청소년 남자 체조선수들의 일반적 특성에 따른 손상 실태조사

김강모,천우광 한국코칭능력개발원 2024 코칭능력개발지 Vol.26 No.3

본 연구는 청소년 남자 체조선수들을 대상으로 주 종목 및 경력에 따른 손상 실태를 조사하여 선수들의 손상 부위와 유형에 관한 정보를 제공하고자 한다. 본 연구는 대한체조협회에 등록된 청소년 남자 체조선수 103명 중 99명을 대상으로 스포츠 손상 실태 조사를위해 선수들의 일반적 특성과 스포츠 손상 부위, 유형, 시기 및 계절, 원인, 치료방법, 휴식 기간, 복귀 기간에 관한 설문조사를 실시하였다. 그 결과, 청소년 체조선수들은 주 종목에 따라 다양한 손상 부위 및 유형을 경험하고 있으며, 대부분의 손상은 선수의 부주의로 인한 것으로 나타났다. 또한, 손상이 가장 많이 발생하는 계절은 겨울이며, 오후 훈련시간에 가장 많은 손상이 발생하였다. 대부분의 선수는 손상 후 적절한 휴식 기간을 보장받지 못하고 복귀하였으며, 경력과 소속에 따른 손상의 특성은 유의한 차이가 나타나지않았다. 이상의 결과를 종합해볼 때, 체조선수들의 손상 방지를 위한 체계적인 훈련과 손상 발생 빈도를 낮추기 위한 방안을 모색해야 할 것으로 사료되며, 이에 대한 지속적인 연구와 실천의 필요성을 시사한다. The purpose of this study was to examine the prevalence of injuries in youth male gymnasts by major event to provide information on injury site, type, cause, and timing. As a research method, we investigated the injury status of youth male gymnasts registered with the Korean Gymnastics Association in 2022 by main event. The data of 99 out of 103 competitors were analyzed through the wireless sampling method, and the general characteristics of the subjects and the injury status were collected through a questionnaire. The questionnaire consisted of the athletes' personal characteristics, site and type of sports injury, time and season of injury, cause of injury, treatment, rest period, and return to play. The results showed that adolescent male gymnasts experience a variety of injury sites and types depending on their primary sport. Each of the main disciplines - floor, bars, rings, vault, parallel bars, and uneven bars - showed a distinctive injury pattern, with athlete inattention being the primary cause of injury in most cases. We also found that the most common season for injuries is winter, with the most injuries occurring during the afternoon training session. Hospitalization is the most common post-injury treatment, and the duration and timing of rest and return to play after an injury show that most athletes return to play for a variety of reasons, including lack of rest and inability to recover from an injury. Overall, these findings provide important evidence for athlete healthcare, suggesting that continued research and practice in injury prevention and management is needed to ensure the safety and health of athletes and improve their performance.

간세포암종의 근치적 절제 후 재발을 막기 위한 치료 전략

김강모 대한간암연구회 2009 대한간암연구회 학술심포지엄 Vol.12 No.-

Considering high recurrence rate after curative resection of hepatocellular carcinoma (HCC), many clinical trials to prevent the recurrence have been studied to improve the survival of these patients. To summarize randomized controlled trials (RCT) of this purpose, preoperative transarterial chemoembolization (TACE) was not effective to prevent recurrence and even harmful in some patients as a neoadjuvant treatment of HCC. Postoperative TACE was showed to improve disease free survival (DFS) and even overall survival (OS) in invasive HCC patients but was not effective in the other patients who fulfill strict curative resection definition. Systemic and locoregional chemotherapy was not effective to prevent recurrence after curative resection. Adoptive immunotherapy using lymphokine-activated killer (LAK) cell, postoperative interferon treatment and acyclic retinoic acid were reported to be beneficial in some RCTs. In summary, there was still no standard neoadjuvant or adjuvant treatment to be effective to prevent recurrence of all patients after curative resection. The efficacy of postoperative adjuvant TACE in invasive HCC may deserve further evaluation. Some biologic treatment approaches showed positive results but need more evidence to be accepted widely.

花郞思想硏究

金彊模 朝鮮奬學會 1973 學術論文集 Vol.3 No.-

Adefovir Dipivoxil Alone or in Combination with Ongoing Lamivudine in Patients with Decompensated Liver Disease and Lamivudine-resistant Hepatitis B Virus

김강모,Won-Beom Choi,Young-Suk Lim,이한주,Young-Hwa Chung,Young-Sang Lee,Dong-Jin Suh 대한의학회 2005 Journal of Korean medical science Vol.20 No.5

The purpose of this prospective study was to evaluate the efficacy and safety of ade-fovir dipivoxil with or without ongoing lamivudine in decompensated lamivudine-resis-tant chronic hepatitis B patients. Forty-six hepatitis B e antigen (HBeAg)-positive pa-tients with decompensated liver function and lamivudine-resistant hepatitis B virus (HBV) were assigned to adefovir dipivoxil monotherapy (n=18) or combination therapy with ongoing lamivudine (n=28) according to their own preference. After 24 weeks of treatment, 83% of monotherapy and 86% of combination therapy showed serum HBV DNA below detection limit (<0.5 pg/mL). Alanine aminotransferase (ALT) normal-ized in 78% and 82% respectively. Median Child-Pugh-Turcotte (CPT) score or Model for End-Stage Liver Disease (MELD) score reduced significantly by 3 or 5 point in monotherapy and 2 or 2 point in combination therapy respectively. There were no significant differences in rate of undetectable serum HBV DNA, median change of ALT and median reduction of CPT or MELD scores between the two groups. In con-clusion, both adefovir dipivoxil monotherapy and combination therapy with ongoing lamivudine result in comparable virologic, biochemical, and clinical improvements in HBeAg-positive patients with decompensated liver function and lamivudine-resistant HBV. Combination with lamivudine showed no additional benefit over monotherapy during 24 weeks of treatment in these patients.

2006년 유럽간학회 토픽 : 비알코올지방간질환 관련 분야

김강모 대한간학회 2006 Clinical and Molecular Hepatology(대한간학회지) Vol.12 No.2

음악경연프로그램의 다양화 과정을 통한 대중문화 활성화 방안 연구

김강모,이우창 글로벌 문화콘텐츠학회 2017 글로벌문화콘텐츠 Vol.0 No.27

The popular culture reflects the situation of the era at the time. Because of this, the growth and the development into a culture in the direction desired by the public and into a culture that is beneficial to the public are required. By analyzing the influences of the music competition programs on the diversification of the popular music, this research sought after a plan for invigorating the popular culture. Firstly, the organization of a program is demanded. Secondly, the narrative structure that can heal the agonies of the era and the pains of the public must be possessed. Thirdly, the planning intention of the music competition programs that positively transforms the society is demanded. Fourthly, the country and the society must not be thrifty with the policy considerations regarding the popular culture. This research presented a plan for the existing music competition programs to contribute to the invigoration of the popular culture. Except, the case examples of the advanced countries in terms of the popular culture were not sufficiently examined. And, there is the limitation that a plan for the invigoration of the popular culture was considered in only the single genre of popular music. 대중문화는 비문화성, 상업주의, 하위문화라는 비판에도 불구하고 당시의 시대 상황을 반영하고, 문화를 소비하는 대중들의 소비패턴을 보여준다. 때문에 대중에게 폭넓은 영향을 미치는 대중문화의 활성화를 통해 대중이 원하는 방향으로의 문화, 대중에게 유익한 문화로의 성장과 발전이 요구된다. 본 연구는 음악경연프로그램이 대중음악 다변화에 미친 영향을 분석하여 대중문화 활성화 방안을 모색하였다. 음악경연프로그램이 대중음악을 통해서 대중문화의 활성화에 기여하기 위해서는 첫째, 방송국 기획 의도 또는 가수, 기획사 등 주류 중심의 음악경연프로그램보다는 다수의 대중이 참여하고 소통할 수 있는 프로그램 구성이 요구된다. 둘째, 참여자의 집중과 시청자에게 극적인 흥미 유발을 위해 서바이벌 형태의 음악경연프로그램이 경쟁적 요소를 주된 도구로 사용하더라도 시대적인 고뇌와 대중의 아픔을 치유할 수 있는 서사구조를 가지고 있어야 한다. 셋째, 상업적인 고려, 정치적인 판단보다는 사회적 화합, 세대 간 공유 등 사회를 긍정적으로 변모시키는 음악경연프로그램의 기획 의도가 요구된다. 넷째, 국가와 사회는 대중문화를 저속한 하위문화라는 선입관에서 벗어나 대중에게 폭넓은 영향을 미치는 대중문화에 대한 정책적 배려를 아끼지 말아야 한다. 본 연구는 과도한 경쟁의식을 유발하고 방송국 중심의 상업적인 의도에 의해서 기획되어졌다는 비판을 많이 받고 있는 기존의 음악경연프로그램이 대중음악의 다변화를 통해 대중문화의 활성화에 기여하는 방안을 제시하였다는 점에서 시사하는 바가 크다. 다만 본 연구가 국내 음악경연프로그램만을 제한적으로 분석하여 대중문화 선진국의 사례를 충분히 검토하지 못했고, 대중문화 활성화 방안을 대중음악 단일 장르에서만 고찰한 한계점이 있다.

춘계학술대회 발표 : 포스터전시 ; 무증상 대상자에서 순간 탄성 측정법에 의한 간조직 섬유화 및 지방 침착 정도의 진단: 생체 간이식 공여 대상자에서의 전향적 연구

김강모,박성호,유은실,이승규,임영석,이한주,정영화,이영상,서동진 대한간학회 2006 Clinical and Molecular Hepatology(대한간학회지) Vol.12 No.3(S)

경동맥화학색전술과 관련된 이슈들: 적절한 치료 간격과 치료 실패의 정의

김강모 대한간학회 2015 춘·추계 학술대회 (KASL) Vol.2015 No.2

Transarterial chemoembolization (TACE) is the most widely performed treatment modality in hepatocellular carcinoma (HCC) patients in whom curative treatment is not applicable. TACE is usually performed repeatedly until total necrosis of target tumors, untreatable progression to subsequent TACE, severe liver function deterioration or technical inapplicability such as hepatic artery injury. However, TACE procedure such as adequate TACE interval and definition of TACE failure is not fully standardized although on demand TACE is generally accepted as a better approach for patients` survival than fixed interval TACE. Herein, I intended to introduce the recent suggestions of definition of TACE failure and also discuss about the recent scoring systems evaluating prognosis of HCC patients who receive repeated TACE. In terms of adequate interval of on demand TACE, I would like to present our retrospective data which is unique until now in this area.

총회구연 : 제한효소질량다형성 분석을 통한 한국인 환자에서의 C형 간염 바이러스 유전형 6형 동정

김강모,오흥범,임영석,이한주,정영화,이영상,김수옥,정현재,김은옥,홍선표,유왕돈,서동진 대한간학회 2005 춘계 학술대회 Vol.11 No.-

연속적으로 시행한 공장 근로자 건강 검진에서 무증상 간기능 검사 이상자의 임상적 특성

김강모,김윤준,이광혁,백도명,Kim, Gang-Mo,Kim, Yun-Jun,Lee, Gwang-Hyeok,Baek, Do-Myeong 한국건강관리협회 2005 한국건강관리협회지 Vol.3 No.2

Background/Aims The liver funtion tests(LFTs), such as aspartate aminotransferase(AST), alanine amino-transferase(ALT), r -glutamyl transferase( r -GT), have been widely used for screening tests but their low positive predictive value can cause many false positive results. To evaluate the clinical usefulness of these tests, we analyzed serial LFT results of single factory workers and compared the risk factor's in groups divided by the serial LFT results. Methods From June 2001 to October 2001, 1223 consecutive healthy workers in a single factory were enrolled and questionnaire, LFT and liver ultrasonography were performed. Previous LFT results were collected from Annual Health Examination Survey. According to the abnormalities in serial LFT, participants were classified into three groups (abnormal-in-both, alternating normal-in-both) and the risk factors were compared among these groups using multiple logistic regression Results The prevalence of LFT abnormality in a single test was 16.8% but, in serial LFT, only 5% of participants showed consistent abnormality. The risk factors for abnormal-in-both group, compared with alternating group, were liver ultrasonography abnormality such as fatty liver(odds ratio, 2.2; p=0.026) and heavy alcohol intake (more than 210g/week) (odds ratio, 7.2;P=0.064). HBsAg was not significant risk factor for any of the three groups. ConclusionIn factory workers with serial LFT abnormality, alcoholic liver disease could be the principal cause of abnormal LFT. Even if HBsAg were positive in patients with abnormal LFT, there is a possibility of another causes for LFT abnormalities such as alcoholic liver disease and nonalcoholic steatosis or steatohepatitis