뇌졸중 후 중추성 통증 환자에 대한 동서협진이 진통과 재활에 미치는 영향

이현종,김수영,이상훈,서동민,이두익,김건식,이재동,이윤호,양형인,박재경,최도영 WHO COLLABORATING CENTRE FOR TRADITIONAL MEDICINE 2003 東西醫學硏究所 論文集 Vol.2003 No.-

Purpose : In order to study the effectiveness of East-West pain treatment on central poststroke pain(CPSP), we evaluated its effect on alleviation of pain and rehabilitation of CPSP Patients who were treated with electroacupuncture and west pain treatment for four weeks. Methods : Twenty four patients diagnosed by their pain characteristics of central pain from stroke were treated with sympathetic nerve block, gabapentin, amitriptyline, and electroacupuncture for four weeks. Pain intensity through the visual analogue scale(VAS), and improvements of mobility and rehabilitation through the modified Barthel index(MBI) and Rankin scale(RS), respectively, before and after pain treatment were also assessed. Results : VAS pain scores were significantly improved from 7.7±1.7 to 4.4±2.0 with pain treatment(p<0.05). In accordance with improvement of pain scores, RS and MBI scores were also improved from 2.88±0.95 to 2.13± 1.01 and from 83.0± 16.9 to 94.7±9.5(p<0.05), respectively, with pain treatment(p<0.05). Conclusions : It was suggested that the active pain treatment was contributed to the rehabilitation of CPSP patients, resulting in improvement of quality of life of CPSP patients. Futhermore, East pain treatment in combination with West pain treatment may be useful modality to alleviate CPSP.

지난 2년간의 학회지 "신경정신의학" 심사 평가보고

김찬형,김세주,김도관,김성곤,박원명,송동호,박용천,이영문,오강섭,정영철,이상열,김주한,이동영,이헌정,함병주,김율리,김문두,김정진,이강욱,천근아,김재진,홍진표,홍승철 大韓神經精神醫學會 2007 신경정신의학 Vol.46 No.6

COX 모델을 이용한 생존자료분석에서 Proportionality 가정 검정의 의의

이무송,유근영,노동영,최국진 대한암학회 1991 Cancer Research and Treatment Vol.23 No.4

악관절 급성 손상시 관절강 세척술의 효과에 관한 연구

이동근,문철,김장현 원광대학교 생체재료·매식연구소 1996 원광생체재료·매식 Vol.4 No.3

This study has demonstrated the efficacy of arthrocentesis of upper temporomadibular joint (TMJ) compartment in cases of severe pain and limited maximum mouth opening (MMO) in traumatic hemarthrosis of TMJ. Thirteen patients complaining of severe pain and limited MMO were treated by irrigation of the upper compartment of the affected TMJ with lactated Ringers solution. This treatment was found to be effective in reestablishing normal mouth opening and relieving pain within I week in postoperative. It is suggested that arthrocentesis simple, less invasive, inexpensive, and highly efficient procedure, which can be performed under local anesthesia, is used in traumatic hemarthrosis cases with severe pain and limited MMO.

農村人口移動과 農業構造變化에 관한 硏究 : A Case of Chon Buk Province 전북지역 6개군의 사례

李東鎬,윤근섭,張在右 韓國農業政策學會 1990 농업경영정책연구 Vol.17 No.1

만정 뇌경막하혈종에서 술전 CT음영 및 천두폐쇄배액술후 배액량과 재발과의 상관관계에 대한 연구

임동준,박윤관,정용구,김봉룡,정흥섭,이기찬,이훈갑,서중근 대한신경외과학회 1998 Journal of Korean neurosurgical society Vol.27 No.10

鹽水中에서의 疲勞强度에 關한 硏究

李榮培,表東根,吳在一 弘益大學校 1985 弘大論叢 Vol.17 No.2

Since the fatigue strength of steel under the corrosive environment, corrode and fatigue at the same time, thus fatigue strength is lowered eminently by these effects. Also, the fatigue limit does not appear in artificial sea water, but appear in air. As the N? increases, the fatigue strength decreases accordingly. Therefore the fatigue designs of machinery or steel structures, which are used under the corrosive environment, must be limited life-design. The estimation of life is a very important factor. The purpose of this investigation is to obtain the saturated values of fatigue strength. We investigated the rotary bending test (cyclic rate: 0.5cpm) with smooth bar specimen of SM50B steel (JIS) in two different environments which are air and artificial sea water and compared with results concerning of the 7.5cpm under the same condition. The following results are obtained. 1) The fatigue life decreases by about 46% in artificial sea water in comparison with that in air. 2) S-N curves of 7.5cpm and 0.5cpm are same, so that we conclude, at the 0.5cpm is the saturated value of fatigue strength. 3) The ratio of fatigue strength decreases minutely by the number of cycle to failure increases. 4) In artificial sea water, the corroded oxidation occured in the location where the stress was concentrated.

[Cp₂Ti(Ⅲ)(1-benzoylacetonato)화합물과 알킬알루미늄화합물의 촉매계에 의한 스티렌 중합반응

이삼근,이동구 대전대학교 기초과학연구소 2002 自然科學 Vol.13 No.1

[Cp₂Ti(Ⅲ)(1-benzoylacetonato)과 조촉매인 알킬알루미늄화합물로 구성된 촉매계를 이용하여 스티렌을 중합하였으며, 생성된 고분자는 ^(13)C NMR 스펙트럼 연구결과 atatic-폴리스티렌이었다. 고분자 반응에 영향을 주는 조건인 주촉매의 농도, 조촉매인 DEAC의 농도와 주촉매의 농도 비율, 반응시간 및 반응온도에 따른 연구를 수행하였다. 고분자 반응은 반응온도에 영향을 받지 않으며 폴리스티렌으로의 전환 비율이 가장 큰 경우는 DEAC의 농도와 주촉매의 농도 비율이 30인 경우이며 고분자 반응은 6시간만에 완료된다. 연구한 조건에서 생성된 폴리스티렌의 분자량은 2,200 - 3,200이었으며, 중합온도가 증가하면 분자량은 감소하고 분산도는 증가하며, 티타늄 촉매에 대한 조촉매의 몰 비율을 증가시키면 분자량과 분산도가 증가하는 경향을 보였다. Polystyrene was prepared in the presence of a catalyst composed of [Cp₂Ti(Ⅲ)( 1-benzoylacetonato)] and alkylaluminum as cocatalyst. The resultant polymer is atatic-polystyrene judging by ^(13)C NMR spectra. Influences of various polpmerizations, e.g., [Ti], [DEACI/"Til, time and temperature were studied. It was found that polymerization reaction is not dependent on the reaction temperature, and the highest conversion of styrene to polystyrene can be obtained when the molar ratio of [DEAC] to [Ti] is 30. The polymerization reaction is almost finished in 6 hours. The molecular weight of the polystyrene ranged from 2,200 to 3,200 and was decreased and the molecular weight distribution was increased with increasing the reaction temperature. The higher the molar ratio of DEAC to titanium catalyst was used, the higher was the molecular weight and the molecular weight distribution.

악교정 수술 후 발생하는 신경회복에 대한 연구Ⅰ

이동근,조이수,민승기,오승환,정창주,이은택 대한악안면성형재건외과학회 2001 Maxillofacial Plastic Reconstructive Surgery Vol.23 No.2

Dysfunction of the inferior alveolar nerve indicated by various degree of numbness of the lower lip and chin is one of the few drawbacks of mandibular osteotomy, especially Bilateral Sagittal Split Ramus Osteotomy(BSSRO) and genioplasty. Although it has been recorded throughout the history of this techniques, it is true etiology poorly understood. In this study, 22 consecutive patients under class III malocclusiion impression and undergoing orthognathic surgery(BSSRO only 11 case, BSSRO with genioplasty 11 case) were studied using 4 neurosensory test(static light touch, directional discrimination, two-point discrimination, pin pressure nociception) with post OP 1 week, 2 weeks,4 weeks, 8 weeks, 12 weeks, 24 weeks, On control group, 10 members without trauma and nerve damage history, nerve test was accomplished. We concluded majority of patients return of sensation during post operative 24 weeks. Althought immediate nerve deficit are 92.2%, 97.2% 88.9% these are recovered to 25%, 35.72%, 10.71% at 24 weeks. Nerve recovery rate increased prominently between post 4 weeks and 8 weeks. There is no statistically difference about neurosensory deficit among the chin area. Neurosensory deficit more severe when the BSSRO with genioplasty group than the only BSSRO group. Immediate neurosensory deficit is larger left side than right side but after 6 months, there is no significantly difference between left side and right side. Static light touch and pin pressure nociception are more sensitive method of neurosensory deficit than two point discrimination.

정신과 환자 집단간 추상화 추론(Abstract Reasoning) 능력 비교 : SPM(Standard Progressive Matrices) 중심으로

이지화,신동균,이수정,이민수 大韓神經精神醫學會 2001 신경정신의학 Vol.40 No.2

고위인지기능 중 시자극에 대한 지각적 관계를 파악하고 유추에 의해서 추론하는 능력을 측정한다고 알려진 SPM(Standard Progressive Matrics)검사를 통해, 추론 기능의 취약성이 예측되는 정신과 환자 집단(기질적 뇌손상, 우울증, 정신분열병)과 정상통제집단에, 추론 기능을 중심으로 고위 인지 기능 손상의 특징적 양상을 비교해 보고자 한다. 방법: 정신분열병 환자 29명, 우울증 환자 22명, 뇌손상 환자 32명을 대상으로 SPM을 실시하여, 집단간의 수행 양상의 차이를 비교하되, SPM 총점과 5개의 소검사 점수를, 변량분석 및 사후 검증을 통해 비교하였다. 정상 집단과 뇌손상 집단간 SPM 소검사의 판별분석을 시행하였다. 결과: 정신과 환자 집단의 SPM 수행 결과에 있어 뇌손상환자, 우울증환자, 정신분열병환자 세 집단 모두 정상집단에 비해 유의미하게 낮았으며, 특히 뇌손상환자는 우울증환자, 정신분열병환자보다도 유의미하게 낮은 수행을 나타냈다. B,E 소검사가 뇌손상 집단과 정상 집단을 가장 잘 변별해주는 소검사로 판별되었다. 정신분열병환자와 우울증환자간에 유의미한 차이는 관찰되지 않았으며, 모양의 배열과 조합을 추론해야하는 D 소검사에서는 우울증환자와 뇌손상환자간에 유의미한 차이를 나타냈으나, 정신분열병환자와 뇌손상환자간에 유의미한 차이를 보이지 않았다. 결론: 추상화 추론 기능을 중심으로한 고위인지기능 저하가 예상되는 우울증, 정신분열병, 및 뇌손상환자간에 인지적 손상의 특징적 양상을 SPM 검사가 잘 변별해 줌을 보여주었다. 뇌손상 환자의 인지적 손상은 정신분열병 및 우울증 환자의 인지적 손상과는 질적으로 차이가 있음을 시사하는 것이며, SPM이 지능 검사의 대체 검사뿐만 아니라 신경 심리 검사로서 활용될 수 있음을 확인한 것이다. Objectives: This study was aimed to compare abstract reasoning in patients with mental disorders ; Depression, Schizophrenia, Organic Brain Syndrome(OBS), and normal control group using Standard Progressive Matrices(SPM), known as a test measuring visual pattern matching ability and reasoning ability by analogy. Method: SPM test in Vienna Test System□ was administered to 82 normal adults, 29 schizophrenic patients, 22 depression patients, and 32 OBS patients. SPM total score and 5subtest scores in four groups were compared, using ANOVA and post-hoc comparison. SPM subtest scores in OBS and normal group were compared, using discriminant function analysis. Results: SPM total score and all subtest scores in mental disorders group(schizophrenia,depression, OBS) were lower than in normal control group. SPM total score and all subtest scores in OBS group were lower than in schizophrenia and depression group. No difference between SPM total score in Schizophrenia and depression group was found. Discriminant function of B, E subtest was the hightest. Conclusions: The impairment of higher cognitive function, especially abstract reasoning impairment in OBS, was qualitatively defferent from that of schiophrenia and depression. SPM can differentiate specific pattern of abstract reasoning impairment in mental disorders, so SPM can be used not only as a substitute for intelligence test but also as a neuropsychological test.