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당뇨발과 동반된 중증 허혈성 하지에서의 다각적 접근 방법의 치료
최현희,김갑래,이재희,이의수,Choi, Hyun-Hee,Kim, Gab-Lae,Lee, Jae-Hee,Lee, Eui-Soo 대한족부족관절학회 2013 대한족부족관절학회지 Vol.17 No.1
Purpose: The purpose of this study is to evaluate treatment results of multidisciplinary approach of critical ischemic limb with diabetic foot. Materials and Methods: From March 2005 to March 2012, 674 diabetic foot patients were analyzed. Among them, 85 patients were neuroarthropathic type, 383 patients were infectious type, and 206 patients were ischemic type. The subjects were 206 patients who had critical ischemic limbs and major or minor amputations were done. Various single or combined treatment method before amputation was performed. We investigated their ABI, HbA1c, main occlusion lesion, limb salvage and hospitalization period by various treatment method. Results: Major amputation was 27 cases, minor amputation was 179 cases. Mean HbA1c was 8.2%, and mean ABI was 0.66. Main occlusion lesion was 6 cases at common iliac artery, 13 cases at external iliac artery, 9 cases at internal iliac artery, 11 cases at common femoral artery, 23 cases at deep femoral artery, 52 cases at superficial femoral artery, 35 cases at popliteal artery, 40 cases at posterior tibia artery, 35 cases at anterior tibial artery, 28 cases at peroneal artery, and 13 cases at dorsalis pedis artery. Major amputations were decreased, minor amputations were increased, and hospitalization period was reduced by treatment of multidisciplinary approach. Conclusion: Treatment of multidisciplinary approach, which include preoperation percutaneus transluminal angioplasty, vascular surgery, and amputation, of critical ischemic limb with diabetic foot had advantages of limb salvage and hospitalization period reduction.
번역가 개입과 독자 위치 재설정(re-positioning) 효과: 인식양태(epistemic modality)와 증거성(evidentiality)을 중심으로
최현희 ( Choi Hyun-hee ) 대한영어영문학회 2016 영어영문학연구 Vol.42 No.1
The aim of this paper is to study a translator’s intervention through epistemic modality and evidentiality and the resulting re-positioning effect on the reader from the perspective of dynamic equivalence. A translator’s voice adjusts the degree of interaction between the author of a source text (ST) and the readers of a target text (TT) and re-positions the readers in a text. The intended reader position by an ST author can be manipulated by a translator, and doing so can cause a plethora of equivalent effects. This paper shows how a translator’s voice engages in dynamic equivalence translation, where the impact on readers of an ST is expected to be maintained in the TT, and how it re-positions the readers and influences the interaction between the ST and the TT readers. (Pusan National University)
신체질량지수에 따른 비만 중년여성의 등속성 슬관절 근력 특성
최현희(Hyun Hee Choi) 한국여성체육학회 2011 한국여성체육학회지 Vol.25 No.1
Overweight and obesity are reported as a most important risk factor that increasing the morbidity and mortality. Knee extensor muscle strength and power has been reported associate with gait speed, stair climbing ability, getting up from a seated position, postural stability, and even to the occurrence of falls in a number of investigations. To investigate the effects of obesity of middle-aged women on isokinetic knee strength, totally 62 middle-aged women`s volunteers were enrolled (Control group; n=21, Overweight group; n=23, obesity group; n=18) and isokinetic muscle strength of knee were measured. In the present study, obese middle-aged women showed significantly lower isokinetic muscle strength in all relative (normalized to body mass and to fat free mass) variables of isokinetic quadriceps femoris muscle test than those of women of control group. However, obese middle-aged women not showed significance in all absolute variables of isokinetic knee strength test than those of women of control group. Results of the present study suggest that increasing body weight dose not produce more absolute isokinetic knee strength, moreover, reduce relative isokinetic knee strength in middle-aged women. Therefore, for substantial knee strength and quality of life, middle-aged women should reduce or maintain their body mass index under 23 kg/m2.
12주간의 두 가지 유형의 유산소성 운동 트레이닝이 뇌졸중으로 인한 만성 편마비 환자의 혈중 지질성분에 미치는 영향
최현희 ( Hyun Hee Choi ),이만균 ( Man Gyoon Lee ),장명재 ( Myung Jae Chang ) 한국스포츠정책과학원(구 한국스포츠개발원) 2003 체육과학연구 Vol.14 No.3
본 연구는 뇌졸중으로 인한 만성 편마비 환자들에게 있어서 12주간의 지속적인 트레드밀 보행훈련 프로그램이 혈중 지질성분에 미치는 영향을 규명하는데 그 목적이 있다. 이를 위하여 최근 보행개선에 높은 효과가 있는 것으로 보고되고 있는 MSTT(modified speed-depended treadmill training) 방법과 BWS(body weight support treadmill training) 방법을 조합하여 28명의 편마비 환자를 MSTT군(n=15)과 MSTT+BWS군(n=13)으로 구분하여 12주동안 주 3회의 재활 트레이닝을 실시하였다. MSTT군의 경우 VO2peak(mlㆍkg-1ㆍminㆍ-1)가 19.23±8.09에서 26.19±6.33으로 MSTT+BWS근은 18.50±5.59에서 26.81±4.43으로 통계적으로 유의하게(p<0.001) 증가되어 두 가지 트레이닝 프로그램 모두 심폐지구력의 향상에 유의하게 기여한 것으로 나타났다. 12주간의 트레이닝 결과, MSTT군과 MSTT+BWS군 모두 트레이닝으로 인하여 혈중 지질성분이 개선되는 경향을 보였다. 특히, MSTT군은 총콜레스테롤(사전: 214.53±26.55mgㆍdL-1; 사후: 196.40±31.22mgㆍdL-1)과 저밀도 지단백 콜레스테롤(사전: 137.43±28.66mgㆍdL-1; 사후: 117.72±33.35mgㆍdL-1)이 감소 감소경향을 보였다. 또한 혈중 유리지방산의 농도가 두 집단 모두에서 증가 경향을 보였다(MSTT군: 410.13±196.89μEqㆍL-1→515.13±241.04μEqㆍL-1; MSTT+BWS군: 389.08±257.54μEqㆍL-1→610.46±384.08μEqㆍL-1). 이상에서 제시한 바와 같이, 두 집단 모두 운동 트레이닝에 따라 혈중 지질성분의 개선 효과가 현저하게 나타났으나 사전ㆍ사후의 변화와 MSTT군과 MSTT+BWS군간에 총콜레스테롤, 고밀도 지단백 콜레스테롤, 저밀도 지단백 콜레스테롤, 중성지방, 유리지방산, 그리고 리파아제의 차이가 통계적으로 유의하게 않았다. The present study was designed to examine the effects of 12 weeks of modified speed-dependent treadmill training plus body weight support on blood lipid profiles in ambulatory chronic hemiparetic stroke patients. Twenty-eight ambulatory hemiparetic stroke patients were volunteered to participate in the present study. They were assigned randomly to one of two groups, i.e., the modified speed-dependent treadmill training (MSTT) group, and the modified speed-dependent treadmill training plus body weight support (MSTT+BWS) group. Thirteen subjects were assigned to the MSTT group and 15 subjects to the MSTT+BWS group. All subjects went through the training program three times per week in each group for 12 weeks. VO2peak(mlㆍkg-lㆍmin-l) increased significantly(P<0.001) from 19.23±8.09 to 26.l9±6.33 in MSTT group and from 18.50±5.59 to 26.81±4.43 in MSTT+BWA group, indicating that the exercise programs were enough to enhance the cardiovascular endurance in both groups. As a result of the 12 weeks of exercise training, the blood lipid profiles were tended to improve in both groups. In particular, total cholesterol reduced from pre test(214.53±26.55mgㆍdL-l) to post test(196.40±31.22mgㆍdL-l) and LDL-C declined from pre test(l37.43±28.66mgㆍdL-l) to post test(l17.72±33.35mgㆍdL-l) in MSTT group. Additionally, FFA increased in both groups(MSTT group: 410.l3±196.89μEqㆍL-1→515.13±241.04μEqㆍL-1; MSTT+ BWS group: 389.08±257.54μEqㆍL-1→610.46±384.08μEqㆍL-1), suggesting increased fat utilization and carbohydrate sparing effect due to the exercise training. As aforementioned, the blood lipid profiles were tended to improve in both groups according to the training program; however, the changes in blood lipid-related values in each group and the difference in the values between the two groups were failed to reach statistical significance. Therefore, the study involving more subjects and longer period of training program should be warranted to detect the statistical significance in the future study.
두 가지 유형의 트레드밀 걷기운동이 만성 편마비인의 보행능력에 미치는 영향
최현희 ( Hyun Hee Choi ),이택현 ( Taeck Hyun Lee ),장명재 ( Myoung Jei Chang ) 대한스포츠의학회 2009 대한스포츠의학회지 Vol.27 No.2
In the present study, the effects of a combination of modified speed-dependent treadmill walking exercise (MSTWE) and body weight support treadmill training (BWS) on the gait of ambulatory chronic hemiparetic stroke patients were investigated. Ambulatory chronic hemiparetic stroke patients in Seoul were examined over a period of 12 weeks (n=28) in a randomized, repeated-measure pilot study. Participants were divided into two group: the MSTWE group, and the MSTWE+BWS group. 13 subjects were enrolled in the MSTWE group and 15 subjects in the MSTWE+BWS group. Treatment outcome assessments were made based on the 10 m gait test. After 12 weeks of MSTWE or MSTWE+BWS 3 times/week, most of the subjects who participated in MSTWE and MSTWE+BWS showed significant restoration in gait speed and stride. Based on the results of the present study, it can be suggested that both of MSTWE and MSTWE+BWS can be used in functional rehabilitation and MSTWE+BWS can be more effective in restoration of stride in chronic hemiparetic stroke patients.