군 1에게는 50 mg/kg 용량의 발효녹용 추출물을, 실험군 2에게는 100 mg/kg 용량의 발효녹용 추출물을 각각 투여하였다. 7일 간의 투여 이후, 4개의 군은 각각 high intensity exercise model과 prolonged exercise model를 개량한 강제 유영 실험을 거쳤다. 그 이후에, 유영 시간 및 혈액화학적 지표를 관찰하였다. 결과 : High intensity exercise model을 개량한 강제 유영 실험에서, 녹용은 용량의존적으로 유영 시간을 연장시켰다. 실험군 2는 대조군과 비교해서 약 600% 긴 유영 시간을 나타냈다(p<0.001). Prolonged exercise model을 개량한 강제 유영 실험에서는, 혈당(p<0.001)과 유리지방산(p<0.05, p<0.01)이 대조군에 비해 양성대조군과 실험군 1, 2에서 모두 유의한 회복효과를 나타냈다. 결론 : 발효녹용 추출물은 녹용의 물추출물과 유사한 항근피로효과를 나타냈으며, 수율을 감안하면 녹용 물추출물의 1/5에 해당하는 용량으로 같은 정도의 효과를 낼 수 있을 것으로 사료된다. Objectives :The aim of this study was to investigate the Anti-muscle fatigue effect of fermented deer velvet antler extract in Sprague-Dawley rats. Methods : Rats were randomly divided into four groups of 10 mice each according to a randomized block design. Saline solution was orally administered to the control group, 100 mg/kg of water-extract of deer velvet antler to the positive control group, 50 mg/kg of fermented deer velvet antler extract to experimental group 1 and 100 mg/kg of fermented deer velvet antler extract to experimental group 2. Each of the four groups were treated for seven days and then participated in a forced swimming test which applied both a high intensity exercise model and a prolonged exercise model. We observed swimming times and examined blood biochemical parameters. Results : In the high intensity exercise model, the effect of the deer velvet antler was seen in the increased swimming times. Experimental group 2 swam for approximately 600% longer as compared to the control group(p<0.001), indicating that the recovery effect is dose-dependent. In the forced swimming tests using the prolonged exercise model, blood sugar levels(p<0.001) and free fatty acid levels(p<0.05, p<0.01 each) in the positive control group and experimental groups 1 and 2 demonstrated a significant recovery effect in comparison with the control group. Conclusions : Fermented deer velvet antler extract may have an Anti-muscle fatigue effect similar to that of deer velvet antler extract and could be used when it has an effect equal to one-fifth of the amount considering the yield rate.

한국 과체중 갱년기 도시 여성의 비만도,일상생활 스트레스, 자존감, 식이태도, 우울증,스트레스 반응척도와 갱년기 증상의 연관성

정원석 ( Won Suk Chung ),황미자 ( Mi Ja Hwang ),김성수 ( Sung Soo Kim ),황덕상 ( Deok Sang Hwang ),송미연 ( Mi Yeon Song ) 한방비만학회 2008 한방비만학회지 Vol.8 No.1

Obesity and climacteric symptom are affected by various cultural, social and psychological factors. This study is performed to recognize the relationship between obesity, climacteric symptom, and other social and psychological factors such as self-esteem, depression, eating attitude, stress response and social readjustment rating. Methods SRRS(social readjustment rating scale), SES(self-esteem scale), SRI(stress response inventory), BDI(Beck depression inventory), KEAT-26 (Korean Eating Attitude Test-26) and Kuperman index were given to 43 peri-menopausal women aged 45-55 and BMI ≥23. They were given written consent and this study is performed under the permission of institutional review board of Kyung Hee East-west Neo Medical Center. And height, body weight, waist circumference were measured. These variables were treated by correlation and regression analysis for finding effect factors of climacteric symptom. Result BMI and WC were not related to climacteric symptom. There were significant correlation between KEAT-26(r=0.4388, p=0.004), SES (r=-0.4748, p=0.001), SRI(r=0.6941, p<0.001), BDI(r=0.6354, p<0.001) and Kuperman index. In multiple regression, SRI was find to be a prediction factor of Kuperman index.(Kuperman index=19.033+0.7SRI(R2=0.490)). Conclusion Climacteric symptom is related to self-esteem, eating attitude, depression and stress response. And the most important prediction factor of climacteric symptom is stress response. So managing of stress response may be essential to treating climacteric syndrome. And it is necessary to study about climacteric symptom with many other effective factors of various peri-menopausal subjects.

종례 : 절식기간 중 Gilbert 증후군으로 황달이 발생한 증례보고 1례

정원석 ( Won Suk Chung ),박현건 ( Hyun Kun Park ),최효정 ( Hyo Jeong Choi ),김성수 ( Sung Su Kim ) 한방비만학회 2011 한방비만학회지 Vol.11 No.2

The modified fasting therapy(MFT) of traditional korean medicine uses very low calorie diet on a patient with chroic disease and obesity. During the fasting period of MFT, calorie intake is restricted under 600kcal. Adverse events such as hunger, heartburn, headache, and hair loss can occur because of fasting. In case of Gilbert`s syndrome, Jaundice can arise without disorder of liver function and hemolysis because of increase of unconjugated bilirubin. We experienced a case of Gilbert`s syndrome patient who appeared jaundice during the fasting period, so we report about that with litrerature review.

상수처리 : 자성 이온교환수지를 이용한 막여과 전처리공정 연구

정원석 ( Won Suk Cheong ),연경민 ( Kyung Min Yeon ),손혁수 ( Hyuk Soo Son ),이정학 ( Chung Hak Lee ),김원경 ( Won Kyung Kim ) 대한상하수도학회 2007 공동추계 학술발표회 논문집 Vol.2007 No.-