Cauda Equina Syndrome Caused by Spinal Dural Arteriovenous Fistula

신명준,Wan Kim,백승국,Soo Yeon Kim,Sung Nyun Kim 대한재활의학회 2011 Annals of Rehabilitation Medicine Vol.35 No.6

Spinal dural arteriovenous fistula (SDAVF) is rare but still the most commonly encountered vascular malformation of the spinal cord. A 31-year-old male developed gait disturbance due to weakness of his lower extremities,voiding diffi culty and sexual dysfunction with a progressive course since 3 months. He showed arefl exia in both knees and ankles. Electromyographic fi ndings were suggestive of multiple root lesions involving bilateral L2 to S4roots of moderate degree. Magnetic resonance images showed high signal intensity with an ill-defined margin in T2-weighted images and intensely enhanced by a contrast agent through the lumbosacral spinal cord. Selective spinal angiography confirmed a dural arteriovenous fistula with a nidus at the L2 vertebral level. After selective endovascular embolization, his symptoms drastically improved except sexual dysfunction. We report a rare case of cauda equina syndrome due to spinal arteriovenous fistula with drastic improvement after endovascular embolization.

뇌졸중 후 상지 기능 개선을 위한 재활치료의 전략

신명준,김상훈,이창형,신용일 대한뇌신경재활학회 2014 뇌신경재활 Vol.7 No.1

The purpose of this review is to provide a comprehensive approach for optimal strategies of upperlimb motor rehabilitation after stroke. Stroke is a common, serious, and disabling global health-careproblem. Optimal organization of rehabilitation for stroke patients has been extensively documented. However, between 30% and 66% of individuals with stroke do not obtain satisfactory motor recoveryof the affected upper limb with rehabilitative interventions. The recovery of the affected upper extremitydepends on intensity, task progression, and repetition to neural plasticity, namely, the ability of centralnervous system cells to modify their structure and function in response to external stimuli. Recently,constraint-induced movement therapy, motor imagery, action observation, or mirror therapy has emergedas interesting options as add-on interventions to standard physical therapies. In this review, we willdiscuss to establish a framework by which several promising interventions for neural plasticity.

Effect on the Bone Mineral Density According to Weight-bearing Exercise in Children with Spastic Quadriplegic Cerebral Palsy: A Preliminary Study

신명준,고현윤,손현주,장재혁,김수연,김성년,김완,김인주,신용범 대한재활의학회 2010 Annals of Rehabilitation Medicine Vol.34 No.6

Objective To evaluate the effect of weight-bearing exercise on the bone mineral density (BMD) in children with spastic quadriplegic cerebral palsy (CP). Method A heterogeneous group of 18 prepubertal children with CP (age, 8.9±2.9 years; GMFCS level, IV and V) participated. Patients underwent a dual-energy X-ray absorptiometry scan of the lumbar spine (L1-L4) and proximal femur, and the Z scores were calculated by using data obtained from the control group who were normal children (age, 8.8±2.9 years). We divided the patients into 2 groups: group A standing for 2 hours a day, 5 days a week; group B standing for 30 minutes a day, 1 or 2 days a week. We measured BMD after 1 year and compared it to baseline measurements. Results BMD was significantly higher on L2-L4 vertebrae, femoral neck and trochanter area after exercise in group A(p 0.05). There was no significant difference in BMI after exercise in the group B (p 0.05). < > BMD according to static weight-bearing exercise for 1 year were significantly different between groups A and B on the L1, L4 vertebrae, femoral neck and trochanter area (p<0.05). Conclusion This study suggests that weight-bearing exercise may be an important part of a rehabilitation protocol to maintain and improve BMD in children with spastic quadriplegic CP.

Efficacy of Pulmonary Rehabilitation after Lung Resection Surgery

신명준,차영선,장재혁,신용범,조정수,박혜경,이민기 대한결핵 및 호흡기학회 2012 대한결핵 및 호흡기학회 추계학술대회 초록집 Vol.114 No.-

Background: Prospectively to investigate the efficacy of Pulmonary Rehabilitation (PR) after lung resection in lung cancer patients. Methods: We performed postoperative pulmonary rehabilitation in patients who had lung resection from October 2010 to April 2012. Twenty seven patients accepted the pulmonary rehabilitation and the remaining 7 were taken as controls. We con-ducted pulmonary function test before and 2weeks, 1, 3, 6months after surgery measuring forced expiratory volume in 1 second (FEV1), functional vital capacity (FVC), maximal inspiratory pressure (MIP), maximal expiratory pressure (MEP), peak cough flow (PCF) with checking Visual Analog Scale (VAS) for perceived intensity of dyspnea, and Rating of Perceived Dyspnea (RPD) Scale at activities of daily livings (ADLs). Results: All parameters were significantly decreased at 2 weeks after surgery (p<0.05). From preoperative to 6 months after lung resection, improvement of pulmonary function parameters, and subjective discomfort score were better in pulmonary re-habilitation group, but there was no statistical difference of change of MEP between 2 groups. In patients who received pulmo-nary rehabilitation, FVC was improved between all their measurement interval, but other parameters including FEV1, MIP, MEP, and PCF did not show relative efficacy in the late postoperative phase. Conclusion: PR is not only prevent decline of pulmonary function, but also more helpful to improve the reduced pulmonary function and minimize discomforts of patients undergoing lung resection in postoperative periods.

『통합사회』교과에서 행복 교육을 위한 사회학적 접근 전략 탐색: 2015 개정 교육과정 『통합사회』교과서를 중심으로

신명준,최석현 학습자중심교과교육학회 2024 학습자중심교과교육연구 Vol.24 No.4

Objectives The purpose of this study is to analyze the conceptualization of “happiness,” a prominent theme in the “Integrated Society” curriculum revised in 2015, from a sociological perspective within textbooks. The primary objective is to identify how happiness is portrayed and structured in these educational materials and to propose potential enhancements. Methods Consequently, the study investigates the manner in which discussions on happiness have been executed and how sociological perspectives have been integrated into these discussions. Adopting a sociological standpoint, happiness is viewed as a multifaceted concept embedded in social context. This research explores how social factors, such as the social structure, value system, economic conditions, and political influences, impact individual happiness. The examination of happiness content involves a segmentation into the meaning and standard of happiness, along with the conditions for a happy life, employing the quality of life model found in the five textbooks associated with the “Integrated Society” curriculum. Results The analysis outcomes reveal several key findings. Firstly, within the textbooks, the meaning of happiness is predominantly described in the subjective perspective, while the objective perspective is limited to listing and presenting various indices, failing to provide a balanced presentation of the two perspectives of happiness. Secondly, a distinction is made between textbooks that emphasize the social conditions of happiness and those that do not. Textbooks emphasizing social conditions predominantly focus on the objective aspects of societal conditions. In conclusion, both the meaning of happiness and the conditions for a happy life are predominantly framed in terms of pleasure and life satisfaction. However, the study highlights a deficiency in addressing the social systems that support these aspects. Conclusions In light of these findings, the study recommends that textbooks incorporate content that comprehensively explores the intricate relationship between society and individual happiness. 목적 본 연구는 2015 개정 교육과정『통합사회』의 대주제 중 하나인 ‘행복’이 교과서에서 어떻게 구성되었는지 사회학적인 시각에서 분석하고 개선 방안을 제시하는 목적을 가지고 있다. 방법 이를 위하여 본 연구에서는 그동안 행복에 관한 논의가 어떻게 진행되어 왔고, 그 논의 속에서 사회학적 시각들이 어떻게 접목되었는지를 고찰하였다. 사회학적 시각에서는 행복을 사회적 맥락과 관계 깊은 개념으로 이해하며, 사회구조와 가치 체계, 경제적여건, 정치적 환경 등의 사회적 요인이 어떻게 개인의 행복에 영향을 미치는지에 관심을 기울여왔다. 본 연구는 이러한 관점 중 삶의질 모델에 기반하여 5종의 『통합사회』교과서의 행복 관련 단원의 내용을 행복의 의미와 기준, 행복한 삶을 위한 조건으로 구분하여분석하였다. 결과 분석 결과는 다음과 같다. 첫째, 교과서 내에서 행복의 의미는 주로 주관적 차원에서 서술되었으며, 객관적 차원에 대해서는다양한 지수들을 나열, 제시하는 데 그치는 등 행복의 두 차원을 균형 있게 제시하지 못했다. 둘째, 교과서 내에서 행복한 삶의 조건에관한 내용에서는 행복의 사회적 조건을 강조하는 교과서와 그렇지 않은 교과서로 나뉘고 있으며, 사회적 조건을 기술한 교과서에서는 대체로 사회의 객관적 조건에 초점을 맞춰 내용을 구성한 것으로 나타났다. 마지막으로, 행복의 의미와 행복한 삶의 조건 모두즐거움과 삶의 만족감 차원에서 내용을 구성했지만, 행복이 자아실현 활동이며 이를 뒷받침하는 사회체계에 관한 내용은 부족한것으로 나타났다. 결론 분석 결과에 기반하여 사회와 개인의 행복 간의 관계에 관하여 보다 통합적으로 고찰할 수 있는 내용이 교과서에 포함될 필요가있다는 점을 제안했다.

Matlab CCSLINK 기능을 이용한 제어기 설계 실험

신명준,김성종,손영익,김갑일,임승철,강환일 제어로봇시스템학회 2006 제어로봇시스템학회 국내학술대회 논문집 Vol.2006 No.6

분산전원 전력품질 모니터링 시스템을 위한 임베디드 하드웨어 테스트

辛明俊,金晟鍾,孫瑛翼 明知大學校 産業技術硏究所 2007 産業技術硏究所論文集 Vol.26 No.-

When distributed powers are interconnected to the grid, lack of source stability may cause some events that should be measured and stored as soon as they occur. This paper presents a real-time hardware system that has been developed for quick and reliable monitoring of the distributed powers quality. The system is composed of a digital signal processor (MPC741O, Motorola) and a 16 bits A/D board (VMIVME3I22, GE). To guarantee the real time operation, it is based on a real time OS (VxWorks). Hardware tests of the embedded system have been made to check the performances of the proposed system. Test signals of several events are generated by using a LabView (hardware) system. The tests show that the system complies with the desired IEEE standard for power quality monitoring.

림프부종(lymphedema)의 측정을 위한 다주파수 생체교류저항분석의 임상적유용성 및 활용성에 대한 고찰 : Clinical applicaion and availability review of Multiple frequency Bio-impedence analysis for monitoring lymphedema

신명준 부산대학교 병원 암연구소 2014 부산대병원학술지 Vol.- No.36

40. 비기능적 비크롬친화성의 후복막강의 부신경절종 1례

신명준,이상춘,이수정,권굉보 대한외과학회 1989 대한외과학회 학술대회 초록집 Vol.1989 No.11

The Assessment of Maximal Respiratory Mouth Pressure In Korean Healthy People

신명준,차영선,장재혁,탁영진,이정규,박혜경,이민기 대한결핵 및 호흡기학회 2012 대한결핵 및 호흡기학회 추계학술대회 초록집 Vol.114 No.0

Background: Maximal inspiratory pressure (MIP) and maximal expiratory pressure (MEP) are simple, convenient, and non-in-vasive method to measure respiratory muscle strength at the mouth, but standards are not clearly established. This study was performed to obtain the normal predictive values of the MIP and MEP of Korean adult. Methods: Among 561 patients who visited clinic of family medicine in Pusan National University Hospital for health check, 107 people (62 men, 45 women) were recruited after excluding past history or underlying disease from December, 2010 to April, 2012. We measured MIP and MEP in sitting position using handheld respiratory pressure meter (MicroRPM, Micro Medical Ltd). Results: Mean values of MIP and MEP were 61.40±21.66 kPA and 71.73±17.91 kPA. Mean values of MIP and MEP of men according to age are as follows: 22men (30-39 years old), MIP=71.68±14.55 kPA and MEP=92.41±15.96 kPA; 19 men (40-49 years old), MIP=75.74±15.29 kPA and MEP=89.89±15.41 kPA; 21 men (50-59 years old), MIP=68.14±22.74 kPA and MEP=81.14±20.52 kPA. Mean values of MIP and MEP of women according to age are as follows: 19women (30-39 years old), MIP=52.37±21.20 kPA and MEP=57.89±15.91 kPA; 11women (40-49 years old), MIP=45.09±15.44 kPA and MEP=59.64±8.65 kPA; 15 women (50-59 years old), MIP=42.13±18.11 kPA and MEP=58.38±14.12 kPA. Conclusion: We report normal values of respiratory muscle strengths according to sex and age after measuring the MIP and MEP in healthy Korean adults.