成長障碍를 主訴로 來院한 患兒 200例에 對한 臨床的 觀察

羅東圭 대전대학교 韓醫學연구소 1999 한의학연구소 논문집 Vol.7 No.2

Over the period between January 1997 and December 1998, herbal medicine was more than three times administered to the patients coming to Na dong gyu's Oriental Medical Clinic on account of the symptom of growth deficiency. According to radiological opinions about the patients providing cooperation for measuring their height and weight as well as their bone age every three months, it was found that the growth plates were not closed. A research was conducted for 200 children randomly selected of patients in prepuberty they grew by less than 5cm a year before treatment at a age of 12years for female children and 14years for male children). As a result, the following conclusion was drawn: 1. The randomly selected subjects were made up of 116 male and 84 female children in terms of gender. The age direstribution was most 10 to 12 years in 86 children(34.00%), followed by 8-10 years(27.50%) and 12 to 14 years(19.50%). 2. Considering the distribution of sick children's parental height, the fathers of 141 children(70.50%) measured less than 170㎝ high, the subaverage height, while the mothers of 172 children(86%) measured less than 160cm high, the subaverage height. It was shown that sick childen's height was genetically influenced by their parents. 3. Children patients's weight at a time of birth was most 3.1-3.5㎏ for 85 children(44%) and less than 2.5㎏ which came under the range of growth dificiency for 19 children(9.5%). 4. The highest proportian of the children patients with growth dificiency(56.33%) had the symptom of digestive disorders, of which 77 children patients(18.78%) had anorexia, 16.59% of children patients had the high level of respiratory disorders. Both the digestive disorder and the respiratory disorder put together, they had the high rate of 72.92%. Therefore, this indicates that both the digestive disorder and the respiratory disorder have a great effect on children's growth dificiency. 10.74% of chilren patients were shown to have allergic disorders, which indicates that they also exert an effect on growth deficiency. Specifically, 7.07% of the children patients had the high level of obesity, which shows that an excessive uptake of nutrition may rather induce children to have growth dificiency though an appropriate amount of nutritional uptake is necessary. 5. Comparing their bone age and their chronological age, 58 children patients(29.00%) showed that they were the same at the highest percent. 79 children patients(39.50%) showed that thier bone age was lower than their chronological age. And 63 children patients (31.50%) showed that their bone age was higher than their chronological age. 6. As regards the prescription administered to children patients for treating their growth dificiency, Growth tang A related to the kidney, the congenital factor, of the causes for growth deficiency in traditional Oriental Medicine was administered to 108 children patients(54%), whereas the Growth tang B related to the spleen, the acquired factor, was administered to 92 children patients(46%). 7. 116 male children patients with growth dificiency had the average value of growth for one year before treatment, 4.39㎝, while 84 female children patients had the average value of growth for one year before treatment, 4.24㎝. A total of 200 children had the average value of growth for one year before treatment, 4.33㎝. The annual average value of growth in growth curve surveyed by the Korea Pediatrics Society was 5.79㎝. Compared to this value, the one year average value of growth for 108 male and female children patients taking Growth tang A was shown be 8.44㎝, which indicates a greater growth by 4.12㎝(95.37%) in comparison with the average value of growth before treatment, 4.32㎝, and a greater growth by 2.65㎝(45.77%) compared to 5.79㎝, the average value of growth in growth curve surveyed by the Korea Pediatrics Society. Also, the average value of growth before treatment for 92 male and female children patients taking Growth tang B was shown to be 8.47㎝, which indicates a greater increase by 4.15㎝(96.06%) compared to 4.32㎝, the average value of growth before treatment and a greater increase by 2.67㎝(46.29%) in comparison with 5.79㎝, the average value of growth in growth curve surveyed by the Korea Pediatrics Society. Considering the average value of growth for male and female children patients taking Growth tang A and B, it was shown to be 8.46㎝, which indicates a greater increase by 4.14㎝(95.81%) compared to 4.32㎝, the average value of growth before treatment, and a greater increase by 2.67㎝(46.11%) compared to 5.79㎝, the average value of growth in growth curve surveyed by the Korea Pediatrics Society.

현대문학: 1954년 대구, 피난지 소년의 가족 로망스 -이동하 『장난감 도시』, 김원일 『마당깊은 집』 읽기-

류동규 ( Dong Gyu Ryu ) 한국문학언어학회(구 경북어문학회) 2011 어문론총 Vol.55 No.-

<The Toy City> written by Lee Dong-ha and <The Deep-grounded House> written by Kim Won-il, are set in the city of Daegu, year 1954. These two novels describe the growth of the respective main character, both young boys. In both works the boys` condition of refugee is narrated in first person, but their stories evolve differently to show how each overcame the wounds caused by war. "The Toy City" pictures the loss of three motherly figures in a row. That is, the act of leaving ones hometown, the death of ones mother and the rape of ones sister. The protagonist boy can`t find an outlet to such feeling of loss, so he is either afflicted by depression in his shanty or abandons himself to violence on the streets. In the end the boy leaves the refugee city. In "The Deep-grounded House" the boy is a member of a family deprived of the fatherly figure. For this reason his mother imposes the father`s role on his son, and this causes conflicts between them. This kind of forced fatherhood is internalized by the protagonist, and he narrates the story of "The Deep-grounded House" from a patriarch`s standpoint. At last the boy transfers to a different school and adapts himself to the refugee society. These two narrations of growth represent the refugees` society through family romance. Such kind of novel can be thought of as the epitome of how our society has got through the wounds of war.

서기원의 『혁명』과 1960년대의 르상티망

류동규(Ryu, Dong-Gyu) 한국어문학회 2018 語文學 Vol.0 No.141

Seo Ki-won’s 『The Revolution』 is a historical novel depicting the Donghak Revolution. As one of the post-war writers, Seo Ki-won released works expressing his post-war consciousness even after the 1960’s. This work was published in the 1960’s which was the period of social revolution that led to the events such as 4·19 Revolution, 5·16 Military Coup, and the Movement against the Korea-Japan Normalization Treaty. This novel reflects the writer’s post-war consciousness as well as the circumstances of the 1960’s. Although this novel follows the process of development of the Donghak Revolution, it does not reproduce the Donghak Revolution historically. The events are not developed according to historical necessity, and particularly the process of its main characters becoming involved in the Donghak Revolution is rather accidental. What this novel describes more importantly is the main characters’ inner status shown in the process of being involved in the revolution. The work depicts ‘rebellion’ that is aroused within the main characters’ inner side. The main character named Heon-ju, a child from yangban family, realizes the fallacy of hierarchical order they all belong to and rebels against it. This rebellion forms a driving force that allows him to be engaged in the revolution. This rebellion, however, fails to lead to solidarity with others and ends up becoming a form of totalitarian violence. In the end of this work, Heon-ju attempts to kill Jeon Bong-jun, and it shows his refusal against totalitarian violence. Behind this rebellion, there is ethical emotion, so-called Ressentiment. Ressentiment involves a grudge or vengeance and expresses chronic lethargy, but it also forms potential power for revolution. Ressentiment found in The Revolution seems to have been formed through historical experiences leading from frustration with the Donghak Revolution up to the 1960’s revolution. In the end of The Revolution, the direction of Ressentiment is changed with ‘to be a scapegoat’ by Heon-ju. The self-extinction through ‘to be a scapegoat’ is to pursue self-affirmation paradoxically. With this process, ‘individuals’ are newly found in the place where the revolution has failed.

Evaluation of the Efficacy and Safety of DA-9601 versus Its New Formulation, DA-5204, in Patients with Gastritis: Phase III, Randomized, Double-Blind, Non-Inferiority Study

Choi, Yoon Jin,Lee, Dong Ho,Choi, Myung-Gyu,Lee, Sung Joon,Kim, Sung Kook,Song, Geun Am,Rhee, Poong-Lyul,Jung, Hwoon-Yong,Kang, Dae-Hwan,Lee, Yong Chan,Lee, Si Hyung,Choi, Suck Chei,Shim, Ki-Nam,Seol, KOREAN ACADEMY OF MEDICAL SCIENCE 2017 JOURNAL OF KOREAN MEDICAL SCIENCE Vol.32 No.11

<P>This study compared the efficacy of DA-9601 (Dong-A ST Co., Seoul, Korea) and its new formulation, DA-5204 (Dong-A ST Co.), for treating erosive gastritis. This phase III, randomized, multicenter, double-blind, non-inferiority trial randomly assigned 434 patients with endoscopically proven gastric mucosal erosions into two groups: DA-9601 3 times daily or DA-5,204 twice daily for 2 weeks. The final analysis included 421 patients (DA-5204, 209; DA-9601, 212). The primary endpoint (rate of effective gastric erosion healing) and secondary endpoints (cure rate of endoscopic erosion and gastrointestinal [GI] symptom relief) were assessed using endoscopy after the treatment. Drug-related adverse events (AEs), including GI symptoms, were also compared. At week 2, gastric healing rates with DA-5204 and DA-9601 were 42.1% (88/209) and 42.5% (90/212), respectively. The difference between the groups was −0.4% (95% confidence interval, −9.8% to 9.1%), which was above the non-inferiority margin of −14%. The cure rate of gastric erosion in both groups was 37.3%. The improvement rates of GI symptoms with DA-5204 and DA-9601 were 40.4% and 40.8%, respectively. There were no statistically significant differences between the two groups in both secondary endpoints. AEs were reported in 18 (8.4%) patients in the DA-5204 group and 19 (8.8%) in the DA-9601 group. Rates of AE were not different between the two groups. No serious AE or adverse drug reaction (ADR) occurred. These results demonstrate the non-inferiority of DA-5204 compared to DA-9601. DA-5204 is as effective as DA-9601 in the treatment of erosive gastritis. Registered randomized clinical trial at ClinicalTrials.gov (NCT02282670)</P>

관동맥질환에서 저밀도 지단백 입자 크기의 분포

임효영,김인숙,승기배,강동헌,전두수,장기육,박준철,이수영,홍순조,최규보 대한순환기학회 1998 Korean Circulation Journal Vol.28 No.8

열공형과 비열공형 피질하 혈관성 치매에서 위험인자의 차이에 관한 비교 연구

배희준,정지향,유경호,나덕렬,김상윤,최경규,양동원,손의주,이상도,김재우,박경원,김응규,이재홍,박미영,한일우,함동석,최문성,하충건,최성혜,이애영,이병철,한설희 대한치매학회 2003 Dementia and Neurocognitive Disorders Vol.2 No.2

Backgrounds and Objectives: Vascular dementia is a group of dementing disoders arising from various stroke syndrome. Among these. subcortical ischemic vascular dementia (SIVD) is regarded as a relatively distinct clinical entity. However, MRI patterns of SIVD are not homogenous. In some patients, lacunes are dominant, and in others, subcortical white matter changes are. This study was designed to compare risk factor profiles between SIVD with and without multiple lacunes. Methods: We divided 47 subjects (22 males, mean age. 68 years) recruited from VADAPET (Multicenter Trial For Evaluation Of The Changes In the PET Images Of Subcortical Vascular Dementia Patient) study into two groups one with more than 5 lacunes in deep gray matter (lacune group) and the other with 5 or less(non-lacune group) Clinical characteristics and laboratory findings of two groups were compared. Results: Nineteen of 47 patients (40%) belonged to the lacune group. The lacune and non-lacune groups d d not differ in the following variables: age, hypertension, diabetes mellitus, hyperlipidemia heart disease, history of stroke or TIA, history of trauma or major surgery, family history of hypertension stroke, or dementia, age at diagnosis of dementia, body mass index, white blood cell count, ESR, CRP, fibrinogen, hemoglobin A1C, total cholesterol. LDL cholesterol creatinine, proteinuria, glucosuria, and microhematuria. However, male sex, smoking alcohol. hemoglobin, and HDL cholesterol were possibly associated more with lacune group SIVD than with non-lacune group (p<0 1) Multivariate analyses revealed that smoking, hemoglobin, and HDL cholesterol were independent predictors of SIVD with multiple lacunes Conclusion: Our study suggests that SIVD with multiple lacunes may be significantly different in smoking habits hemoglobin, and HDL cholesterol from SIVD without multiple lacunes.

복강경담낭절제술에서 수술전 간담도신티그라피와 경구담낭조영술의 의의

문대혁(Dae Hyuk Moon),양승오(Seoung Oh Yang),이희경(Hee Kyung Lee),원경숙(Kyoung Sook Won),류진숙(Jin Sook Ryu),한동복(Dong Bok Han),박철민(Cheol Min Park),이문규(Moon Gyu Lee),박광민(Kwang Min Park),이승규(Sung Gyu Lee) 대한핵의학회 1997 핵의학 분자영상 Vol.31 No.1

N/A 131I-6β-iodomethyl-19-norcholesterol(NP-59) has an advantage to assess adrenal dysfunction caused by adrenal cortical disorders. The aim of this study is to evaluate the clinical usefulness of NP-59 scintigraphy in each adrenral disease. Ten patients who did eleven NP-59 adrenal scintigraphies at Dong-A University Hospital from March 1990 to December 1996 were selected as the subject. Among the subject there were 5 cases of Cushing's syndrome, 2 cases of incidentaloma, 1 case of metastatic adrenal tumor, liver cirrhosis with hirsutism and hypertension respectively. Among 5 case of Cushing's syndrome, there were 2 cases of Cushing's disease, 2 cases of adrenal adenoma and 1 case of adrenal carcinoma. There are no disagreement between clinical diagnosis and scan finding in Cushing's syndrome. In 2 incidentaloma cases, even though one is interpretated as a functioning tumor, both of 2 cases could avoid unnecessary biopsy according to scintigraphy result. One case of hirsutism, clinically adrenal originated, revealed the normal scintigraphic hirsutism was extra-adrenal origin. One case of hypertension took the study to exclude the possibility of primary aldosteronism. Normal suppression scan finding revealed that primary aldosteronism did not exist in this case. In conclusion, NP-59 scintigraphy was very useful in diagnosis and differential diagnosis of Cushing's syndrome and it could avoid unnecessary biopsy in the incidental adrenal tumor.

척수 경막외 혈관 기형에 의한 재발성 척수병증

오동호,김희태,박운규,이영주,김승현,김주한,김명호,박문향 대한신경과학회 1998 대한신경과학회지 Vol.16 No.5

간질환자의 간질 관련 외상

오동호,박운규,이영주,김희태,김승현,김주한,김명호,신동진 대한신경과학회 1998 대한신경과학회지 Vol.16 No.4

한자어 교수-학습 자료 개발의 실제 : Flash와 Swish를 중심으로 The materials Utilizing the Flash and Swish

金東奎 한국한자한문교육학회 2005 漢字 漢文敎育 Vol.14 No.-

본 논고는 ‘어떻게 하면 학생들의 학습 흥미를 높일 수 있을까?’ ‘어떻게 하면 학생들의 관심을 모으고, 한자가 어려운 것이 아니라는 점을 일깨워 줄 수 있을까?’ ‘어떻게 하면 내가 직접 자료들을 만들어서 학생들과 같이 수업을 할 수 있을까?’하는 문제점에시 출발을 했다. 본 논고에서는 컴퓨터, 실물 화상기, 빔 프로젝터 등과 같은 하드웨어적 측면의 멀티미디어 매체들의 소개와 운영방법 보다는 멀티미디어 매체들을 활용하여 수업에 직접 투입할 수 있는 자료들을 제작할 수 있는 Flash와 Swish등을 활용한 교수-학습 자료의 개발과정과 방법, 그리고 운용 등 소프트웨어적 측면에서 접근하여 알아보고자 한다. 본 논고에서 제시된 자료들은 실제 수업에서 사용했던 것들이며, 이미 제작되었던 것들을 활용하거나 다른 여러 멀티미디어 도구들을 활용하여 제작한 것들로서 1) 기억력을 이용한한자카드 교수-학습 자료, 2) 모양이 비슷한 한자를 이용한 교수-학습 자료, 3) 한자 조각 맞추기 교수-학습 자료, 4) TV 프로그램을 응용한 한자어 맞추기 교수-학습 자료, 5) 한자를 직접 입력하여 성어를 맞추는 교수-학습 자료, 6) 언어생활의 활용을 위한 교수-학습 자료 등이다. 필자는 Flash와 Swish를 이용하여 제작된 교수-학습 자료를 직접 수업에 활용함으로써 학생들의 수업에 대한 반응과 호응도를 알아보았다. 板書만을 통하여 학생들에게 수업을 한 경우 보다는 Flash나 Swish로 제작된 자료를 수업에 활용과 놀이학습을 통해 수업의 참여도를 높일 수 있었고 다량한 방법의 교수-학습 자료의 활용으로 장치적인 수업이 가능하였으며, On-line과 Off-line 등을 통해 학생들에게 자료를 제공하여 개별학습과 반복학습이 가능하게 하였다. 세상은 정보의 홍수와 변화 속에 끊임없이 변해가고 있다. 급격만 번화의 흐름 속에 학교도 예외일 수는 없다. 다양한 정보의 양과 변화가 학교현장에서도 느껴지고 있으며, 많은 교사와 학생들이 그 흐름을 느끼며 같이 변화되어 가고 있다. 많은 교사들이 혼자 혹은 모임을 통해 다량한 교수-학습 자료들을 개발하고 Data-Base를 구축하며, 함께 개발된 자료들을 공유하여 더 나은 교수-학습 자료들을 개발하기 위해 노력하고 있다. 한문과 역시 그 변화의 물결에 발을 맞추어가야 한다. 한문교사로서 전공인 한문과목에 대해 꾸준한 연구와 교재 개발이 이루어져야 한다. 또한 교수-학습 방법이나 자료 개발의 토대인 컴퓨터, 멀티미디어, 정보등에도 끊임없는 연구와 관심이 있어야 한다. 교사 단 한 사감이 너무도 급격하고 다양하게 변화되는 물결 속에 모든 것을 대처하는 것은 매우 힘들다. 그러나 여러 사람이 같이 변화를 적극적으로 대처하고, 보다 나은 수업을 하기 위한 노력을 끊임없이 경주하여 그 속에서 만들어지는 아이디어와 교수-학습 자료개발에 대한 정보들을 함께 공유하여 좋은 것은 발전시키고, 문제점들을 과감하게 수정하고 보완한다면 더 나은 교수-학습 자료들을 개발하고 창의적인 수업이 이루어질 수 있을 것이다. 교사들의 끊임없는 연구는 더 나은 교수-학습 자료 개발의 초석이 될 것이다. 개발된 자료들은 언제나 다른 교사들과 함께할 수 있도록 배려되어야 한다. 그 속에서 교사들의 참여가 유도되어야하고, 함께 제작하고 응용해나가는 과정에서 더 나은 자료들이 개발되어져야 한다. 또한 그 과정에서 도출되는 문제점은 과감하고 겸허하게 수용하여 발전시키도록 해야 할 것이다. This research was started with the questions: "How do I increase students' interest of study?, How do I arouse students' interest in my teaching, and how do I make students recognize that the Chinese Characters is not difficult? How will I make the teaching materials for myself and teach students with them? This research approach more the aspects software - making the teaching materials, the Flash and Swish, which are applied in class directly utilizing the multi-formed media, developing and programing the teaching-learning materials with them, and managing these programs than hardware aspects - a computer, an image processor, or beam projector. The materials presented at this article were used in my classes. These materials were made by utilizing other various multi-media tools: 1) A teaching-learning materials of Chinese cards using students' powers of memory 2) A teaching-learning materials using the Chinese-Characters of the similar figures, 3) A teaching-learning materials using assembling pieces of the Chinese Characters, 4) A teaching-learning materials for checking the Chinese-Characters applying TV programs, 5) A teaching-learning materials for making Chinese-Characters phrases by entering the Chinese-Characters in the blanks, 6) A teaching-learning materials for application of our language lives. As I used the teaching tools made with the Flash and Swish in my classes, I searched for students' educational responses and interaction. The students showed more interest when I presented them various teaching tools made by using the Flash or Swish than when I taught only with blackboard and chalk. And They could have more creative classes because of utilizing various teaching-learning materials, and have studied the Chinese-Characters individually and repeatedly when I gave them various learning materials through on-line and off-line. The world is changing ceaselessly in the flood and the diversity of information. And the school is no exception in the tend of rapid change. The quantities and diversity of various information were felt in the school situation, and many teachers and students are feeling the situation and are changed. Many teachers develop various teaching-learning materials and build the data-base, and share developed materials together and try to develop them more. Also, the department of Chinese-Characters have to keep this tend. The teachers of the Chinese-Characters have to develop the teaching-learning materials for the subject of the Chinese-Characters. and they must pay attention to computer programs, multi-media systems, and information of their major subject to improve their materials. because only one teacher can't deal with all problems in the changed tend rapidly, but many teachers should share their information, develop their projects, and try to improve their classes together. If they work their projects through their cooperative interaction, their classes will be more creative. The consisting study of teachers will make more effective teaching-learning materials. The developed materials always have to be shared with other teachers together. The advanced teachers are trying to induce to other teacher to participate their study. While they work their projects together, they will be able to make more good materials as they accept and revise some problems.