코어안정화운동, 동방요법 및 병행처치가 골반변위에 따른 좌골신경통에 미치는 영향

김동호(Kim, Dong-Ho),김상현(Kim, Sang-Hyun),김성남(Kim, Sung-Nam),김재철(Kim, Jae-Cheol) 한국체육과학회 2019 한국체육과학회지 Vol.28 No.4

The purpose of this study was to confirm the effect of core stability exercise, dong-bang therapy, and combined treatment on reducing pain, pelvic correction and stress hormone concentration in patients suffering from sciatic neuralgia due to pelvic displacement. Middle aged(40~50age) suffering from sciatic neuralgia over 6 months were operated with core stability exercise, dong-bang therapy, and combined treatment 3 times a week for 12 weeks. VAS and X-ray was performed to collect pain scales and pelvic displacement data and cortisol and epinephrine concentration in blood were tested. 1. pain scale rate was reduced in all groups. especially, dong-bang therapy group and combined treatment group showed more directive pain reduce. 2. pelvic displacement improvement was not significant in core stability exercise group, and it was significant in dong-bang therapy group and combined treatment group. no significant difference was shown between dong-bang therapy group and combined treatment group. however, combined treatment group showed higher correction effect. 3. concentration of stress hormone was significantly increased in all groups after the first operation. after 12 weeks concentration level was reduced to same level before treatment. Dong-bang therapy and combined treatment improve pelvic displacement, and are effective treatments on reducing sciatic neuralgia due to pelvic displacement. combined treatment of dong-bang treatment and core stability exercise is considered an effective program of correction for pelvic displacement and maintenance.

정상면역을 가진 성인에서 발생한 식도 방선균증

김현수 ( Hyun Soo Kim ),천종운 ( Jong Woon Cheon ),김민수 ( Min Su Kim ),정창길 ( Chang Kil Jung ),김경록 ( Kyung Rok Kim ),최재원 ( Jae Won Choi ),강동우 ( Dong Woo Kang ),김선영 ( Sun Young Kim ) 대한소화기학회 2013 대한소화기학회지 Vol.61 No.2

Hyun Soo Kim, Jong Woon Cheon, Min Su Kim, Chang Kil Jung, Kyung Rok Kim, Jae Won Choi, Dong Woo Kang and Sun Young Kim1 Departments of Internal Medicine and Pathology1, DongKang Medical Center, Ulsan, Korea Actinomycosis is a chronic suppurative disease and caused by Actinomycosis species, principally Actinomyces israelii, which are part of the normal inhabitant on the mucous membrane of the oropharynx, gastrointestinal tract, and urogenital tract. It usually affects cervicofacial, thoracic and abdominal tissue. Cervicofacial type has the highest percentage of occurrence with 50%. Actinomycosis frequently occurs following dental extraction, jaw surgery, chronic infection or poor oral hygiene. It may also be considered as an opportunistic infection in immunocompromised patients such as malignancy, human immunodeficiency virus infection, diabetes mellitus, steroid usage or alcoholism. But, actinomycosis rarely occurs in adults with normal immunity and rare in the esophagus. We report an unusual case of esophageal actinomycosis which was developed in a patient with normal immunity and improved by therapy with intravenous penicillin G followed oral amoxicillin, and we also reviewed the associated literature.

김연아 선수의 ``값진 준우승``: 2011세계피겨선수권대회 관련 보도의 서사구조와 이데올로기

김동현 ( Dong Hyun Kim ) 한국스포츠정책과학원(구 한국스포츠개발원) 2012 체육과학연구 Vol.23 No.1

This study looks into the narrative structure of newspaper media on ``precious winning of the second prize`` of Yuna Kim in the World Figure Championships 2011 and analyzes the socio-cultural ideology representation in it. Also, from the way how the media describe the sports celebrity, the study attempted to read the unique cultural pattern of medias to conserve the fame and marketability of sports celebrity, For the analysis, this study selected 82 news articles from 5 different newspapers right before and after the world Figure championships 2011, and derived the conclusion by using narrative analysis method. The narrative structure is divided into four states: ``waiting for return of queen``, ``the figure queen returns``, ``precious winning of the second prize`` and ``retake of crown through figure`` In each state, medias, in accordance with the narration through a reflection of her successful discourse on national identity, through the identification with the nation, through the nationalism sentiment, through her unconditional patriotism, actively gave an effort to maintain the fame and marketability of Yuna Kim. The chief topic of this research, Korean Figure Skater Kim Yuna`s ``precious winning of the second prize``, is resulted from the integration of her unconditional patriotism grounded on nationalism having an inseparable relationship with sports. 이 연구에서는 2011세계피겨선수권대회 김연아 선수의 ``값진 준우승``을 둘러싼 신문기사의 서사구조와 그 안에서 재현되는 사회적 가치체계 분석을 통해 미디어가 스포츠 명사를 묘사하는 방식을 살펴보고, 필요에 따라 스포츠 명사들의 유명세 및 상품성을 보존하고자 하는 미디어의 전개방식과 특징적인 문화적 패턴을 읽어 내고자 하였다. 이를 위해 5개의 신문사 가운데, 2011세계피겨선수권대회 전과 후에 김연아 선수와 관련된 82개의 신문기사를 분석대상으로 사용하였으며, 서사분석법을 이용하여 결론을 도출하였다. 서사구조는 ``여왕의 귀환을 기다림``, ``돌아온 피겨여왕``, ``값진 준우승``, ``피겨를 통한 여왕으로 재등극``의 네 가지 국면으로 분석하였으며, 각 국면에서의 미디어는 서사의 흐름에 따라, 때로는 그녀의 성공적 담론에 국가정체성을 중첩시키려는 시도를 통해, 때로는 국가와의 동일시를 통해, 때로는 민족주의적 정서를 통해, 때로는 그녀의 맹목적 애국심을 통해 그녀의 유명세 및 상품성을 유지하는데 적극적으로 작용하고 있음을 보여준다. 마지막으로 이 연구의 주요논제인 김연아 선수의 ``값진 준우승``은 스포츠와 불가분의 관계를 유지하고 있는 민족주의를 기반으로 한 그녀의 맹목적 애국심이 융합되어 나타난 결과라고 할 수 있다.

[P8-108] In vitro and Cellular Antioxidant Activities of Smilax China Extracts

Dong―Su Kim,Chong-Ik Kim,Gyo-Nam Kim,Hyun-Mi Jeong,Hae-Dong Jang 한국식품영양과학회 2007 한국식품영양과학회 학술대회발표집 Vol.2007 No.10

장내세균에 의한 천연약물성분의 대사와 생리활성변화

Kim, Dong-Hyun 경희대학교 동서의학연구소 1999 INTERNATIONAL SYMPOSIUM ON EAST-WEST MEDICINE Vol.1999 No.1

Dong-Hyun KIM. Department of Microbiology, College of Pharmacy, Kyung Hee University, Seoul, Korea. Metabolism of herbal medicines by human intestinal bacteria and their relation to biological activities. Proceedings of International Symposium on East-West Medicine, Seoul. 76-81, 1999.-Food and oriental drugs orally administered come inevitabley in contact with intestinal bacterial microflora in gut. The components in food and drug are digested in the gut and absorbed from the alimentary tract via portal vein and then delivered to target sites or detoxificated in the liver. Therefore, intestinal microflora play significant roles in pharmacological activity of herbal medicines. However, such metabolic studies are very seldom compared with the studies with liver, kidney, lung and other organs, because numbers and species of anaerobic bacteria are huge and biochmcial studies on aerobes were difficult. We have osbserved that biologically active components of several herbal mrfivinrd, medicines, glycyrrhizin, poncirin, puerarin and quercitrin, are metabolized to some compounds by intestinal microflora and biological activities(cytotoxicity against tumor cell lines, anti-platelet aggregation activity, anti-Helicobacter pylori) of their metabolites had the potent activity than those of the original components from herbal medicines. Futhermore, the metabolism of these component was regulated by the herbal medicines composing polyprescription of Oriental medicines should be composed to express the pharmacological effect of the active component.

각종 난치성 혈액 질환에서의 비혈연간 골수이식

김동욱,한훈,김정아,김희제,민창기,엄현석,최정현,이종욱,한치화,홍영선,최일봉,신완식,민우성,김학기,김춘추,김원일,김동집 대한조혈모세포이식학회 1997 대한조혈모세포이식학회지 Vol.2 No.1

목적: 비혈연간 골수이식은 혈연내에 적절한 골수공여자가 없는 만성골수성백혈병, 고위험군의 급성별혁병, 면역억제치료에 실패한 재생불량성빈혈 및 각종 난치성 조혈모세포질환의 완치를 위한 표준적인 치료방법으로 정착되고 있다. 혈연간 표준적인 동종 이식에 비하여 비혈연간 이식시에는 생착부전, 이식편대숙주반응과 감염이 더 빈번하게 발생하며, 국내에서는 아직까지 체계적인 임상연구결과가 보고된 바 없었다. 이에 본 센터에서는 1995년 10월 이후로 약 20개월간 26예의 비혈연간 골수이식을 시행하였으며 3개월 이상의 추적관찰이 가능하여 이식초기 합병증의 관찰 및 분석이 가능하였던 20예의 환자를 대상으로 이식성적 및 문제점을 보고함으로써 새롭게 확대되고 있는 이 분야의 임상연구 및 진료의 활성화를 꾀하고자 한다. 방법: 각종 혈액 종양질환으로 비혈연간 이식을 시행한 총 26예의 환자중 3개월이상의 추적관찰이 가능하였던 20예를 대상으로 후향적으로 임상경과를 분석한 후 생존 분석을 시행하였고, 환자의 연령, 성별, 질병의 상태, 조식 적합 항원의 일치정도, 이식편대 숙주 반응의 유무와 생존기간과의 상관관계를 살펴보았다. 또한 표준위험군과 고위험군으로 나누어 생존율을 비교하였고 이식과 관계된 생착 부전, 이식편대숙주반응, 감염의 발생과 양상 그리고 그 합병증을 관찰하였다. 결과: 1. 환자와 공여자간에 HLA 불일치가 20예 중 4예에서 있었으며, 생착여부의 확인이 가능했던 17예 중 16예에서 생착이 확인되어 94.1%의 생착율을 보였다. 2. 급성이식편대숙주반응은 62.5%(10/16예)에서 발생하였으며 111도 이상의 급성의 이식편대숙주 반응은 25%(4/16예)에서 발생하였다. 만성이식편대숙주반응은 40%(2/5예)의 환자에서 발생하였으며 이들 모두 국소형으로 중증의 진행형 만성이식편대숙주반응이 관찰된 환자는 없었다. 3. 호흡기 합병증은 10예(50%)에서 발생하였으며 감염성 폐렴을 포함한 호흡기 합병증이 가장 흔한 일차적인 사망 원인이었다. 호흡기 합병증이 발생했던 10예중 6예가 감염에 의한 폐렴이 의심되었고 나머지 4예는 특발성 간질성 폐렴이었다. 4. 8.5개월의 중앙추적기간 중 35%의 생존율을 관찰할 수 있었고, 생존기간은0.5개월에서 15개월 (중앙치:4개월)이었다. 한편 고위험군은 25%(3/12예), 표준위험군은 50%(4/8)의 생존율을 관찰할 수 있었다. 5. 가장 흔한 사망 원인은 감염성 폐렴을 포함한 호흡기 합병증(6예)이었고, 이외의 사망 원인으로는 급성 이식편대숙주반응과 다장기부전이 각각 2예, 생착 부전, 간정맥 폐쇄, 그리고 재발이 각각 1예였다. Unrelated bone marrow transplantation(UBMT) has been increasingly recognized as the standard treatment for cure of chronic myelogenous leukemia, high risk acute leukemia, aplastic failed on immunotherapy, and the variety of refractory hematologic diseases in patients lacking a related donor. However, as compared to HLA identical sibing transplantation, UBMT carries higher incidence of graft failure, graft versus host disease(GVHD), and infection. In our center, 26 patients underwent UMBT between October 1995 and June 1997. The minimum follow-up of 3 months was possible in 20 patients, for whom early complications and clinical outcomes were assessed. The median age of the 20 patients was 24 years. 8 patients had standard risk disease and 12 patients had high risk disease. All patients received various preparative regimens including total body irradiation according to disease and disease status. 19 patients received CsA + short course MTX for GVHD prophylaxis. One patient received marrow that was depleted of T cells ex vivo using avidinbiotin column. The class I loci were typed by serological methods and HLA-A, HLA-B and HLA-DRB1. 3 additional pairs were one minor mismatched at the HLA-B locus. Another one patients was one major mismatched at the DRBI alleles. 17 patients were evaluable for engraftment. Successful enfraftment was confirmed in 16 patients(94.1%). Only one patient who was performed one major DRBI mismatched transplants experienced graft rejection. 16 patients were evaluable for acute GVHD. The overall incidence of acute GVHD developed in 4 patients(25%). Five patients were evaluable for the development of Ⅳ acute GVHD developed in 4 patients (25%). Five patients were evaluanle for the development of chronic GVHD. 2 patients(40%) developed limited chronic GVHD. Respiratory complications including pulmonary infection developed in 10 patients(50%) and these complications were the most common primary cause of death. Of these 10patients, 6 had pneumonia due to fungus(4 patients), pacterial (1 patient), and CMV infection (1 patient) and 4(20%) had idiopathic interstitial pneumonitis and/or adult respiratory distress syndrome. The duration of median follow- up was 8.5 months and 7 of 20 patients(35%) are alive at the time of this analysis with survival duration of 0.5 to 15 months(median survival duration: 4 months). The overall survival was 25% (3/12 patients) in high risk group and 50%(4/8 patients) in standard group. From these results, we can predict that the incidence and severity of GVHD in Korea are lesser than multiracial countries and the long-term survival of patients with standard risk disease can approach that of HLA matched sibling transplants. For the past two years, the performance of UBMT has been rapidly increasing and it will be possible to analyze much larger number of patients soon in Korea. In the future the problems of graft failure, GVHD, and infection due to long lasting immunocompromised status will need to be overcome by continued medical research. In addition, the volunteer donor pool will have to be expanded by the promotion of the national awareness of its need.

일반논문 : 공간 인식의 로컬리티와 서사적 재현양상 -『화산도』와 『지상에 숟가락 하나』를 중심으로-

김동현 ( Dong Hyun Kim ) 한민족문화학회 2016 한민족문화연구 Vol.53 No.-

이 글의 목적은 김석범의 『화산도』와 현기영의 『지상에 숟가락 하나』를 중심으로 지역에서의 공간 인식의 양상과 서사적 재현 방식을 살펴보는 것이다. 『화산도』는 이방근과 남승지라는 두 인물을 중심으로 제주 4·3의 전사(前史)와 그 이후의 이야기를 폭넓은 시각으로 다루고 있다. 이 소설의 또 다른 주인공은 바로 거리들이다. 소설은 칠성로와 관덕정을 중심으로 한 성내의 거리를 배경으로 진행된다. 남문로를 거슬러 올라가 자리잡은 유달현의 집이나, 서문교 건너 박산봉의 집, 북국민학교 뒤편의 이방근의 집, 동문다리를 건너 측후소를 조금 지나 자리 잡은 양준오의 집 등 소설 속 인물들 공간은 모두 성내를 중심으로 포진하고 있으며 인물들은 이 거리를 오고 간다. 그리고 이 거리의 풍경들은 매우 구체적으로 그려지고 있다. 『화산도』는 지역의 장소성을 전면에 부각시킴으로써 서사적 구성을 완성시키고 있다. 제주 4·3을 소설로 형상화하면서 김석범이 선택한 전략은 공간의 구체성을 극대화하는 전략이었다. 『화산도』는 해방기 제주를 상상함에 있어 지역의 구체적 장소성으로 지역을 소환하고, 지역을 상상적으로 재구성하고 있다. 현기영에게 있어 관덕정 광장은 섬 공동체가 지니고 있었던 저항 정신의 생산지이다. 장두 이재수에서부터 시작하여 산군 대장 이덕구에 이르기까지 제주의 장두정신은 관덕정 광장이라는 구체적 공간을 무대로 하여 현재와 마주하고 있다. 현기영은 『지상에 숟가락 하나』에서 한걸음 더 나아가 관덕정 광장을 제주 섬 공동체의 신화의 몰락과 반공국가로의 폭력적 편입 과정의 구체적 장소로 지목하고 있다. 관덕정 광장에 전시된 이덕구의 시신이라는 역사적 사실을 현기영은 ‘관권의 불의에 저항한 섬 공동체의 신화의 몰락’으로 인식한다. The purpose of this article is intended to examine the appearance and narrative reproduction method of spatial awareness in the region around 『The Spoon One on the Ground』 and 『Volcano Island』 Kim-suk bum``s 『Volcano Island』 describes the wide-ranging, history of Jeju 4.3 incident through two figures, Lee-Bang-guen and Nam-seung-gee. Another hero of this novel is just street. Novel is proceeding against the background of the distance of the castle with a focus on Chilsung-Ro and Gwandeokjeong. People our space in the novel has been lineup all around the Jeju castle, person, back and forth this distance. And scenery of this city is very specifically drawn. 『Volcano Island』 is to complete the epic structure by levitate the location of the area in front. Gwandeokjeong Square is the spirit of the production area of resistance that community of the island had to Hyun Gi-young. Until To Lee duck-goo starting from Lee Jae-su, spirit of Jeju have to stage a concrete space that Gwandeokjeong Square. Hyun Gi-young is further singled out the Gwandeokjeong Square and downfall and the specific location of violent incorporation process as anti-state of Jeju Island mythology.

서초동(서울시 서초구)의 거미상

김주필(Joo Pil Kim),정혜리(Hye ri Jeong),김대희(Dae Hee Kim),박동우(Dong Woo Park),서재웅(Jae Woong Seo),이현우(Hyun woo Lee) 한국거미연구소 2017 한국거미 Vol.33 No.1

2016년 3월 31일부터 7월 31일까지 서울특별시 서초구 서초동에 위치한 서울고등학교 교정 일대를 서울고등학교 환경생물부 부원들이 채집 조사한 결과 20과 43속 53종의 거미가 조사 연구되어 이에 보고하는 바이다. From March 31st to July 31st in 2016, members of an environmental biology club at Seoul High School located in Seocho-gu, Seoul, Dae-Hee Kim, Dong-Woo Park, Jae-Woong Seo and Hyun-woo Lee, collected 20 families 43 genera 53 species of spiders and report the result of the study here.

조혈모세포이식 환자에서 발생한 Cytomegalovirus 질환의 특징 : 일개 대학변원에서 최근 10년간의 경험

최수미,이동건,박선희,김시현,김유진,민창기,김희제,이석,최정현,유진홍,김동욱,이종욱,민우성,신완식,김춘추 대한감염학회 2009 감염과 화학요법 Vol.41 No.1

Background : Studies on cytomegalovirus (CMV) diseases in Korean hematopoietic stem cell transplant (HSCT) recipients are lacking and do not reflect the recent trends of advances and changes. Therefore, we tried to analyze the clinical features of CMV diseases in HSCT recipients over the past 10 years at a tertiary university hospital in Korea. Methods : Retrospective review of medical records was done for all adult HSCT patients who received transplant at the Catholic HSCT Center from January 1998 to January 2008. Results : Forty-four cases (2.2%) of CMV diseases were identified. CMV pneumonia was diagnosed in 17 patients, retinitis in 16 patients, enterocolitis in 7 patients, esophagitis 1 patient, gastritis in 1 patient, duodenitis in 1 patient, and hepatitis in 1 patient. The median onset of symptom was 90 days after transplantation. Late CMV diseases accounted for 47.7%. CMV related death varied from 0 to 58.8% according to the involved organ. CMV retinitis was diagnosed relatively later in the course of transplantation mostly in patients who had chronic graft versus host disease (GVHD). On the contrary, CMV enterocolitis mainly occurred in patients who suffered from acute GVHD. The overall concurrent CMV reactivation was documented to be 63.6%: the concurrent CMV reactivation was observed only in 37.5% of patients with retinitis. Conclusions : We observed some differences in the pattern of CMV disease manifestation according to the involved organ and reconfirmed the fact that CMV pneumonia is the most common and fatal disease in HSCT recipients. Additionally, CMV retinitis was not uncommon in HSCT recipients. Since specific marker does not exist in predicting retinitis, regular ocular examination should be done thoroughly, especially in patients with chronic GVHD.

무세포혈관과 자가 골수줄기세포를 이용한 조직공학적 인공혈관 제조

김동익,김병수,조승우,임정은,어현선,이민재,김종성,장인성 대한혈관외과학회 2004 Vascular Specialist International Vol.20 No.1