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박연철,백용현,박동석 대한침구의학회 2007 대한침구의학회지 Vol.24 No.1
Objectives : This sutdy aims to research the trend of the studies related with acupuncture treatment of asthma. Methods : We searched the electronic database and reviewed RCT studies comparing the effect of sham and real acupuncture published after 2000 Results : We selected eight articles. Effectiveness of asthma acupuncture treatment was generally insufficient. Three articles reported acupuncture to be effective in subjective symptoms and quality of life. Other three articles reported that acupucture treatment was moderately effective but, insignificant compared to sham acupuncture treatment. Some articles reported that acupucture treatment was significant in the decrease of drug dosage and immunologic regulation. Conclusion : For the study on acupuncture treatments in asthma, it is necessary that we conduct research on the various natures of acupuncture. More clinical data would be needed to prove the effects of acupuncture treatment in asthma.
특발성 파킨슨 환자에서 경혈(經穴)에 따른 침(鍼) 치료 효과의 비교 연구
박연철,장대일,이윤호,박동석,Park, Yeon-Cheol,Chang, Dae-Il,Lee, Yun-Ho,Park, Dong-Suk 대한침구의학회 2007 대한침구의학회지 Vol.24 No.4
Objectives : This study was designed to evaluate the effect of acupuncture with various scales on symptoms of Idiopathic Parkinson's disease. Methods: Subjects were voluntarily recruited through newspapers and internet advertisement. All the subjects were confirmed as idiopathic parkinson's disease by a neurologist. The acupuncture therapy was performed twice a week for 4 weeks by oriental medical doctor at Kyung-hee University hospital. Patients were randomly assigned to three groups : sham acupuncture group, acupuncture treatment group and Sasang-Constitution acupuncture treatment group. Acupun cture points used in acupuncture treatment group were $GB_{34}$, $LR_3$, and $ST_{36}$, which were proven to be effective in rat Parkinson's disease study. Acupuncture points used in sham treatment were non-acupoints near $GB_{34}$, $LR_3$, and $ST_{36}$. In Sasang-Constitution acupuncture treatment, we classfied Sasang constitution of patients by QSCCII. Acupuncture was applied based on theory of Korean medicine. The patient's symptoms were assessed at baseline and after 4 weeks of treatment by one evaluator with Unified Kingdom Parkinson's Disease Rating Scale (UPDRS), modified Hoehn-Yahr(H-Y) stage, and Schwab & England activ ity of daily living and freezing of gait questionnaire (FOGQ). Results : The results were as follows ; 1. UPDRS IV score differences between sham group and Sasang-Constitution acupuncture treatment were statistically significant(p=0.001). 2. UPDRS total score differences between Sasang-Constitution acupuncture treatment and acupuncture treatment group, Sasang-Constitution acupuncture treatment and sham group were statistically significant(p=0.041, p=0.014). 5. FOGQ score differences between Sasang-Constitution acupuncture treatment and acupuncture treatment group, Sasang-Constitution acupuncture treatment and sham group were statistically significant(p=0.001, p=0.001). Conclusion : The results suggest Sasang-Constitution acupuncture treatment can be applicable to improve symptoms in patients with idiopathic Parkinson's disease.
가정의학 전공의 수련의 과거, 현재 그리고 미래: 역량 중심 수련으로의 전환
박연철 대한가정의학회 2022 Korean Journal of Family Practice Vol.12 No.5
가정의학의 수련은 초기 정착기를 거쳐 양적으로 또한 질적으로 확 대되었고 정부 시책에 따른 격동기를 지나 현재 역량 중심 수련 과 정으로 개편 중에 있다. 앞으로 수련 과정 중에 있는 전공의들의 역 량 성장을 확인하기 위한 포트폴리오 개발, 역량 중심 평가 및 피드백을 위한 수련 지도 전문의의 교수 개발 및 지침서 개발 등 수련의 질적 향상을 위한 다양한 노력들이 지속된다면 양질의 수련 과정을 확립 및 가정의학의 핵심 역량을 모두 충족하는 역량 있는 전공의 배출이 용이해지리라 생각한다.