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

선택적 후근절제술의 수술중 근전도 감시방법과 치료효과

김형일,김연희,김완호,김근수,김동찬 대한신경외과학회 1996 Journal of Korean neurosurgical society Vol.25 No.10

Selective posterior rhizotomy(SPR) has been known to reduce the spasticity as well as to improve the quality of life in patients with intractable spasticity. Twenty patients underwent SPR under intraoperative electrophysiological monitoring(IOM). Fifty-two percent of sacrolumbar rootlet were cut after electrical stimulation. Eighteen patients(90%) with spastic type of cerebral palsy showed marked reduction of spasticity and functional improvement without any complication. The patients who did not respond to SRP had mixed types of spasticity. IOM facilitate the selection of pathological rootlets regardless of anaesthetic level. intensity of electrical stimulation, and individual variability of responses. It is concluded that careful selection of surgical candidates and of pathological rootlets under IOM are important to reduce the spasticity. thereby to obtain a better outcome.

목재가 선적된 선창에서 발생한 산소결핍에 의한 질식사

김동훈,김기권,장태정,김정란,이구,김수근,임현술 大韓法醫學會 2001 대한법의학회지 Vol.25 No.1

Oxygen deficiency has been frequent in a clouted space. Wood consumes oxygen and discharges carbon dioxide Instead of photosynthesis in closed space without light, so do some microorganisms on the surface. We experienced a case that a healthy Insect-proofer fell down and died of asphyxia on stair-board at 7 m below the hatch of the cargo-hold shipping wood Analysis of gases in cargo-hold revealed O2; 12.3%, CO; 105 ppm, CH4; 2.7%, and H2S; 1.9% at 1 m below the hatch, and then O2; 6.1%, CO; 220 ppm, CH4; 2.9%, and H2S, 2.3 ppm at 2.5 m below the hatch. Autopsy findings were unremarkable. We justiced the cause of death asphyxia due to oxygen deficiency. As seen in this case, the serious oxygen deficiency was accounted for oxygen consumption by wood and microorganisms.

청각 자극용 전기자극기 개발

허승덕,정동근,김리석,김광년,강명구,김재룡,김기련 한국음성과학회 2004 음성과학 Vol.11 No.3

This paper introduces a development of an electrical stimulator for auditory stimulation. The electrical stimulator is useful in neurotological diagnosis, audiological evaluation, candidate selection for cochlear implantation, optimal device selection and decision making of MAP strategy for severe-to-profound hearing impaired persons. The development was based on sound parameters of auditory brainstem responses and auditory electrophysiological characteristic such as effective firing of auditory nerve and recording evoked potentials during refractory period of neuron. Besides pulse parameter could adjustable by programming for more varied electrical stimulation evoked response audiometry. Using the electrical stimulator, electrical square pulse was applied to promontory, and electrically evoked auditory brainstem response and electrically middle latency response were successfully recorded in cats.

위암 환자의 복강내 투여를 위한 Activated Charcoal-Alginate Bead 제형으로부터 Mitomycin C의 용출 거동

이진호,최선웅,서중기,김동민,정경수,오정연,김진향,노승무,민병무,김용백,김창식,박근성,강대영,송규상,양준묵,조준식,정현용,김학용,인현빈 충남대학교 의과대학 지역사회의학연구소 1998 충남의대잡지 Vol.25 No.1

Locoregional recurrence is the most common type of recurrence in surgical operation of gastric adenocarcinoma, and peritoneal dissemination is one of the most difficult problems in advanced gastric adenocarcinoma treatment. Because the peritoneal cavity is the most common site of the first recurrence after gastric cancer resection, intraperitoneal chemotherapy seems a logical choice for cancer chemotherapy. In this study, Mitomycin C (MMC)-activated charcoal (CH)-alginate (ALG) beads were prepared by the mixtures of CH particles adsorbed with MMC as an anti-cancer drug and aqueous alginate solution. The alginate is recognized as biodegradable, nontoxic, and biocompatible. The release of MMC from the beads in 0.1 M Tris buffer was stable and continuous until about 1 week. The MMC-CH-ALG beads can be applied in the peritoneal cavity for intraperitoneal chemotherapy since they provide a good adhesiveness on the tissue and controlled release pattern of the drugs.

치료적 마사지 프로그램이 섬유근통 증후군의 통증평가척도에 미치는 영향

김영빈,박병근,정동혁 圓光大學校 附設 體力科學硏究所 2004 體力科學硏究 Vol.27 No.-

According to the classification criteria proposed by the American College of Rheumatology, fibromyalgia is a long-standing multifocal pain condition combined with generalised allodynia/hyperalgesia. It is the generalised allodynia/hyperalgesia that distinguishes fibromyalgia from other conditions with chronic musculoskeletal pain. Central sensitisation of nociceptive neurons in the dorsal horn due to activation of N-methyl-D-aspartic acid receptors and disinhibition of pain due to deficient function of the descending inhibitory system are probable pathogenic factors for allodynia/hyperalgesia. Furthermore, chronic pain is a chronic emotional and physical stressor. Chronic stress and chronic sleep disturbance are not specific for fibromyalgia but could be the causes of symptoms like fatigue, cognitive difficulties and other stress-related symptoms. They may also cause neuroendocrinological and immunological aberrations. The purpose of this study is to find out the effects of pain rating scale in the therapeutic massage program applied to the patients with Fibromyalgia Syndrome by measuring, assessing and analyzing the changes in intensity and unpleasantness of muscle pains before and after therapeutic massage program. Surveyed from Mar. 2003 to Feb. 2004 were 83 patients suffering from Fibromyalgia Syndrome. In the massage program, such methods as effleurage, petrissage and deep transverse friction were selected as traditional massage treatments frequently used for muscles with pain and spasm. Massage treatments were applied for 20 minutes in total before and after stretching in total program 30 minutes. After therapeutic massage program, the McGill pain questionnaire word list(MPQWL), verbal rating scale(VRS), visual analogue scale(VAS) were used to measure the degree of the pain on the patients. The major findings from this study are as follows; 1. The surveyed patients range from 19 to 62 in age, with highest numbers of 35(42.17%) registered in the thirties and next ones of 20(24.10%) in the forties. Divided by sex, 19 are men and 64 are women totalling 83 with average age of 36.5. 2. There was significant decrease in the numerical values of VAS & VRS and MPQWL after therapeutic massage program(p<.05). 3. There was significant decrease in the intensity of pains after therapeutic massage program(p<.05). 4. There was significant decrease in the unpleasantness of pains after therapeutic massage program(p<.05). 5. From the analysis into chronological changes in the intensity and unpleasantness of pains before and after therapeutic massage program with ANOVA, it became evident that the longer the period of treatment was, the higher the pains decreases drastically, while significant difference was shown in the intensity and unpleasantness of pains(p<.05). Summed up, it can be generally concluded that therapeutic massage program is an effective treatment to rid the patients with Fibromyalgia Syndrome of pains safely and promptly.

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

하악과두 골절의 관혈적 정복술에 대한 임상적 연구

김복중,이동근 의치학사 1991 치과임상 Vol.11 No.3

This is a clinical study on the prognosis after the surgical management of condylar fracture of the mandilbe, by reviewing recents of 91 patients follow - up for at least 6 months after the treatment in department of Oral & Mamllofacilal Surgery , College of Dentistry in Wonkwang University Hospitsal from 1985 to 1990. The results were as follows ; 1. The frequency of mandibular condyle fractures were developed three times in males and the most developed age groups were twenty year old age ( 40.6 % ) and the most frequently site were condylar neck ( 35.8 % ). 2. The post - operative complcations were developed in 15 cases of the 162 lines of the fracture, which contnbuted at 6 lines in condyle head, 5 lines in condyle head, 3 lines in condylar process and 1 line in condylar base. 3. In condylar neck fracture,- the-frequency of complications were developed at posterior, ante,--or and lateral displacement in each percentage of 12.5%, n1% and 10.5%, but internal and no displacement cases were not oocured the complications. 4. Complications in condylar process fradure were developed mostly in case of anterior displacement in percentage of 111%.. Trismus and cliddnng sound were -most frequent complications in our study.

다원주의적 정치안정과 순환적 다수선호와의 관계

김동근,이수형 安東大學 社會科學硏究所 1997 社會 科學 論叢 Vol.9 No.1

This thesis is to study the relation between the pluralist political stability and preference of cyclical majorities. The notion of political stability induced by pluralism shows the logical difference to the rational choice theory. In general pluralist theory argues that cyclical majority preference is desirable because such preference profiles are associated with the stability of political systems. The sorts of conditions identified in formal social choice theory to avoid majority cycles are just those sorts of patterns viewed unfavorably in the pluralist literature. Conversely pluralistic preference patterns are those that most typically result in cyclical majorities. In order to study whether or not cyclical majorities promote the stability of democratic political systems this thesis divided a variable which makes cyclical majorities into ① division of groups and issues, ② independence of political realm. A large number of relatively small preference clusters deny the single-peaked preference, tyranny of majorites. And pluralism implies the assumption that there is not the core in the process of democratic political systems. Therefore preference of cyclical majorities keeps up the rule of political games. Independence of political realm is refered to the aim of politician and the political strategy. The politician seeks after achievement for the offices as well as participation in a coalition cabinet. And the pluralists argue that the political competitions maintain the political process, and that the core of this process is the strategy for the political decision. The sorts of strategy is strategic voting and vote-trading. When division of groups, dispersion of issues, and independence of political realm are considered in the context of prediction, cyclical majorities promote the political instability. But cyclical majorities promote political stability in the context of the rule of political games in the procedural democracy.

장애인의 검사 참여와 조정 : 현황과 과제

김동일,이태훈 한국장애인고용촉진공단 고용개발원 2003 장애와 고용 Vol.13 No.1

본 논문에서는 각종 검사와 평가가 일상적으로 행해지는 학교 현장 및 교육 분야를 중심으로 검사 조정의 정의와 의의, 장애인들의 검사 참여를 보장하기 위해 조성될 수 있는 검사 조정의 형태, 우리 나라의 검사 조정의 현황과 문제점, 장애인의 검사 참여 및 조정과 관련한 연구 동향, 쟁점 및 고려 사항 등물 정리하여 제시하였다. 특히, 검사 조정의 목적은 어떤 학생이 장애를 가졌다고 하여 검사점수를 인위적으로 부풀려 주거나 검사 상황을 유리하게 해주려는 데 있는 것이 아니라, 검사결과가 불공평하게 왜곡되는 것을 막는 한편, 그 검사가 당초에 측정하려고 했던 것을 정확하게 측정하려는 데 있다는 점을 분명히 하였다. 그런 점에서, 각종 평가 장면에서 장애인들이 자신의 능력이나 소질을 공정하게 평가받을 수 있도록 관련 법 규정 및 제도가 마련되어야 하고, 이를 뒷받침하기 위해 검사 조정의 공평성 및 타당성에 관한 연구들이 시급히 요청되며, 검사조정을 통해서도 평가에 참여하기 어려운 경우를 고려하여 어떤 대상에게, 어떤 내용으로, 어떻게 평가할 것인지 등을 포함한 대안적인 평가체제에 관한 연구도 함께 이루어져야 함을 확인하였다. This study investigated the definition and significance of test accommodations for individuals with disabilities, types of test accommodations (presentation format, response format, timing of test, and setting), the current situation, and the issues to be dealt with hereafter. Based upon the related literature, it was clear that the purpose of test accommodations is not to inflate the test score of the individuals with disabilities, but to eliminate the influence of disability in the test score. Therefore, tests with appropriate modifications and accommodations assess exactly what he/she knows and can do. The present study showed that relevant legal regulations should be enacted for individuals with disabilities to be assessed fairly in the various assessment situations. And the regulations also should be backed up by policies to guarantee the participation of the disabled and by research on fairness and validity of test accommodations. It was also found out the necessity of research on alternative assessment system for the individuals who are not able to participate in the general(or standardized)assessment procedure.