태권도 돌려차기 시 기술 수준에 따른 몸통, 골반, 지지 다리의 운동학적 변인 비교

김재웅 ( Kim Jae-woong ),한기훈 ( Han Ki-hoon ),김제민 ( Kim Je-min ),이상우 ( Lee Sang-woo ),권문석 ( Kwon Moon-seok ),터틀노엘 ( Noelle J. Tuttle ) 국기원 2018 국기원태권도연구 Vol.9 No.1

이 연구의 목적은 태권도 돌려차기 시 기술 수준에 따른 몸통, 골반, 지지 다리의 운동학적 변인을 비교 분석하는 데 있다. 본 연구를 위해 블랙 벨트 소지자로서 기술 수준에 따라 중급자10명, 상급자 9명이 실험에 참여하였다. 3차원 동작 분석 시스템을 사용하여 골반, 몸통, 지지다리의 방향각을 산출하였다. Start, Toeoff, MKF, Max, Impact, Min에서 그룹 간의 평균 방향각을 비교하기 위하여 독립표본 t-검정을 하였다. MKF, Impact, Min에서 골반의 좌측 기울어짐 각도가 그룹 간의 유의한 차이가 나타났다. Start와 Max에서 지지 다리의 엉덩관절 굴곡 각도와 MKF에서 지지 다리의 엉덩관절 외전 각도 사이에 유의한 차이가 있었다. 이상의 결과를 볼 때, 상급자들은 푸쉬단계에서 엉덩관절의 굴곡 각도가 증가 되었고, MKF에서는 외전 각도가 감소하였다. 또한, 스트라이크 단계에서 골반의 좌측 기울어짐 각도는 감소하였다. The study purpose was to investigate skill level differences on trunk, pelvis, and supporting leg kinematics in a Taekwondo roundhouse kick. 10 intermediate and nine expert male black-belt holders executed roundhouse kicks at a target. Orientation angles of the pelvis, trunk, and supporting -thigh, -shank, and -foot were obtained through a three-dimensional video motion analysis. Orientation angles at Start, Toeoff, Maximum Knee Flexion(MKF), Impact, Maximum angle(Max), and Minimum angle(Min) were compared between groups using independent t-tests(p<.05). Significant differences between groups were found in the pelvis left lateral tilted position at MKF, Impact, and Min; significant differences were also found in the supporting hip joint flexed position at Start and Max, and abducted position at MKF. It was concluded that higher performers increased the hip joint flexion angle in the Push phase, decreased abduction angle at MKF, and decreased the pelvis left tilted angle in the Strike phase.

자궁내 태아사망의 임상적 고찰

이권해,이정재,조현철,이석민,이임순,이해혁,김권대,이순곤,남계현 순천향의학연구소 1999 Journal of Soonchunhyang Medical Science Vol.5 No.2

Objective: This study was designed to evaluate diagnosis and complication, prognosis during clinical study of cases of intrauterine fetal death. Methods and materials: This is a clinical study of 56 cases of the intrauterine fetal death among 8064 deliveries at Seoul Sunchunhyang university hospital during 5 years from January, 1994 to December, 1998. Results: The incidence was 0.7%. The age distribution of mothers was 18 - 44 years and was highest in the 25 - 29 years range(46.4%). The parity was the most highest in the nulliparous group(51.8%). The most common gestational weeks was 20 - 28 weeks gestational period(46.4%), and most common presentation was cephalic(73.5%). The most common weights of the intrauterine fetal death was from 5,00gm to 1,000g(48.2%). The mode of the most common delivery was the induction of delivery(57.2%). The etiologic factors were: unknown(42.9%), preeclampsia(17.9%), chorioamnionitis(14.3%), congenital anomaly(12.5%), abruptio placenta(7.1%), cord complication(3.6%), placenta previa, death of one for twin. There were 2 cases of maternal complication(DIC, Uterine atony). Conclusion : Intrauterine fetal death should be diagnosised early and treated properly to reduce risk of the maternal complication.

Tabes Dorsalis의 핵자기공명영상 및 전기생리학적 소견

권기한,김성민,권석범,이병철,조광호,주정희 대한신경과학회 1999 대한신경과학회지 Vol.17 No.3

뇌동맥류 파열 환자에서 증후성 뇌혈관연축의 발생 및 회복에 영향을 미치는 인자들

최석민,석종식,권정택,민병국,황성남,김영백,홍현종 대한신경외과학회 1996 Journal of Korean neurosurgical society Vol.25 No.10

To determine the factors affecting development and recovery of symptomatic vasospasm. the author analysed the results of patients with ruptured intracranial aneurysms treated by nimodipine and prophylactic “triple0H” therapy. From January 1991 to December 1995. 199 patients underwent surgery for ruptured intracerebral aneurysms. Combined hypervolemic hemodilution was initiated at the time of admission. Induced hypertension was added immediately after surgery(aneurysmal neck clipping). All patients received nimodipine intravenously or orally until the 14th day of SAH Sixty patients underwent surgery on Day 0 through 2 after attacks of subarachnoid hemorrhage(Goup A) 105 patients on Day 3 through 14(Group B). and 35 patients after Day 14(Group C). Of 199 patients. 76(38%) patients suffered from symtomatic vasospasm. Symptomatic vasospasm occured in 34% of Group A patients. 33% of Group B patients. and 5% of Group C patients. Symtomatic vasospasm occured more frequently in the older age group. the Fisher group 3 and Hunt & Hess grades 3, 4 and 5 groups. Of 76 patients who suffered from symptomatic vasospasm. 47(62%) patients recovered completely. The author analysed the relationship between recovery rate and sex, age. Hunt & Hess agrde and Fisher group among these 76 patients. Recovery rates between these groups were not significantly different. Based on this experience the author believes that Hunt-Hess grade. Fisher group and age are important factors affecting symptomatic vasospasm development.

폐경기 여성에서 호르몬 대치 요법시 병행 투여된 프로제스토젠 투여 방법에 따른 골대사의 생화학적 지표에 미치는 영향

이권해,강선영,임경빈,이해혁,구도형,이석민 순천향의학연구소 1998 Journal of Soonchunhyang Medical Science Vol.4 No.1

Purpose : To evaluate the impact of added progestogen on biochemical markers of the bone turnover undergoing hormone replacement therapy in the postmenopausal women. Materials and Methods : There are 71 postmentopausal women who are divided into three groups (Group I, Group II, Group III). Group I(continuous combined)is given conjugated equine estrogen (CEE, 0.625mg, day 1-30) plus medroxyprogesterone acetate (MPA, 2.5mg, day 1-30), Group II(unopposed estrogen) is given conjugated equine estrogen (CEE, 0.625mg, day 1-30) plus medroxyprogesterone acetate (MPA, 5mg, day 1-12). And there were measured serum osteocalcin, serum total alkaline phosphatase and urinary deoxypyridinoline excretion before starting hormone replacement therapy and 12 months later. Results : The serum osteocalcin, serum total alkaline phosphatase and urinary deoxypyridinoline excretion significantly decreased after hormone replacement therapy (Group, I, II, III). And there was no significance in decreases in biochemical markers of the bone turnover among three groups. Conclusions : It was concluded that the impact of added progestogen on the biochemical markers of the bone turnover undergoing hormone replaced therapy in postmenopausal women was not significant than nothing added group. Thus we concluded that progestogen was not impact on decreasing on the biochemical markers of the bone turnover in postmenopausal women undergoing hormone replacement therapy.

Carbamazepine Degradation by Photolysis and Titanium Dioxide Photocatalysis

Im, Jong-Kwon,Son, Hyun-Seok,Kang, Young-Min,Zoh, Kyung-Duk Wiley (John WileySons) 2012 Water environment research Vol.84 No.7

<P>We investigated the degradation of carbamazepine by photolysis/ultraviolet (UV)-C only and titanium dioxide photocatalysis. The degradation of carbamazepine by UV-only and titanium-dioxide-only (adsorption) reactions were inefficient, however, complete degradation of carbamazepine was observed by titanium dioxide photocatalysis within 30 min. The rate of degradation increased as initial carbamazepine concentration decreased, and the removal kinetics fit well with the Langmuir-Hinshelwood model. The addition of methanol, a radical scavenger, decreased carbamazepine removal, suggesting that the hydroxide radical played an important role during carbamazepine degradation. The addition of oxygen during titanium dioxide photocatalysis accelerated hydroxide radical production, thus improving mineralization activity. The photocatalytic degradation was more efficient at a higher pH, whereas the removal of carbamazepine and acridine (a major intermediate) were more efficient under aerobic conditions. The mineralization of carbamazepine during photocatalysis produced various ionic by-products such as ammonium and nitrate by way of nitrogen dioxide.</P>

Resin infiltration을 시행한 법랑질 초기 우식 병소의 특성

김은영,권민석,김신,정태성 大韓小兒齒科學會 2012 大韓小兒齒科學會誌 Vol.39 No.1

The concept of resin infiltration which was born in an innovative philosophy to arrest the incipient caries. However, the structural changes of resin infiltrated lesions have not yet explained completely. The liquid resin might contribute not only to maximizing the penetration but to deteriorating physical stability. This study was performed to examine some physical and histological features of resin infiltrated incipient carious lesions. With the specimen of resin infiltrated lesions, microhardness by nanoindentation in depth profile, morphology of resin tags were revealed after HCl dissolution, and degree of microleakage were assessed. The percentage of microhardness of surface layer and lesion body of untreated specimen to sound enamel was 64.6% and 24.6% respectively, while that of resin-infiltrated lesions was 72.1%, showing significant difference (p<0.05). The resin tags observed under SEM had relatively homogeneous length of 433(282~501) ㎛ on the average. Among 20 specimens for microleakage assessment, 13 specimens showed no leakage while 5 and 2 showed leakage into outer and inner half of lesion respectively. It was thought the infiltrant resin penetrates deeply and homogeneously into lesion body and improves its hardness with relatively good physical stability. 본 연구는 infiltrant resin을 침투시킨 초기 우식 병소의 특성을 평가하기 위해 법랑질의 깊이에 따른 경도를 측정하고, 병 소 내로의 레진 침투양상을 분석하며, 미세누출 정도를 관찰하여 다음의 결과를 얻었다. 건전 법랑질에 대한 초기 우식 법랑질의 경도 백분율은 표층(5~40 ㎛) 64.6%, 병소본체(60~350 ㎛) 24.6%였으며, infiltrant resin을 침투시킨 병소의 경도 백분율은 72.1%로 나타났다. 5~350 ㎛의 전 깊이에서, infiltrant resin을 침투시 킨 병소는 비처치 우식 병소보다 경도가 유의하게 높았지만 정상 법랑질에 비해서는 경도가 유의하게 낮았다(p<0.05). FESEM 관찰 결과 탈회된 법랑질 내부로 비교적 균일하게 침투한 레진 테그가 관찰되었으며, 침투깊이는 433 ㎛(282-501)로 측정되었다. 열순환 처리 후 13개의 치아에서 미세누출이 관찰되지 않았고, 5개에서 병소 외측 절반, 2개에서 병소 내측 절 반까지 미세누출이 관찰되었다.

학교폭력 피해자의 정신병 실태 조사

신성웅,권석우,신민섭,조수철 대한소아청소년정신의학회 2000 소아청소년정신의학 Vol.11 No.1

요 약 : 본 연구는 학교폭력의 피해자를 대상으로 정신병리에 대한 특성을 알아내고, 조기 정신병과의 관계를 규명함을 기본 목적으로 시행되었다. 더 나아가서는 조기정신병의 발견과 아울러, 조기 치료를 시행함으로써 심각한 정신병의 예방을 도모하고자 하였다. 서울시 전 구역 중 16개 중학교를 선정하여 중학교 1, 2학년 남 · 녀 학생에게 간이정신진단검사 피어스-해리스 자아상 검사의 인기도와 학교 적응 소척도, 저자들이 개발한 따돌림 척도를 배포하여 따돌림을 당하는 정도의 점수가 평균보다 통계적으로 유의하게 차이가 나는 대상을 선정하고, 이들 중에서 스스로 인기가 없다고 여기면서 정신병적 증상이 유의하게 높게 보고된 대상을 선정하여 '정신병의 전구기에 있는 군'으로 판정하여, 이들의 대상의 수를 계산하여 위험도를 산출하고, 정신병 전구기에 있다고 판단되는 대상의 임상적 특성을 상관 분석 및 회귀 분석을 통해 정신병적 증상과 관련된 임상적 척도들을 파악하였다. 결과는 다음과 같다. 1) 따돌림 척도에서 통계적으로 유의하게 높은 점수를 받은 군은 총 157명(5.3%)이었고, 그 중에서 47명(29.9%)이 간이정신진단검사의 정신병적 증상 수치가 유의하게 높았다. 따돌림 척도에서 높지 않은 점수를 보인 2,135명 중 정신병적 증상이 높은 군은 50명이어서,따돌림 척도에서 높게 나온 군의 정신병적 증상이 높게 나올 위험도(odds ratio)는 17.8이었다 이는 통계적으로 유의한 수치였다(X2=274.8, df=1 p<0.05). 즉 따돌림을 당한다고 호소한 집단은 정신병적 증상이 유의하게 높았고, 이를 통해 왕따 피해자는 정신병 발병 위험이 통계적으로 유의하게 높다고 할 수 있었다. 2) 자신은 남들에겐 인기도 없고, 따돌림을 당한다고 여기며 정신병적 증상을 가진 군(47명, 남자31명, 여자 16명)은 단순히 정신병적 증상이 높은 군에 비해 불안 척도,우울증 척도, 공격성, 대인 민감성 학교 및 사회 적응 척도, 강박증상 척도, 공포불안 척도, 정신병적 증상 신체적 증상 호소 등에서는 차이를 보이지 않았으나 자신이 따돌림을 받는다는 호소와 편집증은 더 높게 측정되었다. 그리고, 학교폭력 피해자 중에서 정신병적 증상이 유의하게 높게 측정되었고, 스스로 인기가 없다고 생각하는 대상들에서는, 불안 증상, 우울증, 공격성, 대인 예민성, 강박증상, 편집증, 신체 증상 호소 등이 정신병적 증상을 잘 설명해주었다(r2=0.93). 즉, 따돌림을 당한다고 호소한 집단은 정신병적 증상이 유의하게 높았고, 이를 통해 왕따 피해자는 정신병 발병 위험이 통계적으로 유의하게 높다고 할 수 있었다. 이를 통해서 따돌림과 같은 학교폭력 피해자가 불안 증상, 우울증, 공격성, 대인 예민성, 강박증상, 편집증, 신체 증상 호소와 같은 문제를 보였을 경우에는 정신병적 증상 유무와 학교 적응, 집중력 장애, 사고개념 형성 장애 등을 확인하여 정신병의 진단을 고려해야 한다고 할 수 있다. Objectives : The primary purpose of this study is to understand the psychopathology of the victims of school violence in terms of early psychosis. By doing this, the early detection of psychosis among the victims is possible, and early detection may lead to early intervention. Methods : Two-thousand and nine-hundred seventy two students from 16 middle schools in Seoul were asked to fill out questionnaire comprised of popularity and intellectual and school status of Piers-Harris Children's Self Concept Inventory, Symptom Check List-90-Revised, and Ostracism Scale. The subjects whose scores upon Ostracism Scale were higher than average by two standard deviation were labeled as 'Repelled and Isolated group', and subjects whose scores on popularity were significantly lower than average and whose scores on psychoticism of SCL-90-R were higher than average were defined as 'tentative early psychosis group'. Odds ratios were calculated from the numbers of subjects with and without high psychoticism scores and high ostracism scores. On the subjects of 'tentative early psychotic group', we examined every clinical characteristic and conducted correlation analysis and regression analysis in order to find out the risk factors and to construct theoretical model that explains the psychoticism scores. Results : The results were a follows : 1)Total 157(5.3%) subjects were rated significatntly higher on ostracism scale, and among them, 47 subjects(29.9%) were rated significantly higher than average on psychoticism scale, while only 50 subjects among 2,135 students who were rated within normal range showed significantly higher score on psychoticism scale. Odds ratio for psychotic group of isolated group were 17.82 and it was statistically significant. 2)Forty-seven subjects(31 boys, 16 girls) who were rated as they were unpopular and rejected from peers had significantly higher psychoticism scores. They were not significantly different from simply high psychoticism subjects in anxiety, social anhedonia scale, magical thinking, obsessive-compulsive symptoms, phobic anxiety, psychoticism, somatization, but showed higher ostracism scores and paranoid tendencies. Among school violence victims, who rated themselves unpopular and showed higher psychoticism scores, the psychoticism scores were mainly explained by anxiety, depression, hostility, interpersonal sensitivity, obsessive-compulsive symptoms, paranoid tendency, somatization scales(r2=0.93). Conclusion : Thus, it can be concluded that the subjects with higher ostracism score have the substantially high risk for psychosis development. By these results, we propose that school violence victims with anxiety, depression, hostility, interpersonal sensitivity, obsessive-compulsive symptoms, paranoid tendency, somatization should be tested individually considering school adjustment, attentional deficit, concept formation problems. KEY WORDS : School violence·Ostracism·Psychosis.

다약물 내성기전으로서 ABC transporter와 화학감작제의 개발

최철혁,권대승,최석민 朝鮮大學校 附設 醫學硏究所 2002 The Medical Journal of Chosun University Vol.27 No.2

Anticancer resistance is one of the major problems in the clinical cancer chemotherapy. Of resistance mechanisms are ATP (ATP-binding cassette) transporters including P-glycoprotein. In this paper, ABC transporters with respect to the physiological functions and multidrug resistance mechanisms as well as the development of chemosensitizers for their reversal have been reviewed.

골격성 전치부 반대교합 아동의 치아성숙도에 관한 연구

신종현,권민석,김신,정태성 大韓小兒齒科學會 2010 大韓小兒齒科學會誌 Vol.37 No.3

전치부 교환기의 반대교합 아동에서는 골격적 특성이 강할수록 상하 치아의 성숙도에 현격한 차이가 있음을 쉽게 관찰할 수 있다. 파노라마 방사선 사진으로 평가가 가능한 상하 치령의 차이가 III급 부정교합의 조기 징후로 개연성이 있다면, 이것은 조기 감별진단의 한 도구로써 가치가 있을 것으로 판단되었다. 부산대학교치과병원 소아치과에 내원한 Hellman 치령 IIA, IIC의 환자 를 대상으로, 측두방사선사진, 파노라마 방사선사진, 석고 모형과 임상사진을 조사하여 정상교합군과 전치부 반대교합군 각 50명을 선택하였다. 이들의 파노라마 방사선사진을 이용하여 Demirjian법으로 각 군의 상하 치령 및 제1대구치 맹출율을 구하고 그 차이를 비교, 분석하여 다음과 같은 결과를 얻었다. 1. 정상교합군과 반대교합군 모두에서 역령에 비해 치령이 높게 나타났으며 성차는 보이지 않았다(p>0.05). 2. 정상교합군과 반대교합군의 상하 치령의 차이는 각각 0.22세와 0.69세로 반대교합군에서 더 큰 차이를 보였다(p<0.05). 3. 정상교합군에 비해 반대교합군에서 상하 제1대구치 맹출율의 차이가 크게 나타났다(p<0.05). It was easy to find that children of a skeletal anterior crossbite in the early mixed dentition period showed a stark difference in the dental maturity between their maxillary and mandibular teeth, if they have stronger physical characteristics. If the difference of dental age between maxillary and mandibular teeth which can be identified via panoramic radiographs may serve as an early sign of class III malocclusion, this is considered valuable as a tool of early detection diagnosis. We obtained lateral cephalometric radiographs, panoramic radiographs, working model and clinical images of patients of Hellman dental age IIA and IIC who visited the department of pediatric dentistry, Pusan National University Dental Hospital and examined them to select 50 patents for normal occlusion group and skeletal anterior crossbite group, respectively. Their panoramic radiographs were used for the Demirjian's method to figure out dental ages of maxillary and mandibular teeth of each group and the eruption rate of the first molars. Their differences are as follows: 1. In both groups, the dental ages from Demirjian's method were advanced than the chronological ages. No sexual dimorphism was detected for the chronological or dental age in either group (p>0.05). 2. The difference of dental age of maxillary and mandibular teeth between the normal occlusion group and crossbite group was 0.22 and 0.69 years, respectively, with a higher difference in crossbite group(p<0.05). 3. Compared to the normal occlusion group, the crossbite group showed a higher difference in the eruption rate between maxillary and mandibular first molar(p<0.05).