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      • 요부수핵탈출증에서 Thermography의 진단적 가치

        신현택,신승우,송재철,정석희,이종수,김성수,신현대 경희대학교 동서의학연구소 2001 東西醫學硏究所 論文集 Vol.2000 No.-

        Objectives : Lumbar radiculopathy is a common disease in oriental rehabilitation medicine. It can be diagnosed by physical examination, plain X-ray, Myelography, CT, MRI, EMG etc. But those methods are not useful in observing the clinical procedure. Objectvie evaluating the clinical procedure is very important in treatment of lumbar radiculopathy. Mehthods : We studied the clinical efficacy of thermography in lumbar radiculopathy during conservative managements. We studied 36 patients with lumbar radiculopathy convinced by MRI. The had low back pain and radiating pain on one side. Thermography had taken before an after 4 weeks treatments, and compared with clinical procedure Results and conclusions : Thermography is not pertinent as a primary diagnostic method in lumbar radiculopathy, but useful in observing the clinical procedure. And it can be recommended as a objective evaluation for lumbar radiculopathy.

      • 筋骨格系 領域에서 Thermography의 臨床的 活用에 對한 考察

        신현택,정석희,이종수,김성수,신현대 동국대학교 한의학연구소 2000 東國韓醫學硏究所論文集 Vol.8 No.2

        근골격계 질환은 임상에서 가장 흔하게 접할 수 있는 대상의 하나로 그 진단과 평가가 매우 중요하며 여러 가지 진단기기와 평가방법이 이용되고 있다. Thermography는 기존의 진단기기와 달리 질병의 기능적인 측면을 평가할 수 있다는 점과 통증과 같은 주관적인 표현을 어느정도 객관화할 수 있다는 점에서 임상적 가치가 고려되고 있다. 본 연구는 최근 국내외의 임상 논문을 대상으로 근골격계 영역에서 Thermography의 활용 동향을 고찰하여 진단적 가치를 확인하고자 하였다. Thermography는 척추신경병증, 근막동통증후군, 말초신경병증, 반사성 교감신경 이영양증, 레이노 증후군, 악관절 장애 및 일부 기타 질환에서 적용되었으며, 대부분의 질환에서 보조적인 진단기기로 활용가치가 있었다. 특히, 질병의 경과 관찰과 약물 및 기타 처치에 대한 효과 판정에 유용하였으며, 레이노 증후군 및 반사성 교감신경 이영양증과 같은 질병에서는 일차적인 진단기기로도 활용이 가능하였다. 향후 근골격계 영역에서 Thermography의 보다 폭넓은 적용을 위해서는 질환에 따른 적절한 촬영방법의 개발 및 결과 판독에 대한 객관성 확보가 있어야 할 것이다. The purpose of this study is to assess the usefulness of thermography in patients with musculoskeletal disease. Thermography is noninvasive, easy to reading, objective and physiologic instrument by measuring and imaging infrared energy emitted from skin surface. Thermography can show the skin temperature changes in various conditions of the body with musculoskeletal disease. This literature review was done for the usefulness of thermography in diagnosing musculoskeletal disease. In conclusion, thermography was adapted in radiculopathy, NIPS, peripheral neuropathy, RSD, Raynaud's phenomen, TMJ dysfunction, etc. It was useful as a secondary diagnostic method in those diseases, also possible as a primary diagnostic method in RSD, Raynaud's phenomen. And, it might be reliable tool for estimating dlsease procedure and consequence after treatment. But, the objectivity of the reading and the development of the operating method are required for further adaptation in musculoskeletal disease.

      • 筋骨格系 領域에서 Thermography의 臨床的 活用에 對한 考察

        신현택,정석희,이종수,김성수,신현대 경희대학교 동서의학연구소 2001 東西醫學硏究所 論文集 Vol.2000 No.-

        근골격계 질환은 임상에서 가장 흔하게 접할 수 있는 대상의 하나로 그 진단과 평가가 매우 중요하며 여러 가지 진단기기와 평가방법이 이용되고 있다. Thermography는 기존의 진단기기와 달리 질병의 기능적인 측면을 평가할 수 있다는 점과 통증과 같은 주관적인 표현을 어느정도 객관화할 수 있다는 점에서 임상적 가치가 고려되고 있다. 본 연구는 최근 국내외의 임상 논문을 대상으로 근골격계 영역에서 Thermography의 활용 동향을 고찰하여 진단적 가치를 확인하고자 하였다. Thermography는 척추신경병증, 근막동통증후군, 말초신경병증, 반사성 교감신경 이영양증, 레이노증후군, 악관절 장애 및 일부 기타 질환에서 적용되었으며, 대부분의 질환에서 보조적인 진단기기로 활용가치가 있었다. 특히, 질병의 경과 관찰과 약물 및 기타 처치에 대한 효과 판정에 유용하였으며, 레이노 증후군 및 반사성 교감신경 이영양증과 같은 질병에서는 일차적인 진단기기로도 활용이 가능하였다. 향후 근골격계 영역에서 Thermography의 보다 폭넓은 적용을 위해서는 질환에 따른 적절한 촬영방법의 개발 및 결과 판독에 대한 객관성 확보가 있어야 할 것이다. The purpose of this study is to assess the usefulness of thermography in patients with musculoskeletal disease. Thermography is noninvasive, easy to reading, objective and physiologic instrument by measuring and imaging infrared energy emitted from skin surface. Thermography can show the skin temperature changes in various conditions of the body with musculoskeletal disease. This literature review was done for the usefulness of thermography in diagnosing musculoskeletal disease. In conclusion, thermography was adapted in radiculopathy, MPS, peripheral neuropathy, RSD, Raynaud's phenomen, TMJ dysfunction, etc. It was useful as a secondary diagnostic method in those diseases, also possible as a primary diagnostic method in RSD, Raynaud's phenomen. And, it might be reliable tool for estimating disease procedure and consequence after treatment. But, the objectivity of the reading and the development of the operating method are required for further adaptation in musculoskeletal disease.

      • KCI등재

        세계태권도연맹 경기규칙 제정 기록의 오류

        신현규(Shin, Hyun-Gyu),김영수(Kim, Young-Soo) 한국사회체육학회 2015 한국사회체육학회지 Vol.0 No.60

        The purpose of this study was to examine and correct the error about enactment recording of competition rules in World Taekwondo Federation(WTF). Through this study, the following conclusion were drawn; Now official notice recording of enactment on May 28th in 1973 at WTF is wrong. At that time competition rule of WTF was not enacted by Yang’s(2005), Shin’s(2012), elders of Taekwondo, etc. I didn’t found at any references and anywhere. Then competition rule of Korea Taekwondo Association(KTA) applied intactly for the 1st World Taekwondo Championships on May 25 ~ 27 in 1973. Also competition rule of WTF was not enacted until in 1979 to be held biennially from the 2nd to the 4th World Taekwondo Championships by same reason as mentioned earlier. In addition, first amendment on October 1st in 1977 at WTF is wrong for such reasons. Therefore this study was found an estimated competition rule of enactment on May 1st in 1980 by quarterly magazine on April in 1980 at KTA. This competition rules was comprised the 35 article and additional clause. On comparative analysis has considered that this competition rule was the real enactment of WTF. In conclusion, the enactment of competition rule in WTF is not on May 28th in 1973, but on May 1st in 1980. And so the enactment of competition rule in WTF was to correct again recording of enactment May 1st in 1980. Later I hope future studies about amendment of competition rules in WTF.

      • KCI등재

        GT rotary file을 이용한 만곡 근관형성시 작업 효율 및 file 변형 발생에 관한 연구

        신주희,백승호,배광식,임성삼,윤수한,김병현 대한치과보존학회 2001 Restorative Dentistry & Endodontics Vol.26 No.5

        Root canal preparation process is of utmost importance in successful treatment of root canal. Also, one of the most important purpose of the root canal preparation is to enlarge the root canal three dimensionally without changing the curvature of the root canal. However, as the curvature of the root canal increases, there are many difficulties involved in formation of optimum root canal. Therefore, in order to solve the above mentioned problems, new developments in methods of root canal preparation and equipments for such purposes were made. Recently, vigorous studies about newly introduced engine-driven nitckel-ti-tanium rotary file are conducted. As shown in research results to dates, it is well established that the use of nickel-titanium file is better suited for curved root canal than stainless steel file in maintaining the curvature of root canal and reducing the deformation of root canal. However, it is also acknowledged that there are a few discrepancies in research results according to protocol, due to failure to remove variables in experiments. In addition, although it is recommended by the manufacturer that the GT rotary file should maintain a low rotational speed of 150∼350rpm and 'light pressure' as light as not to break the lead of a pencil, academic studies about the vertical force which is not yet standardized are not sufficiently explored. Therefore, this research devised and utilized a special research equipment to standardize the appropriate range of vertical force for GT rotary file through experiments by breaking of the lead of a pencil as expressed by the manufacturer and to accurately measure factors involved through repeating and recreating the environment of root canal preparation. Forming nine experimental groups by varying the vertical forces (150g, 220g, 300g) and rpm (150rpm, 250rpm, 350rpm), the effects of changing vertical forces and rpm on working efficiency were measured in terms of time expended in root canal preparation by crown-down method using a transparent resin block with 35 degree curvature and GT rotary file (z-test). The following research using this special research equipment that involved nine experimental groups and varying the vertical force for root canal preparation from 300g which is within the normal vertical force range to 700g and 1000g which fall outside the normal rpm range. The results were as follows : 1.Analysis of the experiment results revealed that the tome spent in root canal preparation decreased as the vertical forces and rpm increased (p<0.05). Also, the effects of rpm were greater than those of the vertical forces within the normal vertical force range (β-weight test) . 2.Observation of the deformation of GT rotary file revealed that deformation increases in a direct correlation with the vertical force increase and in a reverse correlation with the rpm decrease, In the case of the vertical forces close to the normal range, the probability of GT rotary file deformation were quite different depending on the rpm changes. In the case of◎eater tier◎cal forces, the occurrences of deformation of the file were more frequent regardless of the rpm changes. 3.Deformation and breakage of file were also commonly observed in the expended time measurement experiments and GT rotary file deformation experiments in which low speed rpm (150rpm) was used and at the curved portion of the resin block. Key words : GT rotary file, Crown-down method, Working efficiency, Vertical force, Rpm, Deformation and breakage of file

      • 산업공단에서의 초기강우 유출수 오염물질 특성 및 처리

        신응배,윤현식,김연권,김범수 漢陽大學校 環境工學硏究所 1998 環境科學論文集 Vol.19 No.-

        강우시 발생하는 우수유출수에는 초기세척효과(first-flush-effect)로 BOD, SS를 비롯한 고농도의 다양한 오염물질이 함유되어 있으며, 방류선 수체로 유입되어 주변수체의 수질에 많은 악영향을 미치게 된다. 전세계적으로 이에 대한 많은 연구와 조사가 진행중에 있으며, EPA의 조사자료에 따르면 방류선 수체의 수질오염 문제 중 약 30%가 강우유출수로부터 기인하는 것으로 추정한바도 있다. 본 연구에서는 수도권에 인접해 위치하고 있는 S산업공단을 대상으로, 강우시 공단내에서 발생하는 우수유출수에 대해 유량변화 및 수질분석을 수행하였다. S공단은 석유·화학, 기계·금속업 등이 주종을 이루고 있고 분류식하수 배제방식을 채택하고 있어, 공단내 발생되는 우수유출수는 전량 지천으로 배출되고 있다. 시료채취는 공단을 배수구역별 5개 구역으로 구획 후, 해당 배수구역에 대하여 고정모니터링 방법을 적용하여 강우유출수의 수질을 분석·평가하였다. S산업공단에서 발생되는 우수유출수에는 BOD, COD, SS, TN, d-Fe, Zn, Cu 등의 다양한 종류의 오염물질이 검출되었다. 특히, 석유·화학산업, 식품산업, 일반폐기물 야적장 등에서는 BOD, COD, SS, TN등의 일반오염물질 항목들이, 기계·금속산업, 고철 야적장 지역에서는 중금속 항목의 오염물이 고농도로 측정되었다. During the early stages of a storm, significantly higher BOD, SS and other pollutants loadings may occur. This temporary increase is the result of the so -called "first-flush-effect". First flush runoff in the storm is a typical nonpoint source of polluting adjacent water bodies by overflowing pollutants accumulated in street surface from domestic, commerical and industrial area. The quality of storm water runoff is a major concern in the world. In the National Water Quality Inventory, 1990 Report to Congress, states estimated that ∼30% of identified case of water quality impairment are attributable to storm water discharges. (U.S. EPA 1992) In this study, "S" industrial complex located near Seoul metropolitan was investigated to evaluate characteristics of storm water runoff from industrial complex. Major industries of 'S' area were petroleum-chemical industry, metal-mechanical industry, etc. Also, storm water runoff was directly discharged to small artificial channel through storm sewer lines of separated sewer system in 'S' industrial complex. The concentration of several items such as BOD, COD, SS, TN, d-fe, Zn, Cu were founded in storm water runoff from the 'S' industrial complex catchment. Especially, petroleum-chemical industry, food industry, junkyard were exposed to high rate concentration of convention of conventional pollutants, such as BOD, COD, SS, TN, in first flush runoff samples. Higher levels of heavy metals were found at metal-mechanical industry, metal storage on site.

      • 급속 열처리 조건에 따른 Pb(Zr_0.52Ti_0.48)O_3 박막의 전기적 특성 변화

        신현용,백동수 남서울대학교 1996 남서울대학교 논문집 Vol.2 No.-

        Pb(Zr_0.52Ti_0.48)O_3∼Pb(10wt%) stock solution prepared by sol-gel processing was spin-coated on Pt/SiO_2/Si substrate and annealed by rapid thermal annealing to fabricate Pb(Zr_0.52Ti_0.48)O_3 ferroelectric thin films. Annealing temperature was changed from 550 ℃ to 750 ℃ and the annealing time was varied from 10 seconds to 120 seconds to observe their effects on the characteristics of the films. The films annealed at 650t! for 20 seconds showed dielectric constant of 1550 and dielectric loss(tanδ) of 0.02. However, dielectric constant and tan6 of the films annealed at 550℃ for 20 seconds showed severely deteriorated values of 840 and 0.04, respectively. Coercive field and remnant polarization of the films annealed at 650 ℃ for 20 seconds were 32㎸/㎝ and 29μC/㎠, respectively, and irrelevant to the annealing time longer than 20 seconds. Dielectric constant of the films annealed at 650℃ for 20 seconds was increased as the film thickness increased and the value was about 1550∼1600 for the films thicker than or equal to 0.7㎛ in thickness. The deviation of dielectric constant of 0.7㎛ film was within 4% over the area of 15 × 15㎟.

      • Fluoranthene 독성에 기인하는 비정상적 어류행동의 신경생화학적 분석

        신성우,조현덕,전태수,김정상,이성규,고성철 한국환경독성학회 2003 환경독성보건학회지 Vol.18 No.2

        Fluoranthene, a common polycyclicaromatic hydrocarbon (PAH), exhibits phototoxicity which may affect aquatic organisms, The eventual goal of this study is to develop a biomarker of Japanese medaka (Oryzias iatipes) used in monitoring hazardous chemicals in the ecosystem. In this study we investigated neural toxicity of fluoranthene in Japanese medaka (Oryzias latipes) along with comparative analysis of corresponding behavioral responses. The untreated individuals showed normal behavioral characteristics (i.e' smooth and linear movements). The treated fish, however, showed stopping and abrupt change of orientation (100 ppb), and severely reduced locomotive activity and enhanced surfacing activity (1,000ppb). Treatment of the medaka fish with fluoranthene caused a significant suppression of acetylcholine esterase (AChE) activities in the body portion but not in the head portion. When fish were exposed to 1,000pph of fluoranthene for 24hr, the body AChE activities decreased from 126.±31.89 (nmoles substrate hydrolyzed per min per mg protein) 10 49.51 ± 11.99. Expressions of tyrosine hydroxylase (TH) protein in the different organs from both head and body portions were comparatively analyzed using an immunohistochemical technique. Five organs of the medaka fish showing a strong TH protein expression were the olfactory bulb, hypothalamus, optic lobe, pons and myelencephalon regions. This study provides molecular and neurobehavioral bases of a biomonitoring system for toxic chemicals using fish as a model organism.

      • 痛症의 暗箱的評價法에 관한 考察

        신승우,정석희,이종수,신현대,김성수 동국대학교 한의학연구소 2000 東國韓醫學硏究所論文集 Vol.8 No.2

        통증은 환자들로 하여금 내원하게 하는 주된 증상중의 하나로, 치료방법의 선택 및 효과 판정을 위해서는 적절한 평가가 필요하다. 통증은 실험적인 방법과 임상적인 방법에 의해 측정될 수 있는데, 통증의 주관적인 성격상 임상적인 방법이 일반적으로 사용된다. 통증의 임상적측정법은 일차원적 측정법과 다차원적측정법으로 대별할 수 있는데, 일차원적 측정법으로는 시각적상사척도(Visual Analogue Scale), 구술적평정척도(Verbal Rating Scale), 수치평정척도(Numerical Rating Scale), 통증표정척도(Pain Faces Scale), 그리고 포커칩 도구(Poker Chip Tool)등이 있고, 다차원적 측정법으로는 McGill 동통질문서(McGill Pain Questionnaire), 다면적인성검사(MMPI), 통증행동척도(Pain Behavior Scale), 통증장애지표(Pain Disability Index), 그리고 통증평정척도(Pain Raing Scale)등이 있다. 일차원적 측정법은 주로 환자의 자기통증평가법에 기초하여 통증의 강도를 측정하는데, 측정방법의 단순함과 신속성으로 인해 급성통증을 평가하는데 주로 사용된다. 다차원적인 측정법은 통증의 주관적, 정신적 그리고 행동적인 면을 측정하는데, 측정방법이 포괄적이고 신뢰성이 있어서 만성통증을 측정하는데 사용된다. 환자의 언어와 인지능력은 정확한 통증을 평가하는데 장애가 되는 주된 요인이다. 통증에 따른 행동반응이나 생체반응은 환자의 통증을 완전히 대변하지 못하지만 이러한 상황에 있어 유용한 통증평가지표가 될 수 있다. 통증평가법을 결정할 때에는 먼저 측정하려고 하는 통증의 성격을 고려하여 어떠한 면을 측정할 것인가를 결정해야하며 아울러 환자의 언어와 인지능력을 고려해야 한다. 적절한 평가법의 선택은 환자의 진단과 치료에 있어 유효한 결론에 이르게 하는 중요한 과정이다. Pain can be evaluated by experimental methods and clinical methods, but due to subjective characteristics of pain, clinical methods are generally used. The clinical pain measurement tools are divided into unidimensional and multidimensional assessment tools. The former include Visual Analogue Scale, Verbal Rating Scale, Numerical Rating Scale, Pain Faces Scale, and Poker Chip Tool and the latter include McGill Pain Questionnaire, MMPI, Pain Behavior Scale, Pain disability index, and Pain Rating Scale. Unidimensional pain scales mainly measure the intensity of pain on the basis of the patient s self report and their simple construction and ease of use enable the invesgator to assess acute pain. Multidemensional pain scales are used to evaluate subjective, psychological and behavioral aspects of pain and because of its comprehensive and confidential properties they are applied to chronic pain. Patient s linguistic and cognitive abilities are major factors to restrain accurate assessment of pain. Although behavioral patterns and vital sign are inferior to self-report in the measurement of pain, they can be useful indexes in those situations. When deciding on a pain-assessment tool, the investigator must determine which aspect of pain he or she wishes to evaluate on the characteristics of the group of patients, their backgrounds, and their communication skills. Making the proper choice will facilitate the acquisition of meaningful data and the formulation of valid conclusions.

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