한국 최초의 근대식 의사 김익남의 가문에 관한 연구

이영아 ( Lee Young Ah ),황상익 ( Hwang Sang-ik ) 아시아문화학술원 2017 인문사회 21 Vol.8 No.4

김익남은 한국 최초의 근대식 의사이자, 근대의학 교육의 선구자이다. 그는 과거시험 폐지 이전에 `가숙(家塾)`에서 3년 동안 한의학을 공부했고, 과거제도가 폐지되자 곧 관립일어학교에 들어갔으며, 뛰어난 일본어 능력과 근대교육에의 적응력으로 당시 파일(派日) 유학생들 중에서도 가장 두각을 나타내어 한국인으로는 최초로 근대의학을 정식으로 배운 의학자가 되었다. 그런데 그동안 전형적인 양반 가문인 청풍김씨 가문의 후손으로 알려져 왔던 김익남의 직계 조상을 조사해 본 결과 그는 기술직 중인 가문의 후예로 보는 것이 타당함을 알 수 있었다. 또한 잡과방목 등에는 그의 직계조상들의 본관이 해주김씨로 기록되어 있었다. 이러한 점에서 김익남은 의과, 역과, 운과(음양과) 등으로 세전되어 온 기술직 중인 가문인 해주김씨의 후손이라는 사실을 발견하게 되었다. 한국근대의학의 선구자인 김익남의 조상들은 지금까지 알려졌던 것과는 달리 약 300년 동안 전형적인 기술직 중인 가문으로 살아왔다. 그리고 김익남이 1890년대 당시로는 쉽지 않았을 일본유학을 결정하고 낯선 유학생활을 무사히 마치고 한국인으로서는 최초로 근대식 의사가 된 데에는 중인 가문 출신이라는 배경이 긍정적으로 작용했을 것이다. Unlike what has been known so far, the ancestors of Dr. Kim Ik-Nam, the most forerunning figure in the modern Korean medical history, had lived not as yangban class but as the typical jungin class for almost 300 years. It is thought that they could incorporate into Kim lineage of Chungpoong, the famous yangban family, through the achievements of successive generations as professional middle class, and their desire of status ascension based upon the achievements. Dr. Kim Ik-Nam`s jungin class background is considered to have positively influenced on the decision of studying abroad to Japan to be the first modern Korean medical doctor, which was very difficult in the 1890s. And it would be the same case to his cousin`s son Kim Kyu-Sik, the famous independence activist.

긴장 및 이완상태가 뇌알파파에 미치는 영향

황익근,정상근 大韓神經精神醫學會 1988 신경정신의학 Vol.27 No.4

This study was performed to investigate the effects of tension and relaxation states on brain alpha activity. The subjects were composed of medical students, who were divided into two major groups. In the 1st group (34 subjects), percent alpha was measured under the tension state induced by Stroop test, and in the 2nd group (33 progressive relaxation subjects and 33 autogenic training subjects), percent alpha was measured before and after relaxation training. EMG level and state anxiety were also measured. The results were as follows : 1) In tension state, percent alpha was significantly reduced, and EMG level and state anxiety score were significantly increased (respectively, P<0.001). 2) After one week of progressive relaxation training, percent alpha was significantly enhanced, and state anxiety score was significantly decreased (respectively, p<0.001). EMG level was significantly decreased (p<0.05). 3) After one week of autogenic training, percent alpha was significantly enhanced (p<0.01), and state anxiety score was sigificantly decreased (p<0.001). 4) Analysis of variance showed that there was no significant difference between relaxation methods in terms of percent alpha, but significant enhancement of percent alpha after one week of relaxation training was observed compared with pretraining value. There was no significant interaction between methods and trials. In conclusion, this study confirms that alpha activity is reduced in tension state, and enhanced in relaxation state.

Biofeedback에 의한 정상인의 근이완 효과에 관한 예비연구

황익근,유상은 大韓神經精神醫學會 1985 신경정신의학 Vol.24 No.4

A pilot study was done to investigate the biofeedback aided relaxation of frontalis muscle in normal subjects. The subjects were devided into Group A(N=5, session=5, feedback modality=visual) and Group B(N=11, session=10, feedback modality=auditory), then baseline, false feedback and biofeedback were practiced every session to compare each other type of experiments. The experiment was carried by repetitive measure. The results were as follows: 1. Mean muscle potential was 2.28㎶ and 2.27㎶ in Group A and Group B respectively, which were lower than those of other studies. 2. Group A showed statistically significant differece among different types of experiments, but Group B showed statistically significant difference among both types of experiments and session. There was no significant interaction between experiments and sessions in the former, but significant interaction was found in the later. 3. Comparing each other by types of experiments, significant difference was found between biofeedback and false feedback. The former had more relaxation effect than the later. 4. Comparing mean muscle potentials between biofeedback and false feedback by sessions, biofeedback aided relaxation effect was considered to be derived by specific effect rather than nonspecific effect, and the effect was thought to be more increased as the number of session increased. 5. Comparing mean muscle potentials of Group A and Group B by same type experiment, there was a significant difference in biofeedbacks but not both baselines and false feedbacks.

통신프로토콜의 적합성시험열 생성을 위한 경로 탐색 방법

황익순,장민석,이상배,이재용 延世大學校 電波通信共同硏究所 1996 電波通信論文誌 Vol.2 No.1

본 논문에서는 적합성 시험에서 EFSM(Extend Finite State Machine) 모델에 대한 데이타부분 시험열을 효율적으로 생성시켜 주는 탐색 방법에 대해 제안하였다. 이 탐색 방법에서는 depth-first search와 같은 기존의 탐색 방법과는 달리 탐색 초기에 다양한 경로가 찾아진다. 이미 제안된 시험열 생성 방법인 데이타 값을 바탕으로 하여 시험열을 생성하는 방법에서 이 탐색 방법을 이용하였을 경우 기존의 탐색방법을 이용하는 것보다 효율적으로 시험열을 생성할 수 있다. 본 논문에서는 Inres 프로토콜에 이 탐색 방법과 기존의 탐색 방법인 depth-first search를 각각 적용하여 시험열을 생성, 비교하여 보았으며, 제안된 탐색 방법을 이용하면 같은 시험 범주를 가지면서도 짧은 길이를 갖는 시험열을 효율적으로 생성할 수 있음을 알 수 있다. In this paper we proposed a searching algorithm for generating test cases, which can test data part of EFSM model in conformance test. In a different way to existing algorithm like depth-first search algorithm, this one can find various paths in the early stage of searching. When it is used in readily proposed test case generation method which is based on the value of variables and parameters it can generate test cases efficiently than in the case of depth-first search algorithm being used. We generated test cases for Inres protocol using each of proposed and depth-first search algorithm, and compared these two methods. proposed algorithm can generate much shorter test sequences efficiently than existing one.

가망없는 환자의 치료중단과 의료윤리

黃尙翼 대한의사협회 1998 대한의사협회지 Vol.41 No.7

두부손상 환자에서 정신증상과 뇌 손상부위와의 관계 : 우울증상과 인지기능 장애를 중심으로 Focused on Depressive Symptoms and Cognitive Dysfunctions

황익근,김종상,정상근 大韓神經精神醫學會 1991 신경정신의학 Vol.30 No.6

To investigate the relationship between psychiatric symptoms and brain lesion site, thirty eight psychiatric inpatients with history of head trauma were selected. Patients were divided into three groups according to lesion sites ; patients with left hemispheric lesion (N=13), patients with right hemispheric lesion(N=11), and patients with ill defined lesion(N=14). Psychiatric symptoms were examined focused on depression and cognitive functions. Depressive symptoms were checked by Hamilton Rating Scale for Depression(HRSD), and cognitive functions were checked by Mini-Mental Status Examination(MMSE) and Korean Wechsler Intelligence Scale(KWIS). The results were as follows : 1) Patients with left hemispheric lesion, especially with left anterior lesion, showed significantly higher HRSD score than patients with another lesion sites(p<0.05). 2) Moderate to severe depression, whose HRSD score was higher than 18, was more common in patients with left hemispheric lesion than in patients with another lesion sites. 3) MMSE scores and KWIS scores of all three groups were not significantly different each other. 4) ‘Calculation’scores were lower in patients with left hemispheric lesion than in patients with another lesion sites. 5) ‘Language’scores were significantly lower in patients with left hemispheric lesion than in patients with another lesion sites(p<0.0.5).

[논문]자연신체활동 프로그램의 실태 및 인식 조사

진성욱,황해익 부산대학교 교육연구소 2011 교육혁신연구 Vol.21 No.2

본 연구에서는 교사-유아 간 애착안정성 정도에 따라 유아의 스트레스 정도 및 유아의 스트레스 대처행동에 어떠한 차이가 있는지 알아보고자 하였다. 연구 문제에 따른 연구 결과는 다음과 같다. 첫째, 교사-유아 간 애착안정성 정도에 따른 유아의 스트레스 정도에는 통계상 유의미한 차이가 없었고, 유아 스트레스 하위 영역인 교사, 또래, 학습 환경에서도 통계상 유의한 차이가 없는 것으로 나타났다. 다만 학습 활동영역에서 교사-유아 애착안정성이 낮은 유아 집단이 높은 집단보다 스트레스를 더 많이 받는 것으로 나타났다. 이러한 결과는 교사-유아 애착안정성 정도에 따라 교사, 또래,학습 환경 요인과 관련된 유아 스트레스에 차이가 없으며, 교사-유아 애착안정성이 높을수록 유아가 학습활동 요인과 관련된 스트레스를 덜 받는다는 것을 알 수 있다. 둘째, 교사-유아 간 애착안정성 정도에 따른 유아의 능동적, 수동적, 신비적 스트레스 대처행동 양식에서 통계상 유의한 차이가 나타났다. 교사-유아 간 애착안정성 정도가 높은 집단이 능동적 대처를 더 많이 하고, 교사-유아 간 애착안정성 정도가 낮은 집단이 수동적 대처와 신비적 대처를 비교적 더 많이 한다는 것을 알 수 있다. Due to lack of systemic program regarding physical activity in children, the study is to identify the constitution and development of the Natural Physical Activity Program by offering environmentally friendly elements such as wind, sun, mountain, sea, river, tree, flower, field for children. We expect children to learn the relation with nature, respect for life, understanding and love, importance of working together, and etc. The research questions for the purpose of this study are as followed: First, this study is going to identify the overall awareness and its needs of the Natural Physical Activity Program among preschool teachers. Second, we will look over how we can develop such program for preschool teachers. And a direction proposal on Natural Physical Activity Program. About 250 preschool teachers resided in Busan and Gyug-nam province were urged to participate in a research questioning their awareness and needs of the program. Among 250 preschool teachers, we choose 20 of them to interview about the goal, plan and development direction of the program. The result of the study is following as: First, most of the preschool teachers have a positive view on the Natural Physical Activity Program, and they agree that the program is highly needed to use. However, it is urge that overall education environment need to be improved to achieve its goal of the program. Second, the interview on the development direction is categorized as need, development direction, teaching method, evaluation method, activity, problem, improvement, solution, and etc. and, Third, the contents of the program include environmentally friendly elements such as wind, sun, mountain, river, sand, tree, flower, field to induce children’s interest and whole-person education. The contents of the program are expected to deliver hands-on experience for children. And also, the program includes physical activity using a nature object. Based on the potential problems we identified, a next study is expected to deal with following points. First, more empirical research is needed to prove the effectiveness of the program in a broad way by proposing a program that can be applicable at child-education center. Second, the study developed contents to make children feel enjoyable about nature. Unfortunately, in-depth research and development of such program is not sufficient. In this respect, more continuous research on Natural Physical Activity Program is required and need to be widely established.

동종 골수이식 후 만성 이식편대숙주질환과 동반된 그레이브스병

황호인,이제중,조상희,김여경,이병환,정익주,김형준 대한조혈모세포이식학회 2002 대한조혈모세포이식학회지 Vol.7 No.1

저자들은 중증 재생불량성빈혈로 동종 골수이식 및 추가적인 동종 말초혈액 조혈모세포이식을 시행 받은 후 만성 이식편대숙주질환이 발생하여 면역억제제로 조절되었으나 자가면역성 갑상선기능항진증이 병발한 1예를 경험하였기에 이를 보고하는 바이다. Chronic graft-versus-host disease (GVHD), which is a frequent complication following bone marrow transplantation (BMT), is characterized by fibrosis of the skin, liver, lungs, and gastrointestinal tract, immunodeficiency, and the production of autoantibodies. Endocrine dysfunction, in particular thyroid disease, has been described following BMT, but this has previously meant hypothyroidism secondary to total body irradiation or transfer of autoimmune hyperthyroidism from a donor with Graves’ disease rather than in association with chronic GVHD. We report a case of a 26-year-old man who developed Graves’ disease eight years after BMT and who had remission of chronic GVHD. He received an allogeneic BMT for severe aplastic anemia. Eighteen months after BMT, diarrhea and chronic GVHD developed and were treated with cyclosporine and steroid. Four years after ceasing the cyclosporine, the patient developed weight loss, palpitations, fever, and anterior neck swelling, and was diagnosed with Graves’ disease based on typical thyroid function tests. The signs and symptoms in the patient improved with propylthiouracil and propranolol.

역사 속의 학부(學部)"의학교", 1899 - 1907

황상익 한국과학사학회 2000 한국과학사학회지 Vol.22 No.2

The medical school named "Uihakgyo"(醫學校) has historic meanings in several aspects. Uihakgyo was the first modern medical school in Korean history. The school, founded in March 1899 by the co-effort of Korean government and people, had been run mainly by the Korean government(Ministry of Education, 學部) and Koreans themselves including Dean Ji Seog-Yeong(池錫永), Professors Kim Ik-Nam(金益南, the first Korean physician completing regular modern medical course in Japan) and Yu Byeong-Pil(劉秉珌, one of the first graduates of Uihakgyo) throughout the period of its existence until March 1907 when it was emerged into Japanese-ruled "Daehanuiwon"(大韓醫院). The school produced 54 graduates with full medical licenses, including 19 persons graduated in 1902, first in Korean history. Except them and several practitioners trained abroad, there were only 7 regularly educated modern physicians graduated from "Severance Uihakgyo" in June 1908 until Korea was occupied by Japanese in 1910. The activity of Uihakgyo was not confined to student education, but was extended to patient care, research and enlightenment of the people. Although most of the activities are supposed as somewhat primitive in the present point of view, it is adequate to say that Uihakgyo did its best in adversity of that period. Moreover, such activities by the staff and graduates of the school lasted long after the close of Uihakgyo in 1907 and the fall of the country in 1910.

직업적 연폭로가 일부 신경행동학적 검사수행에 미치는 영향

안익수,안현철,김용배,리갑수,김화성,황규윤,최은,장봉기,이성수,안규동,이병국 순천향대학교 산업의학연구소 1999 순천향산업의학 Vol.5 No.1

In order to investigate that blood lead levels of lead exposed workers is associated with decreased performance in neurobehavioral tests in adults, we investigate 78 workers in a battery industry. Three items among neurobehavioral core test battery of World Health Organization, including digit span, Santa ana dexterity, digit symbol were administered to workers occupationally lead exposed workers by operational guide for the WHO neurobehavioral core test battery. Blood lead (PbB) and zinc protoporphyrin in whole blood (ZZP) were selected as an index of lead exposure. Detailed occupational history such as exposed agent, age, work duration, smoking and drinking habits, were recorded as confounding factors. After controlling age, the results of digit span and digit symbol among the neurobehavioral tests were significant contributed by PbB.