뇌졸중 후 중추성 통증 환자에 대한 동서협진이 진통과 재활에 미치는 영향

이현종,김수영,이상훈,서동민,이두익,김건식,이재동,이윤호,양형인,박재경,최도영 WHO COLLABORATING CENTRE FOR TRADITIONAL MEDICINE 2003 東西醫學硏究所 論文集 Vol.2003 No.-

Purpose : In order to study the effectiveness of East-West pain treatment on central poststroke pain(CPSP), we evaluated its effect on alleviation of pain and rehabilitation of CPSP Patients who were treated with electroacupuncture and west pain treatment for four weeks. Methods : Twenty four patients diagnosed by their pain characteristics of central pain from stroke were treated with sympathetic nerve block, gabapentin, amitriptyline, and electroacupuncture for four weeks. Pain intensity through the visual analogue scale(VAS), and improvements of mobility and rehabilitation through the modified Barthel index(MBI) and Rankin scale(RS), respectively, before and after pain treatment were also assessed. Results : VAS pain scores were significantly improved from 7.7±1.7 to 4.4±2.0 with pain treatment(p<0.05). In accordance with improvement of pain scores, RS and MBI scores were also improved from 2.88±0.95 to 2.13± 1.01 and from 83.0± 16.9 to 94.7±9.5(p<0.05), respectively, with pain treatment(p<0.05). Conclusions : It was suggested that the active pain treatment was contributed to the rehabilitation of CPSP patients, resulting in improvement of quality of life of CPSP patients. Futhermore, East pain treatment in combination with West pain treatment may be useful modality to alleviate CPSP.

안면신경마비의 치료에 이용된 금판삽입술

이진석,조경근,박춘근,홍용길,이상원,최창락,강준기 대한신경외과학회 1996 Journal of Korean neurosurgical society Vol.25 No.6

Skill base surgeons are frequently required to operate in close proximity to the facial nerve, making facial nerve paresis or paralysis the possible result of resection of skull base tumors. Serious functional and aesthetic problems can result following eyelid paralysis. The inability to blink and lubricate the eye can lead to exposure keratitis, corneal abrasions, and even blindness. Thus, managment of paralysis following facial nerve injury should include provision of adequate corneal coverage. In the cases where the surgeon is certain that the facial nerve has been left intact and return of function is expected, methods are needed to ameliorate the temporary paresis or paralysis of the eyelids. If the lower lid is in proper position, adequate eyelid closure can Os achieved with placement of the gold weight alone in the upper eyelid. These weights also could be removed once facial nerve function returns normal. Presented is a report of the satisfactory outcome that we have achieved from gold implantation into the upper lid in temporary paralysis of the eyelids in facial nerve paralysis.

낭종 적출후 악골 결손부 치유에 관한 동종골 이식 효과에 관한 연구

이동근,박화규,권경환,강문정,신기영,민승기,성헌모 大韓顎顔面成形再建外科學會 1999 Maxillofacial Plastic Reconstructive Surgery Vol.21 No.4

This study was aimed to suggest to better treatment method of jaw cyst that the maximum diameter was wider than 3cm, using different treatment and clinical and radiographic result. We divided the 60 patients into three groups, group A(20 patients) were treated with cyst enucleation and Decalcified Freeze-Dried Allogeneic Bone(DFDB) graft, group B(20 patients) were treated with cyst enucleation and autogenous bone graft, group C(20 patients) were treated with only cyst enucleation. Each group was evaluated with panramic radiograph and clinical sign & symptom at pre-op and post-op(immediate, 6, 12, 24, 36 month). Bone density was evaluated with disital densitometer. The result was as follows : 1. Post-Op infection was higher in group C(4 pts.) than in group A(1 pt.) and B(1 pt.) 2. Post-Op gingival recession was higher in group C(3 Pts.) than in group A(1 pt.) and B(1 pt.) 3. Anatomic distortion was higher in group C(3 Pt.) than in group A(1 Pt.), and B(1 pt.) 4. reoperation was done in two patients who were in group C 5. There were donor site morbidity in two patients 6. there was no significant difference between group A and B in their bony density in their follow up period(p>0.05). 7. There were significant differences between group A, B and group C in their bony density until post-op 24 months but a little differences at post-op 36 months(P<0.01)

시간 경과에 따른 부가중합형 실리콘 인상재의 수소 발생

이근우,김경남,고영무 大韓齒科器材學會 1995 대한치과재료학회지 Vol.22 No.1

Clinical reports have indicated that there occurs many bubbles on the surface of the gypsum model because of the hydrogen release from the addition silicone impression materials. Recently the products containing hydrogen absorber have been being developed but not perfect yet. In this study, 4 type Ⅲ dental stones(New fujirock ; G.C., New Plastone ; G.C., MG dental stone ; Maruishi, Suprastone ; Kerr) was poured into the impression of detail-reproducing test block taken using addition-type silicones (Correct VPS ; J/P, Exafine ; G.C., Express ; 3M, Extrude ; Kerr, Provil ; Bayer, Reprosil ; Dentsply) with the intervals of 0, 15, 30, 45, 60, 90 and 120 minutes. Gypsum model was removed from the impressions and the number of bubbles on the surface of casts was counted after 30 min. Ordinal numbers were given to the ranges of the number of bubbles like this, Score 0 ; 0, 1 ; 1∼10, 2 ; 11∼30, 3 ; 31∼60, 4 ; 61∼100, 5 ; 101∼200, 6 ; 201∼400, 7 ; 401 or more. There was no bubble in Correct VPS impression poured immediately in MG dental stone and Extrude impression poured immediately in New Fujirock, New Plastone, and MG dental stone. Significant bubbles were appeared in Provil until 15 minutes(Score 1∼3), Reprosil until 30 minutes(Score 1∼2), and Express until 45 minutes(Score 1∼2) in all gypsum models(p<0.05). Express impression poured in Suprastone(Score 2) and New Plastone(Score 4) had bubbles until 120 minutes(p<0.05). On the basis of this study it can be concluded that not only hydrogen release but also compatibility with gypsum should be considered when using addition silicones.

2상2중쵸퍼를 이용한 축전지 충전제어

이정준,함년근,조정민,김동운,한경희 明知大學校 産業技術硏究所 2000 産業技術硏究所論文集 Vol.19 No.-

Recently, increasing of portable, importance of battery has identified. And battery is used for non-utility generation and emergency power for communication power, it has researched for power of electric vehicle. But it is disadvantage that life cycle of battery is decreased by overcharging and overdischarging. In this paper, using two phase with combined step-down chopper, we controlled charging and discharging of battery. It is dereased ripple of current and charging time with continuous current by using two phase with combined step-down chopper. Detecting the full charging voltage and cut-off voltage, it is prohibit overcharging and overdischarging with microprocessor.

여자고등학교 농구선수들의 학년별 식습관 차이 조사

이근일,김미선,임혜경 용인대학교 국제스포츠과학연구원 체육과학연구소 2008 體育科學硏究論叢 Vol.18 No.1

The purpose of this study is to investigate nutritional state and dietary behaviors in basketball athletes. Subject of this study was one hundred people of 23 female high school attending 1-2 grade. The measurement variable to investigate a nutritional state and dietary behaviors was main eating patterns, dietary behaviors, food intake and supplements. The result of analysis is as follows. 1. The difference of nutritional state as each grade was not a statistically difference among supplements and dinner, but there was a statistically difference among breakfast and lunch between groups. 2. Difference of intake lists was that one-grade were higher than two-grade intake from food, but two- grade were higher than one-grade in dairy product and fruit for additional taking nutrition. 3. The weight of intake food was that two-grade was statistically higher than one-grade in every lists. 4. The result of nutritive conditions each grade was that one-grade was statistically higher than one-grade. 5. The ingestion existence and nonexistence related to intake supplements of exercise nutrition was that two-grade was statistically higher than one-grade, intake frequency as well. Both one and two-grade response fatigue recovery and improving muscle in purpose of intake nutrition. and intake admonition was parents in two groups. above results from the study. We know nutrition intake frequency expect food is high as much as physical activity volume. we know high-nutrition intake is getting increase, as growing experience of exercise in case of one-grade.

성견에서 수직적 골결손부에 골이식후 교정력 적용시기에 따른 치주조직의 반응

이상열,황현식,김경근 전남대학교 치과대학 2000 전남치대논문집 Vol.12 No.1

The aim of this study was to investigate the periodontal response according to the timing of orthodontic force application after bone graft into the angular bony defect. Nine dogs were divided into three groups, 2, 4, and 6 weeks, according to the timing of orthodontic force application after bone graft. Periodontal angular bony defects were created surgically at the distal aspect of both maxillary third incisors. Two weeks later, flap operation was performed to eliminate inflammation and reference notch was made on the root surface at the level of the bottom of each defect. Demineralized freeze-dried bone was implanted on the left side whereas only debridement was done on the other side. Experimental tooth movement was executed during 8 weeks on both graft and non-graft sides. After 2 weeks of retention period, animals were sacrificed for histologic specimens. The results were obtained as follows: 1. New bone formation was more pronounced in the graft side than in the non-graft side in all experimental animals. 2. In the 6-week group, new bone and cementum formation was observed in more than half from the notch to the cemento-enamel junction, and the zone of connective tissue attachment was found without apical migration of junctional epithelium. 3. In the 4-week group, the amount of new bone formation was smaller than in the 6-week group whereas the overall remodeling pattern was similar. 4. New bone formation was confined to around the notch and the junctional epithelium migrated apically to the level of the notch with no connective tissue attachment and cementum formation in the 2-week group. The results of the present study suggest that periodontal response may be influenced by the timing of orthodontic force application after bone graft into angular bony defect.

대장에 발생한 샘암종에서 MUC1과 MUC2 점소 발현의 의의

이윤경,이주호,이용,심재영,박정훈,오수섭,박진실,기근홍 朝鮮大學校 附設 醫學硏究所 2004 The Medical Journal of Chosun University Vol.29 No.2

Background : Mucins possess the unique function of protecting and lubricating the epithelial surface and other important functions such as call growth, direct implication in the fetal development, the epithelial renewal and differentiation, the epithelial integrity, carcinogenesis, immune regulation, cellular adhesion and metastasis. Purpose : This study was done to provide the significance of alteration of MUC1 and MUC2 expression in colorectal adenocarcinoma, A series of 131 colorectal adenocarcinomas including 11 mucinous carcinomas were screened immunohistochemically for their expression of MUCI and MUC2, Materials and mehtods : Of 131 carcinomas, 76 (58,5%) were MUCI positive and 91 (68, 9%) were MUC2 positive, In normal colonic goblet cells, MUCl was not expressed but MUC2 was expressed in cytoplasm, Conclusion There were up-regulation of MUCI and down-regulation of MUC2 in colorectal carcinomas, The frequency of MUC2 positivity according to differentiation was statistically reliable. (p=0.0001)

한 자동차 제조 사업장의 산업재해 분석

이경종,박재범,정호근,김종구 大韓産業醫學會 2000 대한직업환경의학회지 Vol.12 No.1

목 적 : 우리나라 자동차 산업업체의 산업재해 발생 현황을 파악하고 산재예방에 필요한 기초자료를 마련하기 위하여 한 완성 자동차 제조공장에서 1997년도에 발생한 산업재해를 분석하여 다음과 같은 결과를 얻었다. 방 법 : 1년간 산업재해보상보험에 요양 급여를 신청한 근로자들의 재해일지, 건강진단 결과등을 가지고 단면적 연구를 시행하였다. 결 과 : 연령별 재해율은 45-49세 군이 1.6 %로 가장 높았고 35-3971 군이 1.3 %, 40-44세 군, 30-34세 군이 각각 0.9 %, 25-29세 군이 0.6 %, 20-24세 군이 0.4 % 순이며, 근무경력별로는 25년 이상 근로자가 2.7 %으로 가장 높아 연령이 증가할수록, 근무경력이 길수록 재해율이 증가하였다. 작업형태별로는 숙련 작업이 2.3 %로 재해률이 가장 높았고 고정작업이 1.2 % 순 이었다. 작업시간별 발생율은 10-11시(21.4 %)와 오후 2-3시(17.9 %)에 높았다. 요일별로는 금요일(20.5 %), 수요일(17.9 %), 월요일(16.2%), 화요일(15.4 %), 토요일(12.0 %), 목요일(11.1%), 일요일(6.8 %) 순이었다. 월별 발생률은 5월(17.9 %), 3월(11.1 %), 4월(11.1 %) 순으로 봄철이 높았고 8월(10.3 %), 1월(9.4 %) 순이었다. 재해발생 부위는 허리가 41.0 %로 가장 많이 많았고, 다음으로 손가락이 17건(14.5 %), 다리(9.4 %), 손(7.7 %), 머리(6.0 %) 순이었다. 손상 종류별로는 염좌가 38.5 %로 가장 많았고 골절(22.2 %), 요추간판 탈출증(11.1 %), 타박상(9.4 %) 순이었다. 재해의 원인으로는 중량물 취급(34.2 %), 전도(17.1 %), 협착(16.2 %), 낙하비래(6.8 %) 순이었다. 결 론 : 자동차 제조업에서는 중량물 취급과 점심식사 전후나 금요일 등 피로한 시간대에 발생이 많은 근골격계 손상에 대한 주의가 필요해 보인다. Objeetives : To know the present conditions of industrial accidents in automobile facto-ries in Korea and make the basic materials essential to prevention of industrial accidents Methods : We reviewed and analyzed the records of industrial accidents occurred in an automobile factory in 1997 by time of occurrence, job categories (fixed production, skilled trades, mechanical material handling, and clerical & technical), type of injury, kind of accident, and location of injury. Results 1. By age groups, the accident rate was the highest in age 45-49(1.6 %) followed by age 35-39(1.3 %), 40-44(0.9 %), 30-34(0.9 %), 25-29(0.6 %), and 20-24(0.4 %) and by working duration, it was highest in group of experience over 25 years, and so we could see that the more age or working duration increases the more accident rate increases. 2. By work time, the accident rate was the highest in 10-11 a. m. (21.4 %) followed by 2-3 p.m. (17.9%). By the day of the week, it was as follows, Friday(20.5 %), Wednesday(17.9%), Monday(16.2 %), Thesday(15.4 %), Saturday(12.0 %), Thursday(11, 1 %), Sunday(6.8 %) in order. By the month, it was high in May(17.9%), March(11.1 %), and April(71.1 %) followed by August(10.3 %) and January(9.4%) , so we could see it was high in spring. 3. The most frequent injury was in the back by 41.0 % followed by 17 cases in fingers(14.5 %), legs(9.4 %), hands(7.7 %), head(6.0 %) In order. And by the type of Injuries, the sprain was most frequent by 38.5% followed by fracture(22.2 %), lumbar HNP(11.1 %), and contusion(9.4 %) in order. The causes of accident were handling heavy materials(34.2 %), upset(17.1 %), stenosis(16.2 %), and falling(6.8 %) in order. Conclusions : By the above results, to prevent the industrial accidents in automobile factories in Korea, preventive activities for handling heavy materials and back and continuous industrial education are necessary.

골뱅이(Buccinum Undatum) 알레르기 : 감작률과 다른 음식물 항원과의 연관성 Sensitization rate and its relationship with other food allergens

이재영,윤성호,서유진,최정희,서창희,남동호,김윤근,민경업,박해심 대한천식 및 알레르기학회 2004 천식 및 알레르기 Vol.24 No.1

Background : The common whelk (Buccinum undatum) is one of the largest and most common snails in the North Atlantic. In Korea and Japan, common whelk is a popular eatable shellfish. Although shellfish has been known as the one of the most common causes of food allergy, there has been no published report on allergenecity and clinical significance of this sea snail. In this study, we determined the sensitization rate to common whelk and its relationship with other food allergens in allergy patients. Method : We carried out the skin prick test (SPT) with commonly consumed food stuffs in Korea including common whelk in 1700 patients over 1 year. The specific IgE to common whelk were detected by enzyme-linked immunosorbent assay (ELISA). ELISA inhibition test using sensitized sera was conducted. Results : SPT to common whelk was positive (≥2+) in 83 (4.9%) patients studied. Twenty-four (38.7%) of 62 SPT-positive patients had high serum specific IgE to common whelk. ELISA inhibition test showed significant inhibitions by abalone as well as by common whelk and, minimal inhibition were noted by shrimp. Significant correlation was also noted in specific IgE levels between common whelk and abalone (r=0.58, F<.05). Conclusion : IgE-sensitization rate to common whelk was 4.9% in allergy patients. Further stuides are needed to evaluate the clinical significance of sensitized patients to common whelk, and to confirm a cross reactivity with abalone. (J Asthma Allergy Immunol 24 : 77-84, 2004)