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Dropped Head Syndrome (DHS) Combined with Cervical Polyradiculopathy Following Radiotherapy
임오경,심호용,윤진원,이진영,박기덕,이주강 대한근전도전기진단의학회 2014 대한근전도 전기진단의학회지 Vol.16 No.2
We report a 55-year-old man with dropped head syndrome who developed neck extensor muscle weakness. After he was treated with radiotherapy (66Gy) two years ago because of non-small cell lung cancer, he exhibited progressive inability to lift his head with severe neck pain with the dropped head. The electrodiagnostic study revealed left cervical polyradiculopathy and polyneuropathy combined with cervical myelopathy, and localized myopathic change was detected on trapezius muscle biopsy. In his cervical magnetic resonance images revealed cervical spine compression fracture and multiple foraminal stenosis, so we concluded that dropped head posture was caused from radiotherapy induced myopathy of neck extensor muscle and left upper extremity pain and weakness was resulted from compression polyradiculopathy due to prolonged cervical flexion contracture. Although neuropathic pain and the neck movement limitation were treated with physical therapy, cervical orthosis, trigger point injection and medication, the improvement was limited. We suggest that the early diagnosis of dropped head syndrome (DHS) and appropriate rehabilitative management should be considered to prevent severe secondary complications such as myopathy and neuropathy.
임오경(OKyeongIm),하웅용(WoongYongHa) 한국체육학회 2013 한국체육학회지 Vol.52 No.2
이 연구는 한 지도자가 이끈 한국여자핸드볼이 세계정상에 오르는 과정을 분석하였다. 이를 통해 비인기종목의 한계와 존재를 위한 승리의 여정이 함축하고 있는 의미를 탐색하고자 한다. 또한 정감독 한 개인의 의지가 한국체육에 어떠한 영향을 미쳤는지를 분석하였고 연구결과는 다음과 같다. 첫째, 경험부족이라는 우려와는 달리 정감독은 여자핸드볼 국가대표 감독이 되어 올림픽과 세계선수권대회의 우승이라는 전무후무한 결과를 이루었다. 이러한 결과는 지도자, 선수, 협회가 일심동체가 되어 이루어 낸 것이었다. 둘째, 현실적으로 불가능하였던 올림픽메달을 획득한 한국 여자 핸드볼팀의 체육사적 의의는 상당한 것이며, 이러한 성과를 이룩하는데 있어 지도자는 주도적인 역할을 담당하였다. 셋째, 정감독은 과학적인 이론으로 계획적이고 체계적인 훈련방법으로 ``한국형 핸드볼``을 만들었고, 이를 통해 세계정상에 올랐다. 넷째, 1980년대 대중의 관심밖에 있었던 여자핸드볼이 세계정상에 올라 대한민국 구기종목의 새로운 역사를 만들었던 이면에는 정감독의 불굴의 정신과 타고난 리더십이 바탕이 되었다. 그러나 본 연구를 통하여 한 개인의 지도력을 정형화하여 일반화하는 것에는 한계가 있음을 밝힌다. This is a study about the journey of Women`s handball team led head-coach Chung. Modern Korean sport history, it was one of great achievements that Korea Women`s handball got the gold medals in ball events not only once but two consecutive times and silver medal. So This study analyzed the precess of the journey focus on the leadership of coach, the result may be summarized as follow. First, even though there were many difficulties such as denounced by other coaches because of inexperience coach Chung became the victory coach of Olympic Games and World Championships, had made the unprecedented results. Of course, Chung`s leadership is one element of the victory, however, it would not be possibly without hard work and dedication of players and the association. Second, unpopular sports, such as women`s Handball, an Olympic medal was a necessary and sufficient condition for receiving public attention and patronage from the government. Before 1980s, in reality, in terms of strength and skill, the Korean handball team could have not compared powerful European nations. However, Korea women`s handball team had achieved an impossible dreams. Third, based on scientific theory, Chung planned and systematic training methods have made the best team. His training methods could be summarized strengthtraining, composition of teamwork, analysis of opposing team`s skill performance. After all, he made a ``Korean style of handball`` in order to defeat a European power handball team. Finally, a sport, through this paper, the role of leaders know how important it can be. Korea Women`s Handball ball became the top of world and made of a new history of Korea elite sport. This achievement was based. Chung`s indomitable spirit and leadership. After all, I admit that formalizing the leadership of an individual is very difficult to generalize.
곽현정,임오경,백재명,조윤이 대한마취통증의학회 2018 Korean Journal of Anesthesiology Vol.71 No.6
Background: To compare the effects of intraoperative infusions of balanced electrolyte solution (BES)-based hydroxyethyl starch (HES) and saline-based albumin on metabolic acidosis and acid/base changes during major abdominal surgery conducted using Stewart’s approach. Methods: Forty patients, aged 20-65 years, undergoing major abdominal surgery, were randomly assigned to the HES group (n = 20; received 500 ml of BES-based 6% HES 130/0.4) or the albumin group (n = 20; received 500 ml of normal saline-based 5% albumin). Acid-base parameters were measured and calculated using results obtained from arterial blood samples taken after anesthesia induction (T1), 2 hours after surgery commencement (T2), immediately after surgery (T3), and 1 hour after arriving at a postanesthetic care unit (T4). Results: Arterial pH in the HES group was significantly higher than that in the albumin group at T3 (7.40 ± 0.04 vs. 7.38 ± 0.04, P = 0.043), and pH values exhibited significant intergroup difference over time (P = 0.002). Arterial pH was significantly lower at T3 and T4 in the HES group and at T2, T3, and T4 in the albumin group than at T1. Apparent strong ion difference (SIDa) was significantly lower at T2, T3, and T4 than at T1 in both groups. Total plasma weak nonvolatile acid (ATOT) was significantly lower in the HES group than in the albumin group at T2, T3 and T4 and exhibited a significant intergroup difference over time (P < 0.001). Conclusions: BES-based 6% HES infusion was associated with lower arterial pH values at the end of surgery than salinebased 5% albumin infusion, but neither colloid caused clinically significant metabolic acidosis (defined as an arterial pH < 7.35).
Ethyl Chloride 분사가 침근전도 검사 결과에 미치는 영향
김정만,임오경,이주강,박기덕,이광래 대한근전도전기진단의학회 2009 대한근전도 전기진단의학회지 Vol.11 No.2
Objective: To assess the effect of the ethyl chloride spray on motor unit action potential (MUAP) morphology to the needling area who undergoes needle electromyography. Methods: Twenty examinees were enrolled to see the effect of the variability of the motor unit action potentials during needle electromyography (EMG). After needle insertion in biceps brachii muscle, examinees contracted the muscle and quantitative electromyography motor unit action potentials were analyzed. After being analyzed, the ethyl chloride was sprayed over the site of needle insertion and then quantitative electromyography was carried out again. Results: Quantitative electromyography showed that the amplitude and phase were not changed in all examinee after ethyl chloride spraying. However the duration was elongated with significant statistical difference. Conclusions: Our results suggest that ethyl chloride spraying before needle EMG study could change MUAP duration parameters. So, we must consider such changes in analyzing needle EMG result when using ethyl chloride spraying