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신덕섭,성병년,김동원 영남대학교 기초/임상의학연구소 2001 Yeungnam University Journal of Medicine Vol.18 No.2
The purpose of this study was to evaluate the relationship between variable factors and clinical results following the operative treatment of the tibial plateau fractures. Materials and Methods: The clinical and radiological analysis was performed on 29 cases of the tibial plateau fractures who had been treated with operative treatment and followed up for more than 1 year from January 1991 to December 1997. The analysis of clinical results was performed dividing into age, cause of injury, fracture type of Schatzker classification, associated soft tissue injury and method of operative treatment. Results: According to Schatzker classification, 2 cases(6.9%) were type I, 11 cases (37.9%) were type II, 1 case(3.5%) was type III, 5 cases(17.2%) were type IV, 4 cases(13.8%) were type V, and 6 cases(20.7%) were type VI. In all cases, bony unions were obtained. According to Blokker evaluation, 23 cases(79.3%) of 29 cases were acceptable. Conclusion: We could expect good clinical results if early knee joint mobilization following minimal invasive open reduction and internal fixation could be obtained. Bad clinical results were related with young age group under 30, more than Schatzker classification typeIV of high energy trauma and associated injury of anterior cruciated ligment or meniscus.
노르딕 보행 훈련이 뇌졸중 환자의 보행 능력에 미치는 효과
신준호,오덕원,김진섭 대구대학교 특수교육재활과학연구소 2010 특수교육재활과학연구 Vol.49 No.2
The purpose of this study was to determine the effect of Nordic Walking Training on gait ability in stroke subjects. This study included 14 stroke subjects. The subjects were randomly assigned to either the experimental group or the control group, with 7 subjects in each group. Both group took general physical therapy. Experimental group took 30-minute of Nordic Walking Training additionally. Outcome measurements included gait speed, number of steps, and the test of walking for 6 minutes. The measurement were recorded before the experiment and after the experiment. The results of study were as follows: There was significant difference for experimental group in gait speed, number of steps, and 6-minute walking(p<.05). However, there was no significant difference for control group(p>.05). All the variables including gait speed, the number of steps, and 6-minute walking measured after the test significantly differed from those measured before the test(p<.05). In conclusion, Nordic Walking Training has a positive effect on patient’s gait ability. Further studies are required to generalize the results of this study. 본 연구에서는 노르딕 보행 훈련이 뇌졸중 환자의 보행 능력에 어떠한 영향을 미치는지 알아보고자 하였다. 뇌졸중 환자 14명을 대상으로 하였으며, 훈련군과 대조군 각각 7명씩 무작위로 배정하였다. 두 군 모두 30분간의 일반적인 물리치료를 실시하였고 훈련군은 노르딕 보행 훈련을 30분간 추가로 시행하였다. 보행 훈련은 주당 3회씩 2주간 시행하였고, 훈련 전과 후에 보행 속도, 걸음수, 6분걷기검사를 평가하였다. 그 결과, 훈련군에서 보행 속도, 걸음수, 6분걷기검사는 실험 전, 후 유의한 차이가 있는 것으로 나타났다(p<.05). 그러나 대조군에서는 유의한 차이가 있지 않았다(p>.05). 보행 속도, 걸음수, 6분걷기검사에 대한 실험 전, 후의 변화율은 훈련군과 대조군 사이에 유의한 차이가 있었다(p<.05). 이러한 결과는 노르딕 보행 훈련이 뇌졸중 환자의 보행 능력 회복에 긍정적인 영향을 미치는 것을 의미한다. 앞으로 본 연구의 결과를 일반화시키기 위해서는 더 많은 연구가 필요하다고 생각된다.
Korean Housewives Living through Depression: A Grounded Theory Study
( Jeong Seop Lee ),( Duck Shin Shin ),( Seon Hee Choi ),( Han Na Kim ),( Kunsook S. Bernstein ) 한국간호과학회 정신간호학회(구 대한간호학회정신간호학회) 2014 정신간호학회지 Vol.23 No.4
Purpose: This study was conducted to generate theoretical constructs on depression from the study data by examining and interpreting Korean housewives’ experience with depression to elicit its meaning, understand it better, and develop empirical knowledge on it. Methods: The data were collected in a community public mental health center between April 1, 2012 and September 30, 2012 using in-depth interviews and theoretical sampling. The participants were 12 women aged 40-64 years who scored 7 or higher in the Korean version of the 21-item Hamilton Rating Scale for Depression (Kim, 1980). Collected data were analyzed by grounded theory methodology using open, axial, selective coding process. Results: It was found that the basic socio-psychological process of Korean housewives`` living through depression could be summarized into the following four phases: (1) the vanishing of the self into thin air, (2) becoming an empty shell, and (3) searching for the meaning of life, (4) fulfilling of an empty shell. Conclusion: This study may enhance the culturally elusive understanding of Korean housewives`` experience with depression. As they are living through a hollow empty shell which looks normal on the outside, so can’t get support from their families. It``s important to educate their families about depressive phases.
27G 척추침의 사전 경막천자가 제왕절개술을 위한 경막와 마취에 미치는 영향
최덕환,신병섭,김지애 대한마취과학회 2000 Korean Journal of Anesthesiology Vol.38 No.1
Background : If started with segmental block epidural anesthesia appears to have an inadequate sacral block in the early part of cesarean deliveries. A dural puncture using the combined spinal-epidural technique making an early sacral blookade might be a solution. Methods : A propective, randomized, double-blinded study was performed on forty patients who were divided into two groups (C, DP; n = 20, each). An epidural infusion of 25 ml of 2% lidocaine with epinephrine was given to the group C. A dural puncture with a 27G Whitacre needle was done before the epidural infusion in the group DP. Two-way sensory levels were checked for 15 min, just before the operation. The side effects and recovery variables were also compared between the groups. Results: Initial wider cephalic block (P = 0.038, 0 min) followed by more caudal block (P=-0.023, 0.013; 5, 10 min after the completion of the epidural infusion respectively) occurred in the DP group. After 10 min, there were no differences in both block levels. The number of dermatomes blocked was bigger in the DP group at 10 min after. Fewer patients in the DP group had nausea and/or vomiting (P = 0.044). Conclusions : Early spread of the sensory blockade, initial cephalic and then caudal, was due to the dural punoture by a 27G needle. This fast onset could make the parturients more comfortable in the early part of cesarean sections. (Korean J Anesthesiol 2000: 38: 63∼68)
신민지 ( Min Ji Shin ),류광덕 ( Kwang Duck Ryu ),전혜경 ( Hye Kyung Jeon ),엄중섭 ( Jung Seop Eom ),이경남 ( Kyung Nam Lee ),이하린 ( Ha Rin Rhee ),송상헌 ( Sang Heon Song ),성은영 ( Eun Young Seong ),이수봉 ( Soo Bong Lee ),곽임 대한내과학회 2012 대한내과학회지 Vol.82 No.3
Background/Aims: Because preoperative diagnosis of xanthogranulomatous pyelonephritis (XGP) is difficult, due to its similarities to other renal diseases, the diagnosis is made postoperatively in most cases. The purpose of this study was to describe the clinical findings in 11 patients with histologically documented XGP. Methods: We retrospectively reviewed the characteristics, laboratory and radiological findings, preoperative diagnoses and operative methods of 11 patients with XGP, who underwent a surgical procedure or percutaneous renal biopsy. Results: Among eleven patients, nine had flank pain and six had anemia. Preoperatively, three patients were diagnosed as XGP, two with renal cell carcinoma, two with renal tuberculosis, one with renal abscess, one with perirenal abscess, one with renal staghorn calculi with non-functioning kidney, and one with pyelonephrosis. On the basis of the computed tomography (CT) features, the diffuse or global forms (70.0%) were more common than the localized or focal forms (30.0%). One patient diagnosed with renal cell carcinoma preoperatively was diagnosed as XGP through an intraoperative frozen section renal tissue biopsy and underwent partial nephrectomy. One patient diagnosed as focal XGP underwent percutaneous biopsy of the renal mass, which confirmed the diagnosis. This patient received treatment with only antibiotic therapy. Conclusions: CT can be considered the preferred diagnostic tool for the evaluation of XGP; however, percutaneous renal biopsy seems to be valuable in selected cases for differential diagnosis of renal malignancy. (Korean J Med 2012;82:313-320)
최현호(Hyun ho Choi),신정섭(Jeong seop Shin),이상덕(Sang duck Lee),박진기(Jin ki Park),천동원(Dong weon Choen) 한국농식품정책학회 2017 농업경영정책연구 Vol.44 No.2
This study researched the farming succession conditions and intentions of 607 livestock managers. As a research result, the livestock managers’ average age was 59 years and the estimated period of time for continued livestock raising beyond the present time was 10.7 years. The percentage of managers with a farming successor was 41.2%. The percentage of responses claiming that ‘Management will stop with my generation’ was 10.7% of the farms that do not have a farming successor (58.8%). The percentage of responses claiming that they will ‘Lease or transfer to others’ was 18.0% and those claiming ‘No existing plan’ was 30.1%. In regards to identifying prior measures that are necessary for achieving better succession, 25.2% of the respondents answered ‘Successor’s train or support Technical education)’. The problems (rated with a 5 point scale) identified during succession processing were ‘Livestock Regulation’ (3.89 points) and ‘Funding’ (3.59 points). The significance of this study was the gathering of basic information on establishing measures to support livestock farming succession. Human training and technical education are needed to maintain continuous succession of family farming.