청가시덩굴(Smilax sieboldii Miq.)의 잎 및 지하부의 성분과 항고지혈작용에 관한 연구

조경열,우미희,오인숙 대구효성가톨릭대학교 응용과학연구소 1991 응용과학연구논문집 Vol.1 No.-

Nutritional value of the leaf and antihyperlipidemic effect of the subterranean part of Smilax siebolidd Miq.(Liliaceae) were investigated in this experiment. 8 minerals, 17 amino acids and 5 fatty acids were quantitatively analyzed in the leaf. In comparison with other vegetables, the content of amino acids was about twice as much as those and a lot of essential amino acids were found. The content of fatty acids was similar with that of other vegetables. In addition, various trace elements such as Mg, Zn and Mn were contained. The chloroform extract of the subterranean part of this plant was effective to decrease total cholesterol and triglyceride level and decrease HDL-cholesterol level in plasma of mouse.

사업장근로자의 구강보건인식 및 실천에 관한 연구

조성숙,최미혜 중앙대학교 의과대학 간호학과 간호과학연구소 2001 중앙간호논문집 Vol.5 No.1

This study is to investigate the recognition of oral by workers in enterprising place and the degree of their care. The subject of investigation is 198workers at three companies in Kyunggi-Do. The duration to collect the survey takes from September 1 to September 30, 2000. The means for survey is to prove the reliability and property. For the method of analysis, it used frequency, percentage, average, standard deviation, t-test, ANOVA and Duncan's multiple comparison test. The conclusion is as followings. Firstly, regarding the general characteristics, men from all the subject, 198workers for this survey are 73.2%. Regarding ages, 20∼29years or less is 49%. 30∼39years or less is 33.8%. Regarding the school carrier, the graduate from high school is 40.9% and collage is 38.4%. Accordingly, the degree of school carrier was high. People who work for research is 34.8%. Regarding the degree of their economy, middle is 75.3%. Secondly, regarding the recognition of oral health, alveolitis prevention effect was high but decayed tooth effect was low. And the needs of dental surgery were low. Thirdly, reviewing the action of oral health, the recognition of necessity and importance of scaling was low. Most of the workers dont get scaling their teeth regularly. Although they recognized it is necessary to get regular oral examine for oral health, the grade to do actually was low. Fourthly, on the basis of general feature, considering the recognition of oral health, 20∼29years workers were got a high grade. Manufacturing workers was lower than official and technical service workers. In the aspect of the level of economy, middle class is higher than low(p<.05). Reviewing the action, women are higher than men. The more age and the level of economy, the more action become(p<.05).

도시 및 도시인근 농촌 어린이의 악안면 형태에 대한 비교연구

조숙미,김종철 전남대학교 치과대학 1992 전남치대논문집 Vol.4 No.1

This study was performed to compare the dentofacial morphology of urban and sub-urban childern. A cephalometric analysis was made from 70 urban children and 70 sub-urban children. The results of this study were obtained as follows: 1. In comparison between urban and sub-urban children, there were no significant difference except SN-1?? angle in male group. 2. There was no significant difference between urban and sub-urban children but there was tendency that the linear measurements of urban children were larger than those of sub-urban children. 3. In comparison according to sex difference, linear measurements of male group were significantly larger than female group in anterior cranial base length, posterior cranial base length, facial depth, facial length, anterior facial height, and posterior facial height. It meant that the face of the male is larger than the female. 4. In comparison of angular measurements according to sex difference, there were no significant difference except OP-MP angle.

기능적 전기 자극의 임상 적용에 관한 고찰

조미숙,이윤미,박래준 대구대학교 특수교육재활과학연구소 2005 再活科學硏究 Vol.23 No.2

Functional Electrical Stimulation(FES) is a useful apparatus to activate paralyzed muscle resulting from upper moter neuron disease such as hemiplegia, cerebral palsy, spinal cord injury, etc. The purpose of FES, which contracts muscles by stimulating motor neuron with electric excitation, is used to strengthen weakened muscles, to decrease spasticity, to enhance the scope of joint mobility, or to control motor regulation. Recently, FES has been comprehensively used to control of the cardiovascular system, regulation of urinary and cystitis function, and breathing assistance along with the purposes of gate, standing, locomotion, etc. This review focused on the literature reporting application of FES to control respiratory capabilities and internal organ function as well as increase muscular strength, hand grasp, standing and walking in patients with upper motor diseases. 1. Walking : By applying FES, lower limb muscles can be stimulated to compensate for the drop foot problem of to generate the gate sequence in both legs while the muscles that facilitate balancing and posture during walking have to be voluntarily controlled by the patient. 2. Grasping : In supporting the hand function, the FES system should not interfere with the patient's preserved upper limb function. Furthermore, FES induced movements should not oppose natural joint movement and they have to respect the anatomy of bone and soft tissue composition. 3. Muscle strength and endurance : FES, which contracts muscles by stimulating motor neuron with electric excitation, is used to strengthen weakened muscles and to improve muscle endurance. 4. Internal organ function : FES will be used increasingly to improve the biood circulation, to provide bladder and bowel control, and to improve sexual function in disease of after traumatic injury. 5. Breathing ability : FES of abdominal muscles by surface electrode with inserting electric stimulation is effective to ventilatory support of spinal cord injury patients, who do not have neurologic injury and who have breathing ability. Electrical stimulation to abdominal muscles increases pressure of the abdomen by contracting abdominal muscles and pushing abdominal walls to inside whose action moves diaphragm to thoracic cavity. As a result, translocation of the diaphragm increases pleura pressure, decreases pulmonary volume and increases expiration. 기능적 전기 자극은 상위 운동신경원의 조절기능은 상실되었으나 하위 운동신경원이 정상적인 환자에게 적용되는 치료법으로 적은 양의 전기흐름을 주어 신경 활성화를 조절하는 분야로서, 전기적 흥분을 일으켜 원하는 운동신경섬유를 자극하여 근육을 수축시키는 것으로 신경근 전기 자극(Neuro-Muscular electrical stimulation, NMES)으로부터 시작되어 보통 약화된 근력의 강화, 경직의 감소와 관절가동범위의 증진 또는 수의적 운동조절의 향상을 목적으로 사용되어 왔다. 최근에는 기능적 전기 자극이 근력 강화, 지구력 강화, 관절 구축 방지, 이동, 기립, 보행 등의 일차적인 목적과 함께 심혈관계운동, 비뇨와 방광 기능의 조절과 호흡보조를 목적으로 사용되는 등 그 활용도는 점점 더 광범위해지는 추세이다. 이러한 점을 염두에 두고 본 연구는 상위 운동신경원 손상 시 기능적 전기 자극의 임상적 적용 가운데 특히 근래에 활발하게 이루어지고 있는 호흡분야를 포함한 여러 연구 동향을 문헌을 통해 고찰하였다. 1. 보행 : 기능적 전기 자극은 신경에 전기적 자극을 가해 마비된 근육의 수축을 유발함으로서 하지 마비환자가 보조기를 착용하지 않고도 기립 및 보행을 가능하게 한다. 2. 상지 기능 향상 : 집기 방법에 관계없이 손의 기능을 보조하기 위한 기능적 전기 자극의 적용은 환자가 보존하고 있는 상지 기능을 방해하지 않아야 하며, 기능적 전기 자극에 의해 유도되는 동작들은 관절의 실제 동작에 일치해야한다. 3. 근력과 지구력 : 신경에 전기 자극을 가하면 마비된 근육의 수축을 일으켜 근력강화를 시킬 뿐만 아니라 지속적인 적용은 근 지구력을 향상시킨다. 근 지구력 향상을 위한 기능적 전기 자극은 2형 근섬유를 1형 근섬유로 변화시킬 만큼 충분히 긴 기간동안 지속적으로 10Hz의 저주파수로 적용해야 한다고 보고되었다. 4. 내장기능 : 질병이나 외상 후 혈액 순환을 증진시키고 방광과 배변조절을 가능하게 하며 성기능을 향상시킨다고 보고하였다. 기능적 전기 자극에 의한 배변, 배뇨기능의 조절은 요도 합병증을 감소 및 예방할 뿐만 아니라 척수 손상자의 삶의 질을 향상시킨다. 5. 호흡능력 : 삽입식 전기 자극과 함께 표면 전극식 복부근육의 기능적 전기 자극은 신경학적으로 손상을 입지 않았거나 호흡능력이 있는 척수손상 환자의 환기보조에 효과적이다. 복부근육의 전기자극은 복부근육을 수축시켜 복벽을 내측으로 밀어 복부내압을 증가시킨다. 이는 횡격막을 흉강으로 이동시킨다. 이러한 횡격막의 전위는 결과적으로 흉막압을 증가시키고 폐용적을 감소시켜 호기를 증가시킨다.

날록손으로 유발된 비아편계 통각감소 : 중뇌수도 주변 회백질 배측 (dorsal-PAG) 전해질 손상효과 Effect of Dorsal-Periaqueductal Gray Lesion

조소현,서미숙,김기석 한국심리학회 한국심리학회지 생물 및 생리 Vol.5 No.1

날록손과 열자극을 배쌍지어 제시하면 통증에 대한 민감성이 감소한다. 날록손으로 유발된 통각감소는 날록손이 사전에 처치되었음에도 불구하고 발생되었다는 점에서 특성상 비아편계가 매개하는 통각감소라 할 수 있다. 본 연구에서는 날록손과 열자극의 배쌍에 의해 유발된 비아편계 통각감소에 책임이 있는 뇌영역이 어디인지를 알아보고자 하였다. 실험장치로서는 열판 장치를 사용하였고 열자극은 53±0.5℃로 하였다. 통증에 대한 민감성 지표로서는 뒷발을 핥기까지의 잠재기를 측정하였다. 실험결과, 모의시술집단은 훈련시에 발생된 통각감소율이 검사시에도 계속 유지된 반면 중뇌수도 주변 회백질 배측부분이 손상된 실험집단은 훈련시 발생된 통각감소율이 훈련전의 기저선 수준으로 환원되었다. 이러한 결과는 중뇌수도 주변 회백질 배측부분이 날록손과 열자극의 배쌍으로 유발된 비아편계 통각감소에 책임이 있는 뇌 부위임을 시사해준다고 하겠다. Animals exposed to the naloxone-heat pairings reduced their sensitivity to the pain. Naloxone-induced analgesia may be, in nature, non-opioid in that was found in the rat pretreated with naloxone. The present study was conducted to examine the area which is the responsible for the analesia induced by naloxone-heat pairings. Hot-plate apparatus which was thermoregulated automatically at 53±0.5℃ was used for heat stimulus. The latencies for hind-paw lick was recorded as an index of pain sensitivity. The result of present experiment was as follows. Sham operated rats were maintained analgesia which developed in the training phase but, analgesia developed in the rats which belongs to the experimental group in the training phase was reduced to the baseline level after dorsal periaqueductal lesion. This result suggest that dorsal-periaqueductal gray is responsible for the analgesia induced by naloxone.

요통환자의 요부 안정화 운동 방법이 통증감소에 미치는 효과에 대한 연구

조미숙,최윤희,김경,이지연,김진섭 대구대학교 특수교육재활과학연구소 2010 再活科學硏究 Vol.28 No.1

요통이란 근 골격의 이상으로 인한 통증으로 흉추 10번 이하의 허리부위에서 통증이 3일 이상 지속되는 경우를 말하며 인구의 약80% 이상이 일생을 통해 적어도 한번쯤은 겪게 된다. 이러한 요통은 체간의 연부조직의 손상이나 근력의 약화가 주요원인으로 작용하며, 이로 인해 통증, 지구력 감소, 관절가동범위 제한, 보행능력 감소를 유발한다. 이는 요통과 운동이 많은 관련성을 가지고 있다고 사료되며 그 중 요부 안정화 운동이 요통 환자의 통증 감소에 미치는 효과에 대해 선행연구들을 살펴봄으로써 효과적인 요부 안정화 운동방법과 적용에 도움을 주고자한다. Damage of soft tissue in lumbar interbody and weakness of muscular strength are the major causes of lower back pain, which results in inducing pain sensation, reducing muscular endurance and flexibility, limiting range of motion, and lowering locomotive capacity. Lower back pain is considered to be closely related to exercise. Exercise intervention in patients with low back pain being used as one of the spinal stabilization exercises and low back pain patients that exercise is effective in reducing the pain has been reported. Therefore, patients with low back pain of spinal stabilization exercises for pain reduction, previous studies on the effect of spinal stabilization exercise by examining how effective and will give help to apply.

사진단서 중재가 정신지체중학생의 우편물 배달하기기술 수행에 미치는 효과

조미숙 이화여자대학교 교육대학원 2003 이화교육논총 Vol.13 No.-

The purpose of this study was to investigate the effects of photographic instruction on the skills of delivering mail in a school for secondary students with mental retardation. The multiple probe design across subjects was used to examine the effects of intervention, generalization, and maintenance. The students were trained to deliver mail in the school utilizing photographic modeling with commentary. The results obtained in this study are summarized as follows : First, the performance rate on the skill of delivering mail through photographic instruction was increased. Second, the performance rate on the skill of delivering mail through photographic instruction was generalized in other environments. Third, the skill of delivering mail through photographic instruction was still maintained well in three weeks after intervention was faded. Based on the results mentioned above, it could be concluded that overall, for secondary students with mental retardation, photographic instruction had meaningfully positive effects on increasing, generalizing, and maintaining the skills to deliver mail. This result implies that photographic instruction through photographic modeling is an effective way of enabling students with mental retardation to perform vocational skills independently.

야뇨증 환아들의 심리사회적 특성에 대한 다기관 연구 : 행동 및 정서 문제를 중심으로

조수철,김재원,신민섭,황준원,한상원,박관현,이상돈,김경도,김건석,서홍진,이유식,정재용,김영균,문두건,남궁미경,한창희,조원열,김영식,배기수,이종국,정우영,신의진 大韓神經精神醫學會 2005 신경정신의학 Vol.44 No.6

Objectives : The aim of this study was to examine the behavioral and emotional problems associated with nocturnal enuresis in Korean children. Methods : Three hundred eighteen children with nocturnal enuresis, together with their parents, completed the Child Behavior Checklist (CBCL), Disruptive Behavior Disorder Scale according to DSM-IV (DBDS), Children's Depression Inventory (CDI), State-Trait Anxiety Inventory for Children (STAIC), and Piers-Harris Children's Self-Concept Scale (PHCSC). Ninety-three normal students were selected as the control group. Results : Compared to the normal control group, the mean scores with regard to the withdrawn, social problems, attention problems, delinquent behavior, aggressive behavior, externalizing problems and total problems profiles were significantly higher in the nocturnal enuresis group according to the CBCL results. The nocturnal enuresis group also scored significantly higher in the ADHD and ODD profiles of the DBDS. The nocturnal enuresis group was more depressed and anxious than the control group according to the results of the CDI and STAI. The mean score of the PHCSC was significantly lower in the nocturnal enuresis group when compared to the normal control group. Conclusion : The results of this study suggest that children with nocturnal enuresis in Korea have clinically relevant behavioral and emotional problems. The findings support the link between nocturnal enuresis and psychopathology in Korean children.

玄蔘의 Saponin 成分 檢索 : on the Saponin of the Radix

남인숙,배병숙,최보향,최인수,최태수,김동언,김언주,정미영,조규옥 曉星女子大學校 藥學大學 學生會 1988 曉星藥誌 Vol.4 No.-

Crude saponin(100g) were obtained by extracting the radix(5kg) of Scrophalariae koraiensis Nakai. Crude saponin were positive in the Liebermann-Burchard test. We observed 5 sports by TLC using BuOH saturated with H_2O : ethyl acetate : water(4:1:5, upper phase) as solvent and 1% Ce(SO_4)_2 in 10% H_2SO_4 as a color former. We divided into 3 fractions by common column chromatography using BuOH saturated with H_2O : ethylacetate : water(4:1:5, upper phase) as solvent.

서울·경기지역 병원직원의 혈액매개 감염노출에 대한 다기관 조사연구

박미라,김정은,박은숙,최정실,정선영,송영구,홍성관,김준명,허애정,양동규,조영주 대한병원감염관리학회 2003 의료관련감염관리 Vol.8 No.1