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근막통증증후군 환자에게 통증점 체외충격파 치료가 경추의 가동 범위, 통증, 근육의 기계적 특성에 미치는 영향
정구영(Koo-Young Jung),윤태림(Tae-Lim Yoon),이준희(Jun-Hee Lee,) 한국전문물리치료학회 2021 한국전문물리치료학회지 Vol.28 No.1
Background: To evaluate whether extracorporeal shock wave therapy (ESWT) in the pain point is a more effective treatment than the trigger point for myofascial pain syndrome (MPS) of the upper trapezius. Objects: The purpose of this study was to compare the most effective areas when applying extracorporeal shock wave therapy. Methods: A total of 30 patients with MPS were randomly assigned to the trigger point in the ESWT (n = 15) and pain point ESWT (n = 15) groups. Interventions in both groups were performed in one session, i.e., 2,000 shocks with 1.5 bar intensity. Pain and function were assessed using the visual analog scale (VAS) and cervical range of motion (ROM) and based on mechanical muscle properties. Statistical analysis was performed using the repeated measures two-way analysis of variance to determine the significance probability between pre- and post-test. Results: Changes in mechanical muscle properties were not statistically significant between the two groups. However, VAS and cervical ROM showed statistically significant differences at pre- and post-intervention, regardless of the group (p < 0.05). Conclusion: Although no significant difference was observed in the intervention effect, applying an extracorporeal shock wave to the pain point rather than the pain trigger point should be considered in order to save time in effectively and accurately identifying the pain trigger point and site.
분산 시스템에서 접근 자격 관리와 통신 인터페이스의 설계
정구영(Gu Young Jung),구용완(Yong Wan Koo) 한국정보과학회 1992 한국정보과학회 학술발표논문집 Vol.19 No.1
고속 LAN과 다수의 중. 소형 컴퓨터들로 구성된 분산 시스템에서는 다양한 종류의 서비스를 되는데, 이러한 환경에서 공유 자원의 효율적인 관리 뿐만 아니라 사용자에게 편리한 서비스를 분산 운영 체제의 기능은 중요한 부분이다. 특히 분산 자원에 대한 고도의 공유성 지원은 사용자 시스템내의 자원에 대한 접근 및 사용에 대한 편의성을 향상시키고, 분산된 자원에 대한 효율적인 의 도입이 요구된다. 본 논문에서는 분산시스템 전체성능을 좌우하는 고성능 운영체제 개발의 일체를 중심으로 분산 시스템을 구성하여 자원에 대한 효율적인 관리 기법에 대해 논하며, 객체의 근에 사용되는 접근 자격 관리와 통신 인터페이스를 설계하였다. 또한 분산 환경에서 노출된 자 문제를 해결하고자 사용자 수준에서 암호화 알고리즘을 이용한 해결 방법을 제시하였다.
혈청 콜린에스테라제 활성도를 이용하여 유기인계 농약 음독 환자의 증증도를 예측할 수 있는가?
이상진,정진희,정구영,Lee, Sang-Jin,Jung, Jin-Hee,Jung, Koo-Young 대한임상독성학회 2004 대한임상독성학회지 Vol.2 No.2
Purpose: Dealing patients with organophosphate poisoning, cholinesterase level has been used as a diagnostic and prognostic value. But there are some controversies that the cholinesterase level is significantly related to the severity or prognosis of acute organophosphate poisoning. We evaluated the correlation between initial serum level of cholinesterase and APACHE II score as an index for severity, and we assessed cholinesterase levels for predicting value of weaning from mechanical ventilation. Method: From August 1996 to March 2003, 23 patients with organophosphate poisoning who needed ventilatory care were enrolled. Retrospective review was done for the serum level of cholinesterase, APACHE II score, and the duration of ventilatory care. The percentage of measured serum cholinesterase to median normal value was used to standardize cholinesterase levels from different laboratories. Result: There were tendencies that the lower initial serum of cholinesterase, the higher the APACHE II score (r=0.297) and the longer the duration of mechanical ventilation (r=-0.204), but they were not significant (p=0.264 and p=0.351 respectively). In 9 patients whose serum cholinesterase level were checked at the time of weaning, mean of measured cholinesterase level was $10.3\pm7.60\%$ of normal value. Conclusion: There was no significant relationship between initial level of serum cholinesterase and severity or duration of mechanical ventilation. General health status of patient, amount of ingestion, toxicity of agent should be considered as important factors for severity of poisoning. And the decision of weaning should be based not solely on the cholinesterase level but on the consideration of general and respiratory state of individual patients.
유기인계 농약 중독 환자에서 약물의 종류에 따른 임상 양상 및 예후의 차이
이덕희,정진희,정구영,어은경,Lee, Duk-Hee,Jung, Jin-Hee,Jung, Koo-Young,Eo, Eun-Kyung 대한임상독성학회 2007 대한임상독성학회지 Vol.5 No.1
Purpose: Organophosphorus insecticides tend to be regarded as a homogeneous single entity. We aimed to determine whether organophosphate poisoning differs by subgroups in clinical features and severity. Methods: We retrospectively reviewed medical records of all patients with acute organophophorus poisoning from January 1998 to December 2006. We investigated clinical features, Glasgow coma scale (GCS), laboratory findings, QTc intervals, management, and outcomes. Results: A total of 109 patients were included. The dimethoxy group experienced significantly longer times than the diethoxy group for ventilation duration (0.6 day vs. 0.2 day, p=0.006), ICU duration (2.0 day vs. 0.8 day, p=0.037), and total admission duration (2.8 day vs. 0.9 day, p=0.008), except in cases of dichlorvos poisoning. Also, the GCS of the dimethoxy group (except with dichlorvos) was significantly lower than for the diethoxy group (dimethoxy, $11.2{\pm}5.2$ vs. diethoxy, $13.8{\pm}2.4$, p= 0.021). QTc intervals for the dimethoxy group (except with dichlorvos) tended to be somewhat greater than for the diethoxy group (dimethoxy, $452.9{\pm}16.1\;msec$ vs. diethoxy, $429.6{\pm}40.9\;msec$). There were 65 patients with dichlorvos ingestion, and 2 of these patients (3%) died. Conclusion: When compared to the diethoxy group, the dimethoxy group of organophosphates (with the exception of dichlorvos) were associated with poorer prognostic value for indicators such as GCS, QTc interval, requirement for intubation, ICU duration, and total admission duration. Within the dimethoxy group, patients with dichlorvos poisoning had relatively better prognoses than for the other dimethoxy group organophosphates studied.
서주현,노형근,어은경,전영진,정구영,Suh, Joo-Hyun,Roh, Hyung-Keun,Eo, Eun-Kyung,Cheon, Young-Jin,Jung, Koo-Young 대한임상독성학회 2008 대한임상독성학회지 Vol.6 No.2
Purpose: The hypnotic effect of zolpidem is comparable to benzodiazepines, but has less abuse and addiction potential than benzodiazepines, so is one of the most commonly prescribed hypnotics. The frequency of acute zolpidem overdose has increased, but clinical analysis and severity predictors are not known in Korea. Methods: A retrospective evaluation of histories, clinical courses, and laboratory findings of each patient treated from June, 2000, to May, 2006, in a university hospital for acute zolpidem intoxication. Results: We evaluated 30 patients, including 16 co-intoxication cases. Twenty-five patients presented mental alterations but became alert within 2 days. All patients recovered completely. The median zolpidem concentration was 0.9 mg/L (range: $0.2{\sim}7.4\;mg/L$). There was a weak correlation between the amount ingested and zolpidem concentration (r=0.25). None of them presented severe laboratory abnormalities, and these abnormalities did not relate to zolpidem concentration. Conclusion: The clinical progress of acute zolpidem intoxication is mild. We could not predict zolpidem concentration or clinical severity from the amount ingested and could not predict the clinical course from laboratory findings in the emergency department.
배현아 ( Hyun A Bae ),정구영 ( Koo Young Jung ),이경환 ( Kyung Hwan Lee ) 한국의료법학회 2004 한국의료법학회지 Vol.12 No.2
The public law liabilities of 119 rescue officers as public service workers include national indemnity liability and public service worker's compensation liability. The national indemnity liability makes 119 rescue officers concentrate on their works not by contracting their emergency medical practice. At the same time, it considered the distinctiveness on their works which deal with human life and body and emphasized on the indemnification liability of public service workers to the government.
이동훈,장혜영,어은경,정구영,Lee Dong Hoon,Jang Hye Young,Eo Eun Kyung,Jung Koo Young 대한임상독성학회 2004 대한임상독성학회지 Vol.2 No.1
Anaphylaxis is a systemic allergic reaction which can bring fatal results. The common symptoms are erythema, angioedema, urticaria, hypertension and dyspnea. However, in very few cases, ST segment changes in the electrocardiogram can be seen. This is a case of a 51 year old female with normal heart function who showed reversible ST segment depression during anaphylaxis caused by a $H_2$-blocker agent. The cause of ST segment changes during anaphylaxis is thought to be the result of coronary vasospasm mediated by various factors.
이상진,장혜영,어은경,정구영,Lee Sang Jin,Jang Hye Young,Eo Eun Kyung,Jung Koo Young 대한임상독성학회 2003 대한임상독성학회지 Vol.1 No.1
Endosulfan, one of organochlorine insecticides, is $\gamma$-aminobutyric acid (GABA) antagonist. In sufficient dose, this pesticide lower the seizure threshold and produce CNS stimulation, with resultant seizures, respiratory failure, and death. In patients with endosulfan intoxication, the first manifestation of toxicity is largely a generalized seizure without prodromal signs or symptoms. So the management of airway and seizure control are essential for survival and prognosis of intoxicated patients. We report two cases of acute endosulfan poisoning who manifest 'status epilepticus' similarly, but have different prognosis.