白鼠 肝障碍에 對한 補肝湯 瀉肝湯의 效果에 關한 實驗的 硏究

洪茂昌,李學仁,金完熙 慶熙大學校韓醫科大學韓醫學硏究所 1983 慶熙韓醫大論文集 Vol.6 No.-

트라이애슬론 스포츠폭력 사건에 투영된 트라이애슬론 선수들의 경험과 인식

김희주 ( Kim Hee-ju ),장덕선 ( Chang Duk-sun ) 한국융합과학회 2022 한국융합과학회지 Vol.11 No.8

연구목적 본 연구는 故 최숙현 선수의 희생이 헛되지 않기를 바라는 마음으로 시작되었다. 연구대상은 2020년 스포츠폭력에 의해 고인이 된 최숙현 선수의 사망사건을 직·간접적으로 경험한 철인3종경기 선수 30명이다. 연구방법 연구방법은 내러티브의 3차원적 공간 중 개인적·사회적 차원과 내적·외적 지향에 중점을 두고, 연구 참여자의 스포츠폭력에 대한 인식과 경험을 개방형 질문으로 조사하였다. 이 후 추가적 심층면담을 실시하였다. 특히 참여자들이 현역선수들이기 때문에 연구참여중단의 가능성과 익명성을 보장하였다. 연구자는 25년간 트라이애슬론 선수로 활동을 하였으며, 직접 피해자이기도 하다. 결과 자료의 귀납적 범주화 결과, 스포츠폭력 사건에 대한 인식에는 기본신념 붕괴, 제도적 문제, 우려, 감정 등이 나타났다. 인지된 내적 변화에는 부정적 영향 없음, 제도적 문제, 간접 트라우마 등이 나타났다. 인지된 외적 변화로는 부정적 영향 없음, 간접 트라우마 등이 나타났다. 지각된 변화로는 변화와 기타로 나타났다. 변화의 시발점은 처벌에 대한 생각, 감정, 제도적 문제 등이 도출 되었으며 변화의 방향성으로는 2차 피해 우려, 확실한 변화 요구, 제도적 해결책 필요 등으로 나타났다. 결론 결과를 토대로 트라이애슬론의 스포츠폭력 사건에 대한 답변을 시간의 흐름 순으로 정리하여 새로운 패러다임 모형을 제시하였다. Purpose This study was started with the hope that the sacrifice of the deceased player, Sook-Hyun Choi, would not be in vain. The subjects of this study were 30 Korean triathletes who directly or indirectly experienced the case of Choi Sook-hyeon, who died of sports violence in 2020. Methods The research method focused on personal and social dimensions and internal and external orientation among the three-dimensional space of the narrative, and conducted an open-ended questionnaire about the research participants' perceptions and experiences of sports violence. After that, additional in-depth interviews were conducted during the analysis process to collect data. In particular, since the participants are active players, the possibility of discontinuation of research participation and anonymity were guaranteed in consideration of ethical issues that may arise from this. In addition, the research was conducted in consideration of the fact that the researcher had been active as a triathlete for 25 years and was also a victim. Result As a result of inductive categorization of the collected data, the perception of sports violence incidents revealed a breakdown of basic beliefs, institutional problems, concerns, and emotions. There were no negative effects on perceived internal changes, institutional problems, and indirect trauma. As for the perceived external changes, there were no negative effects and indirect trauma. Changes and others were perceived as changes. As the starting point of change, thoughts, feelings, and institutional problems about punishment were derived. As for the direction of change, concerns about secondary damage, a clear demand for change, and the need for an institutional solution were shown. Conclusion A new paradigm model was presented by arranging the responses to the three types of sports violence cases in the order of time flow.

Carotenoids 식이와 알코올이 혈액학적 성분과 간조직에 미치는 영향에 관한 연구

조만희,김연선,이상한,우기민,장예진,김창세 순천향의학연구소 1999 Journal of Soonchunhyang Medical Science Vol.5 No.2

Alcohol is well known agent which can damage the human tissues such as liver via stimulating lipid peroxidation and storage, denaturation of macromolecules, and inhibiting protein metabolism. On the other hand, carotenoids in addition to vitamins A, C, E and lipoic acid, play important roles in protecting these oxidative damages as well as preventing the production of free radicals. This study was carried out to elucidate the precise effects of alcohol administration into rats on the antioxidative functions of dietary carotenoids and isolated β-carotene, and to find out any parameters to uncover more detailed biochemical mechanisms of these agents. For these purposes, two different approaches were performed: 1) examination of the changes in hematological parameters (e.g., total proteins, A/G ratio, ALT/AST et. al) and statistical correlations among inter- and intragroups, 2) examination of the histopathological changes by an electron microscope. The results were analyzed and summarized as following; (1) Carrot diet for one week caused a slight increase in albumin. A/G ratio and AST levels, and a slight decrease in ALT, ALP, BUN and uric acid levels. Two-week alcohol administration following carrot diet increased total proteins, albumin A/G ratio and BUN levels. However, both groups were shown to have little significant changes in cholesterol concentrations. (2) Cheese diet for one week caused a significant increase in total proteins, albumin, AST, ALP, uric acid and total cholesterol levels, and a significant decrease in A/G ratio and glucose concentrations. However, two-week β-carotene diet following cheese intake increased total proteins albumin, A/G ratio, BUN and total cholesterol levels, whereas AST, ALT, ALP and uric acid levels were decreased. (3) Alcohol administration for one week caused an increase in AST activities and a decrease in total proteins, albumin, ALT, ALP and BUN levels. A successive β-carotene diet following alcohol administration increased total proteins, albumin, ALT, ALP and BUN levels, whereas decreased AST and uric acid levels. However, there were not significant changes in A/G ratio, glucose and total cholesterol levels in both groups. (4) β-carotene diet for one week caused a slight increase in albumin, glucose, AST and uric acid levels, and a slight decrease in ALP and BUN levels. Two-weeks alcohol administration following β-carotene diet increased albumin, glucose, BUN and total cholesterol levels, whereas decreased AST, ALT, ALP and uric acid levels. (5) Although the pathological investigation on the liver did not reveal significant changes, cheese diet group (CH-BC/1-CH) was shown to have some lipid deposits. Some results were unexpected and different from typical hematological changes shown by other researchers. Nonetheless, these results strongly suggest that the liver damage or hepatism caused by alcohol intake affects many kinds of biochemical metabolisms, which results in significant changes in many hematological parameters. In addition, dietary carotenoid and isolated β-carotene were shown to have protective roles against the biochemical changes by alcohol intake.

Brain Topological Correlates of Motor Performance Changes After Repetitive Transcranial Magnetic Stimulation

Park, Chang-hyun,Chang, Won Hyuk,Yoo, Woo-Kyoung,Shin, Yong-Il,Kim, Sung Tae,Kim, Yun-Hee Mary Ann Liebert 2014 Brain connectivity Vol.4 No.4

<P>Repetitive transcranial magnetic stimulation (rTMS) influences the brain temporally beyond the stimulation period and spatially beyond the stimulation site. Application of rTMS over the primary motor cortex (M1) has been shown to lead to plastic changes in interregional connectivity over the motor system as well as alterations in motor performance. With a sequential combination of rTMS over the M1 and functional magnetic resonance imaging (fMRI), we sought changes in the topology of brain networks and specifically the association of brain topological changes with motor performance changes. In a sham-controlled parallel group experimental design, real or sham rTMS was administered to each of the 15 healthy subjects without prior motor-related dysfunctions, over the right M1 at a high frequency of 10 Hz. Before and after the intervention, fMRI data were acquired during a sequential finger motor task using the left, nondominant hand. Changes in the topology of brain networks were assessed in terms of global and local efficiency, which measures the efficiency in transporting information at global and local scales, respectively, provided by graph-theoretical analysis. Greater motor performance changes toward improvements after real rTMS were shown in individuals who exhibited more increases in global efficiency and more decreases in local efficiency. The enhancement of motor performance after rTMS is supposed to be associated with brain topological changes, such that global information exchange is facilitated, while local information exchange is restricted.</P>

A Study on the Correlation of Left Atrial Volume Change according to Left Ventricular Contraction in Atrial Fibrillation

Sung Kwan Kim,Hee Chang Chae,Choong Beom Seo,Eun Hee Seo,Chang Min Dae,Tae Eun Kim 대한CT영상기술학회 2022 대한CT영상기술학회지 Vol.24 No.1

The purpose of this study was to increase accuracy and success rate of radiofrequency catheter ablation by analysis of left atrial volume change relative to left ventricular volume change and left atrial diameter change relative to left atrial volume change. 20 patients with normal heart rhythm were set as the control group, and 20 patients with diagnosed atrial fibrillation were set as the experimental group. The cardiac cycle was divided into 10 stages ranging from 0% to 90%, and left ventricular volume, left atrial volume, left atrial diameter, pulmonary vein diameter were measured for each group. the correlation between the left ventricular volume and the left atrial volume was analyzed, and the correlation between the left atrial volume and left atrial diameter was analyzed. The diameter of the pulmonary veins was measured. As a result of analyzing the correlation between left ventricular volume and left atrial volume through Spearman correlation, the control group showed a negative correlation.(P<0.001) The experimental group were not correlated.(P=0.075) As a result of analyzing the correlation between the left atrial volume and the left atrial diameter, both groups showed a positive correlation.(P<0.001) As a result of analyzing the diameter of the pulmonary vein by Wilcoxon signed-rank test, both groups showed a significant difference in the maximum diameter and the minimum diameter.(P<0.001) Because the volume and diameter of the left atrium in patients with atrial fibrillation change irregularly, the radiologist check all cardiac cycle and reconstruct to increase the accuracy and success rate of radiofrequency catheter ablation.

알코올 투여로 온 흰쥐의 혈액성분의 변화와 간조직 손상과의 상호관계에 관한 연구

조만희,김창세 순천향대학교 1986 논문집 Vol.9 No.2

The white rats were divided by 3 groups; 0.6g(group A), 1.8g(group B) and 4.8g(group C) of alcohol per kg of body weight. The ethanol has been administered to the stomach with a polyethylene catheter using 20% ethanol solution for 30 days. In 5 day interval from the begining, the white rats were sacrificed to collect sample for blood analysis and histopathological observation. And the following results were obtained. 1. The most variable changes of blood components to be influenced by alcohol administration were; alcohol concentration, activities of liver ADH and GOT, numbers of RBC and WBC, amounts of triglyceride and total cholesterol and α₂-globulin fraction. 2. The liver histopathological changes, depending on the amounts and feeding days from the alcohol administration, were observed; normal finding on 1st to 10th and after then mild ballooning degeneration, necrosis of hepatic parenchymal cells in portal tract, mild infiltration of lymphocytes and fats degeneration. 3. The interrelationship between changes of blood components and histopathological damage of liver were coincide on 10th to 20th in the aspects of remarkable changes. From the above summary the amount and duration of ethanol-administration were influenced on changes of blood components and histopathological findings of liver while the early period usually 1st to 10th day was observed no more pathological changes but after then significants changes observed. From the above result there were suggested that the alcohol retaining in the body in a long period were results to appear in biochemical metabolic change.

2003년 국내 중증급성호흡기증후군 진료 현황 및 문제점 분석

이진수,김은실,정문현,백제중,정선화,안주희,최영화,이선희,고철우,김성범,김민자,박승철,기현균,송재훈,최상호,김양수,이상오,조용균,박영훈,정숙인,김연숙,이흥범,손창희,장성희,정희진,김우주 대한감염학회 2004 감염과 화학요법 Vol.36 No.3

목적 : 2002년 말 중국에서 SARS가 발생한 이후 국내에서도 2003년 10월까지 총 3명의 추정환자, 17명의 의심환자가 보고되었다. 향후 추가적인 SARS의 유행이 우려되는 상황에서, 그간의 SARS 환자 진료에 있어서의 실질적인 준비사항, 진료 현황 등에 대한 조사를 통해 문제점을 파악하여, 향후 더 나은 대비가 될 수 있도록 개선점을 제시하고자 하였다. 재료 및 방법 : SARS로 의심되는 환자를 진료 경험이 있는 병원의료진을 대상으로 2003년 10월에 설문조사를 실시하였다. 설문에는 SARS 환자 진료 시의 실질적인 조치, 진료 현황, 병실, 응급실 및 외래에서의 격리 시설과 준비사항, 보건당국의 관리와 지원에 관한 사항을 포함하였다. 결과 : 대상이 되는 22개 병원 중 17개(17/22, 77.2%) 병원이 설문에 응하였다. SARS 환자를 위한 격리실은 응급실, 외래, 일반병실 및 중환자실에서 각각 9개(9/17, 52.9%), 5개(5/17, 29.4%), 15개(15/16, 93.7%), 4개(4/16, 25%) 병원에서 음압처리가 되어있지 않은 일인실 혹은 다인실이 사용되었고, 1개(1/16, 6.3%) 병원에서만 일반병실에서 음압격리실이 운영되었다. 입원환자의 진찰 시 개인보호구의 착용은 거의 모든 의료기관에서 이루어졌다. 보건당국에서 SARS지정병원의 시설 등을 사전에 확인한 곳은 1곳(1/12, 8.3%)이였고, 14개 병원(14/15, 93.3%)에서는 보건당국에 의뢰한 검사결과를 통하 받지 못하였다. 결론 : 의료기관에서 SARS 환자용 격리실뿐만 아니라 기존의 격리실 설비 등이 미흡하였으며, 특히 중환자실 및 외래의 준비가 더욱 부족하였다. 보건당국의 의료기관에 대한 종합적인 지원이 부족하였고, 병원과의 원활한 연계가 잘 이루어지지 않았다. SARS 만이 아닌 격리를 필요로 하는 질환의 적절한 진료를 위해 향후 병원 시설의 정비와 정부차원에서의 보다 구체적이고 실질적인 대책마련이 필요하다. Background : There was an worldwide outbreak of the Severe Acute Respiratory Syndrome (SARS) originated from China in late 2002. During that period three cases of suspected SARS and 17 cases of probable SARS were reported in Korea. With the concerns about the reemergence of SARS-coV transmission, it is important to be prepared for any possibility. So, this study is aimed to analysis the past measures in managing SARS and propose the amendatory plans to improve the preparedness. Materials & Methods : Questionnaires were collected among clinicians with any experience in managing the probable or suspected SARS cases in Oct. 2003. 17 out of 22 hospitals responded to the questionnaire. The contents in the questionnaire were practical activities, personal equipments, response plans, isolation facilities in emergency centers, outpatient clinics, general wards and intensive care units, and relationship with the public health department. Results : The dedicated isolation rooms in emergency centers, outpatient clinics, general wards, and intensive care units were prepared in 9 (9/17, 52.9%), 5 (5/17, 29.4%), 15 (15/16, 93.7%), and 4 (4/16, 25.0%) hospitals, respectively. Except for one hospital that newly made negative pressure room for SARS, single or multi-bed rooms without airborne infection control were used in all the other hospitals. The personal precaution principles were kept quite well in general wards. Before the designation of SARS hospital by the public health department prior evalution to see if the hospital was suitable for managing SARS was conducted in only 1 (1/12, 8.3%) hospital. The results of laboratory diagnosis were reported back in 1 (1/15, 6.6%) hospital. Conclusions : The isolation facilities which can control airborne infection were almost deficient not only for SARS but also for other respiratory transmissible diseases. For the infection control of transmissible diseases including SARS, more investment is needed on medical facilities and comprehensive support from the public health department required.

정신분열병에 대한 리스페리돈의 효과 및 안정성

이민수,김용구,김영훈,연병길,오병훈,윤도준,윤진상,이철,정희연,강병조,김광수,김동언,김명정,김상훈,김희철,나철,노승호,민경준,박기창,박두병,백기청,백인호,손봉기,손진욱,양병환,양창국,우행원,이정호,이종범,이홍식,임기영,전태연,정영조,정영철,정인과,정인원,지익성,채정호,한상익,한선호,한진희,서광윤 大韓神經精神醫學會 1998 신경정신의학 Vol.37 No.1

연구목적 : 본 시험의 목적은 임상시험 시작전에 연구자들을 대상으로 PANSS Workshop을 통하여 PANSS, ESRS에 대한 국내에서의 표준화 작업을 구축하고 새로운 정신병 치료제인 리스페리돈의 효과와 안정성을 재확인하여 리스페리돈 사용에 대한 적정화를 이루는데 있다. 연구방법 : 1996년 4월부터 1996년 9월까지 국내 39개 대학병원 정신과에 입원중인 혹은 증상이 악화되어 입원하는 정신분열병 환자 377명을 대상으로 다시설 개방 연구를 시행하였다. 1주일간의 약물 배설기간을 가진후, 리스페리돈을 8주간 투여하였고, 기준점, 1주, 2주, 4주, 그리고 8주후에 평가되었다. 용량은 제1일에는 리스페리돈 1mg씩 1일 2회, 제2일에는 2mg씩 1일 2회, 제3∼7일에는 3mg씩 1일 2회 투여하였다. 이후 환자의 임상상태에 따라 임의로 증량할 수 있으며, 최대 일일 16mg을 초과하지 않도록 하였다. 추체외로 증상을 조절하기 위한 투약을 허용하였다. 임상증상 및 부작용의 평가는 PANSS(Positive and Negative Syndrome Scale), CGI(Clinical Global Impression) 그리고 ESRS(Extrapyramidal Symptom Rating Scale)을 사용하였다. 연구결과 : 377명중 343명(91%)이 8주간의 연구를 완결하였다. 치료 종결시점인 8주후 PANSS 총점수가 20% 이상 호전된 경우를 약물 반응군으로 정의할때, 약물반응군은 81.3%였다. 리스페리돈에 반응하는 예측인자로는 발병연령, 이전의 입원 횟수, 유병기간이 관련 있었다. 리스페리돈은 1주후부터 PANSS양성, 음성, 및 일반정신병리 점수상에 유의한 호전을 보여 효과가 빨랐다. CGI의 경우도 기준점에 비해 1주후부터 유의한 감소를 나타내었다. ESRS의 경우, 파킨슨 평가점수는 기준점과 비교해 투여 1주, 2주, 4주후 유의하게 증가되었다가 8주후 기준점과 차이가 없었다. Dystonia 평가점수는 1주후만 유의한 증가를 보였으며, dyskinesia 평가점수는 유의한 차이가 없었다. 혈압, 맥박수의 생명징후 및 일반 혈액학 검사, 생화학적 검사, 심전도 검사에서 유의한 변화는 없었다. 결 론 : 이상의 다시설 개방 임상 연구를 통해 리스페리돈은 정신분열병 환자에서 양성증상뿐만 아니라 음성증상 및 전반적인 증상에도 효과적인 것으로 사료된다. 보다 명확한 평가를 위해서는 다른 항정신병약물과의 이중맹검 연구가 필요할 것으로 생각되며, 또한 장기적 치료에 대한 평가도 함께 이루어져야 하겠다. Objective : The purpose of this study was to investigate the efficacy and safety of risperidone in the treatment of Korean schizophrenic patients. Method : This multicenter open study included 377 schizophrenic patients drawn from 39 university hospitals. After a wash-out period of 1 week, the schizophrenic patients were treated with risperidone for 8 weeks and evaluated at 5 points ; at baseline, and 1, 2, 4 and 8 weeks of treatment. The dose was increased from 2mg/day(1mg twice daily) to 6mg/day(3mg twice daily) during the first week and adjusted to a maximum of 16mg/day over the next 7 weeks according to the patient's clinical response. Medication to control extrapyramidal symptoms was permitted. The psychiatric and neurological status of the patients was assessed by PANSS, CGI, and ESRS scales. Results : 343(91%) of 377 patients completed the 8-week trial period. Clinical improvement, as defined by a 20% or more reduction in total PANSS score at end point, was shown by 81.3% of patients. The predictors of response to risperidone were associated older age, shorter duration of illness, fewer previous hospitalization. Risperidone had rapid onset of action ; a significant decrease of the total PANSS and three PANSS factor(positive, negative, general), and CGI was already noticed at the end of first week. For the ESRS, parkinsonism rating scores were significantly increased until week 4 comparing with baseline. Dystonia rating scores were significantly increased until week 1, and dyskinesia rating scores were not significantly changed during the study. Laboratory parameters including vital sign, EKG, hematological, and biochemical values showed no significant changes during the trial. Conclusions : This study suggests that risperidone is generally safe and effective against both the positive and negative symptoms in our group of patients.

스포츠센터 강사들의 조직공정성 인식과 조직변화저항, 혁신행동의 영향관계

서효민 ( Hyo Min Seo ),김태희 ( Tae Hee Kim ),장경로 ( Kyung Ro Chang ) 한국스포츠산업경영학회 2015 한국스포츠산업경영학회지 Vol.20 No.4

본 연구는 스포츠센터 강사들이 지각하는 조직공정성과 조직변화저항, 그리고 혁신행동의 영향관계를 규명하는데 그 목적을 두고 있다. 서울·경기 지역의 스포츠센터에 종사하는 스포츠강사 300명을 대상으로 설문조사를 실시하였으며, 총 234부의 자료가 실제분석에 사용되었다. 자료처리를 위해 SPSS 18.0 프로그램과 AMOS 18.0 프로그램을 이용하였으며, 빈도분석, 신뢰도분석, 상관관계분석, 확인적 요인분석, 그리고 구조방정식모형 분석을 실시하여 다음과 같은 연구결과를 도출하였다. 첫째, 절차공정성은 조직변화저항에 부정적인 영향을 미치는 반면에 분배공정성은 조직변화저항에 유의미한 영향을 미치지 않는 것으로 나타났다. 둘째, 분배공정성과 절차공정성 모두 혁신행동에 긍정적인 영향을 미치는 것으로 나타났다. 셋째, 조직변화저항은 혁신행동에 부정적인 영향을 미치는 것으로 나타났다. 넷째, 조직변화저항은 절차공정성과 혁신행동의 관계에서 부분매개 역할을 하는 것으로 나타났다. 이상의 연구결과를 통해 스포츠센터 강사들의 혁신행동을 증대시키기 위해서는 조직공정성의 확보와 조직변화에 대한 저항 관리가 매우 중요하다는 사실을 확인하였으며, 이는 스포츠센터 내 혁신역량 강화를 위한 중요한 이론적 근거가 될 것으로 생각된다. The purpose of this study was to investigate the relationships among perceived organizational Justice, resistance to organizational change, and Innovative behavior of sports center instructors. Specially, We examined the mediating effects of resistance to organizational change between organizational justice and innovative behavior. Total 300 questionnaires were distributed and 234 samples were used for practical analysis. The data were analyzed by frequency analysis, reliability analysis, correlation analysis, confirmatory factor analysis, and structural equation modeling using SPSS 18.0 and AMOS 18.0. The results of this study were as followers: first, procedural justice had a negative effect on resistance to organizational change, but distributive justice had no significant effect on resistance to organizational change. Seconds, distributive justice and procedural justice had a positive effect on innovative behavior. Third, resistance to organizational change had a negative effect on innovative behavior. Fourth, the relationship between procedural justice and innovative behavior was partially mediated by resistance to organizational change. In conclusion, we confirmed that enhancing the organizational justice and managing the resistance to organizational change are important for sports instructor`s innovative behavior and it can provide the theoretical basis for strengthening innovation capability of sport organization.

日中時間 變動에 따른 白鼠의 生理變化에 對한 補肝湯 瀉肝湯의 影響에 關한 硏究

金成圭,洪茂昌,金完熙 慶熙大學校韓醫科大學韓醫學硏究所 1986 慶熙韓醫大論文集 Vol.9 No.-