한의 일차의료기관에서 한의 비만 상담 표준매뉴얼을 활용한 한의 비만 상담 내용 분석 및 사용자 만족도에 관한 연구

한경선,김성하,Han, Kyungsun,Kim, Sungha 한방비만학회 2020 한방비만학회지 Vol.20 No.2

Objectives: Korean Medicine Doctors (KMDs) have treated patients with obesity using a holistic approach with a multicomponent approach on counseling. However, there is currently no data regarding KMDs' counseling practices for weight loss. We conducted a retrospective chart review to better understand the Korean medicine counseling practice for weight loss. Methods: Twenty-one KMDs were involved in this project as practitioners. The contents of counseling were categorized based on patterns according to the counseling manual for the standardized management of obesity in Korean Medicine. Results: The counseling was conducted based on the theory of Korean medicine and the contents of counseling were different from patterns. However, the quality of the counseling were different from each KMD, and the counseling were focused on evaluating patient conditions and not on providing specific recommendations for lifestyle changes. Conclusions: Therefore, specific guidance of counseling for healthier lifestyle and dietary habits, and the training of the standardized manual training are needed.

Interactive Language Use and Emotional Aspects of Using Computers for Class Discussions

한경선(Kyungsun Han) 한국외국어교육학회 2004 Foreign languages education Vol.11 No.2

This study examined what the effects of computer discussions on interactive English language use of students who were considered reticent in class, and their perceptions of self-efficacy and language anxiety, and how different individual types of students would interact with the different contexts of oral and computer discussions. Data were collected using quantitative methods for discussion data and self-efficacy and language anxiety measures, and qualitative methods for interview and class observation from an advanced ESL writing class. The results indicated that the computer discussions seemed to help reticent students enhance their quantitative productivity in discussions, but it did not necessarily elicit more sophisticated and complex English language from these students. The analyses for students’ self-efficacy and anxiety measures further suggested that the computer discussions could contribute to lowering students’ language anxiety but not to improvement of their self-efficacy. In addition, the qualitative analysis illustrated that the students of one participant group would establish different emotional experience from those of the other group in the oral discussions. Then, the experiences of these students seemed to be created differently within the novel context of computer discussions.

L2 Learning Motivation1) in Technology Enhanced Instruction: A Survey from Three Perspectives

한경선(Kyungsun Han) 한국영어어문교육학회 2005 영어어문교육 Vol.11 No.1

The purpose of this study is to examine the ways in which CALL apply to enhance the motivational aspects of second language learning. Theories relevant to social, cognitive, and affective foundations of motivation are first reviewed to demonstrate the important role of motivational influences in improving learners' affect and achievements. Then, implications arising from such theories in strengthening the motivational aspects of CALL are explicated in the second part. With the spread of computer technology in language classrooms, the innovative role of CALL in the development and maintenance of intrinsic motivation can be illustrated. Specifically, CALL may provide cognitively supportive instruction geared towards improving students' performance. Also, it has been reported from the affective perspective that CALL can captivate learners' attention, promote their feelings and expectations of success, improve perceptions of control, and increase positive attributions to effort and ability. Finally, from a social learning perspective, CALL may enhance learners' self-efficacy and foster their achievement and positive affect through social interactions, proximal goal-setting, and attributional feedback. In the framework of CALL, students seem to be benefited by the immediacy and authenticity of contact with target languages and cultures made at their choices and decisions.

성인비만의 한약치료 임상연구에 대한 체계적 고찰

한경선 ( Kyungsun Han ),이명종 ( Myeong-jong Lee ),김호준 ( Hojun Kim ) 대한한의학회 한방재활의학과학회 2016 한방재활의학과학회지 Vol.26 No.4

Objectives This systematic review is to support the effectiveness of herbal medicine for the treatment of simple obesity in adults. Methods A total of 8 electronic databases were searched in English, Chinese and Korean. Standard methodologies for the systematic review were used to search, analyze and synthesize data based on NECA’s guideline for undertaking systematic review and meta-analyses for intervention. Results After screening 1781 potential articles, we identified 13 randomized controlled trials (RCTs). We conducted a meta-analysis for the study using Bangpungtongsung-san and Taeeumjowi-tang to evaluate the effectiveness of herbal medicines on weight loss compared to placebo control. Both herbs showed positive effect in weight, body mass index and waist circumference. In an analysis comparing herbal effects considering constitutions showed that proper treatment can lower adverse events. Conclusions Our results provide evidence that herbal medicine can be an effective treatment for the obesity compare to placebo or to conventional medicine without serious adverse events. Further study is needed to evaluate effectiveness of herbal medicines considering personalized treatment and its safety. (J Korean Med Rehabil 2016;26(4):23-35)

롱코비드가 비만에 미치는 영향과 그에 대한 한의학의 역할

한경선(Kyungsun Han),김명호(Myung-Ho Kim) 한방비만학회 2022 한방비만학회지 Vol.22 No.1

While the Coronavirus disease 2019 (COVID-19) pandemic is gradually turning into an endemic disease, concerns about post COVID-19 conditions (Long COVID) are emerging. Obesity is a major risk factor for severe complications of COVID-19, and COVID-19 has a wide range of effects on obesity and metabolic function. This paper aims to examine the interaction between COVID-19 and obesity, the effects and mechanisms of long COVID on obesity, and the role of Korean medicine on long COVID-related obesity. Obesity may worsen with cardiometabolic damage and psychosocial insecurity during COVID-19 and long COVID-induced neuroinflammation, systemic inflammation, mitochondrial dysfunction, and hypoxia also may aggravate obesity. Korean Medicine treatments, which have been widely used to treat obesity, have the potential to improve obesity in the era of long COVID by intervening in these mechanisms.

백출, 어성초, 금은화, 황금, 황련과 Metformin의 병용 투여 시 항산화 효과 및 전지방세포 분화 억제 효과

장세주 ( Seju Chang ),한경선 ( Kyungsun Han ),왕경화 ( Jing Hua Wang ),채희성 ( Hee Sung Chae ),최영희 ( Yong Hee Choi ),진영원 ( Young Won Chin ),최한석 ( Han Seok Choi ),김호준 ( Hojun Kim ) 한방비만학회 2015 한방비만학회지 Vol.15 No.1

Objectives: This study was to investigate the antioxiative capacity, antiobesity effects of Atractylodes Rhizoma Alba, Houttuyniae Herba, Lonicerae Flos, Agrobacterium Rhizogenes, and Coptidis Rhizoma on Raw 264.7 and 3T3-L1 cell lines. Methods: Three different types of herb extracts (A. Rhizoma Alba, H. Herba, L. Flos, A. Rhizogenes, and C. Rhizoma; water 100%, ethanol 30%, ethanol 100%) were used in this study. Total polyphenol compound, 1-diphenyl-2-picrylhydrazyl (DPPH) radical scavenging, reactive oxygen species (ROS) activity, NO production and cell proliferation were measured. Results: Total polyphenol compound measurement of L. Flos, A. Rhizogenes, and C. Rhizoma extracts were higher than A. Rhizoma Alba, H. Herba. DPPH radical scavenging activity, ROS activity and NO production of A. Rhizogenes, C. Rhizoma extracts were lower than L. Flos, A. Rhizoma, and H. Herba. Conclusions: Metformin and A. Rhizogenes, C. Rhizoma, A. Rhizoma Alba, and L. Flos extracts combination groups showed synergistic effect on adipocyte differentiation inhibition and antioxidative activity.

고도비만 환자 대상 한의 비만 상담을 포함한 한의치료의 체중 감량 효과 : 후향적 차트 리뷰

김성하(Sungha Kim),한경선(Kyungsun Han),권오진(Ojin Kwon),이원구(Wongu Lee),윤철상(Chulsang Yoon),이준환(Jun-Hwan Lee) 한방비만학회 2021 한방비만학회지 Vol.21 No.1

Objectives: We conducted a retrospective chart review to investigate the effects of Korean Medicine (KM) treatment on weight loss in patients with morbid obesity (body mass index [BMI]≥30 kg/m2) and to compare the effects of KM counseling and non-counseling on weight loss. Methods: We performed a retrospective chart review of patients with morbid obesity who received KM treatment for at least 1 month. We evaluated the effects of KM treatment on body weight, BMI, body fat, fat mass, EuroQol-5D, and the Korean version of the obesity-related quality of life scale (KOQOL). We also assessed the liver and kidney functions, and adverse events. We performed a comparative analysis between the counseling and non-counseling groups. Results: A total of 37 patients who underwent 4 weeks of KM treatment involving Wolbi-tang, electroacupuncture, and KM counseling were included in this study. Twenty-one patients were assigned to the counseling group and sixteen patients to the non-counseling group. There was a significant decrease in weight, BMI, fat mass, and KOQOL (P<0.05) with improvements in total cholesterol, low-density lipoprotein, and triglycerides. The counseling group had a greater reduction in body weight, BMI, body fat, and fat mass compared to the non-counseling group, although it was not significant. In the BMI below 35 (n=25), the reduction ratio of body weight, body fat mass, and body fat was higher in the counseling group than in the non-counseling group; additionally, body fat decreased significantly in counseling group (P<0.05). No severe adverse effects were observed. Conclusion: KM treatment could be effective for weight loss, especially in patients with morbid obesity, KM counseling could also be a good tool for weight loss, typically in patients with BMI<35 kg/m2.