• Journal of Acupuncture Research
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• 제22권6호
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• pp.181-187
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• 2005

Objectives : The purpose of this study is to compare the improvement effects on lumbar spine herniation of nucleus pulpous between neighboring acupuncture points and neighboring-remote acupuncture points by bee venom herbal-acupuncture therapy. Methods : The 30 patients who had a diagnosis of lumbar spine herniation of nucleus pulpous were divided into two groups. Group A was 15 cases treated with bee venom herbal-acupuncture therapy on neighboring acupuncture points, group B was 15 cases treated on neighboring and remote acupuncture points. The two groups were also managed by moxibustion, physical theraphy and herbal medicine. The improvement effects between two groups was estimated by low back pain index and visual analogue scale(VAS) score after 10 days treatment. Results : After 10 days treatment. low back pain index and VAS score were significantly improved in both two groups, but there was no significantly difference between two groups in both low back pain index and VAS score. Conclusion : In this study, there were same effects between neighboring acupuncture points and neighboring-remote acupuncture points bee venom herbal-acupuncture therapy. But further studies are required to confirm the effect of these methods.

• Journal of Acupuncture Research
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• 제21권5호
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• pp.79-99
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• 2004

Objective : This study was designed to find out the effect of scolopendrid aquacupuncture classified by the type of HIVD(Herniation of Inter-Vertebral Disc) in lumbar spine. Methods : The 50 patients who had a diagnosis of HIVD by lumbar-CT or lumbar-MRI and admitted to Gwangju oriental medical hospital in wonkwang university from June 2003 to March 2004 were observed. The symptom of inpatients is low back pain with or without sciatica. We treated 50 patients by scolopendrid aquacupuncture besides the general consevative treatment of oriental medicine. Results and Conclusion : The scolopendrid aquacupuncture treatment led to improvement in the pain and symptom of HIVD as determined by all efficacy measures. After scolopendrid aquacupuncture treatment, there was improvement in VAS, oswestry disability index, ROM and SLRT. The improvement index of scolopendrid aquacupuncture treatment classified by the type of HIVD showed that the effects of scolopendrid aquacupuncture had correlation with the type of HIVD. The more the herniation of intervertebral disc decreased, the more the effect of scolopendrid aquacupuncture increased. This results suggest that scolopendrid aquacupuncture is good method for treatment of HIVD but we have to consider the clinical correlation with the degree of herniation.

• Journal of Acupuncture Research
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• 제33권1호
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• pp.103-116
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• 2016

Objectives : This study was performed to assess the effectiveness of conservative Korean traditional medical treatment on lumbar intervertebral disc herniation in 12 adolescents. Methods : Data were collected from adolescent patients diagnosed with lumbar intervertebral herniation by MRI, hospitalized at Jaseng Korean Medicine Hospital from January 1, 2014 to December 31, 2015. A total of 12 patients were included in the study. Patients were treated by acupuncture, pharmacopuncture, electroacupuncture, herbal medicine, chuna manual therapy, physical therapy during hospitalization period. To measure treatment outcomes, a verbal numerical rating scale (VNRS), Oswestry disability index (ODI), range of motion (ROM), Straight leg raising test (SLR), and EQ-5D were used. Results : The average age of the participants was $16.05{\pm}1.62$. The average of duration of symptom was $19.25{\pm}26.83(weeks)$ and the average length of hospitalization was $23.8{\pm}16.4(days)$. 2 patients (17 %) suffered from only lumbar pain, while 10 patients (83 %) suffered from lumbar and leg pain. No participant suffered from only leg pain. 8 patients (67 %) were diagnosed with disc herniation in one segment, and 4 patients (33 %) were diagnosed with disc herniation in multiple segments. A total of 17 disc segments (28 %) were herniated. The most herniated lumbar level was L4-5. 3 segments were diagnosed with bulging (17 %), 6 with protrusion (35 %), and 8 with extrusion (47 %). Extrusion was the most frequent herniated type. After treatment, the average VNRS of lumbar pain significantly decreased from $5.58{\pm}1.62$ to $2.91{\pm}1.56$ (p<0.001) and the average VNRS of leg pain significantly decreased from $5.16{\pm}2.51$ to $3.08{\pm}1.8$ (p<0.001). ODI significantly decreased from $48.87{\pm}18.72$ to $28.57{\pm}15.05$ (p<0.05), and EQ-5D significantly increased $0.58{\pm}0.31$ to $0.80{\pm}0.12$ (p<0.05). Range of flexion significantly improved from $61.25{\pm}32.62$ to $68.33{\pm}26.22$ (p<0.05). Conclusion : Conservative Korean Traditional Medical Treatment may be effective in the treatment of lumbar intervertebral disc herniation in adolescence. However, more case reports and clinical research are needed.

• Journal of Acupuncture Research
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• 제19권6호
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• pp.80-96
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• 2002

Objective : The Purpose of this Study is to Evaluate Clinical Effect of Oriental Medical Treatment Clinically for the HNP by Comparing the Improvement of VAS and Meridian MAX Score Gap between Common Acupuncture with Sa-am Acupuncture Treatment Group and Common Acupuncture Treatment Group. Methods : The 29 patients who had a Diagnosis of HNP by Lumbar CT and MRI, and were Observed from the first June 2000 to the tenth May 2001, were divided into two classes ; the "A"group was 14 cases practised with Acupuncture treatment used Sa-am Acupuncture with Common Acupuncture, the "B" group 15 cases only Common Acupuncture. Then the time of Discharge, The authors compared VAS(Visual Analogue Scale) and Meridian Max score Gap out of these two groups. Results : On the result of the VAS(Visual Analog Scale), Group "A" is $4.14{\pm}2.62$ and Group "B" us $2.27{\pm}1.94$. So Group "A" is thought to be significance.(Independent T-test, P=0.0399). On the result of the Meridian Max Score Gap, Group "A" is $2.13{\pm}7.29$ and Group "B" is $1.43{\pm}8.42$. So Group "A" proceed more excellent result than the Group "B" Conclusions : The Group with Sa-am Acupuncture and Common Acupuncture treatment is more effective than the Group With Common Acupuncture treatment. And the Group of Done Cox is more effective than the Group of None.

• 한국산학기술학회논문지
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• 제14권6호
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• pp.2639-2644
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• 2013

휴대폰 사용자의 폭발적인 증가와 제품의 빠른 교체주기로 인하여 이동통신사 간의 마케팅 경쟁이 매장으로 확산되면서 매장을 새롭게 단장하는 리뉴얼 주기가 짧아지고 있다, 주요 이동통신사가 간판을 포함한 매장 리뉴얼은 소비자에게 자사의 브랜드 아이덴티티를 강하게 심기 위한 목적으로 추진되고 있다. 소비자들은 매장이 단순히 값싸고 질 좋은 제품을 판매만 하는 것이 아니라, 매장, 제품, 서비스에 대해 느끼고 수용할 수 있도록 고객 체험을 제공할 것을 바라고 있다. 특히 이동통신사 대리점의 경쟁이 치열해 매장수가 많이 늘어나는 추세를 보이고 최근에는 리뉴얼 시 단순 CI(Corporate Identity) 교체에 의미를 두기보다 매장의 인테리어에서 익스테리어까지 통합된 이미지로 바꾸는 SI(Store Identity) 개념을 적용해 매장들을 바꾸고 있다. 인테리어,Sign 등의 비주얼 요소를 일관성 있게 설계 및 디자인하여 매장 내, 외부에 적용하여 소비자에게 호의적인 매장 이미지를 심어주고 궁극적으로 매출액 증대에 큰 영향을 미치게 하는 요소라 할 수 있다. 이러한 활동은 기업이 Identity관리를 통해 이미지를 컨트롤 할 수 있으며 마케팅 측면에 매우 중요한 요소라 할 수 있다. 본 논문에서는 국내 이동통신사와 해외 이동통신사의 SI를 비교분석하고 효과적인 SI의 방향을 제언하는데 목적을 둔다.

• 동의생리병리학회지
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• 제24권6호
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• pp.1087-1093
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• 2010

The purpose of this study is to survey the effectiveness of oriental medicine treatment on lumbar herniated intervertebral disc and spondylolisthesis. The clinical study was performed on 32 cases of patients with lumbar herniated intervertebral disc and spondylolisthesis as diagnosed by X-ray, Magnetic resonance imaging(MRI) exams amongst the patients who were admitted to Jaseng Hospital of Oriental Medicine from January 2010 to June 2010. 32 cases of patients were analyzed according to the distribution of sex, age, duration of disease, contributory factor, symptoms, admission period, disc herniation type and level of spondylolisthesis. The efficacy of treatment was evaluated respectively. The number of the female patients were larger than that of male with the ratio of 1:0.6. Most of the patients were in their fifties(43.8%), choronic phase(46.9%), those patients suffered from lower back pain and leg pain radiation(90.6%), reasons unknown(56.3%). Most of them also had mixed disc(37.5%), bulging disc(37.5%) and spondylolisthesis of LS on L5(50.0%). Most of them stayed in the hospital for 21-25days. After treatment, the percentage with good improvement was 62.5%, fair 18.8%, poor 12.5%, and excellent 6.3%, respectively. Oriental medicine treatment has on useful effect on the recovery of lumbar herniated intervertebral disc with spondylolisthesis.

• 대한정형도수물리치료학회지
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• 제11권1호
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• pp.37-48
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• 2005

Objects: This study is designed to analysis improvement and maintaince of trunk stability targeting patients who need post operative rehabilitation exercise after undergoing opened microscopic laser discectomy(OMLD) due to HNP. Method: Between March 2004 and February 2005 a total sixty patients who underwent OMLD due to $L_4/L_5$, $L_5/S_1$ HNP and who agreed to the experiment were subject for this study. Experimental group consisted of 18 subjects, and they underwent 45 minutes dynamic lumbar stabilization exercise And control group consisted of 18 subjects who conducted conservative physical therapy based on the use of physical modality for 45 minutes except to exercise. Results: Experimental group that was lumbar extensor's isometric peak torque, weight distribution of both leg, trunk muscle balance and Oswestry LBP disability index increased during 12 weeks in a statistically significant manner compared to before exercise (p<.05). When re-test was tried, isometric peak torque (p>.05) and Oswestry LBP disability index(p<.05) maintained 12th week level or improved. Weight distribution rate of both leg and trunk muscle balance maintained the level of 8th week of exercise execution(p<.05). Control group that was lumbar extensor's isometric peak torque, weight distribution rate of both leg and trunk muscle balance aggravated during 12 weeks compared to pre-test(p>.05) But, Oswestry LBP disability index increased in a statistically significant level compared to pre-test(p<.05). When re-test was tried, isometric peak torque increased slightly compared to pre-test, but decreased when at least $60^{\circ}$ flexion angle(p>.05). Weight distribution rate of both leg and trunk muscle balance also aggravated compared to pre-test(p>.05), and Oswestry LBP disability index was similar to the 4th week of physical therapy execution(p>.05). Conclusion: Successive postoperative Especially, Application of dynamic lumbar stabilization exercise program is important than traditional lumbar strengthening exercise program in the maintaince of spinal stability.

• 한국환경생태학회지
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• 제18권1호
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• pp.92-102
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• 2004

본 연구는 국도의 경관구성요소인 산, 하늘, 도로포장면, 가로수, 논밭, 간판ㆍ전신주, 건물, 구조체, 비탈면, 방호ㆍ방음벽, 중앙분리대의 시각량 분석을 통하여 시대별 경관변화를 파악한 결과, 1.국도의 경관구성요소 중 각 시대별로 가장 높은 시각량을 나타낸 것은 도로포장면으로서 국도경관을 분석 평가함에 있어서 도로의 선형은 시각적으로 중요한 구성요소의 하나로 다루어져야 함을 알 수 있었다. 2.국도의 시대별 경관변화는 중앙분리대(F＝33.296)와 가로수(F＝32.881)에 의한 차이가 가장 두드러진 것으로 나타났으며, 다음 순으로는 하늘(F＝24.735)과 산(F＝23.477)이 유사한 정도의 차이값을 나타내고 있다. 그러나 건물과 구조체는 통계적으로 차이가 없음이 판명되었다. 3.국도건설은 점차적으로 자연적 요소의 감소와 인공적 요소에 의한 경관이 주를 이루게 됨을 알 수 있었다. 이는 아직까지 국도건설이 경관적ㆍ생태적 건강성을 인지하고 있음에도 불구하고 접근성과 이동성의 기능중심의 논리에서 벗어나지 못하고 있는 현실적 문제를 보여주는 결과이다.

• 한국의료질향상학회지
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• 제9권2호
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• pp.198-208
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• 2002

본 연구에서는 종합전문요양기관과 협력관계를 맺은 병의원과 협력관계를 맺지 않은 병의원을 대상으로 진료의뢰와 관련된 중요고려요인, 그리고 기대요인 및 만족도를 비교하였다. 본 연구 결과 종합전문요양기관과의 협력관계 체결여부에 따라 협력병원 집단군이 협력관계가 없는 병원집단군보다 진료의뢰 중요요인의 평균이 높았으며, 그 중 '환자 의뢰절차의 간편성(p<0.01)' '병원간의 협력병원 체재 구축(p<0.05)'에 대해서는 통계적으로 유의한 차이를 보였다. 협력병원 여부에 따른 진료의뢰후 기대요인에 있어서는 '의료시설 및 장비의 이용' '종합전문요양기관 의료진과의 자유로운 인간관계 형성' '협력기관이라는 간판의 설치' 항목 등이 통계적으로 유의한 차이가 있었다. 그러나 협력병원 관계 여부에 따른 만족도에 있어 두 집단간 통계적으로 유의한 차이가 없었다. 개원의가 진료의뢰 시 중요하게 고려하는 요인과 진료의뢰후의 만족도간의 관계는 협력병원에 있어 '환자의뢰 절차의 간편성' '첨단 의료장비의 보유' '진료의뢰센터 직원의 친절도' 항목이 만족도보다 고려요인에서 높게 고려되고 있다고 조사되었으며 통계적으로 유의한 차이를 보이고 있었다.

• Journal of Acupuncture Research
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• 제17권3호
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• pp.265-276
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• 2000

1997년 11월 1일부터 2000년 6월30일까지 원광대 부속 광주 한방병원 침구과에 요추 추간판 탈출증으로 진단받고 다른 합병증이 발견되지 않은 311례의 입원치료한 환자를 대상으로 보존적 치료를 하였으나, 전혀 호전되지 않았거나 통증만 약간 감소하였던 환자 6례를 분석 검토한 결과, 다음과 같은 결론을 얻었다. 1. 4례에서 large herination이고 2례에서 medium herniation으로 대부분 탈출량이 많았다. 2. 6례 모두에서 하지직거상검사의 각도가 낮았으며 퇴원시까지 호전되지 않았다. 3. X-ray상, 6례 모두에서 straightening되어 있었고, 6례중 3례에서 disc space가 좁아져 있었다. 4. 통증이 심한 4례중 3례에서 측만증이 동반되었다. 발병일이 최소 30일부터 최고 7년까지로 오래되었다. 6. 환자들은 10대에서 30대까지로 연령층이 젊은 편이었다. 7. 입원기간이 최소 32일부터 최대 105일까지로 긴 편이었다. 총괄하면, 상기 6례는 디스크 탈출량이 많았고, 하지직거상검사상 각도가 낮았으며, 연령층이 젊었고, x-ray상 straightening되어 있었다.