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- 저자 : 차영덕 (검색결과 101 건)
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차영덕,이승대,김천숙 대한마취과학회 1996 Korean Journal of Anesthesiology Vol.30 No.4
Involvement of the peripheral nerveous system by diabetes is referred to as diabetic neuropathy. The frequency of diabetic neuropathy ranges from 5% to 60% and the pain management is one of the greatest problem. The patient was a 57-year-old man who has been treated with diabetes(DM type IIa) for about 12 years. The symmetrical pain, swelling and sensory loss on feet were started 3 months before admission and the burning pain was intensified at night with resultant insomnia. The systoms were aggravated 1 month ago and they were not relieved by any medication and physical therapy. We attempted lumbar epidural block to the patient and the result was good. So we performed a permanent lumbar sympathetic ganglion block with neurolytics(99.9% alcohol) for the long term relief of pain. The patient was satisfied with the result of the block and discharged.
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술 후 난치성 딸꾹질 환자에서의 성상신경절차단 치료 경험 -증례 보고-
차영덕,송장호,송방훈,이재학,신혜란,이홍식 대한마취통증의학회 2010 Anesthesia and pain medicine Vol.5 No.4
Hiccups occur due to sudden glottic closure connected to inspiratory muscle and diaphragm's involuntary spasm. Hiccups have been known to be caused organically, psychologically, and by some unknown causes, yet, their pathophysiologic mechanism is still unknown. There are non-drug treatments such as hyperventilation, drinking water, pharynx and larynx stimulation, and Valsalva maneuver: and drug treatments such as antipsychotics and antiepileptics. Nerve block can be also considered. A 67-year-old man, who was hospitalized due to his months' long hiccup, had begun hiccups 5-6 months after an operation of radical subtotal gastrectomy with Billroth I anastomosis due to his early gastric cancer. During follow-ups of 4 weeks and 12 weeks after one treatment of bilateral SGB, the patient no longer complained hiccups. In conclusion, SGB treatment for intractable hiccup is an alternative method to palliative therapy or pharmacotherapy when either method is ineffective as a cure.
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차영덕,김기원,양춘우,오소라,류승원,김병건 대한마취통증의학회 2017 Anesthesia and pain medicine Vol.12 No.3
Epidural hematoma after epidural block is a rare complication in healthy patients without risk factor. However, this rare disease can lead to neurological symptoms or paralysis. It is usually treated with surgical drainage. Herein we report a case of acute thoracic epidural hematoma associated with neurologic symptoms after epidural block in a healthy male without risk factors. We performed drainage of the epidural hematoma using 18-gauge Tuohy needle without surgical intervention. The patient’s neurological symptoms and pain were relieved. He was discharged without sequelae.
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알코올 및 인삼액이 CPK-isoenzyme에 미치는 영향에 관한 연구
조만희,차영덕 순천향대학교 1991 논문집 Vol.14 No.2
Correlation of alcohol, and ginseng with both CPK and CPK isoenzyme had been measured in S. D. rats. This study was investigated th changes of both CPK and CPK isoenzyme by alcohol and gineseng administration. The S. D. rats were classified with four groups : 20% ethanol-treated group(Group A), 1% ginseng-treated group which was pretreated with 30% enthanol(Group B), 1% genseng-treated group which was pretyreated with 40% ethanol(Group C), and both 1% ginseng and 30% ethanol-treated group(Group D). Then, enzyme activities such as CPK, CPK isoenzyme had been measured in serum, hepatic, and renal tissue. The descriptions were based on the analyses of samples collected by 10 days interval for 50 days. The following results were obtained. 1. The changes of serum CPK were increased in ethanol-treated group, decreased in both ginseng and ethanol-treated group during total experimental periods. 2. The significant changes of the hepatic and renal CPK had not been monitored during total experimental periods. 3. The patterns of CPK-MM in serum, and liver were increased in ethanol-treated group, decreased in both ethanol and ginseng-treated group, others such as CPK-MB and CPK-BB were not significantly changed. 4. The patterns of CPK isoenzyme in kidney were not significantly changed during total experimental periods. 5. There was a statistical significance in correlation between renal CPK-BB and renal CPK-MM. Based on these result, it suggested that serum CPK and it's isozyme, MM subunit, in both serum and liver tissue were controlled by the administration of ginseng, whereas in both liver and kidney CPK activities and it's isozyme, MM and BB subunit, were not controlled. But it leaves the mechan'sm still unsolved and a study toward better understanding needs to be followed.
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긍정심리자본과 영감적 동기부여가 종업원 인게이지먼트에 미치는 영향에 대한 연구
차영덕(YEONGDUK, CHA) 피터드러커 소사이어티 2021 창조와 혁신 Vol.14 No.4
본 연구는 긍정심리자본과 영감적 동기부여 특성이 종업원 인게이지머트에 미치는 영향에 관한 연구이다. 글로벌화의 가속화, 4차 산업혁명시대의 도래, 비대면 활동 증가 등 경영환경의 변화 가운데 그 중요성에 비해 연구가 미흡한 종업원 인게이지먼트와 선행요인으로서 긍정심리자본 및 상사의 영감적 동기부여에 관하여 검증하였다. 본 연구를 통하여 변화된 경영환경에서 종업원의 인게이지먼트를 향상 시킬 수 있는 개인의 심리적 역량인 긍정심리자본과 리더십 역량으로서 영감적 동기부여의 구축방안과 시사점을 제시하고자 한다. 국내 일반기업의 임직원을 조사 대상으로 설문지를 이용한 조사를 실시하여 통계자료를 확보하였고, 상관관계분석 및 위계적 회귀분석 등을 통하여 검증을 실시하였다. 가설검증에서 독립변수인 긍정심리자본의 네 가지 하위요인은 모두 조직구성원의 인게이지먼트와의 관계에서 정(+)의 관계를 나타냈으며 해당가설들이 채택되었고 긍정심리자본이 기업의 지속적 경쟁우위와 성과창출을 위한 종업원 인게이지먼트에 매우 중요한 요인임이 확인되었다. 회복력과 종업원 인게이지먼트 간의 관계에서 리더십역량으로서 영감적 동기부여특성의 조절효과에 관한 가설이 채택되어 상사의 리더십 역량으로서 영감적 동기부여의 조절효과가 부분적으로 규명되어 종업원 인게이지먼트 제고의 중요한 하나의 요소임을 확인할 수 있었다. This examined the relationship among positive psychological capital, inspirational motivation and employee engagement and verified the moderating effects of inspirational motivation. Among the changes in the organization environment, such as the acceleration of globalization, the advent of the 4th industrial revolution, and the increase in non-face-to-face activities, it examined inspirational motivation as prior factors affecting employee engagement. In this organization environment, it proposes the very impotant implications for leadership and individual psychological competency to improve business performance by enhancing employee engagement. The results were as follows. First, the positive psychological capital factors had a positive influence on employee engagement. Second, inspirational motivation had moderating effects on relationship between resilience of the positive psychological capital and employee engagement. Results emphasize the importance of positive psychological capital as personal competency and inspirational motivation as leadership competency with employee engagement.
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차영덕(Young Deog Cha),김일호(Il Ho Kim),김유재(Yu 대한통증학회 1994 The Korean Journal of Pain Vol.7 No.1
This is a study of decrease in both stump pain and unidentified complaints after removal of neuroma on an amputated left thigh. The patient was a 44 year old woman who received an operation after a motorcycle accident 20th of March, 1991. She started a rehabilitation program in early June of the same year. How- ever the patient complained of a squeezing pain on the amputated area. This symptom became more severe after the removal of the nails in September. The pain was perceived as a mental problem and the patient was released from the previous hospital. The pain continued and on the 9th of March, 1992, the patient was introduced to our pain clinic. The patient complained about the cold sensation and pressure pain of the amputated area at the beginning. Later she also expressed various unidentified complaints. No improvement resulted after conducting an epidural block and a lumbar sympathetic ganglion block. MMPI test showed psychological in- stability. Local injection showed some positive effects, which led to considerations concerning the possibility of neuroma. After confirming the existence of neuroma through CT and MRI, neuromectomy was performed. After the removal of neuroma, the unidentified complaints as well as the stump pain decreased
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