Callus distraction method를 이용한 하악골 신장술 : 계단골절단술식의 적용

김명진,윤필영,신동준,김수경,김종원,김규식 대한악안면성형재건외과학회 2000 Maxillofacial Plastic Reconstructive Surgery Vol.22 No.2

Since callus distraction technique was applied clinically for the correction of dentofacial deformity to the patients with hemifacial dysplasia by McCarthy in 1992, many surgeons have tried to apply this method to the maxillofacial region. But this technique has some drawbacks. One of the disadvantages of this technique is extensive scar formation in the facial area, which is a sequelae of extraoral approach for supraperiosteal dissection of the periosteum overlying the mandible. Recently, we have made an effort to perform this technique through intraoral approaches to prevent scar formation on the submandibular area and modified the design of the osteotomy, that is step osteotomy technique, to increase the raw bone surface on both osteotomized segments. The rationale for the application of this step osteotomy technique is to increase the amount of regeneracted bone and the length of distraction, to avoid damage of inferior alveolar neurovascular bundle, and to increase initial stability of the splitted segments. Step osteotomy procedure can be done with fine micro-osteotomy saw through subperiosteal tunneling. Extraoral pins should be inserted before making the osteotomy. Since 1974 we have applied this technique at 8 sites In 5 patients with mandibular deficiencies: 2 cases of hemifacial microsomia, 1 case of developmental facial asymmetry and 2 cases of mandibular bony defect. Mandibular elongation have been achieved from 12 to 20mm in length. 1 out of 8 site, we experienced non-union in the case of mandibular body defect. Some skeletal relapse and growth retardation phenomenon have been observed in some cases with the longest follow-up of 48 months.

대체골재의 종류에 따른 수중불분리성 콘크리트의 특성 연구

김명식,신현필,박세인 釜慶大學校 2001 釜慶大學校 論文集 Vol.6 No.-

In this study, three kinds of fine aggregate (river sand, sea sand, crushed sand) were used and four different s/a (38%, 40%, 42%, 45%) were applied separately to this experiment for getting the conclusion written below. Regardless of fine aggregate kinds and casting-curing condition, maximum unit weight is obtained at 40% of s/a and also to be seen in case of crushed sand. Because the for that specific gravity of crushed sand is higher comparatively than that of river sand and sea sand. Higher compressive strength is measured following the order of river sand, crushed sand, sea sand regardless of variation of s/a, casting-curing condition and age. Max. compressive strength is obtained when s/a is 42% regardless of fine aggregate kinds. Although, according to references, the optimum s/a of underwater antiwashout concrete is given as 40% the optimum s/a of underwater antiwashout concrete is proven to be 42% from the view point of compressive strength.

댄스스포츠 참여자의 신체적 자기효능감 차이에 관한 연구

안명식,육동원,신정택 연세대학교 체육연구소 2002 체육연구논문집 Vol.9 No.1

본 연구의 목적은 댄스스포츠 참여자의 자기효능감(self-efficacy) 수준을 알아보고, 나아가 댄스스포츠 참여가 신체적 자기효능감에 어떠한 영향을 미치는가를 살펴보는 것이다. 본 연구의 대상은 현재 서울시에 위치한 스포츠센터, 문화센터, 구민회관과 대학교에서 운영하는 댄스스포츠 프로그램에 참여하는 216명으로 구성되었다. 신체적 자기효능감을 측정하기 위해 홍선옥이 번안 수정한 신체적 자기효능감 검사지를 사용하였다. 수집된 자료를 분석하기 위하여 사용된 통계기법은 표집 집단의 일반적인 특성을 설명하기 위해 평균, 표준편차 빈도분석의 기술통계분석과 본 연구에서 설정한 가설을 검증하기 위해 독립표본 t-test와 일원 분산분석법(one way ANOVA)이며, 통계적 유의 수준은 p<0.05로 설정하였다. 이상의 연구방법과 연구절차를 통하여 나타난 연구결과와 가설검증을 토대로 하여 다음과 같은 결론을 얻었다. 첫째, 성별에 따른 자기효능감의 차이를 본 결과, 댄스스포츠에 참여하는 남성이 여성보다 자기효능감 수준이 높은 것으로 나타났다. 둘째, 연령에 따른 자기효능감 차이를 본 결과, 30대, 40대, 50대 간에 통계적으로 유의한 차이가 있는 것으로 나타났다. 셋째, 학력에 따른 자기효능감 차이를 본 결과, 대재와 중졸 집단간에 통계적으로 유의한 차이가 있는 것으로 나타났다. 넷째, 직업에 따른 자기효능감 차이를 본 결과, 통계적으로 유의한 차이는 아니지만 댄스스포츠에 참가하는 전업주부의 자기효능감 수준이 가장 높았고, 근로직이 가장 낮았다. 다섯째, 수준에 따른 자기효능감 차이를 본 결과, 초급 경력과 중급 경력 집단간에 통계적으로 유의한 차이가 있는 것으로 나타났다. 여섯째, 참여빈도에 따른 자기효능감 차이를 본 결과, 주 6회 이상 집단이 주 2~3회, 주 1회 집단과 통계적으로 유의한 차이가 있는 것으로 나타났다. 마지막으로, 참여기간에 따른 자기효능감 차이를 본 결과, 1년 이상의 집단과 2~5개월 이하, 2개월 이하 집단간에 통계적으로 유의한 차이가 있는 것으로 나타났다. The purpose of this study was to investigate self-efficacy level of dancesport participant and examine effect of dancesport participation on physical-self-efficacy. The subjects were composed of 216 persons who participated in dancesport program sport operated at center, cultural center and located in Seoul. This study used questionaries revised by Hong, sun ok to measure physical-self-efficacy. To analyze the raw data, mean, standard , frequency analysis, independent t-test, one way ANOVA were used. Based on aforementioned research method, the result can be as follows: Firstly, according to gender, there were statistically significant differences between male participant and female participant. Secondly, according to age, there were statistically significant differences among 30s, 40s, 50s. Thirdly, according to a school career, there were statistically significant differences between a university student and people only graduated middle school. Fourthly, according to occupation, there were statistically significant differences between group. However, self-efficacy level of housewife was the highest and labor employment was the lowest. Fifthly, according to level, there were statistically significant differences between a beginner class and a middle class. Sixthly, according to level, there were statistically significant differences among over 6 times per week, 2~3 times per week one time per week. Lastly, according to level, there were statistically significant differences among over a year, below 2~5 months, below 2 months.

양식산 터봇, Scophthalmus maximus에서의 Irido-like virus 감염

김위식,김기홍,김춘섭,김영진,정성주,정태성,신이치, 키타무라,마모루, 요시미즈,오명주 한국어병학회 2003 한국어병학회지 Vol.16 No.3

본 연구는 병리조직학적 및 전자현미경적 방법을 통해 양식산 turbot에서 발생하는 irido-like virus의 감염증을 소개하고자 한 것이다. 2003년 6월 전북 고창 소재 육상수조에서 양식중인 turbot치어에서 50∼70%의 대량폐사가 발생하였다. 병어는 사료섭취가 저하되고 힘없이 유영하다 폐사되었으며, 죽기 직전의 어류는 복부가 팽만되고 안구가 돌출되며 체색이 옅어지는 증상을 보였다. 해부학적 조사 결과, 아가미 빈혈과 간이 퇴색되어 있었으며, 특히 비장조직이 심하게 비대되어 있었다. 병어에 대한 조직학적 검사에서 비대 세포를 특징으로 하는 특이 병변이 주로 신장과 비장의 조혈조직에서 관찰되었으며, 아가미, 심장, 위, 장, 간, 췌장, 지방 조직에서도 관찰되었다. 그리고 전자현미경적 관찰 결과, 비대 세포의 세포질내에서 육각형의 지름이 136∼159 ㎚인 Irido-like virus를 관찰할 수 있었다. The high mortality of cultured juvenile turbot, Scophthalmus maximus occurred in Gochang on June, 2003. The diseased fish was lethargic with reduced feed intake. Grossly, these fish showed pale body, abdominal extension and exophthalmia. The dominant internal gross features of diseased fish were severely enlarged spleen, pale gills and or liver. Diseased fish histologically showed basophilic enlarged cells in the kidney, spleen, gill, heart, stomach, intestine, liver, pancreas and adipose tissue. Transmission electron microscopy (TEM) reveled hexagonal virions in the cytoplasm of necrotic cells. The viral particles lead a central electron-dense core and an electron translucent zone, and were 136-159 nm in diameter. These results suggest that the virus belonging to the iridoviridae was responsible for the mortality of cultured juvenile turbot.

영아용 가정방문 몬테소리 수행평가 도구 개발에 관한 연구

김명희,신화식,황혜경 한국영유아보육학회 2004 한국영유아보육학 Vol.0 No.39

본 연구는 영아를 대상으로 가정방문 프로그램에서 실시하고 있는 몬테소리 교육 프로 그램에 대한 수행평가도구를 개발하였다. 이를 위해 먼저 가정방문 교사의 수행평가에 대한 전반적인 인식과 요구조사를 거쳐 수행평가도구 개발의 필요성과 중요성을 살펴보았으며, 예비조사와 전문가 협의를 거쳐 도구의 항목과 점수체계를 구성하여 평가 도구를 개발하였다. 수행평가도구는 가정방문 프로그램의 교육내용 중 4개 영역(신체발달, 창의성발달, 일상생활연습, 감각교육)에서 각각 1개씩 총 4개의 수행평가도구를 개발하였다. 개발된 도구는 만 24개월 미만 영아 50명을 대상으로 신뢰도와 타당도를 살펴보았다. 그 결과 매우 높은 문항 내적 합치도를 보여주었으며 구인타당도와 공인타당도를 살펴볼 때 개발된 평가도구는 적절한 측정도구로써 사용될 수 있는 가능성을 나타내었다. The purpose of this study was to develop a Early Childhood Home School Montessori performance Assessment Scale, a scale for assessing the performance of 6-23 month old children in Montessori programs. Subject of the study consisted of 50 6-23 month old children in Seoul and 133 teacher teachers in Seoul. Statistical methods employed were Cronbach's Alpha, construct validity and concurrent validity(with Korean Child Social Maturity Scales). These results indicate that Early Childhood Montessori Home School performance Assessment Scale developed by the authors is a valid scale with high reliability.

제3형 개방성 경골 골절의 수술적 치료

송경진,신성진,황병연,박명식 대한골절학회 2003 대한골절학회지 Vol.16 No.2

목 적: 저자들은 제3형 개방성 경골 골절로 수술적 치료를 시행한 환자의 결과를 분석하여 이에 대한 치료 지침을 제시하고자 한다. 대상 및 방법: 최근 7년간 본원에서 치료한 환자 42례를 대상으로 하였으며 연령 분포는 15세에서 76세로 남자가 35례, 여자가 7례였으며, 골절의 분류는 Ⅲa형 14례, Ⅲb형 20례, Ⅲc형 8례였다. 최종 기능적 평가는 Tucker의 분류법을 사용하였다. 결 과: 골 유합 기간은 Ⅲa이 9.2개월, Ⅲb형11.0개월, Ⅲc형이 13.8개월이었고 치료 기간 중 회전 피판 이식술과 유리 피판 이식을 시행하였으며 Ⅲc형에서는 골 연장술을 시행하였다. 기능적 평가로는 Ⅲc형로 갈수록 불량하였다 결 론: 비활성 조직의 충분한 제거, 노출 골편의 조기 피복 후 Ⅲa형에서는 골수강내 금속정을 이용한 견고한 내고정으로 좋은 결과를 얻을 수 있고 Ⅲb와, Ⅲc형에서는 외고정 기구를 사용하여 견고한 고정력을 얻을 수 있을 것으로 사료된다. Purpose: The purpose of this study was to analyze the functional outcome and propose the guidelines in the surgical treatment of open type Ⅲ tibial fracture. Materials and Methods: We have analyzed the treatment results of 44 cases; age was ranged from 15 to 76 years, and there were 35 males and 7 females. The type of fracture according to the classification by Gustilo revealed typeⅢa 14 cases, type Ⅲb 20 cases and type Ⅲc in 8 cases. We analyzed functional outcome according to the classification of functional result by Tucker. Results: The average union time of type Ⅲa was 9.2 months, Ⅲb 11.0 months, and Ⅲc was 13.8 months. The rotational flap and free flap were done during treatment and bone lengthening especially in type Ⅲc. Functional results were poor especially in type Ⅲc. Conclusion: Debridgement of devitalized tissue, early soft tissue coverage and sufficient stability using intramedullary nails will be necessary in type Ⅲa fracture. Rigid external fixation, early soft tissue coverage by rotational muscle flap and free flap reduced infection rate with satisfactory functional outcome especially in type Ⅲb and Ⅲc fractures.

강박장애 환자의 인지기능이상에 대한 2년 추적 연구

노규식,신민섭,박희수,하태현,신용욱,김명선,권준수 大韓神經精神醫學會 2004 신경정신의학 Vol.43 No.5

Objectives : The purpose of this study was to investigate the changes of cognitive dysfunctions in patients with Obsessive-compulsive disorder (OCD) over the two-year of pharmacological treatment. Methods : The thirty-three OCD patients and thirteen normal subjects were administered the neuropsychological tests and clinical evaluations twice (at the baseline and two-year). Results : In spite of the two-year treatment, the accuracy of delayed recall on the Rey-Osterrieth Complex Figure Tests (RCFT), the numbers of responses on the category and letter test of Controlled Oral Word Association Test (COWA), the response time on the Trail Making Test part A (TMT-A) remained significantly impaired in the OCD patients compared with the normal controls. Conclusion : These findings suggest that the cognitive dysfunctions such as visuospatial memory and verbal fluency might be the underlying persisting neuropathophysiology of OCD.

개에서 직장탈의 수술적 치료 1례

박정희,김영실,신영지,박창식,전무형,김명철,정성목 忠南大學校 獸醫科大學 動物醫科學硏究所 2005 動物醫科學硏究誌 Vol.13 No.-

A 3-year old, male Jindo dog was referred with history of tenesmus, dyschezia and recurrent rectal prolapse. On the physical examination, the rectum was prolapsed about 10 cm, congested and necrotized. Fecal incontinence and pain were observed. Complete blood count revealed a mild leukocytosis and there were no remarkable abnormalities in serum biochemistry profiles. It was diagnosed as a rectal prolapse. Rectal resection and anastomosis was performed for necrotic tissue removal. On postoperative fecal smear, protothecosis was observed. Amphotericin B was administered. There has been no evidence of recurrence of rectal prolapse for ten months.

개에서 직장탈의 수술적 치료 1례

박정희,김영실,신영지,박창식,전무형,김명철,정성목 충남대학교 형질전환복제돼지연구센터 2007 논문집 Vol. No.10

A 3-year old, male Jindo dog was referred with history of tenesmus, dyschezia and recurrent rectal prolapse. On the physical examination, the rectum was prolapsed about 10 em, congested and necrotized. Fecal incontinence and pain were observed. Complete blood count revealed a mild leukocytosis and there were no remarkable abnormalities in serum biochemistry profiles. It was diagnosed as a rectal prolapse. Rectal resection and anastomosis was performed for necrotic tissue removal. On postoperative fecal smear, protothecosis was observed. Amphotericin B was administered. There has been no evidence of recurrence of rectal prolapse for ten months.

사람 신장의 근위세뇨관상피세포에서 Monocyte Chemoattractant Protein-1의 발현에 대한 Endothelin-1의 효과

김형욱,이명자,김소양,신영신,양철우,진동찬,김용수,장윤식,방병기 대한신장학회 2003 대한신장학회잡지 Vol.22 No.6