물리치료 전공 대학생들의 정형도수 물리치료 분야의 취업 및 진로 선호도 조사

박세진,김성환,최규성,김완기,박재명,박현식,Park, Se-jin,Kim, Seung-hwan,Choi, Kue-seong,Kim, Wan-ki,Park, Jae-myung,Park, Hyun-sik 대한정형도수물리치료학회 2020 대한정형도수물리치료학회지 Vol.26 No.2

Background: This study aimed to determine the employment and career preferences for orthopedic manual physical therapy for college students majoring in physical therapy. Methods: The subjects were 267 college students majoring in physical therapy, and a survey was conducted both online and offline. The collected data were statistically processed to analyze employment and career according to the general characteristics. Results: Interest, temporal satisfaction of education, and the need for special lectures on orthopedic manual physical therapy were significantly different by sex. There were significant differences in sex, grade, and age with regard to whether they go to graduate school related to orthopedic manual physical therapy and whether to study more about orthopedic manual physical therapy. Conclusions: The educational curriculum must be reinforced for students through systematic curriculum reorganization reflecting their preference for orthopedic manual physical therapy.

급성 신손상을 가진 소아의 지속적 신대체 요법

박세진,신재일,Park, Se-Jin,Shin, Jae-Il 대한소아신장학회 2011 Childhood kidney diseases Vol.15 No.2

Acute kidney injury (AKI) is associated with mortality and may lead to increased medical expense. A modified criteria (pediatric RIFLE [pRIFLE]: Risk, Injury, Failure, Loss, and End-stage renal disease) has been proposed to standardize the definition of AKI. The common causes of AKI are renal ischemia, nephrotoxic medications, and sepsis. A majority of critically ill children develop AKI by the pRIFLE criteria and need to receive intensive care early in the course of AKI. Factors influencing patient survival (pediatric intensive care unit discharge) are known to be low blood pressure at the onset of renal replacement therapy (RRT), the use of vasoactive pressors during RRT, and the degrees of fluid overload at the initiation of RRT. Early intervention of continuous RRT (CRRT) has been introduced to reduce mortality and fluid overload that affects poor prognosis in patients with AKI. Here, we briefly review the practical prescription of pediatric CRRT and literatures on the outcomes of patients with AKI receiving CRRT and associations among AKI, fluid overload, and CRRT. In conclusion, we suggest that an increased emphasis should be placed on the early initiation of CRRT and fluid overload in the management of pediatric AKI. 소아에서 급성 신손상의 흔한 원인들로는 신허혈, 신독성 약물들, 그리고 패혈증 등이 있으며, 신대체요법 시작시의 저혈압, 신대체 요법 동안 승압제의 사용, 그리고 신대체 요법 시작시의 수액 과부하 정도가 환자의 생존(소아 중환자실 퇴원)에 영향을 미치는 요인들로 알려져 있다. 지속적 신대체 요법의 빠른 시작은 급성 신손상을 가진 환자들에게서 사망률과 예후에 나쁜 영향을 미치는 수액 과부하를 감소시키는 것으로 보고되었다. 이에 저자들은 소아 환자에게서 지속적 신대체 요법의 실제 처방과 급성 신손상, 수액 과부하, 그리고 지속적 신대체 요법간의 연관성 및 치료결과를 살펴보고자 한다. 결론적으로, 급성 신손상을 가진 소아의 치료에 있어서 과도한 수액 과부하가 발생하기 전에 빠른 지속적 신대체 요법의 시작이 필요하다고 제시하는 바이다.

후과 골절을 동반한 Lauge-Hansen 회내-외회전형 4단계 족관절 골절에서 원위 경비인대 결합 손상에 대한 원위 경비 나사 고정술과 후과 고정술의 결과 비교: 수술 1년째 추시 결과

박세진,정화재,신헌규,서동석,최영민,김유진,Park, Se-Jin,Jeong, Hwa-Jae,Shin, Hun-Kyu,Seo, Dong-Seok,Choi, Young-Min,Kim, Eugene 대한족부족관절학회 2014 대한족부족관절학회지 Vol.18 No.1

Purpose: The purpose of this study is to compare the radiologic and clinical results of syndesmotic screw fixation and posterior malleolar fixation for syndesmotic injury in Lauge-Hansen classification pronation-external rotation (PER) stage IV ankle fractures with posterior malleolus fracture. Materials and Methods: We designed a retrospective study that included patients with Lauge-Hansen classification PER stage IV ankle fracture with posterior malleolus fracture. Of 723 patients who underwent ankle fracture surgery from March 2005 to November 2012, 29 were included in this study. In this study, syndesmotic injury was treated with syndesmotic screw fixation or posterior malleolus fixation. There were 15 cases of syndesmotic screw fixation and 14 cases of posterior malleolar fixation. We compared the radiologic and clinical results at one year postoperatively. Posterior malleolus fragment size on a pre-operative computed tomographic image, and tibiofibular overlap, medial clear space, articular step-off, Kellgren-Lawrence grade, and Takakura classification on a postoperative one year followup radiograph were used for comparison of the radiologic results. The clinical results were assessed using the American Orthopaedic Foot and Ankle Society score, visual analogue scale score, and patient subjective satisfaction score. Results: Posterior malleolar fragment size was $12.62%{\pm}3.01%$ of the joint space in the syndesmotic screw fixation group and $27.04%{\pm}4.34%$ in the posterior malleolar fixation group. A statistical difference was observed between the two groups. However, other results, including tibiofibular overlap, medial clear space, articular step-off, Kellgren-Lawrence grade, Takakura classification, and clinical scores showed no statistical difference. Conclusion: In the Lauge-Hansen classification PER stage IV ankle fracture with posterior malleolus fracture, if the posterior malleolus fracture can be reduced anatomically and fixated rigidly, syndesmotic screw fixation, which can cause several complications, is usually not required for achievement of a satisfactory syndesmotic stability; this would be a recommendable option for treatment of syndesmotic injury.

당뇨병성 족부 궤양에 의한 절단술후 상처 치유와 발목-상완 지수, 족지-상완 지수, 족지압의 관계

박세진,정화재,김유진,이재욱,Park, Se-Jin,Jeong, Hwa-Jae,Kim, Eugene,Lee, Jae-Wook 대한족부족관절학회 2012 대한족부족관절학회지 Vol.16 No.4

Purpose: The purpose of this study is to establish guidelines for ankle-brachial index (ABI), toe-brachial index (TBI) and toe pressure with regard to healing of diabetic foot amputation wound. Material and Methods: We designed a retrospective study that included patients with diabetic foot ulcer. From 2008 to 2011, 46 patients who had suffered from amputation of a foot due to diabetic foot ulcer were included in this study. We divided them into amputation-success group and amputation-revision group, and compared their ankle-brachial index (ABI), toe-brachial index (TBI) and toe pressure between two groups. Amputation-revision group is that first forefoot amputation is failed to heal successfully and need to have another proximal amputation. Results: Toe pressure was 78 mmHg (54~107) in the amputation success group, 0 mmHg (0~43) in the amputation revision group (p=0.000). Ankle-brachial index was 1.1650(1.0475~1.1975) in the amputation success group, 0.92(0.5275~1.0750) in the amputation revision group (p=0.05), and toe-brachial index was 0.6100(0.4050~0.7575) in the amputation success group, 0.00(0.00~0.4150) in the amputation revision group (p=0.04), respectively. Conclusion: ABI, TBI, toe pressure of amputation success group were significantly higher than those of amputation revision group.

탄뎀 서브머지드 용접 공법의 용접조건에 따른 용입깊이 및 용착면적 예측

박세진,남성길,권창길,Park, Se-Jin,Nam, Seong-Kil,Kweon, Chang-Gil 대한용접접합학회 2011 대한용접·접합학회지 Vol.29 No.6

Submerged arc welding method from both sides is generally applied to the welding of main panel manufacturing process during ship construction. The tandem SAW method is applied to improve the productivity. The various weld defects that occur during tandem SAW method are melt through, incomplete penetration, undercut and overlap etc. It could be thought that the reasons for these defects are mainly lack of prediction ability for penetration depth and deposited metal area. In this research, total 5 kinds of welding factors for experiment like current of lead pole, voltage of lead pole, current of trail pole, voltage of trail pole and welding speed are adopted. Weld tests are carried out for the analysis of variation effects of these factors on penetration depth and deposited metal area. Based on the test and analysis results, it is possible to obtain the prediction equation for the effect of these factors on the amount of deposited metal and penetration depth. As per the verification of the results by additional tests, it is confirmed that the prediction equation, include a error margin of ${\pm}2mm$ for penetration depth and ${\pm}10mm2$ for deposited metal area.

Continuous Renal Replacement Therapy in a 4-year-old Child with Rhabdomyolysis Following Parainfluenza Virus Infection and Hyperammonemia due to Isovaleric Acidemia

박세진,조수연,배기수,신재일,Park, Se Jin,Cho, Soo Yeon,Pai, Ki Soo,Shin, Jae Il Korean Society of Pediatric Nephrology 2013 Childhood kidney diseases Vol.17 No.2

Parainfluenza virus 감염은 횡문근융해증의 하나의 원인이 될 수 있다. 횡문근융해증은 지속된 금식기간동안 미토콘드리아 지방산 ${\beta}$-oxidation 장애에 의해 악화될 수 있다. 또한 후기 발생 isovaleric 산증을 가진 환아들에게서 고암모니아혈증이 이화작용을 일으키는 상태 후 발생할 수 있다. 본 케이스는 parainfluenza virus 감염과 후기 발생 isovaleric 산증을 가진 4세 남아가 혼수, 경련 및 심호흡 부전으로 빠르게 진행했던 경우이다. 초기 암모니아와 creatinine kinase는 각각 $385{\mu}Mol/L$과 23,707 IU/L 이었으나 지속적 신대체요법 시행 후 암모니아와 creatinine kinase 수치는 정상으로 돌아왔다. 그러므로 생명을 위협하는 횡문근융해증과 고암모니아혈증을 가진 환아들의 치료에 있어서 즉각적인 지속적 신대체요법의 사용을 권하는 바이다. Parainfluenza virus infection is one of the causes of fatal rhabdomyolysis. Rhabdomyolysis can be aggravated by mitochondrial fatty acid ${\beta}$-oxidation disorders during prolonged periods of fasting. Moreover, in patients with late-onset isovaleric acidemia, hyperammonemia may occur following catabolic stress. In the present report, we describe a case of a 4-year-old boy with parainfluenza virus infection and late-onset isovaleric acidemia that rapidly progressed to coma, seizures, and cardiorespiratory collapse. His serum ammonia and creatinine kinase (CK) levels were $385{\mu}Mol/L$ and 23,707 IU/L, respectively. Continuous renal replacement therapy (CRRT) was initiated using continuous venovenous hemodiafiltration, after which the ammonia and CK levels returned to normal. Thus, we recommend the immediate initiation of CRRT in the management of patients with life-threatening rhabdomyolysis and hyperammonemia.

하천과 제내지를 연계한 2차원 홍수범람 해석체계 구축 및 남강유역에의 적용

박세진,최현구,허윤형,한건연,Park. Se-Jin,Choi. Hyun-Gu,Huh. Yun-Hyoung,Han. Kun-Yeun 한국방재학회 2011 한국방재학회논문집 Vol.11 No.6

최근 태풍 및 집중호우로 인하여 하천 제방의 붕괴 및 월류 발생 확률이 증가하면서 제내지에서의 많은 인명손실과 극심한 재산피해 뿐만 아니라 사회적 문제까지 야기되고 있다. 따라서 홍수 예 경보 및 피난대책 수립을 위해서는 홍수 범람 구역에 대한 제방 붕괴 및 월류지점 파악과 해당 지점에서의 제방붕괴폭, 붕괴시간 등을 통한 범람범위의 정확한 추정이 필요하다. 이러한 홍수범람구역의 정확한 추정을 위해서는 대상지역의 수문, 지형, 토지이용현황 등이 중요한 요소이나 실제로 피해를 일으키는 요인은 홍수파로 제방붕괴에 따라 제내지로 유입되는 홍수파의 흐름을 파악하는 것이 무엇보다 중요하다. 본 연구의 목적은 이상홍수 및 국지성 호우에 의해서 댐 및 하천 제방의 붕괴로 인한 제내지에서의 비상상황 발생에 대비하여 하도 내 홍수 해석을 실시함으로써 피해 예상지역 내 주민의 생명과 재산을 보호하기 위함에 있으며, 또한 제내지에서의 침수분포양상의 모의 및 해석을 수행하여 홍수파로 인한 제내지에서의 침수범위, 침수위, 침수시간 등을 예측하고 피해예상규모를 산정하는 것이다. 이를 위해 남강 유역을 대상으로 1차원 부정류 모형인 FLDWAV모형을 이용하여 하천에서의 홍수파 해석과 제방의 붕괴양상을 고려하여 제내지 및 제외지의 수위를 산정하고 붕괴에 따른 범람 수문곡선을 유도하였다. 이를 기초로 하여 2차원 범람 모형에 적용하여 실측 제방 붕괴 지점에서의 홍수파 전달특성을 검토하였으며 제내지의 침수범위, 침수시간, 침수위 등을 계산하여 실측 자료 및 홍수흔적과의 비교 검토한 결과 90%를 상회하는 적합도를 나타내었다. 그리고 같은 지역에서 200년 빈도의 극한상황을 가정하여 범람범위를 산정하였으며, 이 결과는 수방제 및 홍수피해 경감대책 수립에 기여할 수 있을 것으로 판단된다. Due to the recent proliferation of hurricanes and heavy rains, occurrence probability of the collapse of river banks and overflow has increased and has brought about large loss of life and severe property damage in lowland. It is imperative information related to the collapse of levee and overflow systems, flood inundation ranges and overflow spots be generated. Real damage causes include flood waves; understanding streams of flood waves as they flow into the lowland is vitally important. The purpose of this study is to generate data that will protect life and the property of residents in damage areas. Flood analysis is preformed to prepare for emergency situations in lowland due to the collapse of dams and river banks due to extraordinary foods and severe rains. Additionally, through simulation and analysis related to flood distribution patterns in lowland, forecasted inundation depth and time, range of flood, and estimated size of damage expectation can be generated. Data targets include the Nam River watershed using the FLDWAV model. Calculating the water level in lowland and introducing flooding hydrograph are vital to success. This is all related to the collapse of river banks and takes into consideration analysis of flood waves and collapse patterns of river banks. Using this data to create a two-dimensional flood model and by examining flood wave transfer characteristics at the point of real bank collapse, progress can be made. Calculating the range of flood, inundation depth and time in lowland, comparing and reviewing results with actual data and flood marks that showed the goodness of fit is over 90% is key. Calculate the range of flood data by assuming extreme situation of 200 years frequency on the same region, these results are able to contribute establishment of flood damage mitigation measures.

소변의 생성, 구성성분, 색깔, 그리고 이상소견

박세진,신재일,Park, Se Jin,Shin, Jae Il 대한소아신장학회 2013 Childhood kidney diseases Vol.17 No.2

Urine production is vital for the removal of certain waste products produced by metabolism in the body and for the maintenance of homeostasis in the body. The kidneys produce urine by the following three precisely regulated processes: filtration, reabsorption, and secretion. Urine is composed of water, certain electrolytes, and various waste products that are filtered out of the blood through the glomeruli. The physical features of urine are evaluated carefully to detect any abnormal findings that may indicate underlying diseases in the genitourinary system. A change in urine color may indicate an underlying pathological condition, although many of the causes of abnormal urine color are benign effects of medications and foods. A characteristic and specific odor may be the result of a metabolic disease rather than a concentrated specimen or a simple urinary tract infection. Although transient changes in urine output and nocturia are usually benign conditions, persistent abnormal findings require further workup, with a thorough medical history taking. This article presents many of the conditions that physicians may encounter and will help them in the diagnosis and in establishing a treatment plan.

당뇨병성 말초혈관병증에서 항혈소판제의 효과: 발목상완지수 및 맥파전달속도를 통한 비교

박세진,Park, Se-Jin 대한족부족관절학회 2014 대한족부족관절학회지 Vol.18 No.4

Purpose: The purpose of this study is to confirm the effect of antiplatelet drugs in diabetic peripheral vasculopathy in diabetic foot patients. Materials and Methods: We designed a retrospective study in diabetic foot patients with diabetic peripheral vasculopathy. From October 2007 to December 2013, 278 cases in 139 patients who took antiplatelet drugs over at least a six-month period were included in this study. We categorized these patients according to the type of drug used. The efficacy of antiplatelet drugs was evaluated using anklebrachial index (ABI) and pulse wave velocity (PWV). Results: Only the aspirin group showed a statistically significant increase of ABI after antiplatelet therapy ($1.10{\pm}0.12$ to $1.12{\pm}0.11$). In addition, only the cilostazol group showed a statistically significant decrease of PWV after antiplatelet therapy ($1,701.20{\pm}396.56$ to $1,627.42{\pm}324.98$). Conclusion: Aspirin and cilostazol may be used in treatment of diabetic peripheral vasculopathy, whereas dual antiplatelet therapy with aspirin and clopidogrel has no specific benefits in diabetic peripheral vasculopathy.

석유개발의 꿈을 위하여 - 베트남을 통해 본 한국 석유개발사업

박세진,Park, Se-Jin 대한석유협회 2013 석유와 에너지 Vol.290 No.-