요부수핵탈출증에서 Thermography의 진단적 가치

신현택,신승우,송재철,정석희,이종수,김성수,신현대 경희대학교 동서의학연구소 2001 東西醫學硏究所 論文集 Vol.2000 No.-

Objectives : Lumbar radiculopathy is a common disease in oriental rehabilitation medicine. It can be diagnosed by physical examination, plain X-ray, Myelography, CT, MRI, EMG etc. But those methods are not useful in observing the clinical procedure. Objectvie evaluating the clinical procedure is very important in treatment of lumbar radiculopathy. Mehthods : We studied the clinical efficacy of thermography in lumbar radiculopathy during conservative managements. We studied 36 patients with lumbar radiculopathy convinced by MRI. The had low back pain and radiating pain on one side. Thermography had taken before an after 4 weeks treatments, and compared with clinical procedure Results and conclusions : Thermography is not pertinent as a primary diagnostic method in lumbar radiculopathy, but useful in observing the clinical procedure. And it can be recommended as a objective evaluation for lumbar radiculopathy.

비만증 환자에서 한약제에 의한 체중 감소효과

Oh, Seung-Joon,Jeong, In-Kyung,Kim, Young-Seol,Choi, Young-Kil,Paeng, Jeong-Ryung,Bae, Jung-Hwan,Shin, Hyun-Dae 경희대학교 동서의학연구소 1999 INTERNATIONAL SYMPOSIUM ON EAST-WEST MEDICINE Vol.1999 No.1

Seung-Joon Oh, In-Kyung Jeong, Young-Seol Kim, Young-Kil Choi, Jeong-Ryung Paeng¹, Jung-Hwan Bae and Hyun-Dae Shin²Department of internal Medicine, College Medicine, Endocrine Research Institute¹. Department of Rehabilitation, College of Oriental Medicine², Seoul, korea. Bady Fat Reduction Effects of Red Ginseng Compound Preparation on the Patients with Obesity. Proceedings of International Symposium on East-West Medicine, Seoul. 244-254, 1999.-Obesity can be defined as a metabolic disease due to an increased state of fat tissues caused by an imbalance of calorie intake and use. Recently, in Korea by improvement and westernization of food intake, along with decrease in exercise activities, the prevalence of obesity has increased greatly. Our objectives were to study stability and effects of decrease in body fat by administering red ginseng compound preparation (known to have body fat decreasing effects in laboratory animals) to obesity patients on low calorie diets. Changes in weight and body fat were measured while carrying out calorie-restricted diets on patients for 4 weeks, then administering red ginseng compound preparation for another 4 weeks. The patients were 20 people whose BMI were 25kg/㎡ or over and whose percent body fat was also 30% or over when tested by bioelectrical conductivity. 1. Changes in weight were from 70.04kg(base line) to 67.43kg(after taking red ginseng compound preparation). 2. In similar sense, BMI decreased from 27.12kg/㎡(base line) to 26.56kg/㎡(after dieting), and further to 26.01kg/㎡ (after taking red ginseng compound preparation). The BMI seemed to decrease significantly compared to the baseline after the use of red ginseng compound. 3. Waist hip ratio was changed from 0.8858(base line) to 0.8728, but it was statistically insignificant. 4. The percent body fat was 35,16%(base line), 33.87%(after dieting), and 31.68%(after taking red ginseng compound preparation). 5. Complete blood cell count and blood chemisrty remained unaffected by the administration. 6. In concern to endocrinologic studies, T3 decreased from 118.7 to 98.2ng/dL, and T4 increased from 8.8 to 9.2㎕/ dL. Epinephrine showed a tendency to decreased from 0.27 to 0.25 ng/mL, and norepinephrine increased from 0.39 to 0.44ng/mL. 7. Leptin was not changed. 8. Some patients complained adverse effects; constipation(5 patients, may be due to diet therapy), fatigue (2 patients), pruritus(2 patients), flushing(s patients), dizziness(3 patients) and epigastric discomfort(2 patients). However their symptoms were mild, so medication did not stopped. In conclusion, loss of weight without significant side effects was observed during low calorie diet and red ginseng compound preparation administration. This is thought to be in relation to sympathetic nerve system rather than adrenal gland. Also, further long0term studies should be required, since the observed results were based on short-term changes in weight.

痛症의 暗箱的評價法에 관한 考察

신승우,정석희,이종수,신현대,김성수 동국대학교 한의학연구소 2000 東國韓醫學硏究所論文集 Vol.8 No.2

통증은 환자들로 하여금 내원하게 하는 주된 증상중의 하나로, 치료방법의 선택 및 효과 판정을 위해서는 적절한 평가가 필요하다. 통증은 실험적인 방법과 임상적인 방법에 의해 측정될 수 있는데, 통증의 주관적인 성격상 임상적인 방법이 일반적으로 사용된다. 통증의 임상적측정법은 일차원적 측정법과 다차원적측정법으로 대별할 수 있는데, 일차원적 측정법으로는 시각적상사척도(Visual Analogue Scale), 구술적평정척도(Verbal Rating Scale), 수치평정척도(Numerical Rating Scale), 통증표정척도(Pain Faces Scale), 그리고 포커칩 도구(Poker Chip Tool)등이 있고, 다차원적 측정법으로는 McGill 동통질문서(McGill Pain Questionnaire), 다면적인성검사(MMPI), 통증행동척도(Pain Behavior Scale), 통증장애지표(Pain Disability Index), 그리고 통증평정척도(Pain Raing Scale)등이 있다. 일차원적 측정법은 주로 환자의 자기통증평가법에 기초하여 통증의 강도를 측정하는데, 측정방법의 단순함과 신속성으로 인해 급성통증을 평가하는데 주로 사용된다. 다차원적인 측정법은 통증의 주관적, 정신적 그리고 행동적인 면을 측정하는데, 측정방법이 포괄적이고 신뢰성이 있어서 만성통증을 측정하는데 사용된다. 환자의 언어와 인지능력은 정확한 통증을 평가하는데 장애가 되는 주된 요인이다. 통증에 따른 행동반응이나 생체반응은 환자의 통증을 완전히 대변하지 못하지만 이러한 상황에 있어 유용한 통증평가지표가 될 수 있다. 통증평가법을 결정할 때에는 먼저 측정하려고 하는 통증의 성격을 고려하여 어떠한 면을 측정할 것인가를 결정해야하며 아울러 환자의 언어와 인지능력을 고려해야 한다. 적절한 평가법의 선택은 환자의 진단과 치료에 있어 유효한 결론에 이르게 하는 중요한 과정이다. Pain can be evaluated by experimental methods and clinical methods, but due to subjective characteristics of pain, clinical methods are generally used. The clinical pain measurement tools are divided into unidimensional and multidimensional assessment tools. The former include Visual Analogue Scale, Verbal Rating Scale, Numerical Rating Scale, Pain Faces Scale, and Poker Chip Tool and the latter include McGill Pain Questionnaire, MMPI, Pain Behavior Scale, Pain disability index, and Pain Rating Scale. Unidimensional pain scales mainly measure the intensity of pain on the basis of the patient s self report and their simple construction and ease of use enable the invesgator to assess acute pain. Multidemensional pain scales are used to evaluate subjective, psychological and behavioral aspects of pain and because of its comprehensive and confidential properties they are applied to chronic pain. Patient s linguistic and cognitive abilities are major factors to restrain accurate assessment of pain. Although behavioral patterns and vital sign are inferior to self-report in the measurement of pain, they can be useful indexes in those situations. When deciding on a pain-assessment tool, the investigator must determine which aspect of pain he or she wishes to evaluate on the characteristics of the group of patients, their backgrounds, and their communication skills. Making the proper choice will facilitate the acquisition of meaningful data and the formulation of valid conclusions.

일과성 전 기억상실증으로 나타난 크로이츠펠트 : 야콥병 1례

신대수,이승희,이한샘,박성욱,박현영,장혁,장성조,김요식,조광호 圓光大學校 醫科學硏究所 2004 圓光醫科學 Vol.19 No.1

人蔘 Saponin成分이 흰쥐 膽膵液 分泌에 미치는 效果에 관한 硏究

愼鏞會,李炫實,朴鍾大,趙台淳 成均館大學校 科學技術硏究所 1990 論文集 Vol.41 No.2

The effect of saponins including water extract of Panax Ginseng was studied on the pancreaticobiliary secretion and cholate output and amylase activity in rats. The saponins tested were crude saponin, panaxadiol (PDS), panaxatriol (PTS). After single or two weeks administration of the samples, pancreaticobiliary juice of rats were collected for 8 hrs and the results obtained were summarized as follows. (1) In animals with single administration, pancreaticobiliary juice volume(PJV) was not significanty increased as compared to the control group. However, there was a significant increase in PJV of animals from 4 to 6 hrs after two weeks administration of water extract (500mg / kg / day) or crude saponin(50mg / kg / day). (2) Cholate output was increased dose-dependently from 1 to 5 hrs after the single administration of PDS, PTS. On the other hand, after two weeks administration of crude saponin (50mg/kg/day), the cholate output of the animals was increased significantly. (3) amylase activity in the juice were intermittently increased in single administration of water extract, crude saponin and PTS(100mg / kg). After two weeks administration, there was a significant increase in amylase activity of animals treated with PTS as compared to the control group.

장골에 발생한 전이성 골종양의 수술적 치료

신현대,김영모 충남대학교 의과대학 지역사회의학연구소 1997 충남의대잡지 Vol.24 No.2

The sixteen patients who had had metastatic bone tumors in long bone were treated with operation from January 1994 to August 1996. We analyzed the cases in the aspects of age and sex distribution, primary origin site and metastatic site in long bone, Mirels scoring system and the duration of survival. The results were as follows ; 1. Six patients were male and 10 patients were female. The mean age of both group was 58.2 years old. female was 55 years and male was 63.5 years. Female was more younger than male. The peak incidence was in the 6th decade. 2. The main primary cancers were lung(31.25%) and breast(25%). 3. All sixteen patients had had eighteen pathologic fractures in long bone. Eight cases at the femur subtrochanter, five at the humerus shaft, two at the femur intertrochanter, two at the femur shaft and one at the tibia shaft. 4. To the Mirels scoring system, All cases scored above eight and no significant difference between fracture group and nonfracture group in X2-test. 5. Among the sixteen patients, twelve had been dead. One of them had been dead before operation with self-discharge, six patients survived less than six months, two patients survived from six to a year, two patients survived from a year to two years and one patient survived more than two years.

생활폐기물을 이용한 세라믹스 판재 개발

신대용,임현태,최돈량 강원대학교 부설 석재복합신소재 제품연구센터 2002 석재연 논문집 Vol.7 No.-

생활하수처리장에서 발생하는 하수슬러지의 용융슬래그와 장석, 물유리 및 전분을 이용하여 세라믹스 다공판을 제조하였다. 슬래그의 주성분은 SiO_2와 Al_2O_3로서 점토와 유사한 성질을 갖고 있어 세라믹스의 대체원료로 사용이 가능하였다. 하수슬러지를 1,200℃에서 2시간 열처리하여 얻어진 용융물을 수증에 급랭시켜 1∼3mm 입경의 슬래그 분말을 제조하고 80∼95wt%의 슬래그, 5∼20wt%의 장석, 5∼15wt%의 물유리 및 2wt%의 전분을 혼합하여 1,100∼1,200℃에서 2시간 소성하여 시편을 제조하였다. 슬래그의 첨가량과 소성온도가 증가함에 따라 시편의 부피비중 및 압축강도는 증가하였으나, 기공률과 흡수율은 감소하였다. 1,030℃에서 2시간 소성한 No. 1, 4 및 7번 시편은 부피비중 1.52∼1.67, 기공률과 흡수율 23.3∼ 32.5% 및 14.1∼19.3%, 압축강도 81∼173kgf/㎠의 값을 나타내었다. 또한, 슬래그의 첨가량과 소성온도가 동등한 시편은 물유리의 첨가량이 증가함에 따라 부피비중과 압축강도가 증가하여 No.7, 8 및 9번 시편은 부피비중 1.52∼1.94, 압축강도 81∼385kgf/㎠의 값을 나타내었다. 시편의 중금속용출량은 미량으로서 매립지 침출수배출 허용기준치보다 낮게 측정되어 주위환경에 해가 없고 흡음특성이 양호하여 본 연구에서 제조한 세라믹스 다공판은 흡음판으로의 이용이 가능하였다. Utilization of sewage sludge from the sewage sludge treatment facilities and the municipal wastes became very important matter to be solve for the environmental protection and recycling of waste materials. The reusability of sewage sludge slag as a raw material in the manufacturing process of ceramics was highly expected because the chemical composition of slag was mostly SiO_2 and Al_2O_3 and its properties were very similar with clay. Sewage sludge slag was fabricated by sintering at 1,200℃ for 2 hours and it was crushed into powder with particle size of 1∼3mm by a rapid cooling treatment in water. Then, the mixture of 80∼95 wt% of slag, 5∼20 wt% of feldspar, 5∼15 wt% of water glass and 2 wt% of starch were heated at 1,000∼1,100℃ for 2 hours. The density and compressive strength of specimen increased with increasing the sintering temperature and the addition amount of slag, No. 1, 4 and 7, specimens were shown 1.52∼1.67 of bulk density, 23.3∼32.5% of porosity, 14.1∼19.3% of water absorption and 81∼173 kgf/㎠ of compressive strength. And, that of the specimen at the same sintering temperature and addition amount of slag increased with increasing the addition amount of water glass, No. 7, 8 and 9 specimens, bulk density was 1.52∼1.94 and the compressive strength was 81∼385kgf/㎠. An extraction test for specimen to detect the toxic materials, such as Cu, Cd, Cr, Pb and As, showed below the permitted standard of land-filling extractable heavy metal contents. Sound absorption coefficients of specimen had a good properties in No. 7 specimen, and can be used as a sound absorption plate.

양측 상완 원위부에 발생한 Kimura씨 병의 치험 1례 : 증례보고 A case report

신현대,이광진,이승진 충남대학교 의과대학 지역사회의학연구소 1997 충남의대잡지 Vol.24 No.2

Angiolymphoid hyperplasia with eosinophilia(ALHE), or Kimura's disease, is an uncommon lesion of unknown etiology with a predilection for skin of the head and neck region. It usually presents as one or a few smooth-surfaced nodules which are often asymptomatic. Histologically the nodules reveal two components : abnormal proliferating vessels and a cellular infiltrate consisting of lymphocytes and eosinophils, involving both the dermis and the subcutaneous tissue. A case of sixteen years old boy is presented of an unusual lesion around the elbow joint followed from December 1994 to September 1997 at Chungnam national university hospital. We had marginally resected symetrically developed lesion around elbow joint measuring 3x5x7㎝, and then medicated with prednisolone 60mg per oral medication to postoperative 10 days.

운동실조를 동반하지 않은 급성외안근마비 1례

신대수,이승회,이한샘,박성욱,박현영,장혁,김요식,조광호 圓光大學校 醫科學硏究所 2004 圓光醫科學 Vol.19 No.2

筋骨格系 領域에서 Thermography의 臨床的 活用에 對한 考察

신현택,정석희,이종수,김성수,신현대 동국대학교 한의학연구소 2000 東國韓醫學硏究所論文集 Vol.8 No.2

근골격계 질환은 임상에서 가장 흔하게 접할 수 있는 대상의 하나로 그 진단과 평가가 매우 중요하며 여러 가지 진단기기와 평가방법이 이용되고 있다. Thermography는 기존의 진단기기와 달리 질병의 기능적인 측면을 평가할 수 있다는 점과 통증과 같은 주관적인 표현을 어느정도 객관화할 수 있다는 점에서 임상적 가치가 고려되고 있다. 본 연구는 최근 국내외의 임상 논문을 대상으로 근골격계 영역에서 Thermography의 활용 동향을 고찰하여 진단적 가치를 확인하고자 하였다. Thermography는 척추신경병증, 근막동통증후군, 말초신경병증, 반사성 교감신경 이영양증, 레이노 증후군, 악관절 장애 및 일부 기타 질환에서 적용되었으며, 대부분의 질환에서 보조적인 진단기기로 활용가치가 있었다. 특히, 질병의 경과 관찰과 약물 및 기타 처치에 대한 효과 판정에 유용하였으며, 레이노 증후군 및 반사성 교감신경 이영양증과 같은 질병에서는 일차적인 진단기기로도 활용이 가능하였다. 향후 근골격계 영역에서 Thermography의 보다 폭넓은 적용을 위해서는 질환에 따른 적절한 촬영방법의 개발 및 결과 판독에 대한 객관성 확보가 있어야 할 것이다. The purpose of this study is to assess the usefulness of thermography in patients with musculoskeletal disease. Thermography is noninvasive, easy to reading, objective and physiologic instrument by measuring and imaging infrared energy emitted from skin surface. Thermography can show the skin temperature changes in various conditions of the body with musculoskeletal disease. This literature review was done for the usefulness of thermography in diagnosing musculoskeletal disease. In conclusion, thermography was adapted in radiculopathy, NIPS, peripheral neuropathy, RSD, Raynaud's phenomen, TMJ dysfunction, etc. It was useful as a secondary diagnostic method in those diseases, also possible as a primary diagnostic method in RSD, Raynaud's phenomen. And, it might be reliable tool for estimating dlsease procedure and consequence after treatment. But, the objectivity of the reading and the development of the operating method are required for further adaptation in musculoskeletal disease.