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Distal Femoral Medial Opening Wedge Osteotomy for Post-Traumatic, Distal Femoral Varus Deformity
MyoungSoo Cha,송시영,Koo-Hyun Jung,Young-Jin Seo 대한슬관절학회 2019 대한슬관절학회지 Vol.31 No.1
Restoration of neutral mechanical alignment of the lower limb is an important factor in the treatment of unicompartmental arthrosis. Traditionally, medial opening wedge high tibial osteotomy has been widely performed to correct varus malalignment with unicompartmental arthrosis. However, an ideal indication for the high tibial osteotomy is the knee with metaphyseal tibial varus malalignment. The basic principle of corrective osteotomy is performing an osteotomy at the center of the deformity to prevent abnormal joint line obliquity. If pathologic distal femoral varus deformity is the cause of genu varum, the osteotomy should be performed in the distal femur. Reports of medial opening wedge distal femoral osteotomy (DFO) to correct varus malalignment are rare. We present a case of this very rare and challenging condition in a 47yearold male, which was successfully treated by medial opening wedge DFO.
콜라주에 기초한 협동미술활동이 만 5세 유아의 인성과 리더십에 미치는 영향
강명희 ( Kang Myoung-hee ),서현 ( Seo Hyun ) 한국아동교육학회 2018 아동교육 Vol.27 No.3
본 연구는 콜라주에 기초한 협동미술활동이 만 5세 유아의 인성과 리더십에 어떠한 영향을 미치는지 알아보기 위한 것이다. 연구대상은 A시 K어린이집 2개 학급의 만 5세 유아 36명(실험집단 18명, 비교집단 15명)이며, 실험집단의 유아들에게 16회의 콜라주에 기초한 협동미술활동을 실시하였고, 비교집단은 누리과정 교사용지도서의 생활주제와 관련한 미술활동을 평상시 그대로 실시하였다. 콜라주에 기초한 협동미술활동이 만 5세 유아의 인성에 미치는 영향을 검증하기 위하여 배윤진, 김현주(2009)가 수정하여 만든 ‘교사용 유아 인성 검사도구’를 사용하였고, 리더십에 미치는 영향을 검증하기 위해서는 이채호와 최인수(2008)가 개발한 ‘교사용 유아 리더십 검사 도구’를 사용하였다. 본 연구결과를 살펴보면 콜라주에 기초한 협동미술활동을 경험한 실험집단이 비교집단에 비해 유아의 인성과 리더십에 긍정적 효과가 있다는 것으로 나타났다. 이러한 연구결과는 콜라주에 기초한 협동미술활동이 유아교육현장에서 유아의 인성과 리더십을 증진시켜주기 위한 교수-학습 방법으로 활용될 수 있음을 시사하고 있다. In the study, experimental research was conducted in order to examine what effect cooperative art activity based on collage has on the personality and leadership of children aged five. The subjects of the study included 36 children aged five attending K child care center in A city. The experimental and comparison groups each included 18 children. For the experimental group, a life theme of Nuri curriculum was selected and then cooperative art activity based on collage was conducted. For the comparison group, art activity was conducted in accordance with the life theme of Nuri curriculum which was the same as the class method which had been used in K child care center. In order to measure children’s personality, the children’s personality test instrument for teachers which Bae Yun-jin and Kim hyun-ju(2009)was used. In order to test children’s leadership, the children’s leadership test instrument for teachers developed by Lee Chae-ho and Choi In-su (2008) was used. In conclusion, cooperative art activity based on collage is considered to have positive effects on improving children’s personality and leadership. This study, therefore, suggests that cooperative art activity based on collage can be used in the child education field for the improvement of children’s personality and leadership.
손현화,전명숙,이동선 서울여자대학교 자연과학연구소 2011 자연과학연구논문집 Vol.23 No.-
In this study, gas chromatographic profiles of total 15 lavender or lavandin essential oils were evaluated and compared. Linalyl acetate and linalool were major components, ocimene, terpinene-4-ol and lavandulyl acetate were minor, and octanone, limonene, phellandrene, cineol, camphor, lavandulol and terpineol were also detected. Lavandin essential oils showed significantly higher levels of linalyl acetate, linalool and camphor than lavender essential oils. Some essential oils showed poor quality. Key words:lavender, lavandin, gas chromatographic profiles, essential oils, aroma.
이영현,노명래 순천향대학교 기초과학연구소 2002 순천향자연과학연구 논문집 Vol.8 No.2
Horticultural practice is known vastly desirable for in healing modern diseases as disabled, mental disordered, dementia, etc. and now is enlightened as horticultural therapy. At present, its utilization is limited in the places only special populations. In the near future, however, it will be necessary to consider appling it into other various for general populations. Especially, in order to meet the social needs in Korea, we need to develope its practice programs for horticultural therapy in university education. The results are as follows; 1) As a results of the first survey, rankings of the important preference for a program operator were shown 'concern'>'interest'>'understand' in the learning view, 'pleasure'>'accomplishment'>'self-confidence' in the psychological view, and 'intimacy'>'cooperation'>'patience' in the social view. 2) According to the second survey of the assessing of selected factors in each view, 'interest' of the learning view, 'accomplishment' and 'self-confidence' of the psychological view and all ('intimacy', 'cooperation' and 'patience') of the social view were shown similar results of the important preference between the utilization of plants and the plant substitute materials in each practice programs.
장명재,최현희 한국스포츠리서치 2004 한국 스포츠 리서치 Vol.15 No.6
In the present study, the present state of athletic facilities for a person with a disability (AFPWD) was investigated. Statistics and policy materials, treatise, and findings were used. Korea has a population of 45,985,289 and persons with a disability are 1,532,421. In the number of athletic facilities, there are 19,194 athletic facilities for a person without a disability (AFPWOD), and only 22 AFPWD. Moreover, in four cases out of sixteen local governments have no AFPWD. One AFPWD covers about 69,656 persons with a disability, but on the other hand, one AFPWOD covers only 935 persons without a disability. And, Service area of one AFPWD is 4,527 km², however, Service area of one AFPWOD is only 2.02 km². To meet the convenience and accessibility of persons with a disability, there are needed that more AFPWD, a mandatory injunction, financial support, facilities spreading of sports program, disposition of sports director, and introducing sports for all class for persons with a disability.
뇌졸중으로 인한 만성 편마비 여성의 하지 등속성 근력에 관한 연구
장명재,최현희 한국특수체육학회 2003 한국특수체육학회지 Vol.11 No.1
In the present study, lower extremity isokinetic strength of ambulatory hemiparetic women with stroke were investigated Chronic ambulatory hemiparetic women with stroke(n=10) and non-stroke women(n=10_ in Seoul were participated in this study. Chronic ambulatory hemiparetic women with stroke showed significant lower isokinetic strength than those of non-stroke women. Moreover, in ankle and hip, chronic ambulatory hemiparetic women showed lower isokinetic strength than those of non-stroke women in intact side as well as affect side. Base on the results of the present study, it can be suggested that strengthening of ankle and hip in both of intact side and affect side is needed in functional rehabilitation in chronic hemiparetic women with stroke.
목질계 Bulking Agent가 돈분의 1차 퇴비화에미치는 영향
임재명,한동준,강현재 江原大學校 附設 環境硏究所 1996 環境硏究 Vol.13 No.-
The objective of this study was to determine the operational parameters in pig manure compo-sting in which sawdust was used as a bulking agent. The efliciencies of the sawdust as a carbon source and the moisture control capabilty in composting process are investigated. The effect of compost recycling is studied as well. When the C/N ratio increased from 17 to 28. decomposition of volatile organic matter improved because of the increased conversion to carbon. However, at a ratio above 28. it decreased. During the composting both the conversions of inorganic nitrogen to organic nitrogen and the carbon to CO_(2) showed a tendency to increase. As a result pH increased to a range of 8.5~8.9. and it appeared that prevention of the loss of nitrogen was not possible. Volatile organic matter was most effectively decomposed at a 60% of the initial moisture content. The content of sawdust required to maintain an appropriate C/N ratio and the moisture content was 17% and 30% of the pig manure on wet weight basis, respectively. It was impossible to meet the appropriate operational requirements simulta-neously by using bulking agent only. With respect to the improvement in volatile organic decomposition. the optimum recycle ratio appeared to be 14% of pig manure on wet weight basis. which accounts for approximately 45% of the amount of sawdust used.
고령자 보호를 위한 성년후견제도의 고찰 : 애드보커시(Advocacy)적 관점을 중심으로
이명현 韓國福祉行政學會 2003 복지행정논총 Vol.13 No.1
우리나라의 현행 무능력자제도와 부양제도는 급증하는 고령자의 복지욕구에 부합하는 보호와 권리옹호가 불가능하다. 현행 무능력자 제도는 고령자의 능력에 따른 보호가 불가능하고 정신적 장애가 있는 자만을 대상으로 하고 있어 치매고령자, 신체적 장애가 있는 자를 보호하기에는 부족하다. 따라서 다양한 보호의 필요성이 제기되고 있는 고령자에 대한 보호대책으로서 성년후견제도의 도입이 필요하다. 성년후견제도는 판단능력이 감퇴되어 가는 고령자의 일상생활에서 그의 의사를 존중하고 주체적 선택과 능력에 따라 살아갈 수 있도록 하는 제도이다. 민법상의 무능력자 제도는 본인의 행위능력을 박탈하거나 광범위하게 제한하므로 본인의 행위능력의 박탈이나 제한은 축소하여 개별화의 원리에 따라 잔존능력이 활용될 수 있는 범위 내에서 제한이 이루어져야 한다. 현행 무능력자 제도는 본인의 재산관리를 중심으로 하고 있어 고령자 등 일상생활에서 도움을 필요로 하는 경우 법적 보호가 불충분하다. 따라서 보호가 불충분한 피보호자에 대해 식사, 거동, 의료처치 둥 복지 서비스를 중심으로 한 신상감호(身上監護) 업무가 재산관리와 함께 보호의 중심이 되어야 한다. 후견인은 사회복지기관이나 단체 둥 법인에 의한 후견이 가능하도록 해야 할 것이다. 또한 정신적 ·신체적 능력이 부족한 고령자를 보호하고 후견인을 감독하기 위해서 후견 감독인을 따로 두어 복지기관이나 법원을 통해 후견인의 권한남용을 방지하여야 한다. 아울러 복지기관이나 사회단체에 의해 지역사회단위의 보호를 받는 경우에는 피 보호자는 보호를 담당하는 기관에 등록을 하고 당해 기관에서 후견인을 선임하여 지원할 수 있게 함으로써 수치심을 느끼지 않고 서비스를 이용하게 할 수 있다.
림프질 전이가 있는 하인두암과 하부식도암의 진단에 활용된 내시경초음파 유도하 Trucut 생검 1예
광명옥,이정환,문정섭,김유선,류수형,총배천,김형훈,김현태 仁濟大學校 白病院 2010 仁濟醫學 Vol.31 No.-
The incidence of double primary cancer is about 10% in all kinds of cancers. Double primary cancer is usually accompanied by gastrointestinal cancer. Esophageal cancer is supposed to be frequently accompanied by squamous cell carcinoma of the head and neck or the upper respiratory tract, because of such common carcinogens as smoking and alcohol ingestion. Esophageal cancer and hypopharyngeal cancer are usually diagnosed by esophagogastric endoscopy with biopsy. We performed endoscopic ultrasound-guided Trucut biopsy(EUS-TCB) to diagnose a mediastinal mass in a 49 year-old patient, who visited our hospital because of voice change. During procedure, we accidently found enlarged celiac lymph node, and obtained tissue from the mediastinal lymph node and the celiac lymph node. We confirmed double primary cancer of squamous cell carcinoma in the esophagus and the hypopharynx via esophagogastric endoscopy.
뇌졸중 후 대상자의 동서재활자조관리 프로그램 개발 및 운영 효과 : A Preliminary Study
강현숙,김원옥,김정화,왕명자,조종희 성인간호학회 2004 성인간호학회지 Vol.16 No.1
Purpose: The purpose of this preliminary study was to develop and evaluate the effects of East-West Self-help program for Rehabilitation of post-stroke clients. Method: This program is developed through literature review, survey and seminar. The program is consisted of six sessions twice a week for 6 weeks. This program is composed of health education on stroke, exercise, oriental nursing interventions, and therapeutic recreation. The outcomes have been evaluated on the basis of perceived health status, self-efficacy. U/E function, ADLs and subjective response. Result: 1) After the 6 week program, the perceived health status had improved and the score of rehabilitation self-efficacy increased significantly. 2) After the 6 week program, the score of BADL increased significantly, but, the score of IADL was not statistically significant. 3) After the 6 week program, the amount of use and quality of movement of the affected U/E were increased significantly. 4) All of the participants showed satisfaction with this program. Conclusion: Considering these research results, the program is effective in improving functional abilities and self-management ability. Therefore this program could be continuously developed and implemented as a community based self-helf group program for post-stroke clients.