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      • 소동물 임상에서 침술마취의 적용

        김명철,김덕환,전무형,홍성혁,박창식,이재일,이수진,김영석 충남대학교 형질전환복제돼지연구센터 2004 논문집 Vol. No.8

        Pain modification is an important part of traditional acupuncture therapies. However, the idea of using acupuncture to alleviate pain has been greatly expanded in the last four decades. It has reached the level that acupuncture may be used as a substitute for conventional anesthesia. Surgical analgesia can be produced by methods involving peripheral or central stimulation, such as Acupuncture Analgesia (AA). The most common method is Electro-Acupuncture Analgesia (EAA). using a special electrostimulator attached to needles in acupuncture points. The major advantages of AA or EAA are its safety in high-risk patients and excellent post-operative pain relief, freedom from complications and enhanced healing which follows surgery under AA. The major disadvantages are the long induction period (10-40 minutes) and variable degrees of analgesia, even in skilled hands. The mechanisms of AA Involve stimulation of peripheral sensory nerve, spinal cord and supraspinal areas (thalamus, midbrain and hypothalamus) AA can be used effectively in dog. The method has its advantage, and disadvantages.

      • 소에서 盲腸擴張을 동반한 第4胃食滯 手術 1例

        김명철,김덕환,신상태,임준호,김남중,김종만 충남대학교 수의과대학 동물의과학연구소 1998 動物醫科學硏究誌 Vol.6 No.-

        Abomasal impaction with cecal dilatation was diagnosed in a 3 years old holstein cow. The clinical signs were loss of appetite, scant feces and moderate distension of the abdomen. Ping sound was revealed in the right 11th intercostal space by auscultation. Cecal dilatation and abomasal impaction were ascertained by right flank laparotomy and abdominal exploration, and intestinal content and gas were removed from the cecal apex incised. One day later, 2.5㎏ of sand was removed by ventral paramedian abomasotomy.

      • 소비자 측면에서 본 주거선택과정에 관한 연구

        조명은,최덕경 안성산업대학교 1997 論文集 Vol.29 No.2

        The purpose of this study is to identify housing choice making process by the consumer approach. Data were collected through self-administered questionnaires designed for this study, and the sample consisted of 602 households in 4 urbans. The data were analyzed through descriptive statistics, factor analysis, χ2 analysis, and ANOVA analysis. The major finding is as follows: 1) Residents choiced first the region, the second is the price, the third the constructional enterprise through housing choice making process. 2) Consumer's housing choice making process is strongly influenced by the total housing price, the brand image of the construcional enterprise, the community convenience, the level of educational environments. 3) Factors that effected the housing choice making process were divided into three specific types: regional characteristics, housing characteristics, information characteristics, and economic characteristics.

      • Medx 운동치료 프로그램이 경추근력과 통증에 미치는 효과

        남덕현,이한경,박재우,김명준 龍仁大學校 2000 용인대학교 논문집 Vol.18 No.-

        The purpose of this study was to evaluate the improvement of the cervical extensor muscles strength in a 103 patients with laser discectomy using Medex program. 103 Patients was divide into 3 Groups, Study group of 40 patients (M=17, F=23), Control Group of 32 patients (M=17, F=15), Normal Group of 31 patients(M= 19, F= 12) Study and Control group was the patient of Laser discectomy on the cervical disc. Study Group was trained with Medx exercise program for the cervical muscles for 12 weeks after 1 month from cervical Laser discectomy. Control Group was rest at home for 12 weeks after the therapeutic exercise program. Normal group was good condition normal persons in cervical and Lumber spine without lesion, 31 persons was tested cervical extension muscle strength before and after 12 weeks. The results of this study were as follows ; 1. In initial muscle strength. The male was found 34275.95 8546.55(n=20) in study croup, 32279.66 3965.43(n=18) in control group, 54297.42 721,39(n=19) in Normal group. The female was found 24445.25 7360.80(n=20) in study group, 25125.64 4463.65(n=14) in control group, 42829 9649.62(n=12) in normal group. Therefore in a study and control group, It was found that the subjects have similar muscle strength after the 12 weeks with no difference. 2. Between three group, after 12 weeks, improvement of male muscle strength was found 50142.29 13017.37(n= 17, study group), 38973.44 7424.36 (n=18, control group), 55774.41 9268.05 (n=17, Normal group) in male. And improvement of female muscle strength was found 40227.80 6062.89(n= 15, study group), 29777.78 10647.34 (n=14, control group). As a result, muscle strength after 12weeks, it was found a little difference cervical extension muscle strength in control group without therapeutic Exercise program. But study group there was a much difference. 3. Study group was statistically significant difference(P<.05, n=40) after 12weeks. And control group was statistically significant difference, too(P<.05, n=32). But in real value, improvement of muscle strength was 50% improvement in study group more than 19% in control group. 4. After 12weeks in a study and control group, Pain scale shows statistically significant difference in study group than control group(P<.05). 5. After 12Wks, Cervical ROM was increased in a study and control group, each other. In a Study group it was found that there was an increase ROM more than control group(Flexion position; study/control G. =124.6 /118.8, Extension position: =1.68 /8.4, ROM; full Extension=0, full Flexion= 126). In conclusion, After 1 month laser discectomy in cervical HNP, The study group with procedure of Medx therapeutic exercise program was statistically significant increased cervical extension muscle strength more than control group with no therapeutic exercise program. And compared with control group, Study group shows decrease in a pain scale as well as the ROM of cervical mobility. Therefore, during 12 weeks Medx therapeutic Exercise in the cervical spine was effective in cervical muscle strength and for the pain, limited ROM, and dysfunction. And the early recurrent and prevention is positively necessary scientific controlled therapeutic exercise program.

      • 대동물 임상에서의 침술마취의 적용

        김명철,김덕환,전무형,홍성혁,박창식,이재일,이수진,김영석 충남대학교 수의과대학 동물의과학연구소 2002 動物醫科學硏究誌 Vol.10 No.-

        Acupuncture is used to treat pathological conditions and to prevent pain from arising. The pathological conditions that can be treated can be painless or painful conditions. Acupuncture analgesia (AA) is a specific form of acupuncture: the stimulation of the acupuncture points must be strong and long (about 15 to 30 minutes) before a local or general analgesia or hypalgesia will develop. Development of modern AA began in the late fifties. Effectiveness of acupuncture in alleviation of pain was quickly noticed and brought to the medical researchers and surgeons. Through their diligent pursuit, AA has been established as a viable alternative for relief of pain and substitution of conventional anesthesia. In veterinary medicine, early successful applications of AA to surgery of domestic animals were reported in the late sixties. Local or regional anesthesia is often preferred to general anesthesia in cattle. Acupuncture was effective in inducing analgesia. Regional electroacupuncture analgesia is potentially useful for standing surgeries in cattle. Some standing surgeries may be easily accomplished using electroacupuncture anesthesia.

      • 면양에서 개량된 제1위 누관 형성술 1례

        김명철,김종만,김용국,김덕환,이영원 충남대학교 수의과대학 동물의과학연구소 1999 動物醫科學硏究誌 Vol.7 No.-

        We performed rumen fistula operation in a sheep. In sheep, the procedure for a rumen fistula is quite successful, but choice of an appropriate cannula is of prime importance. The sheep was anesthetized by xylazine(0.1 ㎎/㎏ IM) administration 5 minutes after administration of atropine sulfate(0.1 ㎎/㎏ IM). We inserted rubber cannula in rumen incised and put rubber ring after employing purse-string suture in rumen. We marked the area for the puncture incision in the body wall through which the cannula is drawn. We drew the cannula as near the transverse process of the lumbar vertebrae as possible to minimize leakage. We isolated the cannula by fixing the stainless washer which has small holes. The sheep was given postoperative penicillin(20,000 IU/㎏ IM) to prevent secondary infection for 3 days. There were not observed the leakage of rumen contents, the entering of rubber cannula into abdominal cavity, and necrosis on incision site and skin, over months after surgery.

      • 우리나라 원자력산업의 기술이전 특성에 관한 연구

        이영덕,김명환 충남대학교 경상대학부설 경영경제연구소 1999 경영논집 Vol.15 No.1

        원자력 산업분야에서 우리 나라가 기술자체의 속성상 기술후발국의 한계를 극복하기 어려웠음에도 불구하고 비교적 빠른 기간 내에 기술개발에 성공할 수 있었던 것은 자체 기술개발의 노력뿐만 아니라 무엇보다도 선진국으로부터 이전된 기술의 개량화를 통한 기술의 고도화를 달성하였다는 사실을 간과할 수가 없다고 하겠다. 따라서 본고에서는 상용기술이 본격적으로 도입된 지난 10여 년간 원자력기술개발 및 실용화과정에서 추진해 온 기술이전의 유형을 파악하고, 나아가 원자력산업의 기술이전 유형과 영향요인에 관한 선험적 관계를 빈도분석을 통하여 탐색적으로 고찰해보는 연구를 수행하였다.

      • 대동물 임상에서의 침술마취의 적용

        김명철,김덕환,전무형,홍성혁,박창식,이재일,이수진,김영석 충남대학교 형질전환복제돼지연구센터 2004 논문집 Vol. No.8

        Acupuncture is used to treat pathological conditions and to prevent pain from arising. The pathological conditions that can be treated can be painless or painful conditions. Acupuncture analgesia (AA) is a specific form of acupuncture; the stimulation of the acupuncture points must be strong and long (about 15 to 30 minutes) before a local or general analgesia or hypalgesia will develop. Development of modern AA began in the late fifties. Effectiveness of acupuncture in alleviation of pain was quickly noticed and brought to the medical researchers and surgeons. Through their diligent pursuit, AA has been established as a viable alternative for relief of pain and substitution of conventional anesthesia. In veterinary medicine. early successful applications of AA to surgery of domestic animals were reported in the late sixties. Local or regional anesthesia is often preferred to general anesthesia in cattle. Acupuncture was effective in inducing analgesia. Regional electroacupuncture analgesia is potentially useful for standing surgeries in cattle. Some standing surgeries may be easily accomplished using electroacupuncture anesthesia.

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