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      • KCI등재
      • KCI등재

        정신과적 관점에서의 섬유근통

        이윤나,이상신,김현석,김호찬,Lee, Yunna,Lee, Sang-Shin,Kim, Hyunseuk,Kim, Hochan 한국정신신체의학회 2020 정신신체의학 Vol.28 No.2

        Fibromyalgia is a disorder characterized by the core symptom of chronic widespread pain, along with fatigue, sleep disturbances, mood changes, and cognitive difficulties. The etiology of fibromyalgia involves a combination of biological factors, such as genetic vulnerability, alterations in pain processing and stress response system ; psychological factors, such as anxiety, depression, anger, and perceived stress ; environmental factors, such as infections, febrile diseases, and trauma. Central sensitization, which is amplified in the process of sensory stimulation, has been emphasized as a key etiological factor, as supported by enhanced wind-up, delayed aftersensation, decreased nociceptive flexion reflex threshold and functional imaging studies. Several guidelines recommend that a multimodal approach be used to treat fibromyalgia, including both pharmacological and non-pharmacological treatments, tailored to each individual, and that clinicians should provide an intellectual framework through sufficient education and emphasis on the importance of self-management. The prevalence of mood disorders, anxiety disorders, and other psychiatric problems is 7-9 times higher in patients with fibromyalgia than in the general population ; moreover, the association between fibromyalgia and certain psychopathologies or sleep problems has also been suggested. Since psychiatric problems, with shared vulnerabilities and risk factors, interact with fibromyalgia bidirectionally and also affect the disease course, an integrated management approach is needed to determine the risk of comorbidities.

      • KCI등재

        19세기 역관 이상적과 김석준의 서적 간행활동

        이윤나 한국서지학회 2016 서지학연구 Vol.66 No.-

        Lee Sang Juk(1804-1865) and Kim Seok Joon(1831-1915) who were interpreters of Joseon Dynasty in 19thCentury took a part in publication of books between Joseon and Qing Dynasty. Lee Sang Juk was participated in the publication of Eungsongdang-jip, which is a collection of his own works, Cheounroisigo collection of works of Lee Jung jik(1781-1816) who is a his father, and Mongwansigo by Lee Jung ju. Kim Seok Joon published Songmokgwan-jip, a collection of works of Lee Un Jin and Woosunjunghwa-rok, collection of Lee Sang Juk who was a teacher of him. Kim Seok Joon was participated in the publication of Hongyakruhuein-rok, which is a collection of his own works. Among these collections, Eungsongdang-Jip, Cheounroisigo, and Songmokgwan-Jip were published in Qing Dynasty. The reason for they were able to publish collections of works in Qing Dynasty was because of that basically, there was an social interaction with literacy men in Qing Dynasty. When they stayed in Qing Dynasty, they were actually involved in publication of collections of works, however, they were able to publish books in Joseon as they exchanged letters with literacy men in Qing Dynasty. The reason of publishing the collections of works in Qing Dynasty was because of the social interaction with literacy men in Qing Dynasty. When they were interacting, they exchanged gifts each other and they generally used to exchange their collections of works as well. In Joseon, a collection of works can be published after the writer die, therefore, writers in Joseon generally did not exchange their collections of works with others. Writers in Joseon who wanted to interact with literacy men in Qing Dynasty used to organize their collections of works into manuscripts and also published the collections to exchange with them. Therefore, the publication work of books by Lee Sang Juk and Kim Seok Jun can be understood in this context.

      • 일본 헌법의 평등원리와 젠더에 관한 고찰

        이윤나 한남대학교 과학기술법연구원 2015 한남법학연구 Vol.3 No.-

        最高規範である憲法すべての人を平等に扱われていると規定しているにもかかわらず、現實では、社會的に樣?な原因による差別と抑壓があることは認めざるを得ない。その中でも最も重大な差別の一つであると考えられているのが、女性差別である。女性であることを理由に受ける差別を撤廢し、權利を獲得するため、歷史上多くの女性が女性の權利のために鬪ってきたのにもかかわらず、現在でも社會的に女性の性差別に對する問題は消えておらず、このような性差別を克服するために平等原理に對する根本的理論構成と主要判例を通じた現狀の理解、また殘された課題について考察する。 そこで、まず日本國憲法の平等原理について、第14條の解釋と平等原則の展開を檢討した。日本の憲法學界では、從來は、憲法第14條は形式的平等を保障し、實質的平等については社會權規定で保障されると解釋されたが、最近では、社會權規定のみならず第14條でも實質的平等が保障されるという解釋に移ってきたように解釋される。 さらに最近は、平等や差別の意義·定義にも變化がみられ、形式的平等を超えた實質的平等と事實上の平等を確保するための'積極的差別是正措置(Affirmative action)'が多くの國で導入されているが、間接差別と關連して積極的差別是正措置は、女性という集團に對する優遇措置であるというような誤解に對する再檢討すべきであろうと思われる。 日本國憲法の平等原則にかかわる問題が、雇用·社會保障のジェンダ一平等保障を契機に、理論的な展開をみせているうち、私人間における憲法の人權規定の適用をめぐって、いわゆる私人間效力が問題となり、住友電工事件判決で'憲法第14條の趣旨には反するが、民法第90條の公序良俗原則には反しない'という判例理論が提示されたこともあって、憲法と社會法との關係の解明、從來の通說な間接適用說の再檢討が理論的課題と殘されている。 本稿では觸っていない性差別をめぐる日本の現行法制上の問題点のうち、皇室典範の男系男子主義、刑法第177條の强姦罪、國立女子大學における問題、家族內での兩性平等に關する問題、勞動法上の母性保護と女性の保護に對する問題なども日本のジェンダ一平等における議論を說明する際、重要な部分を占めると考えられるので、これらの議論においての檢討も必要があると思われる。

      • KCI등재

        대학생의 거주형태에 따른 영양섭취실태 및 식습관에 관한 연구

        이윤나 대한지역사회영양학회 1996 대한지역사회영양학회지 Vol.1 No.2

        This study was carried out with 1030 students of Seoul National University to investigate the relationship between residences and food habits of college students. The results obtained were as follows. 1) Food habit scores of the students living in dormitories and in boarding homes with cooking facilities were significantly lower than those of other students, especially with regards to the balance of five basic food groups and skipping breakfast. 2) Energy intake of students living in the boarding homes with meals were low. Students in the boarding home also showed low intake of calcium and iron, whether meals were provided or they had cooking facilities. 3) Cafeteria meals on campus showed better nutritional values than meals at home, or restaurants around the campus. But students were not satisfied with campus cafeterias, because the food items were monotonous, they had long waiting service lines, preferred foods were limited, dishes were not clean, and stated of hygiene did not seem satisfactory. Nutrition education for college students is needed, and menus of campus cafeterias should be developed to meet the various needs of students. (Korean J Community Nutrition 1(2) : 189~200, 1996)

      • KCI등재

        Recent update of therapeutic application of peroral cholangioscopy

        이윤나 소화기인터벤션의학회 2021 International journal of gastrointestinal interven Vol.10 No.3

        Despite advancements in endoscopic retrograde cholangiopancreatography (ERCP), direct endoscopic visualization of the biliary tree by cholangioscopy is required to improve the diagnosis and treatment of the underlying disease. Although several types of peroral cholangioscopy (POC) systems are available, single-operator cholangioscopy (SOC) has been widely used for interventions in the biliary system. The first SOC was SpyGlass direct visualization system (Boston Scientific, Natick, MA, USA) expanded to a digital version of the SOC (SpyGlass DS; Boston Scientific). More recently, single-operator direct POC using an ultra-slim upper endoscope has been proposed. The remarkable developments in POC and available specialized accessories continue to improve therapeutic procedure of the biliary diseases. POC allows the visualization of bile duct stone and guide wire placement across difficult strictures and selective cannulation of the intrahepatic and cystic ducts. It is also demonstrating its utility in investigational applications such as intraductal ablation therapy for bile duct tumors, removal of foreign body in the bile duct and evaluation of hemobilia.

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