체간안정화 훈련이 만성 뇌졸중 환자의 호흡기능에 미치는 효과

이경진(Kyeong-Jin Lee),정주현(Ju-Hyeoun Jeong),조명래(Myeong-Rae Jo),김세윤(Se-Yoon Kim),김난수(Nan-Soo Kim) 대한심장호흡물리치료학회 2019 대한심장호흡물리치료학회지 Vol.7 No.1

Purpose : The purpose of this study is to examine the effects of trunk stability training on improving trunk control, respiratory function, and respiratory muscle activation in stroke patients. Methods : The subjects were assigned to two groups: the intervention group (n=15) and the control group (n=15). Both groups participated in a conventional stroke rehabilitation program, but the intervention group also received trunk stability training for 30 minutes a day, 3 times a week, for 6 weeks. The main trunk stability exercise consisted of the dead bug exercise. Trunk control was assessed using a trunk impairment scale, and respiratory function (pulmonary function and respiratory muscle function) was assessed using spirometry. The data were analyzed using the Pearson correlation, independent t-test, and paired t-test. Results : Trunk control was significantly positively correlated with pulmonary function and respiratory muscle strength. Both groups showed a significant increase in trunk control and respiratory function. Conclusion : This study demonstrated that a conventional stroke rehabilitation program and trunk stability training have positive effects on respiratory function and respiratory muscle activation in stroke patients.

Phellinus baumi 상황버섯의 면역증강활성

정경수 충남대학교 약학대학 의약품개발연구소 2012 藥學論文集 Vol.27 No.-

Certain mushrooms belonging to the genus Phellinus, such as P. linteus and P. igniarius, have been known for their antitumor and immunopotentiating activities. These mushrooms have collectively been called "Sang-Whang" in oriental medicine. In Korea, Phellinus baume has been cultivated from mid 1990's and are known as "Sang-Whang" mushrooms. However, its antitumor or immunomodulatory activity has never been carried out. In this study, two protein-polysaccharide fractions, one from hot water extract and the other from alkaline extract, were prepared and their stimulatory activities on the in vitro cultured BALB/c mouse splenic leukocytes were investigated using flow cytometric analysis. As a result, the water soluble protein-polysaccharide fraction, PBD, was found to exert stronger activities than the alkali-soluble protein-polysaccharide fraction, PMA, in in vitro lymphoblastogenic assay. PBD also showed in vitro stimulatory activity on T lymphocytes in that it enhanced the level of CD25 expression of the in vitro cultured splenic leukocytes.

상완골 간부 분쇄 골절의 최소 절개를 통한 관혈적 정복 및 교합성 골수강내 금속정 고정술 : 금속판 내고정술을 이용한 상완골 간부 분쇄 골절 치료와의 비교 Comparison between Plate Internal Fixation

한경진,어수익,김태영,강신영 대한골절학회 2002 대한골절학회지 Vol.15 No.4

목 적 : 상완골 간부 분쇄 골절의 치료에서 최소 절개를 통한 관혈적 정복 및 교합성 골수강내 금속정 고정술의 치료 결과를 금속판 내고정술과 비교하고자 한다. 대상 및 방법 : 1997년 3월부터 2001년 12월까지 상완골 간부 골절로 금속판 내고정술을 시행한 14례와 상완골 간부 분쇄골절에 대해 최소 절개를 통한 관혈적 정복 및 교합성 골수강내 금속정 고정술을 이용하여 수술을 시행한 18례이고, 최고 9개월 이상 추시하였으며 임상적 및 방사선학적 결과를 분석하였다. American Shoulder and Elbow Surgeon's (ASES) shoulder score를 기준으로 기능적 평가를 하였고, visual analous scales에 따라 통증의 정도 (zero : no pain ~ 10 : extreme pain) 를 평가하였다. 결 과 : 골절 유합은, 금속판 내고정술의 경우 14례중 12례(85.7%)에서 골유합을 얻었고 골유합 시기는 평균 13.2주 이었다. 최소 절개를 통한 관혈적 정복 및 교합성 골수강내 금속정 고정술을 이용하여 수술을 시행한 18례중 17례(94.4%)에서 골유합을 얻었고 평균 골유합 시기는 평균 12.4주 이었다. ASES shoulder score에 따른 기능적 점수는 금속판 내고정술의 경우 평균 44점, 최소 절개를 통한 관혈적 정복 및 교합성 골수강내 금속정 고정술을 시행한 경우 평균 47점 이었다. 통증의 정도는 금속판 내고정술의 경우 평균 1.8, 최소 절개를 통한 관혈적 정복 및 교합성 골수강내 금속정 고정술을 시행한 경우 평균 1.4 이었다. 결 론 : 상완골 간부 분쇄골절에 대한 최소 절개를 통한 관혈적 정복 및 교합성 골수강내 금속정 고정술은 견고하고 정확한 골절의 정복이 가능하고 술후 방사선학적 및 기능적 결과가 다른 수술방법에 비해 결과가 좋은 것으로 사료되었다. Purpose : We compared the functional and radiological results after the minimal open reduction and interlocking IM nailing and LC-DCP plate internal fixation for the comminuted humeral shaft fractures. Materials and Methods : Fourteen plates(LC-DCP) and eighteen interlocking IM nail (AO unreamed IM nail) were applied after open reduction for 21 comminuted fractures of the humeral shaft between March 1997 and December 2001. They were followed up for a minimum 9 months after surgery and the radiological and functional results were evaluated. Results : The average fracture healing time was 13.2 weeks and union rate was 85.7% for plate internal fixation. The average fracture healing time was 12.4 weeks and union rate was 94,4% for interlocking IM nail. The average functional scores according to American Shoulder and Elbow Surgeon's (ASES) shoulder score(Total 52 points_ was 44 points for plate internal fixation and 47 point for interlocking IM nailing respectively. Conclusion : Minimal open reduction and interlocking IM nailing is better method with good functional and radiological results than plate internal fixation for the comminuted humeral shaft fractures.

産母와 新生兒 血淸의 Ferritin, Fe 및 TIBC値에 관한 硏究

姜庚求,羅昌洙 조선의대 1984 The Medical Journal of Chosun University Vol.9 No.1

큰눈물버섯 등 한국산 담자균류의 렉틴 활성

정경수,정연주 忠南大學校 生命科學硏究院 醫藥品開發硏究所 2006 藥學論文集 Vol.21 No.-

As an effort to develop noble antitumor lectins from Korean basidiomycetes, wild mushrooms were collected and their cold-water extracts were subjected to a screening test for their lectin activities using hemmagglutination assay on BALB/c mouse erythrocytes. Of the nine species tested, three species, Psathyrella velutina, Fomitella fraxinea and Russula compacta, showed strong hemmagglutinating activities, while the other six species showed minimal or no activities. Of these, partial purification of the lectin components of P. velutina and R. compacta were attempted by precipitation with saturated ammonium sulfate followed strong hemmagglutination activity unlike that of R. compacta, which lost its lectin activity after the purification process. Moreover, the partially purified P. velutina lectin exerted cytotoxic effect on sarcoma 180 cells when assessed by flow cytometric analysis.

중립대 개념을 이용한 악안면보철물 제작 및 치험례

배정수,박경옥 동국대학교 경주대학 1996 東國論集 Vol.15 No.-

구강과 안면에 있어서의 손상은 저작, 연하, 발음 및 호흡 기능의 일부 혹은 전체에 심각한 영향을 미치며, 그 손상의 결과로서 시각, 촉각, 미각, 후각 및 청각이 심하게 손상 받을 수도 있다. 특히 외모가 중요시되는 우리 사회에서 구강악안면계의 손상은 개인의 인성 뿐만 아니라 사회적, 직업적 적응에도 심대한 영향을 미치게 된다. 따라서 구강악안면계의 손상을 가진 환자는 손상 수복의 기회가 주어져야만 한다. 중립대 이론 및 술식이 구강악안면계의 결손 수복 시 매우 유용하게 사용될 수 있다. 중립대 개념은 정상 환자에서의 보철 수복 시보다 구강악안면계의 결손을 가진 환자에서는 더욱 더 유용하게 사용될 수 있다. 저자 등은 상악골에의 양성 종양에 의해 상악골 부분절제술을 시행받은 환자에 있어서 중립대 이론을 적용하여 정상적인 기능 및 심미성 회복을 위한 악안면 보철물 제작하였으며 환자로부터 만족스러운 평가를 얻었기에 그 이론적, 기술적 배경과 함께 1편의 증례를 보고하는 바이다. Disabilities of the oral and face may have a pronounced effect on any or all the functions of mastication, deglutition, speech, and respiration. In addition the senses of sight, touch, taste, smell, and hearing may be compromised or lost as a result of an orofacial defonnity. In our society, where a pleasing facial appearance is so important, insults to the orofacial area may also have extensive effects on the personality of the indivisual, and on social and vocational adjustments. It is therefore imperative that individuals handicapped with orofacial disabilities be given the opportunity to be rehabilitated and permitted to take their rightful places in society. The application of the neutral zone principles and techniques can be utilized very effectively in the rehabilitation of individuals with orofacial deformities. The results of the neutral zone concepts are even more dramatic when applied to the compromised patients with an orofacial deformities than conventional edentulism. The authors made a maxillofacial prosthesis for the patient having partial maxillectomy due to benign tumor on the maxilla using the concept of neutral zone philosophy to rehabilitate normal function and esthetics.

전위된 소아 상완골 과상부 골절의 치료 : 도수정복 되지 않는 골절의 최소 절개를 통한 정복술 Open Reduction with Minimal Incision of the Manually Irreducible Fracture

한경진,어수익,박응석,강신영 대한골절학회 2002 대한골절학회지 Vol.15 No.4

목 적 : 전위된 소아 상완골 과상부 골절의 치료에서 도수 정복 후 석고 고정술 또는 경피적 K-강선 고정술을 시행하거나 도수 정복이 되지 않은 경우 최소 피부절개를 통한 관혈적 정복 및 경피적 K-강선 고정술을 시행한 결과를 분석하고자 하였다. 대상 및 방법 : 전위된 상완골 과상부 골절(Gartland 제 Ⅱ, Ⅲ형)로 치료한 8세 이하의 환아중 1년 이상 추시가 되었던 총 74명 (74 골절) 을 대상으로 하였다. Gartland분류에 의한 제 Ⅱ형이 19차례, 제Ⅲ형이 52차례 이었고 정복의 기준은 건측의 주관절 Bauman 각으로 하였다. 안정적인Gartland 제 Ⅱ형, 6례에서 석고 고정을 시행하였고 불안정한 Gartland 제 Ⅱ형 13례와 Gartland 제Ⅲ형 52 례는 경피적 K-강선 고정술을 시행하였다. 도수 정복이 되지 않은 20례 (제 Ⅱ 형 1례, 제 Ⅲ 형 19례)의 경우, mini C-arm 영상하에 주관절 후면에 최소절개를 가하고 소절골도를 이용하여 정복하였다. 결과의 분석에는 주관절 운반각과 기능적인 운동범위의 소실 정도에 따른 Flynn의 분류를 사용하였다. 결과 : 저자들의 결과를Flynn의 분류에 따라 분석하면, 운반각의 경우 excellent는 52 례 (73.2%). good은 13례(18.3%) 로 만족할 만한 결과는 91.5% 이고 운동 범위의 경우 excellent는 49례 (69.0%), good은 20례(28.2%) 로 만족할 만한 결과는 97.2% 로서 비슷한 결과를 보였다. 도수 정복 및 경피적 K-강선 고정술이 운동 범위 요소(Functional factor)에서 더 많은 excellent, 그리고 최소 절개를 이용한 관혈적 정복 및 경피적 K-강선 고정술은 운반각 요소(Cosmetic factor)에서 더 많은 excellent를 나타내었다. 결 론 : 소아의 상완골 과상부 골절의 치료는 소아 골단의 성장판의 손상과 향후 발생할 수 있는 각변형을 고려하여 되도록 정확하고 세심한 정복과 안정적인 고정을 요한다. 또한, 도수 정복이 불가능할 경우 무리한 도수 정복 조작을 계속하지 말고 관혈적 정복을 시행하며 연부조직 손상을 줄이기 위해 가능한 최소 절개를 통한 정복 및 경피적 K-강선 고정을 하는 것이 좋은 결과를 나타내는 것으로 생각된다. Purpose : We evaluated the results of the displaced supracondylar fractures in children treated by closed reduction and cast immobilization, closed reduction and crossed K-wires fixation. Materials and Method : We retrospectively reviewed the results after 1 years of the treatment of 71 extension-type fractures (Gartland type Ⅱ-19 cases, type Ⅲ-52 cases) of supracondylar humeral fractures in children under age of 8 years. Closed reduction was impossible in 20 cases (1 type Ⅱ, 19 type Ⅲ) and we performed open reduction with minimal incision and cross percutaneous pinning. We measured Baumanns angle and range of motion of elbow and evaluated the results by Flynns criteria. Result : By Flynns criteria, 91.5 % of satisfactory (excellent, good) resuts in cosmetic factor and 97.2 % in more excellent in functional factor and that of the minimal open reduction and percutaneous pinning in cosmetic factor but over all satisfactory results were similar. Conclusion : The treatment of the displaced supracondylar humeral fractures in children need accurate and delicate reduction and firm fixation to prevent deformity and to preserve function of the elbow. Open reduction with minimal incision instead of general incision for the manually irreducible supracondylar humeral fracture would be a reliable and convenient method for the treatment of supracondylar humeral fractures in children.

부모의 정서표현성과 유아의 사회적 능력간의 관계

우수경,정영숙 충북대학교 교육 ·생활연구소 생활과학연구센터 2003 생활과학연구논총 Vol.7 No.1

The purpose of this study was to investigate the relationships between parents' emotional expressiveness and their children's social competence. Specifically, research questions addressed in this study were as follows: 1) Is there any relationship between parents' emotional expressiveness and their children's social competence? 2) Is there any relationship between parents' emotional expressiveness and their children's social competence according to children's gender? Subjects for this study were 310 five-year-old children and their 620 parents (310 mothers and 310 fathers), all of whom were sampled from 20 classes of 23 public or private kindergartens in Chongju-si and Daejon-si. Children's social competence was measured by the questionnaires constructed by the researcher and parents' emotional expressiveness was measured by the questionnaire, a revised Korean version of Halberstadt's(1986) Family Emotional Expressiveness Questionnaire (FEQ). Data collected from the participants were analyzed with Pearson's coefficient of correlations. Results found in this study were as follows: First, there was positive correlation between mothers' positive emotional expressiveness and their children's social competence, but negative correlation between mothers' dominant-negative emotional expressiveness and their children's social competence. Second, there was positive correlation between fathers' positive emotional expressiveness and their children's social competence, but negative correlation between fathers' dominant-negative emotional expressiveness and their children's social competence.

아버지의 정서표현과 어머니의 애정적 양육행동간의 관계

우수경 충북대학교 교육 ·생활연구소 생활과학연구센터 2002 생활과학연구논총 Vol.6 No.2

The purpose of this study was to investigate the relationship between father's emotional expression and mother's affective rearing behavior. Specifically, research questions addressed in this study were as follows: 1) Are there any differences of father's emotional expression by related variables such as age and final degree? 2) Are there any differences of mother's affective rearing behavior by related variables such as age, final degree, and job? 3) Are there any relations between father's emotional expression and mother's affective rearing behavior. Subjects for this study were 391 mothers and 391 fathers, all of whom were sampled in Chongju-si and Daejon-si. Father's emotional expression was measured by the questionnaire, a revised Korean version of Halberstadt's (1986) 'Family Emotional Expressiveness Questionnaire (FEEQ)'. And mother's affective rearing behavior was measured by the questionnaires constructed by Woo(2002). Data collected from the participants were analyzed with t-test and coefficient of correlations. Results found in this study were as follows: First, no significant differences of emotional expression were found by father's age. And significant differences of positive emotional expression were found by father's final degree, but no significant differences of negative dominant and negative non-dominant emotional expression were found by father's final degree. Second, no significant differences of affective rearing behavior were found by mother's age, but significant differences of affective rearing behavior were found by mother's final degree and job. Third, there were positive correlations between father's positive emotional expression and mother's affective rearing behavior, but there were not correlations between father's negative dominant and negative non-dominant emotional expression and mother's affective rearing behavior.

조직의 사회·심리적 요인과 산재발생간의 관계 : 철강회사 근로자를 대상으로

박수경 한국사회복지정책학회 2003 사회복지정책 Vol.16 No.-

지금까지 산재발생의 원인에 대한 분석은 주로 물리적인 작업환경에 국한되어 왔으나, 점차 사회·심리적 측면에서 규명하고 이를 토대로 산재예방을 위한 정책수립 및 산업복지프로그램 개발을 위한 함의를 제공하는 데 있다. 본 연구 결과, 산재사고를 경험한 집단이 경험하지 않은 집단에 비해 부정적 유형의 성격을 보였고, 업무과중과 역할갈등을 더 많이 느끼고 있었으며, 동료지원 정도도 낮게 나타났다. 또한 산재발생에 영향을 미치는 요인은 성격과 역할과중으로, 부정적인 성격유형일수록, 업무과중에 대해 부담을 더 많이 느끼는 근로자에게 산재가 발생할 확률이 높은 것으로 나타났다. 본 연구의 함의는 사회·심리적 직업환경요인이 산재발생에 영향을 미칠 수 있다는 점을 감안하여 산재예방정채 및 기업복지프로그램 개발이 필요하다는 점이다. This study examined the relationships between organizational psychosocial variables and occupational accidents. Data were collected from workers of only one steel company in Korea in order to control of physical environments using structured interviews. In total, 149 valid questionnaires were completed and analyzed using statistical techniques such as frequency, t-test, and logistic regression. Analysis showed that the factors affecting occupational accidents were affectivity of individual and job stressor variables such as role overload. The current findings suggest that occupational accidents prevention policy and program aimed at improving organizational psychosocial factors as well as physical environments.