앉고 일어서기 동작에서 점진적 체중 이동을 이용한 시각적 되먹임 훈련이 만성 편마비 환자의 균형 및 보행능력에 미치는 영향

김경환,박성훈,김형민,박노욱,김다연,Kim, Kyung-hwan,Park, Sung-hoon,Kim, Hyung-min,Pak, Noh-wook,Kim, Da-yeon 대한고유수용성신경근촉진법학회 2017 PNF and Movement Vol.15 No.1

Purpose: This study aimed to investigate the effect of visual feedback training-for gradual weight shift in sit-to-stand training-on the balance and walking abilities of chronic hemiplegia patients. Methods: Twenty patients with chronic hemiplegia volunteered to participate in this study. The experimental group received visual feedback for gradual weight shift in the sit-to-stand training, while the contrast group followed the standard process for the sit-to-stand training. The evaluation of the balance and walking ability was conducted with the functional reach test (FRT), Berg balance scale (BBS), five time sit-to-stand (FTSTS) test, timed up and go (TUG) test, 10 m walk test (10MWT), balancia, activities-specific balance confidence (ABC) scale, and falls efficacy scale (FES). Results: In the results before and after intervention, there was a significant difference in TUG, 10MWT, ABC, and FES in the visual feedback training group (p < 0.05). In the control group, there was a significant difference in the 10MWT and ABC (p < 0.05). Also, in the evaluation of the postural fluctuations, the control group data showed a significant increase in Covar. The visual feedback group showed a significant difference in the W average. Conclusion: The visual feedback training group showed some improvement in terms balance and walking ability and on the ABC scale and FES. Therefore, if the diagonal progressive weight bearing exercise is combined with the various patterns and basic principles of PNF, it may be a more efficient intervention method.

베체트씨병에 의한 대동맥판 폐쇄부전의 수술적 치료

김경환,김기봉,김원곤,김주현,안혁,Kim, Kyung-Hwan,Kim, Ki-Bong,Kim, Won-Gon,Kim, Joo-Hyun,Ahn, Hyuk 대한흉부심장혈관외과학회 2000 Journal of Chest Surgery (J Chest Surg) Vol.33 No.5

Background: Cardiac involvement of Behcets disease is very rate, however, the prognosis of Behcet disease depends on cardiovascular complications. In this article, we described surgical treatment of aortic insufficiency with Behcets disease. Material and Method: From March 1986 to February 1998, we operated on 10 patients of aortic insufficiency with Behcets disease. Male to female ratio was 8 to 2, and age ranged from 21 to 40 years(mean 32.8 years). There were 8 patients with evidence of Behcets disease and another 2 patients had some suspicious findings of Behcets disease(i.e., prosthetic value dehiscence, hypertrophied aortic wall). Adequate preoperative medical treatment for Behcets disease was done in 3 patients. Result: We performed 24 open heart surgeries in 10 patients. Redo value replacements using prosthetic valves were done in 4 patients. Among them, 2 patients were operated on for a second redo valve replacement and one of them operated on for a 4th and 5th operation because of recurrent paravalvular leakage. These 4 patients expired. 1 patient who had undergons tissue value replacement is alive. 1 patient who underwent Cabrol operation expired dut to rupture of graft anastomosis site. We used homografts in 3 patients. In 2 of them, we performed aortic root replacement and subcoronary valve replacement in another patient. The patient who underwent subcoronary valve insertion had remnant aortic insufficiency, so we are closely observing him. We also performed Ross operation in a 24 year old female who suffered severs aortic insufficiency and endocarditis after aortic valvuloplasty. 5 patients are alive and mean follow up duration is 49.0 months. Among them, we used homografts or sutografts in 4 patients. We could observe excellent clinical results in the patients who underwent aortic root replacement using homograft and they were treated medically for Behcets disease. Conclusion: We concluded that adequate preporative diagnosis, clinical suspicion, and periopertive medical treatment for Behcets disease are very important for the result of surgical management of aortic insufficiency with Behcets disease. The use of homograft or autograft was helpful for the healing of anastomosis site and we should carefully observe the long term follow up results.

고양지역 두 병원에서의 약물 중독 양상

김경환,박준석,신동운,노준영,김혜진,구홍두,조진경,김아진,Kim Kyung-Hwan,Park Jun-Soek,Shin Dong-Wun,Rho Jun-Young,Kim Hey-Jin,Gu Hong-Du,Cho Jin-Kyung,Kim Ah-Jin 대한임상독성학회 2006 대한임상독성학회지 Vol.4 No.1

Purpose: In the year of 2005, it enforced the basic study for establishing program of Poison Control Center by National Institute of Toxicologic Research. The object of our survey is to analyze the characteristics of intoxication from the City of Goyang by same protocol. Methods: We retrospectively reviewed the data of medical records of the intoxication patient in the two hospitals of the Goyang from 2004 June 1st to 2005 May 31th. The investigation protocol applied the TESS report form which was used from the Basic study for establishing program of Poison Control Center. Results: The intoxication patients were total 269 persons, the patients of A hospital were 184 persons, B hospital were 185 persons. The most common intoxication materials were medicines, in afterwords it was an agricultural chemical. The most common place of intoxication was the home. The intentional suicidal attempts in the reason of intoxication were 51.2%. The rate of the patients who discharges from the emergency department was 50.4% and death rate was 4.3%. Conclusion: We concluded that the continuous and systemic report and analysis should be accomplished from the Goyang area.

수직자기기록용 박막의 제작

김경환,김명호,손인환,김재환 ( Kyung Hwan Kim,Myung Ho Kim,In Hwan Son,Jae Hwan Kim ) 한국전기전자재료학회 1997 한국전기전자재료학회 추계학술대회논문집 Vol.1997 No.1

CPM Bar Chart 기법을 활용한 일정계획

김경환,김수유,김재준,Kim Kyung-Hwan,Kim Soo-Yoo,Kim Jae-Jun 한국건설관리학회 2004 건설관리 : 한국건설관리학회 학회지 Vol.5 No.5

본 연구에서는 바차트(bar chart) 기법과 CPM 기법의 장점을 결합한 CPM bar chart(CBC) 기법을 제시한다. CBC는 기존의 fenced bar chart(FBC)의 장점을 유지하면서 단점을 보완한 것으로, 작업 관계를 나타내는 fence에 방향성을 부여함으로써, 기존 FBC에서 상당한 혼란을 유발하는 fence의 분리과정 없이 작업들의 관계를 표현할 수 있다. 또한, fence의 분리를 파악하기 위해 더미작업(dummy activity)을 확인하는 과정이 생략되어 보다 손쉽게 작성할 수 있는 장점도 있다. 바차트의 간결성을 유지하면서 CPM의 네트워크 논리 표현이 가능해짐에 따라, CBC는 다양한 프로젝트 참여자들 간의 원활한 의사소통에 기여하리라 예상된다. 또한, resource constrained scheduling, resource leveling, 작업 분리가 고려된 일정 조정, 공기 지연 분석 등의 CPM 기법에 기초한 다양한 일정 계획 및 관리에도 적용이 용이하여, 실무뿐만이 아니라 공정관리 교육과정에서도 활용성이 높으리라 기대된다. This paper proposes the CPM bar chart (CBC), a hybrid of the bar chart and the critical pad method (CPM). The CBC overcomes shortages of the fenced bar chart, while still keeping advantages. The fence with direction is applied instead of the broken fence, which triggers considerable problems to identify and apply in the fenced bar chart. In addition, the notorious task to find dummy activities is no longer required. Upon the benefits of simplicity in the bar chart and logical work sequence in the CPM network. the CBC provides a relatively easy way to create and understand a schedule, thus improving communication quality between project participants. With the advantages, the CBC can also be effectively applied to various scheduling techniques such as resource constrained scheduling, resource leveling, scheduling with activity split, delay impact analysis, etc.

정부의 고가의료장비 수가정책과 병원경영수지

김경환,남은우,Kim, Gyeong-Hwan,Nam, Eun-U 대한병원협회 1997 대한병원협회지 Vol.26 No.5

다이아그리드 구조 시스템의 내진성능계수 평가

김경환,주영규,김상대,Kim, Kyoung-Hwan,Ju, Young-Kyu,Kim, Sang-Dae 한국강구조학회 2010 韓國鋼構造學會 論文集 Vol.22 No.3

새롭게 제안된 다이아그리드 구조 시스템은 경사진 기둥을 통해 구조물의 중력하중과 횡력을 모두 저항하는 시스템이다. 하지만 현재 내진설계 기준은 새로운 구조시스템에 대한 적절한 반응수정계수가 없다. 이에 새로운 시스템의 반응수정계수를 포함한 내진설계시 고려되는 내진성능계수들을 산정하기 위해 ATC-63(안)이 새롭게 제안되었다. ATC-63(안)에서는 구조 시스템의 여러 변수에 의해 다른 값을 가지게 되는 반응수정계수를 보완하기 위해 붕괴여유비를 함께 고려하여 건물의 내진성능을 판단한다. 본 논문에서는 4층에서 36층의 서로 다른 높이의 대각가 새 구조물을 설계하여 ATC-63(안)의 방법론에 따라 비선형정적해석과 동적해석을 통해 대각가새 구조의 내진성능계수를 평가하였다. As a new structural system, the diagrid system resists both gravity and lateral loads with diagonal columns. In current seismic design provisions, however, the response modification factor for a new structural system is not provided yet. ATC-63 provides a new methodology for defining various seismic performance factors, including the response modification factor. ATC-63 includes the collapse margin ratio in modifying the response modification factor, which can vary with many structural systems. In this paper, a non-linear static analysis and a dynamic analysis were conducted for four different diagrid models with 4-to 36-story heights. From these analyses, the response modification factor of the diagrid system was evaluated.

디스플레이용 ITO 투명전도막의 저온 제작

김경환,김현웅,Kim Kyung-Hwan,Kim Hyun-Woong 한국반도체디스플레이기술학회 2005 반도체디스플레이기술학회지 Vol.4 No.4

In this study, we prepared the ITO thin film for TOLED(Top-emitting OLED) or flexible display at room temperature using the FTS(Facing Targets Sputtering Apparatus). We observed characteristics of deposited thin films as a function of sputtering conditions. XRD patterns were independence trom oxygen gas flow and input current. But electrical and optical properties were strongly dependence. In the results, we could prepare good properties of ITO thin films resistivity of $4.27X10^{-4}[\Omega-cm]$, transmittance of over 80% at working gas pressure 1[mTorr], input current 0.6[A], oxygen gas ratio 0.3[sccm], at room temperature.

펀측 상지에 적용된 고유수용성 신경근 촉진법이 반대측 하지의 근 활성도에 미치는 영향

김경환,박지원,배성수,Kim, Kyung-Hwan,Park, Ji-Won,Bae, Sung-Soo 대한고유수용성신경근촉진법학회 2006 PNF and Movement Vol.4 No.1

Purpose: The purpose of this study was to investigate the effect of Proprioceptive Neuromuscular Facilitation (PNF) applied to the unilateral upper extremity on the muscle activation of contralateral lower extremity. Twenty-two healthy subjects (mean age of 23.7 years) participated in this study. Method : PNF patterns applied on the unilateral upper extremity in all subjects were the flexion/abduction/external rotation and lifting pattern. The hold and appoximation techniques for the irradiation were applied to end range of both patterns. Muscle activations in four patterns were measured in vastus medialis, tibialis anterior, rectus femoris, and gastrocnemius medial muscles of contralateral lower extremity using surface EMG system. Each EMG value in individual muscle was normalized for maximal voluntary contraction. The data were analyzed by one factor analysis of variance with repeated measure test. Result : There were significant differences in the between-subject effect (muscles) and within-subject effect (patterns) in comparison of muscle activation by application of PNF patterns (p<.05). The irradiation led to higher activation in the flexion/abduction/external rotation pattern than that of lifting pattern in all muscles (p<.05). The approximation techniques revealed more activations than these of hold technique in all muscles (p<.05). Conclusion : These results suggest that the application of PNF patterns to the unilateral upper extremity affect on the muscle activation of contralateral lower extremity and increase according to the intensity of resistance. This mechanism of contralateral effect might provide a help to the development of treatment method for the affected side and functional improvement for the patients who have damages of central nervous system or musculoskeletal problems by orthopedic injury.

효율적인 순로코드 발생을 위한 고속 한글 주소검색 시스템 개발

김경환,이석구,신미영,남윤석,Kim, Gyeong-Hwan,Lee, Seok-Goo,Shin, Mi-Young,Nam, Yun-Seok 한국정보처리학회 2001 정보처리학회논문지D Vol.8 No.3

실제로 사용되는 주소의 분석을 통해 한글주소의 해석방법을 제안하고, 제안한 주소해석 방법을 이용한 주소 검색시스템의 구현에 대하여 서술한다. 주소 상위 및 하위영역의 일치검증을 각각 순차적으로 수행하는 2단계 과정을 통해 최종 배달점에 대한 순로코드를 발생한다. 우편 번호와 주소 상위영역 일치검증 단계에서는 우편버호를 이용하여 주소사전에서 검색된 주소단어와 인식된 문자 후보들과의 비교를 통해 우편 번호를 검증하게 되며, 주소 상위영역과 주소 하위영역이 분리된다. 주소 상위영역 일치검증 과정의 성능향상을 위해 혼동행렬을 제안하고, 주소 인식결과에 혼동행렬을 적용하여 검증 성공률의 향상을 통해 혼동행렬의 유용성을 확인하였다. 주소 하위영역 검증은 번지정보와 건물명 정보를 이용하여 순로코드를 발생하였다. 부분적으로 완성된 광주와 부산지역의 DPF(Delivery Point File)와 레이블링된 데이터를 이용해 분석 가능한 주소에 대해 높은 정확도를 가지고 순로코드를 발생함을 확인할 수 있었다. A systematic approach for interpreting Korean addresses based on postal code is presented in this paper. The implementation is focused on producing the final delivery point code from various types of address recognized. There are two stages in the address interpretation : 1) agreement verification between the recognized postal code and upper part of the address and 2) analysis of lower part of the address. In the agreement verification procedure, the recognized postal code is used as the key to the address dictionary and each of the retrieved addresses is compared with the words in the recognized address. As the result, the boundary between the upper part and the lower part is located. The confusion matrix, which is introduced to correct possible mis-recognized characters, is applied to improve the performance of the process. In the procedure for interpreting the lower part address, a delivery code is assigned using the house number and/or the building name. Several rules for the interpretation have been developed based on the real addresses collected. Experiments have been performed to evaluate the proposed approach using addresses collected from Kwangju and Pusan areas.