과도한 운동으로 발생한 횡문근융해증에 의한 급성신부전증 1예

문철호,류보열,모성환,김태종,기장도,박용관,김용환,정종훈 조선대학교 1995 The Medical Journal of Chosun University Vol.20 No.1

Rhabdomyolysis may be defined as a clinical and laboratory syndrome which releases muscle cell contents into the plasma, such as creatine phosphokinase, due to skeletal muscle injuries. It can be the result of many diverse causes including muscle disease, ischemia, genetic disorder, metabolic disorder, infectious disease, drugs, comatose state, trauma or vigorous exercise that can lead to acute renal failure as a complication. Since first reported in 1941, rhabdomyolysis-induced acute renal failure has been documented many times, and the major causes of this disease are carbon monoxide poisoning, snake bites, and etc in Korea Reports of acute renal failure after exercise-related rhabdomyolysis with myoglobinemia are rare. We report a case of acute renal failure caused by exercise-related rhabdomyolysis in a 20 year old man.

혈액종양 환자의 중심정맥 카테터에 대한 헤파린 관류와 생리식염수 관류의 효과 비교

문초희,연보라,김현진,은방희,배영이 병원간호사회 2006 임상간호연구 Vol.11 No.2

Purpose: The purpose of this study was to compare the efficacy of heparin flushing and normal saline flushing in maintaining patency of central venous catheters(CVCs), and to investigate relative risk factors of CVCs' occlusion. Method: A total of 159 patients who had been inserted with CVCs were included in the department of hemato-oncology of S hospital. The heparin group consisted of 74 patients with 10u/ml diluted heparin flushing from 23 November 2004 to 15 January 2005, and the normal saline group consisted of 85 patients with 0.9% normal saline flushing from 19 January to 31 March of 2005. Result: The heparin group was significantly different from the normal saline group in CVCs' occlusion. The normal saline group offered a much longer survival duration of CVCs' patency than the heparin group. Potential bleeding signs (PT, aPTT) had no significant differences. In multivariate analysis, 0.9% normal saline (hazard ratio 0.50), chemo port (hazard ratio 3.38), and no administration of TPN (hazard ratio 0.25) were the significant factors for occlusion of CVCs. Conclusion: For maintaining the patency of CVCs, 0.9% normal saline flushing are expected to be effective in reducing drug incompatibilities, lessening the bleeding tendency and improving cost effectiveness .

自閉兒를 위한 音樂治療

文章元,金寶敬 大邱大學校再活科學硏究所 1986 再活科學硏究 Vol.7 No.1

The purpose of the present study was to demonstrate the important role of music in the treatment programme for autistic children, through a review of the literature. It has been shown that autistic children who do not generally respond to verbal communication respond to music which is partially non-verbal. The followings were suggested in the study: 1. Music has the soothing effect on the emotionally disturbed children. , 2. Autistic children generally positively respond to music. Therefore, music can be used as a reinforcer in teaching. 3. Music in a rondo form can be applied to teach various skills activities. Teaching sign language for the children through the Orff's schulwerk method was introduced as an example. and, 4. Music may be utilized to decrease stereotyped behaviors of autistic children. Thus, the rhythmic body movements of autistic children (stereotypes) may be expressed in a music session as a form of dance or physical exercise to the extend that the children get the similar effect of jogging which is known to have decremental effect on the behaviors.

철도관광상품 개발에 관한 연구 : Developing Tourism Products:Train Tour Tourism

문보영 한국호텔관광학회 2000 호텔관광연구 Vol.2 No.1

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디-젤 批塵用 移動벨트型 電氣集塵裝置의 小型化에 관한 硏究

文在德,孫鉉,서보혁,金光錫 경북대학교 공과대학 1984 工大硏究誌 Vol.13 No.-

A Moving-Belt Type Electrostatic Precipitator (MBEP) proposed by one of authers has been improved by introducing systematic control concept for the diesel soot particulates from diesel engine exhaust. The proto type MBEP was designed without helping of any precharger or precoagulator of the soot particles, and so it is too large for equipping to the vehicles. The improved one is designed as a systematic control device consisted of a precharger and a MBEP. This systematization makes it possible miniaturizing the size of MBEP without any drop of its collection performance by enhancing the corona field intensity and current density in the collection space concurrently obtained by reducing the interelectrode spacing of corona electrode to collection electrode. As a result, the collection efficiency of present MBEP system, which is reduced by ca. 1/2 in volume to the proto type MBEP, amounts to 82% at the gas velocity of 1.0m/s (this nearly equals to the gas exhaust of a 2000 cc diesel powered vehicle) and gas temperature of ca. 50℃ for the simulated soot particles ranged in size from 0.005μm (mass median diam is 1.0 μm). The collection efficiency of the improved MBEP system of 82% is higher enough to the US EPA regulation limit of 70% of the year of 1985 for the diesel powered light-duty trucks and passenger cars.

초등학교 고학년 학생의 장애아동에 대한 인식 조사

김보람,김호영,손유라,오진주,윤슬기,이효정,장문영 대한감각통합치료학회 2011 대한감각통합치료학회지 Vol.9 No.1

목적 : 초등학교 고학년 학생의 장애아동에 대한 인식을 알아보는 것이다. 연구방법 : 연구 대상은 김해시에 소재한 통합교육을 실시하지 않는 초등학교의 4, 5, 6학년의 비장애 아동이었다. 연구 기간은 2008년 10월 2일부터 10월 17일까지였으며, 설문지를 사용하였다. 설문지의 하위 영역은 사귐, 활 동, 학업 영역의 세 부분으로 각 10문항으로 이루어져 있으며 SPSS 12.0을 사용하여 분석하였다. 결과 : 장애아동에 대한 인식조사 결과 첫째, 성별에 따른 인식은 남학생보다 여학생의 평균 점수가 높았으나 통계 적으로 유의미한 차이는 없었다. 둘째, 학년에 따른 인식은 4학년의 평균 점수가 가장 높았고 6학년이 가장 낮았으 며 통계적으로 유의미한 차이가 있었다(F=3.546, p<0.05). 셋째, 장애인 접촉 유무에 따른 인식은 접촉 경험이 없 는 학생이 있는 학생보다 평균점수가 높았으나 통계적으로 유의미한 차이는 없었다. 결론 : 비장애학생의 장애아동에 대한 인식은 학년에 따라 차이가 있었다. 본 연구는 작업치료사들에게 장애아동에 대한 또래집단의 인식에 대한 정보를 제공함으로써 학교환경에 대한 이해를 도울 수 있을 것이다. Objective : The purpose of this study was to investigate attitude of grade-schoolers toward children with disabilities. Methods : The subjects of this study were grade-schoolers who have not received an inclusive education in Gim-hae. The study was surveyed from October second to 17th in 2008. The survey was categorized into three parts; comradeship, activity, and study. Each part of the survey consists of 10 questions. Data were analyzed by SPSS (version 12.0). Results : The results were as follows; First, the attitude of girls toward disabled students was non-significant compared to boys. Second, the order of attitude degree in grade of students was 4, 6, and 5. The attitude toward children with disabilities showed statistically significant difference according to grade(F=3.546, p<0.05). Third, the attitude of students who have experience of contact with people with disabilities was non-significant compared to non-experienced students. Conclusion : In conclusion, therefore peer groups in lower class levels showed more positive attitude toward the children with disabilities. The result will be useful information for understanding disabled children and making positive attitude. Also it is expected that occupational therapists help disabled children to participate in school life successfully using these information.

정밀금형의 엔드밀 가공시 최적가공조건의 결정에 관한 연구

심성보,윤문철,이종두 釜山工業大學 1991 論文集 Vol.33 No.-

In this study, We determine the optimum cutting condition of end milling operation for precision die in machining center. To obtain more complete solution of optimum design vector in end milling operation, several constraints of the actual endmill-operation are considered. As a constraints considered, surface roughness, cutting force in feeding direction, machining power and tool life are considered. As a searching method for absolute optimum, nonlinear mathematical programming(NLP:hypersphere inscribed method) is used. also to obtain required model of constraints and to simplify experiments, central composite design is used.

IMF이후의 가족 생활 행태의 변화

강문희,이광자,송보경 서울여자대학교 여성연구소 1998 여성연구논총 Vol.13 No.-

지방정부의 축산분뇨처리시설의 실태조사 및 운영효율화 방안에 관한 연구

심문보 공주대학교 자원재활용 신소재 연구센터 2002 센터사업 성과집 Vol.- No.1

The objective of this research was to lay out a scheme to enhance an efficiency and a beneficial cost effect on those planned and existing livestock waste facilities through making alternative ideas after grasping those problems related with facility operation and management carried out by individual livestock farmhouse and public treatment facilities in a local government. The research was focused on such livestock farmhouses as to produce the largest waste loads among those located in Chungnam province. The literature review was conducted to catch hold of the waste productions and present treatment conditions based on the data furnished by the livestock-related departments. Moreover, fined investigations into actual conditions were carried out to seize the problems related with maintenance and management of livestock waste treatment facilities. Since the optimum breeding heads are about two hundreds, the appropriate treatment facilities may minimize the maintenance/management costs. Besides, it is necessary to set up such facilities with low maintenance/management costs, easy operation, and no additional process. In terms of the economy of scale, the supporting funds should be concentrated on such livestock farmhouses with 2000 heads in order to enhance price competitiveness.

백서 정중구개봉합 확대후의 CGRP 면역반응 신경섬유의 변화

김보경,박국필,경희문,권오원,성재현 대한치과교정학회 1999 대한치과교정학회지 Vol.29 No.1

측방확대장치에 의한 정중구개봉합부의 확대시 고정력은 구개부의 신경요소들에 변화를 일으키면서 동통을 유발하게 되고 구개봉합부가 확대되고 그것이 유지되는 동안에 기계적 자극에 의한 구개부신경섬유의 반응성에 변화를 일으킬 것으로 생각된다. 본 연구에서는 백서 정중구개봉합부의 CGRP 면역반응 신경섬유의 교정력 적용시간에 따른 형태학적인 반응성, 밀도, 분포변화등을 관찰하고 그와 연관된 CGRP의 기능을 알아보고 자 250gm내외의 Sprague-Dawley 웅성백서 상악전치에 200gm의 치아이개력이 가해지도록 활성화시킨 helical spring을 삽입하여 정상대조군과 장치 장착후 경과시간에 따라 1일, 4일, 7일, 14일 경과군으로 나누어 정중구개봉합부를 확대후 희생시켜 면역조직화학법으로 염색하여 관찰하였다. · 대조군에서 정중구개 봉합붑 결합조직의 CGRP 면역양성 신경섬유는 거의 관찰되지 않았다. · 1일군에서는 대조군에 비해 CGRP 면역반응 신경섬유가 현저한 증가를 보였으며 주로 혈관 주위에 염주알 모양의 가는 신경섬유가 관찰되었다. · 4일군에서는 CGRP 면역반응 신경섬유가 대조군에 비해서는 현저한 증가를 보였으나 1일군에 비해서는 크게 증가하지 않았으며 혈관의 크기가 훨씬 확장되어 관찰되었다. · 7일군에서는 특징적으로 조골양세포가 새로이 형성된 골변연을 따라 줄지어 배열되는 독특한 양상이 관찰되었고 신경섬유의 수는 4일군에 비하여 감소하고 혈관의 직경도 감소되었다. · 14일군에서는 CGRP 면역반응 신경섬유가 7일군과 유사한 분포를 보였으며 확대에 의한 골변연의 불규칙성도 대체로 감소되었다. CGRP 면역반응 신경섬유는 정중구개봉합의 확대시 초기에 일어나는 신경원성 염증반응에 주로 관련되어 증식되는 것으로 생각된다. Midplatal suture expansion is often used for patients having narrow maxillary arch, cleft palate, respiratory handicap with narrow nasal cavity. CGRP has been known as a modulator of pain transmission in central nervous system and a local effector to peripheral tissue causing vasodilation, increase of blood flow, modulation of immune system, regulation of macrophagic function and stimulation of bone formation. To investigate changes of CGRP-immunoreactive nerve fibers in midpalatal suture during the the expansion, immunohistochemical study was performed by using rats. Experimental rats(10weeks, 250gm) were divided into five groups(control, 1, 4, 7, 14 days group (each n=4) and applied orthodontic force (approximately 200gm) to upper anterior incisors. Frozen sections of midpalatal suture area were immunostained by using rabbit antisera. The results were as follows. · The CGRP-immunoreactive nerve fibers were hardly observed in control group. · In 1 day group, the CGRP-immunoreactive nerve fibers were more increased around the vessels than control group. · In 4 days group, the CGRP-immunoreactive nerve fibers were more increased than control group, but not more increased than 1 day group. Vascular diameter was more enlarged. · In 7 days group, expecially, hematoxilin affinity of cells was remarkable and cells were arranged along the bone margin. The CGRP-immunoreactive nerve fibers were more reduced than 4 days group and vascular diameter was also reduced. · In 14 dayds group, the CGRP-immunoreactive nerve fibers were similar to those of 7 days group and the irregularity of bone margin was almost recoverd. In Conclusion, the CGRP-immunoreactive nerve fibers may be related to initial neurogenic inflammatory reaction in expanding mid-palatal suture.