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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.
PSC 강연선 인장성능평가를 위한 인장시험 방법에 관한 연구
박연철,박민석,유웅희,김철영 한국강구조학회 2019 韓國鋼構造學會 論文集 Vol.31 No.5
The factors that may influence the tensile strength measurement of steel 7-wire strand was investigated. Various standards and guidelines for testing strands were reviewed and found that free span length, loading rate, and type of gripping devices could affect the tensile strength measurement. Tensile test was conducted to verified the effect of these factors. It was found that loading rate and free span length do not influence the tensile strength measurement. Gripping device, however, significantly influenced the measurement. All specimens which anchor type grip were applied presented the tensile strength lower than the nominal. On the other hand, all specimens which grip type were applied presented the tensile strength higher than the nominal strength. 강연선의 인장시험에 영향을 주는 요인들을 문헌 및 인장시험을 통해 확인하였다. 문헌조사로 인장강도에 영향을 주는 요인들은 자유장길이, 하중재하속도, 물림부 형식인 것을 확인하였으나 인장시험 결과 자유장길이나 하중 재하속도는 영향을 미미한 것을 확인하였다. 그러나 강연선의 인장강도는 물림부 형식에 따라 큰 차리를 보였다. 물림부가 앵커 타입인 경우에는 모든 시험체가 공칭강도보다 낮은 강도를 보였고 그립타입인 경우에는 모든 시험체에서 공칭강도보다 높은 강도가 확인되었다. 따라서 앵커타입의 경우실제 강도 낮게 평가할 수 있는 위험성이 있는 것으로 보인다.
박연철,박경혜 한국의학교육학회 2021 Korean journal of medical education Vol.33 No.1
Purpose: This study determined the effects of interprofessional education (IPE) on self-efficacy and attitude by comparing an interprofessional (IP) group of medical students (MSs) and nursing students (NSs) and a uniprofessional (UP) group of MSs. Methods: An experimental IP group consisting of 49 MSs and 62 NSs was selected, alongside a UP control group of 48 other MSs. The groups participated in a class titled “Team Communication and Interprofessional Collaboration.” A sub-analysis of the two groups’ professions was also conducted. The groups participated in the same lesson separately, with a week’s interval. The Interprofessional Attitudes Scale (IPAS) and the Self-Efficacy Perception for Interprofessional Experiential Learning (SEIEL) scale were used before and after the class to compare changes in reports of self-efficacy and attitudes in both groups. Students’ responses to learning experiences and satisfaction were also evaluated. Results: IPAS and SEIEL values increased after the class for MSs in both groups; there were no differences between the groups. IPAS and SEIEL values increased after the class in MSs and NSs in the IP group, and the effect size for IPAS was larger for IP-group NSs than for IP-group MSs. Satisfaction scores exceeded 3.70 in both groups. Conclusion: The UP group showed similar IPE effects as the IP group, as measured by SEIEL and IPAS, in a single IPE program that used role-play and case-based discussion. However, it would be desirable for the UP group to interact with other professions to improve understanding and experience.