정형외과 영역에 있어서 Diclofenac sodium의 임상적 연구

이광진,이준규,안상로,정태성,임상덕 충남대학교 의과대학 지역사회의학연구소 1987 충남의대잡지 Vol.14 No.1

This study was designed to research the clinical efficacy and tolerance of Diclofenac sodium, a potent inhibitor of prosta-glandin synthetase. Total 53 cases of painful condition in orthopaedic field were treated with Diclofenac sodium, available for intramuscular injection, in department of orthopaedic surgery of Chungnam National University Hospital from Nov. , 1986 to Jan. , 1987. Among 53 cases of painful condition, The most common condition was rheumatoid arthritis and osteoarthritis (33cases; 60. 3%), followed by sprain and strain(llcases; 20. 8%), postoperative state(7cases; 13.2%), and others(3cases 5.7%). There was no predilection in age and sex distribution. At thirty minutes after the injection, 46/53patients treated with Diclofenac sodium had complete 31(58.5%) or partial 15(28..3%) relief of pain. Side effects were mild and transient. It is concluded that intramuscular injection of Diclofenac sodium is effective in treatment of pain due to operative intervention & various disease in orthopaedic field.

5인 미만 사업장의 산업안전 규제 순응 실태

이관형,이경용,손두익,서남규,서광국,오지영 한국안전학회 2003 한국안전학회지 Vol.18 No.4

This study is planned to investigate the compliance of small sized enterprises of under 5 employees directed by Industrial Safety and Health Act. Occupational safety regulation can be required for employer and employee to comply because that all members of workplace should be involved to protect worker's health. When all members of workplace comply with safety regulation, effectiveness of regulation will be realized as expectation. The study subject is composed of three groups as 501 employers, 501 employees of small sized enterprises of under 5 employees and 107 safety inspectors sampled by stratified random sampling for comparison. Data for analysis is collected from each sample using interview with structured questionnaires. Compliance is measured by 5 point scale composed by 8 sub items such as general perception, understanding, clearness, necessity, relevancy, implementation, penalty, and general compliance of the regulation. Among sub items of employer's compliance, the level of perception of regulation, necessity of regulation, relevancy of penalty are differentiated among three groups. The level of all 8 items of employee's compliance also differentiated among three groups. These results show that strategies for ensuring the same level of compliance among three groups will be needed through education, training and evaluation of regulation and feedback.

연령의 증가에 따른 남성의 골밀도와 골교체율의 생화학적 표지자의 변화

민용기,안규정,정재훈,고은미,이명식,이문규,김광원,이종헌 대한골대사학회 1995 대한골대사학회지 Vol.2 No.2

정형회과영역에서의 Cefmetazole(Cefmetazon^(�)) 임상적 효과

이정웅,문형석,안상로,이준규,이광진,윤승호 최신의학사 1988 最新醫學 Vol.31 No.5

정형외과 영역에서 Sulperazon(Sulbactam/cefoperzon)의 Non-Comparative study

신현대,임상덕,안상로,이준규,이광진,윤승호 최신의학사 1989 最新醫學 Vol.32 No.2

구연 / 제 4 회의장 / 간 24 : 만초형 간내담관암의 수술 후 생존율에 미치는 인자들에 대한 분석

류광현(Kwang Hyun Ryu),이규택(Kyu Tak Rbee),이종균,이상수(Sang Soo Lee),이풍렬(Poong Lyul Rhee),고광철(Kwang Chui Koh),백승운(Seung Woon Paik),이종철(Jong Chui Rhee),최규완(Kyoo Wan Choi) 대한소화기학회 1999 대한소화기학회 추계학술대회 Vol.1999 No.-

슬관절 주위 골절 및 탈구와 동반된 슬와부 혈관 손상

이광진,이준규,황득수,전택수,변기용,양준영 대한골절학회 2000 대한골절학회지 Vol.13 No.3

Purpose: To compare the outcome in patients who have popliteal artery injury associated with fracture and/or dislocation around the knee according to treatment option. Materials & Methods: We have reviewed fourteen cases of popliteal artery injury patients associated with fracture and/or dislocation injury around the knee who had visited at Chungnam National University Hospital from April 1997 to July 1999. Results: Combined skeletal injuries included fracture of distal femur, fracture of proximal tibia, and dislocation of the knee. Internal or external fixation was applied for skeletal injuries. We repaired the injured popliteal artery using end-to-end anastomosis (3 cases), interposed saphenous vein graft (9 cases), prosthetic vein graft (1 case), or thrombectomy alone (1 case). The amputation rate was 21 % (3 out of 14 patients). In limb salvage cases, we evaluated the function of knee joint, and the results were as follows: good 5 cases, fair 3 cases, and poor 3 cases. Conclusion: Early diagnosis and prompt management for injuries of the popliteal artery is the most important factor to save the limb. Also, complete resection of all injured portion of vessel and reconstruction of patency through interposed saphenous vein graft are most useful method.

선천성 고관절 탈구 환아의 초음파 및 관절 조영술 소견

이광진,신현대,양준영,김영모,이원석,변규환 충남대학교 의과대학 지역사회의학연구소 1998 충남의대잡지 Vol.25 No.1

We evaluated the use of ultrasonography and arthrography in 15 patients, 16 cases with congenital dislocation of the hip from January 1995 to December 1996. All patients in this study was managed with following management program. Ultrasound study was performed as soon as possible after admission and applied continuous skin traction in modified Bryant's method until +2 station was achieved according to Gage and Winter's traction station. When this had been accomplished, arthrogram was performed and reduction was attempted under general anesthesia. Mannual closed reduction was tried at first and if failed, open reduction was attempted. K-wire fixation or capsulorrhaphy was occasionally performed in the unstable hip after reduction was acomplished and then the hip was immobilized in a bilateral hip spica cast. Inverted limbus was found in all cases at both ultrasonography and arthrography. Reduction was achieved by closed reduction in 6 cases, closed reduction with percutaneous K-wire fixation in 4 cases, open reduction with K-wire fixation in 2 cases and open reduction & capsulorrhaphy with K-wire fixation in 2 cases. The effect of prereduction traction was not evaluated in our study, but ultrasound study performed as soon as possible after admission was effective method for detection of the hip abnormality & making a management plan and arthrogram performed under general anesthesia was effective method for making a reduction plan.

Short-term Evaluation of a Comprehensive Education Program Including Inhaler Training and Disease Management on Chronic Obstructive Pulmonary Disease

( Kwang Ha Yoo ),( Wou Young Chung ),( Joo Hun Park ),( Sung Chul Hwang ),( Tae-eun Kim ),( Min Jung Oh ),( Dae Ryong Kang ),( Chin Kook Rhee ),( Hyoung Kyu Yoon ),( Tae-hyung Kim ),( Deog Kyeom Kim ) 대한결핵 및 호흡기학회 2017 Tuberculosis and Respiratory Diseases Vol.80 No.4

Background: Proper education regarding inhaler usage and optimal management of chronic obstructive pulmonary disease (COPD) is essential for effectively treating patients with COPD. This study was conducted to evaluate the effects of a comprehensive education program including inhaler training and COPD management. Methods: We enlisted 127 patients with COPD on an outpatient basis at 43 private clinics in Korea. The patients were educated on inhaler usage and disease management for three visits across 2 weeks. Physicians and patients were administered a COPD assessment test (CAT) and questionnaires about the correct usage of inhalers and management of COPD before commencement of this program and after their third visit. Results: The outcomes of 127 COPD patients were analyzed. CAT scores (19.6±12.5 vs. 15.1±12.3) improved significantly after this program (p<0.05). Patients with improved CAT scores of 4 points or more had a better understanding of COPD management and the correct technique for using inhalers than those who did not have improved CAT scores (p<0.05). Conclusion: A comprehensive education program including inhaler training and COPD management at a primary care setting improved CAT scores and led to patientsc better understanding of COPD management.

韓國 特殊敎育改善을 위한 綜合實態 調査

李相春,李圭植,金政權,呂光應,金東淵,權要漢,權英化 한사대학 특수교육연구소 1980 特殊敎育硏究 Vol.8 No.-

A Study was done in order to collect suggestions for the improvement of special education in Korea. Through a questionaire given to the teachers and administrators in special schools and special classes, opinions and suggestions were collected concerning establishment and management of special education facilities. The subjects of this study were 351 teachers and principals with special classes and 809 teachers in 53 special schools, the number of which is the complete enumeration of them all over the country. The information was complied from October 15, 1979 to December 20, 1979. According to the analysis of the data collected in this study, the following suggestions were made for the improvement of the special education in Korea. 1. The existing state of the special schools. 1) At present, the number of children receiving special education is 14,159 persons (special schools; 8, 052 persons, special classes: 6, 107 persons), but it only represents 4.59 percent of the total number of children requiring special education in Korea. 2) The number of subjects that are presently being taught in special education schools, who have obtained special education teaching certificates, were shown to be 72% of the male teachers and 79% of the women teachers. 3) It was shown that home environment and parents' school career for children in the special schools were at the low level. 2. The teaching viewpoint of the teachers at the special schools 1) The special teachers' general point of view on the special schools was comparatively reached to the positive level. 2) There was generally such a tendency as they gave much more consideration to the life centered education than to recovering the academic achievement on the exceptional children. 3) The level of the general teachers' attitude to the special schools and the degree of the understanding was generally about at the middle. 4) In this research, it was shown that the teachers' motive to take the special schools was comparatively to be willing. 5) It was shown that the evaluation and treatment for the special techers was at the low level of the satisfaction, and their works were too much. 6) The urgent problems in the education of the special schools was shown with the next order in the significant level; to strengthen the synthetic administrative supports, to develop and to supply the learning materials, to develop the curriculum for the special classes, and so forth. 3. The existing state of the special classes 1) At present, the number of children receiving special education in special classes is 6,107 persons. 2) The major problems with which the existing special classes are confronted, such as correct identification, reducing the number of pupils per special classes, putting in good order of the basic facilities at the special class etc. should be solved. 3) It is an urgent problem that a long-term comprehensive plan for the establishment of special classes should be set up, because their continuity and connection with each other fields have not been considered on the establishment of them. 4. The teaching viewpoint of the teacher at the special classes 1) The special teachers' general point of view on the special classes was comparatively reached to the positive level. 2) There was generally such a tendency as they gave equal consideration to receiveing the academic achivement, to the life-centered education and to the occupational education. 3) The present special classes were shown not to have the cooperative relationship with the regular classes. Also, the level of the general teachers' attitude to the special classes and the degree of the understanding was about at the middle, but it was shown that the regular children regarded the special classes as strange. 4) The teachers' motive to take the special classes was shown comparatively to be more willing than to be reluctant. 5) It was shown that the evaluation and treatment for the special teachers was at the middle level of the satisfaction, and their works were too much. 6) The urgent problems in the education of the special classes was shown with the next order in the significant level; to stretkthen the a synthetic 7administrative supports, to develop and to supply the learning materials, and so forth. 5. The teaching viewpoint of the principals at the special classes. 1) The major problem with which the existing special classes are confronted, such as correct identification, reducing the number of pupils per special classes, putting in good order of the basic facilities at the special classroom and developing a lot of special education materials etc. should be solved without delay. 2) A great consideration should be given to select a dutiful special teacher with teaching method techniques. 3) The teaching practice for the special education should be planned to convert the school subject centered program to the life and vocational education program.