동결견(凍結肩) 환자의 동서협진 치료의 임상효과 비교연구 : 견관절 가동운동범위(ROM) 변화를 중심으로

남동우,김행범,양동훈,임사비나,김건식,이두익,이재동,최도영,이윤호 경희대학교 동서의학연구소 2006 東西醫學硏究所 論文集 Vol.2006 No.-

Objectives : To establish an effective collaborate medicine treatment of acupuncture and western medicine for treating frozen shoulder patients. Methods : 59 voluntary patients were randomly assigned to Eastern treatment group(E group, n=22), Western treatment group(W group, n=17) and East-West treatment group(EW group, n=20). The E group received acupuncture treatment on LI15, TE14, GB21 and Master Dong's acupuncture points, Shin-gwan and Gyun-joong, twice a week for 4 weeks. The W group received suprascapular nerve block, subacromial injection and trigger point injection, twice a week for 4 weeks. The EW group received acupuncture and injection treatment including nerve block. All groups were instructed to practice self exercise during their daily lives. Evaluations were made before treatment and after treatment based on the change in shoulder Range of Motion(ROM) and the patient's satisfaction concerning the treatment was measured by Visual Analogue Scale(VAS). The obtained data were analyzed and compared. Results : The patient's satisfaction scores were E group 5.67, W group 7.73 and EW group 7.67. The E group and the EW group showed significant improvement in abbduction, adduction and flexion(p<0.05). The W group showed significant improvement in adduction(p<0.05). Abduction significantly improved(p<0.05) in the EW group compared to E group and W group. Flexion also showed improvement in the EW group, but the difference among the 3 groups was statistically insignificant. The three group's difference of change in extension and adduction was insignificant(p>0.05). Conclusion : Acupuncture and nerve block alone significantly improved ROM in frozen shoulder patients. Also collaborate treatment of acupuncture and nerve block significantly improved ROM in frozen shoulder patients. But the difference of the three treatments were significant only for improving abduction(p<0.05).

동결견(凍結肩) 환자의 동서협진 치료의 임상효과 비교연구 - 견관절 가동운동범위(ROM) 변화를 중심으로 -

남동우,김행범,양동훈,임사비나,김건식,이두익,이재동,최도영,이윤호,Nam, Dong-Woo,Kim, Haeng-Beom,Yang, Dong-Hoon,Lim, Sa-Bi-Na,Kim, Keon-Sik,Lee, Doo-Ik,Lee, Jae-Dong,Choi, Do-Young,Lee, Yun-Ho 대한침구의학회 2006 대한침구의학회지 Vol.23 No.5

Objectives : To establish an effective collaborate medicine treatment of acupuncture and western medicine for treating frozen shoulder patients. Methods : 59 voluntary patients were randomly assigned to Eastern treatment group(E group, n=22), Western treatment group(W group, n=17) and East-West treatment group(EW group, n=20). The E group received acupuncture treatment on LI15, TE14, GB21 and Master Dong's acupuncture points, Shin-gwan and Gyun-joong, twice a week for 4 weeks. The W group received suprascapular nerve block, subacromial injection and trigger point injection, twice a week for 4 weeks. The EW group received acupuncture and injection treatment including nerve block All groups were instructed to practice self exercise during their daily lives. Evaluations were made before treatment and after treatment based on the change in shoulder Range of Motion(ROM) and the patient's satisfaction concerning the treatment was measured by Visual Analogue Scale(VAS). The obtained data were analyzed and compared. Results : The patient's satisfaction scores were E group 5.67, W group 7.73 and EW group 7.67. The E group and the EW group showed significant improvement in abbduction, adduction and flexion(p<0.05). The W group showed significant improvement in adduction(p<0.05). Abduction significantly improved(p<0.05) in the EW group compared to E group and W group. Flexion also showed improvement in the EW group, but the difference among the 3 groups was statistically insignificant. The three group's difference of change in extension and adduction was insignificant(p>0.05). Conclusion : Acupuncture and nerve block alone significantly improved ROM in frozen shoulder patients. Also collaborate treatment of acupuncture and nerve block significantly improved ROM in frozen shoulder patients. But the difference of the three treatments were significant only for improving abduction(p<0.05).

남자 노인에서 족관절 족저 굴곡근 신장운동이Functional Reach에 미치는 효과

권오윤,한명석,박동식 大韓再活醫學會 1999 Annals of Rehabilitation Medicine Vol.23 No.3

콘크리트 포장 슬래브의 변형률 측정에 관한 연구

김동호,전성일,최창식,윤병성,윤경구 江原大學校 産業技術硏究所 2002 産業技術硏究 Vol.22 No.A

The purpose of this paper is to investigate for strain measurement of concrete pavement slab at field. The early-age behaviors of concrete pavement were measured using the strain gages. From the static and dynamic wheel loading tests, the outputs from each gages were recorded. The measured data, also, was compared to those from finite element analysis. The static wheel loading tests were performed in twice, and the dynamic wheel loading tests were performed at the speed 10㎞∼50㎞. The results could be summarized as follows: To embed the strain gage accurately and stably in concrete pavement, a chair and protective box must be used. The protective box must not be affected from the outside vibrating. From the results of early-age strain measurement, it was found that the strain varied at the maximum value of 180 με. From the results of static wheel loading tests, A1, A2 and B gages generally developed a consistent tendency. When comparing the results from the measured at field and the calculated by FEM analysis, the data of A1 and B gages were similar to that from theory. The values from the field test were generally higher than that from the theory. From the results of dynamic wheel loading tests, it was known that the measured strain at field became smaller as the truck speed became faster, indicating the maximum at the range of 12∼13 με.

중증 외상환자에서 염기 결핍수치의 유용성

문준동,김수진,문철규,최성혁,전정민,이성우,홍윤식 대한응급의학회 2001 대한응급의학회지 Vol.12 No.3

Background: This study's objective was to determine the prognostic value of the base deficit measured in the emergency department(ED) and to determine whether base deficit can provide information not provided by advanced injury scoring system. Methods: This study was a retrospective analysis of data collected for two years. Thirty-two severe trauma patients who were admitted to the Emergency Department of Korea University Hospital were included in this study. The patients were divided into two groups: the normal base deficit group(-3 mmol/L to 3 mmol/L) and the elevated base deficit group(>3 mmol/L). The base-deficit value, age, sex, head injury, organ failure rate, and survival were considered, and the also Revised Trauma Score(RTS), Acute Physiology And Chronic Health Evaluation(APACHE II), and Injury Severity Score(ISS) were measured. Result: The elevated base-deficit group showed a lower survival rate and a higher organ failure rate compared to the normal base deficit group. Logistic Regression showed a strong association between base deficit and mortality rate. Among the previous injury scoring Systems(RTS, APACHE II, ISS), base deficit had the strongest correlation with RTS. By using base deficit value and the RTS together, we obtained a higher positive predictive value than that obtained by using base deficit or RTS alone. Conclusion: The admission value of the base deficit in the ED is a useful tool in predicting the outcome in severe trauma patients, and it can be an adjunct to previous injury scoring systems. As an advanced injury scoring System is developed in the future, the base deficit may have some significant role.

발달성 고관절 이형성증 환자에 발생된 고도의 탈구에 대한 전자하부 단축 절골술을 통한 인공고관절 치환

박명식,서동주,박종혁,오상수,황병연 대한고관절학회 2004 Hip and Pelvis Vol.16 No.1

金壽根 建築에 나타난 複合的 影響關係 : 헤롤드 블룸의 “影響理論”을 바탕으로 in terms of the Harold Bloom’s “the Theory of Influence”

강윤식,이동언 대한건축학회 2004 대한건축학회논문집 Vol.20 No.7

Ephebe, in other words, a new architect who just debuts makes the revisionary stages against his precursors, in consciousness or unconsciousness. It is the main argument of Harold Bloom’s “the Theory of Influence”. Every new architect, as the belated, establishes his own world by this way. The strong architect who constantly pursues his originality makes his final identification through the three distinctive revisionary dialectic stages consist of the six revisionary ratios, and he completes his ‘original’ works as a synthesis of the all other works of his precursors. According to the theory, the late Kim, Soo-Geun’s architecture is the creative synthesis of the Tange Kenzo, the Yoshimura Junzo, and the Korean architectural traditions.

유착성 관절낭염에 대한 침 및 신경차단술 처치의 임상적 관찰

남동우,임사비나,김종인,김건식,이두익,이재동,이윤호,최도영 WHO COLLABORATING CENTRE FOR TRADITIONAL MEDICINE 2007 東西醫學硏究所 論文集 Vol.2007 No.-

Objectives : To observe the effect of acupuncture and nerve block combination treatment on adhesive capsulitis patients. Metbods : 59 voluntary patients were randomly assigned to acupuncture treatment group(E group ,n=22), nerve block treatment group(W group, n=17) and acupuncture and nerve block combination treatment group(EW grouP, n=20). The E group received acupuncture treatment on LI15, TE_(14), GB_(21) and Master Dong's acupuncture points, Shin-gwan and Gyun-joong, twice a week for 4 weeks. The W group received suprascapular nerve block, subacromial injection and trigger point injection twice a week for 4 weeks. The EW group received the same treatment as the W group and after 5minutes of rest, successively received the treatment identical to that of E group. AU three groups were instructed to practice groups were instructed to practice self exercise during their daily lives. Evaluations were made before treatment and after 1, 2, 3 and 4week treatment. Constant Shoulder Assessment(CSA), Shoulder Pain and Disability Index(SPADI), Range of Motion(ROM), the patient's treatment satisfaction measured by Visual Analogue Scale(VAS) and Digital Infrared Thermographic Imaging(DITI) were used as assessment tools. The obtained data were analyzed and compared. Results : The E group showed significant improvement(p<0.05) on CSA, SPADI, VAS and DITI. As for ROM, Adduction and Extension improved significantly(p<0.05). The W group showed significant improvement(p<0.05) on CSA, SPADI, VAS and DITI. As for ROM, Abduction and Extension improved significantly. The EW group showed significant improvement(p<0.05) on CSA, SPADI and VAS. As for ROM, Adduction, Abduction, Extension and Flexion improved significantly. The improvement of CSA, VAS and Abduction ROM in the EW group was significant1y(P<0.05) superior compared to the groups treated with single type of treatment. Conclusion : It is suggested that acupuncture and nerve block combination treatment for adhesive capsulitis patients is more effective than the two single treatments. Through further studies, the acupuncture and nerve block combination treatment model may be developed into East-West Collaboration Model in treating adhesive capsulitis.

Simulated resin root canal에서 엔진 구동형 Ni-Ti 파일로 근관성형 후 Buchanan plugger의 근관 내 삽입깊이에 대한 비교 연구

박연식,김동준,황윤찬,황인남,오원만 大韓齒科保存學會 2006 Restorative Dentistry & Endodontics Vol.31 No.2

본 연구는 레진 블록에서 엔진구동형 Ni-Ti 기구를 이용하여 근관성형 후 Buchanan plugger의 삽입 깊이에 대한 비교를 통해 임상적 상황에서 Ni-Ti 파일로 근관 성형 후 Continuous wave of condensation technique을 이용한 근관 충전시 적절한 크기의 Buchanan plugger 선택에 지침을 제공하기 위해 시행되었다. 만곡근관과 직선근관을 가진 레진 블록에서 ProTaper와 ProFile을 이용하여 근관 성형을 하였다. 성형 후 근관에 Buchanan plugger 가 근관벽과 처음으로 접촉하는 부위까지 삽입한 후 그 상태에서 스태너를 이용하여 이미지를 얻었다. 이미지 분석 프로그램을 이용해 근첨에서 plugger 첨부까지의 거리를 얻었다. 각 기구에 대한 plugger 삽입깊이에 대한 유의성을 검정하기 위해 one-way ANOVA를 시행하였고, 사후검정을 위해 Scheffe's test를 시행하였다. 본 연구의 결과 만곡되고 좁읍 근관에서, ProTaper F2와 F3로 마무리 성형한 근관에서 F. FM 크기의 plugger를 사용할 경우 Continuous wave of condensation technique으로 적절한 근관충전이 가능함을 시사하였다. This study was conducted to evaluate the insertion depth of Buchanan plugger after shaping by various Ni-Ti rotary files. It was conducted to determine which size of plugger are appropriate, when root canals are shaped with Ni-Ti rotary files and obturated by Continuous wave of condensation technique. Two type of eighty simulated resin blocks were used : J-shaped and straight shaped canal. The simulated canals were instrumented by ProTaper and ProFile. Buchanan pluggers were inserted into the canal, and then the image was recorded to scanner. The distance from the apex of the canal to the plugger tip was measured by image analysis program. Data were analyzed by one-way ANOVA followed by Scheffe's test. The results were as follows 1. In straight canal finished up to ProTaper F2 and F3 file, F and FM pluggers were inserted more than 5 ㎜ short of working length. 2. In J-shaped canal finished up to ProTaper F2 file, F pluggers were inserted more than 5 ㎜ short of working length. Finished up to ProTaper F3 file, F and FM pluggers were inserted more than 5 ㎜ short of working length. 3. In straight and J-shaped canal finished up to ProFile . 06/#20 and ,06/#25, any of Buchanan plugger could not be inserted more than 5 ㎜ short of working lenghth. These results suggest that canals shaped by ProTaper could be obturated by Continuous wave of condensation technique with F and FM size Buchanan plugger.

르 꼬르뷔제와의 影響關係를 通한 金重業 建築의 '對照批評' 試論 : 헤롤드 블룸의 影響理論을 바탕으로

강윤식,이동언 대한건축학회 2003 대한건축학회 학술발표대회 논문집 - 계획계/구조계 Vol.23 No.1

The late Kim, Jung-Up's works can be inter-textually read in view of the late Le Corbusier's influence. But the most of our criticism is scrutinized into the synchronic one or the indeterminacy of meaning as Deconstruction. So this study tries to hold the potentiality of the diachronic criticism for the new interpretative meaning of modern architecture. Harold Bloom's influence theory provides very useful perspective to us in this way. Therefore, the new meanings of his works can be established by Bloom's creative misreading, revisionary ratio and the anti-thetical criticism about his precursors. Finally, this diachronic criticism expects to expand the new horizon of our architectural discourse, but it depends on the synchronic basements which is an ambivalent position.