3차원 동작 분석기를 이용한 정상보행 분석

김봉옥,이제운,박상균 충남대학교 의과대학 지역사회의학연구소 1992 충남의대잡지 Vol.19 No.2

The normal gait is largely devided by the stance phase and the swing phase, and each motion of joints and activities of muscles varies with the cycle of gait. The important parts in the gait determinants are motions of pelvic, knee and ankle joint, and the pathologic gaits are usually caused by unbalance of muscles, joint contracture, leg length discrepancy, spasticity and pain, etc. There is no objective data on the normal and pathologic gait analysis with 3-dimensional motion analyzer by now in Korea. The authors measured the ROM of each joint on the parameters of gait with 3-dimensional motion analyzer in order to obtain the standard data of normal gait and furthermore to compare the normal gait with the pathologic gait. The 10 normal men were the subjects of this investigation with 3-dimensional motion analyzer in Ergonomic Lab. of Korea Research Institude of Standards & Science. The results were as follows; 1) The mean stiride length of the subjects were 97.86cm. 2) The ratio of the stance phase to the swing phase were 57.8% to 42.2%. 3) The mean ROM of hip, knee and ankle joint were 153.8˚, 170.4˚ and 100.1˚, respectively, at initial contact on gait cycle. 4) The mean ROM of hip, knee and ankle joint were 159.7˚, 167.2˚ and 90.9˚, respectively, at foot flat on gait cycle. 5) The mean ROM of hip, knee and ankle joint were 165.7˚, 167.3˚ and 80.3˚, respectively, at heel off on gait cycle. 6) The mean ROM of hip, knee and ankle joint were 170.1˚, 148.2˚ and 89.9˚, respectively, at toe off on gait cycle. 7) The mean ROM of hip, knee and ankle joint were 156.9˚, 134.4˚ and 82.4˚, respectively, at mid swing on gait cycle. 8) The mean changes of ROM in normal gait were hip joint 20.7˚, Knee joint 50.7˚ and ankle joint 32.5˚, and knee joint showed the most various ROM changes.

등록된 장애인의 장애등급 재평가

김봉옥,이제운,윤승호 충남대학교 의과대학 지역사회의학연구소 1995 충남의대잡지 Vol.22 No.1

The purposes of this study were to obtain information about the registered physically disabled and to find out problems in current disability grading for the registration of the disabled. Fortynine registered disabled people who lived in Wolpyeong Dong, Taejon as of June 1, 1994 were evaluated to grade their disability according to the disability grading table currently in use by one physiatrist, one senior resident in rehabilitation medicine and one general physician at the same time allowing no mutual communication among the raters. These re-evaluated disability grades were compared to the initial disability grades recorded in their disability registry. The results were as follows ; 1) The most common disability group was cerebrovascular accident group(10 cases, 20%), and most frequently participated physician in initial evaluation was orthopedic surgeon(16 cases, 33%). 2) The period from initial evaluation to re-evaluation was from 2 months to 6 years(mean 2.9 years). 3) There were statistically significant differences (P<0.05) between initial disability grades and re-evaluated disability grades. 4) There was no statistically significant differences(P>0.05) among re-evaluated disability grades by three examiners. 5) For the group from cerebrovascular accident and traumatic brain injury, there was no statistically significant differences(P>0.05) between physiatrist and resident, but there was statistically significant differences(P<0.05) between physiatrist and general physician, resident and general physician, respectively. From the above results, the disability grade table seemed to be so general that can be used by the physicians regardless of training in rehabilitation medicine. The disability grade table should be modified and supplemented specifically in statements of symptoms of the acquired brain dysfunction such as cerebrovascular accident and traumatic brain injury, and should include the criteria for the duration since the onset of disability to the evaluation for registration and necessity of re-evaluation over time.

주정중독 환자에서 Fluoxetine이 혈중 알콜 농도와 음주효과에 미치는 영향

김명정,박제민,정봉주 大韓神經精神醫學會 1994 신경정신의학 Vol.33 No.1

The effect of chronic administration of fluoxetine on blood alcohol concentration and on a number of alcohol induced physical and psychological effects was studied. The subjects were 14 hospitalized alcoholics without significant depression. After 21 days of 60mg daily fluoxetine and placebo administration. 2.5ml/kg body weight of 40% alcohol was administrated in a single dose and blood alcohol concentrations were measured 10, 20, 40, 60, 120, and 240min, after the alcohol intake. Mania Rating Scale score(MRS), pulse rate, respiratory rate and subjective physical condition were measured before and 30min, after alcohol intake. The results were as follows: 1) Blood alcohol concentrations were significantly higher after fluoxetine administration than placebo administration at 40min, and 60min, after alcohol intake. 2) Fluoxetine suppressed the increase of pluse rate induced by alcohol intake. However, no significant difference was noted in the alcohol induced changes in the scores of MRS, respiratory rate, and subjective physical condition between the drug and placebo administrations. 3) After fluoxetine administration, a significant negative correlation was shown between blood alcohol concentration, 10min after alcohol intake and MRS. In contrast, however, a significant positive correlation was seen between the two variable after placebo administration. From these results, it is suggested that fluoxetine increases blood alcohol concentration only during higher alcohol concentration and that the reduction of alcohol intake after chronic administration of fluoxetine may be due, at least in part, to an attenuation of positie reinforcement of alcohol effect, rather than to an enhancement of the aversion reaction to alcohol.

폐결핵으로 오인된 SIADH를 동반한 편평상피 세포폐암 1예

김순제,류하근,김선두,이길도,박봉안,류주성,유재등,김인숙,신현준,문언수 대한노인병학회 1999 Annals of geriatric medicine and research Vol.3 No.4

뇌하수체 종양 제거술 시행 후 뒤늦게 발생한 횡문근 융해증과 동반된 중추성 열

장제혁,최규남,김일환,노은지,김윤정,유충헌,고정해,박봉수,김태균,권민정,이순희,박정현 인제대학교 2008 仁濟醫學 Vol.29 No.-

Body temperature is controlled by thermoregulatory center of the hypothalamus. We report a case of 24 years old man with central fever. He was subjected to a partial excision of pituitary tumor compressing optic chiasm four years ago. He has received hormonal therapy for panhypothyroidism after removal of pituitary tumor. And He received gamma knife operation for partially contrast-enhancing masses in suprasellar and both hypothalamic areas that is probably postoperatively remnant or recurrent tumor of pituitary adenoma. One year after gamma knife operation, he presented with a febrile syndrome of unknown origin including rhabdomyolysis. All usual investigations proved negative. We diagnosed him as central fever with rhabdomyolysis. He received medical ICU care with cooling bed, ice pack. And his symptom improved. Postoperative hyperthermia may result following resection of the pituitary tumor. When central fever is suspected taking note of past history, a quick recognition of course of fever can help reduce the using of unnecessary antibiotics and hospital stay.

民法上의 解除權에 관한 考察 : 根據와 效果를 중심으로

조봉제,김우덕 부산여자대학교 사회과학연구소 1998 사회과학연구 Vol.- No.2

충주 지역에서 10년간 급성심근경색의 임상관찰에 대한 연구

박봉안,류하근,이종혁,김인숙,류주성,유재등,이용구,문언수,김형수 건국대학교 의과학연구소 2001 건국의과학학술지 Vol.11 No.-

Background: The current treatments of acute myocardial infarct(AMI) Include noninvasive method using thrombolytics and invasive methods such as primary percutaneous transluminal coronary angioplasty(PTCA) and coronary artery bypass graft(CABG)surgery. Although there are many studies comparing the effectiveness of noninvasive and invasive methods, when large clinical centers, 20% of totar hospitals, were excluded, most middle-sized hospitals lacked personnels and facilities for the invasive methods. Thus they opted for the noninvasive methods. Therefore, in this study, the clinical characteristics of AMI patients and the results of thrombolytic & conservative treatment were observed. Method: 137 patients with acute myocardial infarct, who visited KonKuk University Medical Center, ChoongJu Hospital during Sept. 1990 to Sept. 1999 were analysed retrospectively using medical records. Result: The sexual compositions of patients were 63.5% male, and 36.5% female. The mean age for male patients were 56±12.9, and for female patients 68.7±9.6 (p<0.05). The mean age for female patients was significantly older than male patients. The patients in the thrombolytic treatment group had mortality rate of 6.25% which is lower than that of the conservative treatment group at 12% (p>0.05). Conclusion: Although in our study, small number of acute myocardial infarct patients caused the statistical insignificance, rapid revascularization by thrombolytic therapy within 6 hours of onset of symptoms improved mortality rate and early ambulation. And we had good results on AMI with thrombolytic agent in ChungJu including near rural area as primary emergency hospital. Therefore a prospective research with greater number of subjects is needed to develop better treatments for AMI.

노인정신장애 평가척도(Psychogeriatric Assessment Scale)의 한국판 표준화 연구

조맹제,박임순,신영민,김무진,정희연,정은기,최용성,조성진,서국희,함봉진 大韓神經精神醫學會 2000 신경정신의학 Vol.39 No.1

연구목적 : 본 연구는 치매와 우울증을 다차원적으로 평가할 수 있는 도구인 Psychogeriatric Assessment Scale(PAS)의 한국판(PAS-K)을 개발하기 위한 것이다. 방 법 : 번역, 역번역, 그리고 세차례의 예비조사를 통하여 PAS-K를 제작하였다. 60세 이상의 노인 291명(임상환자군 : 58명, 지역사회노인군 : 168명, 수용시설 거주자 : 67명)과 그들의 정보제공자들을 대상으로 PAS-K, Geriatric Depression Scale(GDS), Korean version of Mini-Mental State Examination(MMSE-K), Hamilton Rating Scale for Depression(HRSD), 그리고 Hachinski Ischemic Score 를 적용하고, Diagnostic Interview chedule(DIS-Ⅲ-R)을 사용하여 치매와 우울증을 진단하였다. PAS-K의 신뢰도와 타당도를 평가하고, 예민도와 특이도, Kappa값, 그리고 ROC커브 분석법을 이용하여 PAS-K의 6개의 소척도들(피검자면접 : 인지기능 장애척도, 우울척도, 뇌졸중척도, 정보제공자면접 : 인지기능 저하척도, 행동변화척도, 뇌졸중척도)의 최적 절단점을 구하였다. 결 과 : PAS-K는 높은 내적 일관성을 보였고, 검사자간 신뢰도도 만족할 만한 수준이었다. PAS-K의 소척도들을 다른 표준화된 검사도구들과 비교하였을 때 인지기능 장애척도와 인지기능 저하척도는 MMSE-K와, 우울척도는 GDS 및 HRSD와 유의한 상관관계를 보였으며, 뇌졸중척도는 Hachinski Ischemic Score와 통계적으로 의미있는 상관관계를 보였다. 최적절단점은 인지기능 장애척도 10점, 인지기능 저하척도 3점, 우울척도 5점, 피검자면접과 정보제공자 뇌졸중척도 모두 1점, 그리고 행동변화척도 2점으로 추정하였다. 결 론 : 본 연구를 통해 PAS-K의 신뢰도와 타당도가 검증되었고, 노인정신의학 역학연구나 보건분야에서 치매와 우울증의 임상경과관찰 및 일차 선별도구로서 유용하게 사용될 수 있게 되었다. Objectives : This study was designed to develop the Korean version of the Psychogeriatric Assessment Scale(PAS-K), a multidimensional screening tool for the dementia and depression. Methods : Through three times preliminary trials, the authors translated PAS into Korean. The PAS-K, Geriatric Depression Scale, Hamilton Depression Rating Scale, Hachinski Ischemic Scale and Mini-Mental State Examination-Korean version were administered to 291 subjects over the age of 60 and the same number of their informants(67 subjects were institutionalized, 168 subjects were in community, 58 subjects were psychiatric hospital patients). And the Diagnostic Interview Schedule(DSM-Ⅲ-R) was independently administered to exactly diagnose dementia and depression. The reliability and validity test, optimal cut-off point estimation for six each scale and ROC curve analyses were done to investigate the diagnostic validity of PAS-K. Results : Internal consistency and interrater reliability of the PAS-K were high. Concurrent validity of each scales of PAS-K was good in being measured with other standardized scales. The optimal cut-off points of each scale of the PAS-K were estimated as follows : 1) Stroke Scale of subject interview : 1, 2) Cognitive Impairment Scale of subject interview: 10, 3) Depression Scale of subject interview : 5, 4) Stroke Scale of informant interview : 1, 5) Cognitive Decline Scale of informant interview : 3, and 6) Behavioral Change Scale of informant : 2. conclusions : The PAS-K was valid and reliable screening tools for detecting dementia and depression. Therefore the PAS-K could be widely and extensively used in psychogeriatric epidemiological research or clinical setting of primary screening for dementia and depression.

조직내 사회자본과 지적자본의 형성 및 조직성과관리에 대한 효과

박희봉,강제상,김상묵 한국행정연구원 2003 韓國行政硏究 Vol.12 No.1

본 연구는 조직의 능력은 개인의 능력에만 의존하는 것이 아니라 조직구성원과 하부조직간의 상호관계에 의존하며, 이러한 제 관계가 궁극적으로 성과를 증가시킨다는 것을 전제로 한다. 본 연구는 조직구성원의 능력을 발휘하게 하는 인적자본, 조직의 역량과 능력을 의미하는 구조자본, 고객만족 및 고객의 조직에 대한 충성도로 정의되는 고객자본 등 지적자본이 조직 내 사회자본과 어떤 상관관계가 있는가 하는 문제와, 사회자본 및 지적자본이 조직성과 증진에 기여하는 효율적인 조직성과관리에 어떤 영향을 미칠 것인가를 분석하였다. 분석 결과, 첫째 사회자본과 지적자본 상호간에 긍정적인 인과관계를 보였다. 이것은 조직의 지적자본 형성에 사회자본이 영향을 미치고 있으며, 조직 내 지적자본이 축적되면 이는 사회자본의 형성에 기여한다는 것을 의미한다. 둘째, 조직 내 사회자본과 지적자본이 조직성과에 긍정적인 영향을 미친다고 할 수 있다. 조직성과를 구성하는 조직관리, 성과지향성, 동기부여에 모든 사회자본 및 지적자본을 구성하는 요인이 직접적인 영향을 주고 있지는 않지만, 조직성과관리를 구성하는 조직관리, 성과지향성, 동기부여 모두 사회자본 및 지적자본의 일부 또는 전부의 요인에 의해 직접적인 영향을 받고 있음이 확인되었다. 본 연구 결과는 조직 관리와 조직성과향상에 있어서 자본과 인력 등의 물질적 자본뿐만 아니라 사회자본 및 지적자본과 같은 무형자산에 의해 영향을 받는다는 의미를 부여한다. This study assumes that organization capacities depend on not only the abilities of individual members in organization, but also the relationships among the members and sub-organizations in the organization, and these effective relationships ultimately develop the performances of an organization. The study examines the relationship between social capital and intellectual capital, which includes the human capital, structural capital, and customer capital, and analyzes whether the intellectual capital and social capital affect the effective organization performance management, In this analysis, some meaningful results are founded. First, there is positive relationship between social capital and intellectual capital. Second, social capital and intellectual capital in organization affect positively the organization performance. Even though all the elements of social capital and intellectual capital don't directly affect the organization management, performance inclination, and motivation in organization, some of the elements directly or indirectly affect the factors of organization performance. It means that the organization performance is influaced not only by the physical capital, that is economic capital and human capital, but also by the invisible capital, such as social capital and intellectual capital.

대상 포진양 배열을 보인 다발성 에크린 나선종 1예

박현제,김문범,장봉석,오창근,장호선,권경술 대한피부과학회 2006 大韓皮膚科學會誌 Vol.44 No.4