장결핵 후 발생한 결핵성 신경근척수염 - 증례 보고 -

박동휘,권순모,조동현,조동현,변승득,이지인,서혜진 대한근전도전기진단의학회 2010 대한근전도 전기진단의학회지 Vol.12 No.1

Tuberculous radiculomyelitis (TBRM) is a rare complication of tuberculosis involving central and peripheral nervous system. We would describe a case with TBRM which developed after intestinal tuberculosis. He presented our hospital with nausea and weight loss. He suffered operation with impression of peritonitis. After operation, he showed confused mentality and diagnosed with tuberculous meningitis. Nevertheless the anti-tuberculous medication and steroid therapy, symptoms progressed to incomplete paralysis of both upper extremities and complete flaccid paralysis of both lower extremities with muscle wasting, root pain, paraesthesia, and bladder disturbance. Deep tendon reflexes were not checked. Through the MRI and electrophysiologic studies, we diagnosed him as TBRM. After conservative therapy including antituberculous medication for 12 months and comprehensive rehabilitation therapy for 18 months, the patient showed improvement in muscle power and functional level with improvement in electrophysiologic parameters.

신경근 전기자극치료의 원리

박동휘,류주석 대한연하장애학회 2016 대한연하장애학회지 Vol.6 No.1

Neuromuscular electrical stimulation (NMES) has been increasingly used on dysphagic patients with the aim of improving their swallowing ability. However, there were insufficient clinical and basic knowledge of NMES in regard to the selection of stimulation parameters, which optimize improvement in swallowing-related muscular function. This review summarizes the results of clinical and basic researches in terms of acute and chronic physiologic effects of different stimulation protocols, explains the role of the various parameters of stimulation in determining the effect of NMES training protocols, and gives clinical recommendations for the selection of stimulation parameters. We speculate that this topic is important for medical doctors and therapists who want to investigate and practice NMES.

Dilemmas Within the Korean Health Insurance System

박동휘,장민철 대한예방의학회 2020 Journal of Preventive Medicine and Public Health Vol.53 No.4

The health insurance system in Korea is well-established and provides benefits for the entire national population. In Korea, when patients are treated at a hospital, the hospital receives a partial payment for the treatment from the patient, and the remaining amount is provided by the health insurance service. The Health Insurance Review and Assessment Service (HIRA) assesses whether the treatment was appropriate. If HIRA deems the treatment appropriate, the doctor can receive payment from the health insurance service. However, this system has several drawbacks. In this study, we aimed to provide examples of the problems that can occur in relation to HIRA assessments in Korea through actual clinical cases.

골반 교정 수술 후 발생한 가골에 의한 좌골 신경병증 - 증례 보고 -

박동휘,변승득,이지인 대한근전도전기진단의학회 2011 대한근전도 전기진단의학회지 Vol.13 No.2

Sciatic neuropathy is caused by many reasons; such as fractures of pelvic bone or femur. We report a case of a sciatic neuropathy which has occurred six months later after pelvic fracture surgery. He was a previous healthy 54 year-old male involved in a pedestrian traffic accident. After 2 weeks, an open reduction and an internal fixation operation was performed under the diagnosis of right pelvic acetabular fracture. Six months after operation, he complained about numbness and paresthesia in dorsum and sole of right foot and showed decreased muscle power to "fair" of knee flexion, ankle dorsi- and plantar flexion. In electrophysiologic study, right sciatic neuropathy was checked, and pelvis X-ray showed callus formation in plates inserted for internal fixation of the greater sciatic notch area. After conservative treatment, a patient showed clinical evidence of recovery within 1 year period of follow up.

군인이자 역사학자로서의 삶: 이내주 교수님 정년 기념 인터뷰

박동휘 영국사학회 2020 영국연구 Vol.44 No.-

Viewing the Implications of the U.S. Indo-Pacific Strategy on South Korea Security through IRT : One Region, Three Lenses

박동휘,문장권 한국동북아학회 2022 한국동북아논총 Vol.27 No.4

The competition between the U.S. and China in the Indo-Pacific region significantly impacts ROK's national security. In this context, ROK should find clues about setting up ROK-US relations, ROK-China relations, and inter-Korean relations. This article aims to explore the clues using international relations theories for the future of South Korea. Thus, this article found three main implications for achieving South Korea national security. In terms of realism, the ROK-U.S. alliance must be strengthened to pursue security and stability in the region. In terms of liberalism, ROK must maintain a cooperative relationship with China. In terms of constructivism, Inter-Korean relations should be fostered with the goal of recognition of the other party through meetings and negotiations.

軍 테러 예방을 위한 관련 법령 및 시스템 개선 방안 -국방부 대테러 활동 훈령 개정 소요를 중심으로-

박동휘,김호 경찰대학 범죄수사연구원 2023 범죄수사학연구 Vol.9 No.2

Since the end of the Cold War, terrorism that threatens the security of nation-states has increased worldwide. This study will reveal the fact that domestic and foreign terrorist threats, which are showing an increasing trend, are occurring in the same flow in the military and the seriousness of the threat through cases. In addition, this paper will point out that the current laws and ordinances are inadequate to comply with the responsibilities and obligations of the Ministry of National Defense and each military for the prevention of terrorism in spite of the increase in the threat of terrorism in the military, and at the same time, will diagnose the limitations and problems. In other words, the significance of this paper is to suggest measures for improving laws and systems for the prevention of terrorism in the military, which is increasing in line with the increase in international terrorism through analysis of legal limitations for prevention and cases of terrorism in the military.

Effects of Biomechanical Foot Orthoses on the Resting Calcaneal Stance Position Angle in Flatfoot Patients

박동휘,전광옥,우성호,구원모,김종민,이병주,주선영,어효신 대한임상통증학회 2023 Clinical Pain Vol.22 No.2

Objective: Flatfoot is a very common condition in pediatric rehabilitation that can cause various symptoms. Therefore, objective evaluation and effective management of flatfoot is important. The resting calcaneal stance position (RCSP) angle has been widely used as an indicator of flatfoot. This study followed up the RCSP angle in children with flatfoot who were prescribed biomechanical foot orthoses (BFOs), to determine whether BFOs significantly improved flatfoot. Methods: We included 77 children who were diagnosed with flatfoot and prescribed BFOs. We followed up and compared the RCSP angle using the paired t-test. In addition, the patients divided into two groups according to RCSP angle improvement to determine whether any significant indicators were present in the group with greater improvement. Results: The mean age of 77 children was 11.05 years, with 50 boys and 27 girls. The RCSP angle improved by 3.25 and 2.78 degrees on the right and left sides, respectively, with the paired t-test showing a significant improvement in the RCSP angle (p≤0.001). 40 and 37 exhibited an RCSP angle improvement of more and less than 4 degrees, respectively, with the paired t-test also confirming a significant improvement in the RCSP angle (p≤0.001). However, independent t-tests revealed no significant differences in all indicators between the two groups. Conclusion: This study confirmed that wearing BFO in children with flatfoot can improve the RCSP angle. Our findings showed that RCSP angles improved regardless of other factors. Further studies providing more data and including a control group are needed.

The Correlation Between Clinical Characteristics and Radionuclide Salivagram Findings in Patients With Brain Lesions: A Preliminary Study

박동휘,우승범,이대희,유광재,조주영,김정민,이지인 대한재활의학회 2017 Annals of Rehabilitation Medicine Vol.41 No.6

Objective To evaluate the correlation between radionuclide salivagram findings and clinical characteristics in dysphagic patients with brain lesions.Methods The medical records of 35 dysphagic patients with brain lesions who simultaneously underwent both a videofluoroscopic swallowing study (VFSS) and radionuclide salivagram were analyzed retrospectively. The subjects were divided into two groups according to the presence of aspiration on a salivagram (group A, patients with aspiration on the salivagram; group B, patients with no aspiration on the salivagram). The differences between clinical characteristics and VFSS findings (penetration-aspiration scale [PAS]) between the two groups were analyzed. Results Eleven out of 35 patients displayed salivary aspiration on the radionuclide salivagram. There were no significant differences between the two groups according to age, sex, disease duration, PAS on VFSS and feeding methods (p≥0.05). The incidence of aspiration pneumonia was significantly higher in group A. In a multivariate logistic regression analysis with forward stepwise method, the Mini-Mental State Examination (MMSE) score was the only significant parameter in predicting positive findings in salivagrams (odds ratio=0.760; 95% confidence interval [CI], 0.625–0.923; p=0.006). The area under the receiver operating characteristic curve (AUC) of the MMSE score for positive detection in salivagrams was 0.855 (95% CI, 0.689–0.953; p<0.0001). The optimal cut-off value was 7 for the MMSE score (sensitivity 72.73%, specificity 100%).Conclusion In patients with brain lesions who complain of dysphagia, the MMSE score was correlated with salivary aspiration. If patients present with a score of 7 or less on the MMSE, performing a radionuclide salivagram may helpful for early detection of patients at high risk of aspiration pneumonia induced from salivary aspiration.

홍조류를 이용한 투명지 제조 연구

박동휘,박영규,김종진,서영범 한국펄프·종이공학회 2010 한국펄프·종이공학회 학술발표논문집 Vol.2010 No.4