불안정 지지면을 이용한 운동 프로그램이 뇌졸중 환자의 균형에 미치는 효과

이지연,김용수,김진섭,박진현,최윤희,전덕훈,김경 대구대학교 특수교육재활과학연구소 2010 再活科學硏究 Vol.28 No.1

본 연구의 목적은 뇌졸중 환자의 재활을 위하여 불안정 지지면을 이용한 운동 프로그램이 균형 능력과 운동 기능 능력에 미치는 효과를 알아보고자 실시하였다. 불안정 지지면의 이용한 치료는 임상적으로 뇌졸중으로 인한 편마비 환자뿐만 아니라 스포츠 손상 및 노인들의 질환 등 다양한 병인을 가진 환자들의 치료에 이용되고 있다. 대부분의 뇌졸중 환자들은 재활 훈련을 할 수 있는 병원이나 기관에서 치료를 받을 때에 지지면의 차이를 제공함으로써 보다 더 안정한 지지면에서 적응할 수 있는 방법이 요구되고 있다. 하지만, 아직도 불안정 지지면을 이용한 구체화된 치료적 운동 방법과 객관적 평가에 대한 연구가 미비한 실정이다. 이러한 문제점을 해결하기 위하여 최근 뇌졸중 환자의 불안정 지지면과 이론적 근거를 바탕으로 한 운동 프로그램에 대한 연구가 더욱 필요하다. 본 연구에서는 실험군과 대조군이 같은 운동 프로그램을 적용하였을 때, 두 그룹 간에서 나타나는 균형 향상과 운동 기능 향상에 어떠한 효과를 주는지 살펴보고자 하였다. The purpose of this article was to study the effect of the exercise programme that uses the unstable supporting surface to rehabilitate cerebrovascular patients on balance ability and exercise function ability. The therapy is being clinically used for the patients with diverse pathological factors such as hemiplegia caused by CVA, sports injury, and diseases in the elderly. when most patients with CVA are treated in the hospital or institute that can provide rehabilitation training, they need to be given the way to adjust more stable surpporting surface by being provide with various stages of surface. However, the actual therapeutic exercises is still needed and the study for objective assessments wants conducting. To solve these problems, the study of unstable surface exercise programmes based on the evidences recently need to be made for the patients with CVA. in this study, we intend to look into what effects on the balance improvement and the exercise function are different from the experimental group to the control group with the same programme applied to the two groups.

1995년 및 1996년에 국내에서 분리된 풍진바이러스의 염기서열 및 계통분석

백락주,송기준,정재희,정희진,김우주,김민자,송진원,김세연,이용주,박광숙,강주일 대한감염학회 1997 감염 Vol.29 No.3

목적: 유소아에서 경한 발진성 질환을 일으키는 풍진바이러스는 토가바이러스과에 속하며 일회 감염으로 평생면역을 획득하는 것으로 알려져 왔다. 그러나 1960년대 후반 풍진예방접종이 시행된 이후 선진국의 경우 풍진 호발 연령이 유소아에서 청소년 층으로 변화하는 양상을 나타내었으며 우리 나라의 경우에도 1995년에서 1996년도 사이에 발생한 풍진대유행기에 주로 중 고등학생층에서 풍진이 호발하였다. 주기적인 풍진의 유행에도 불구하고 우리 나라에서는 최근까지도 풍진 바이러스의 분리나 유전정보에 대한 연구보고가 없어 이에 대한 연구를 시행하였다. 방법: 1995년에서 1996년에 발생한 풍진 환자의 인후분비물을 채취하여 세포배양법으로 풍진바이러스 분리를 시도하였으며, 분리된 풍진바이러스의 RNA를 추출하여 역전사 중합효소연쇄반응법으로 증폭한 후 염기서열 및 아미노산 서열을 결정 분석하였다. 결과: 세포배양을 통해 7주의 풍진바이러스를 분리하였으며 국내 풍진바이러스주들은 염기서열상 92.5-100%의 동질성을 나타내었고, 백신주 RA27/3과는 2.2-6.4%의 차이를 보였다. 아미노산서열상에서는 국내에서 분리된 풍진바이러스주들은 98.3-100%의 동질성을 나타내었고, 백신주 RA27/3과는 1.7%이하의 차이를 보였다. 계통분석 결과 국내에서는 최소한 2가지 유형의 풍진바이러스가 유행하였다. 결론: 국내에서 유행한 풍진바이러스주의 E1 gene 부위를 기존에 알려진 외국의 분리주나 백신주와 비교시 의미있는 차이는 관찰되지 않았으며 Vero E6 세포는 풍진바이러스의 분리배양에 유용함을 알수 있었다. 그러나 풍진바이러스의 지속적인 변이 양상이 관찰된 사실은 체계적이고 지속적인 풍진바이러스 감시체계의 필요성을 제시하였다. Background: The age group of Rubella virus (RV) infection in most industrialized nations located in temperate climates, has in large part shifted from children to young adults since introducing of the RV vaccine in late 1960's. Interestingly, there were rubella outbreakes from 1995 through 1996 in Korea, and middle and high school students were mostly affected during that time. Although continued of genetic information of rubella viruses circulated in Korea. Method: To isolate RV circulated in Korea, and determine the phylogenetic relationship between RV strains in Korea and RV isolates from other geographic regions including vaccine strains, we inoculated nasopharyngeal secretion samples from clinically diagnosed rubella patients to Vero E6 cells, and sequenced corresponding region of the 5' EL encoding genomic regions of RV isolates. Result: Seven RV strains isolated from Korea showed 93.6 to 97.8% and 98.3 to 100% sequence homologies in nucleotide and amino acid levels, respectively, compared to RA27/3 vaccine strain. Phylogenetic tree based on 359bp of RV indicated that at least two different groups of RV circulated in Korea during 1995-1996 epidemics. Conclusion: Our data suggested that mutant RV strains were possiblely not the cause of recent rubella epidemics in Korea.

치매노인 부양가족을 위한 교육프로그램 개발연구

김시연,장진경 숙명여자대학교 건강·생활과학연구소 2001 生活科學硏究誌 Vol.16 No.-

This study is to provide the foundmentals of family life education programs to ease burden and difficulties who family members of senile dementia have commonly faced. Many of dementia families participated in the pilot study for the propose to catch their needs and to search for more stable and effective education tools auld programs for them. The necessity of some education program for senile dementia families was in detail varied by sociodemographical variables. The married was much stronger than the single in the need of medical information. For the support technique both less than the forties and the upper school career were higher. Stress Information recorded higher needs in the married people. Spouses and daughters-in-law of dementia sufferers showed much interest in the programs; and the income earners of 2,000,000 to 3,000,000 won showed the same results. In the field of social welfare information, however, daughters of the old demanded much more. The demand level of the programs by characteristics of the old dementia are as follows. The group of less serious patients required higher for medical information. Those who had no regard for dementia took much interest in stress information. There revealed no significant statistics in the large and small physical defects by demdntia. By types, however, less cognitive, emotional and behavior defects revealed higher in medial and stress information. Method of education program were also examined in the study; place was the old age welfare center, the size of participants was six to ten, frequency was six to ten times, time zone was twelve to six p.m, period was one to two hours, teaching was lecture and group discussion. In confusion, this syudy huts described a senile dementia program to ease mental burden, body pain and to help role plays of the family menbers. The program includes four sociodemographical factors of medical, stress, welfare information and support technique. Six times of curricula are to be done by contents of lecture, joint activity, group discussion and care release. Many of proving tests of the program would build up more stable program tools and method.

SM25C의 마찰용접에서 용접면에 가공된 홀의 영향에 관한 연구

윤병수,홍일표,민택기,김진건 忠南大學校 産業技術硏究所 1999 산업기술연구논문집 Vol.14 No.1

This study deals with friction welding of SM25C. One of test material has a hole in the center, but the other is not. Then,same friction welding condition is applied. Friction welding is conducted with varying hole diameter at one material. The results obtained are as follows. 1. When the diamether of machined hole is 4mm, the highest bending strength of friction wleld was 1569MPa which was about 120% of base metal strength. 2. When the diameter of machined hole is 6mm, the highst shear strength of friction weld was 512MPa which was about 115% of base metal strength. 3. The machined hole at one material can be increased in the bending and shear strength.

뇌졸중 환자의 상지 재활 치료에 있어서 건측 억제 유도 기법의 적용 가능성

김진섭,김경,이지연,박진현,전덕훈,최윤희 대구대학교 특수교육재활과학연구소 2010 再活科學硏究 Vol.28 No.1

본 연구의 목적은 뇌졸중 편마비 환자의 재활을 위하여 강제유도치료(Constraint Induced movement Therapy: CIMT)의 잠재성을 조사하는 것이다. 강제유도치료는 학습된 불용과 피질 재배치 현상을 근거로 개발된 운동 중재로 임상적으로 뇌졸중으로 인한 편마비 환자뿐만 아니라 다양한 병인을 가진 환자들의 치료에 이용되고 있다. 최근 회복시기에 집중적인 치료를 받지 못하는 뇌졸중 환자들을 위한 상지 기능의 향상과 학습된 비사용 현상을 감소시키기 위한 치료 방법으로 강제 유도 운동 치료가 추천되고 있다. 본 연구에서는 강제 운동 유도치료의 정의, 적용분야, 이론적 배경, 신경 생리학적 기전 및 장·단점과 뇌졸중 환자의 상지 재활 치료에 있어서 그 적용 가능성에 대하여 살펴보고자 한다. The purpose of this review was to research the potential of CIMT(Constraint Induced movement Therapy) on stroke hemiplegic patient rehabilitation. Constraint Induced movement Therapy that is exercise intervention developed on the basis of learned non-use and cortex relocation, is used to treat not only storke hemiplegic patient but also the patients with various other pathogenesis. Constraint Induced movement Therapy is recently recommended as a treatment to improve upper extremity function and reduce learned non-use symptoms in stroke patient who is not received intensive therapy during the recovery time. In this review, definition of constrait induced movement therapy, the applications, the theoretical background, the neurophysiological mechanisms and its feasibility of advantages and disadvantages of the upper extremities rehabilitation were discussed.

화농성 슬관절염이 동반된 수막구균성 수막염 1예

김태연,유진홍,박성환,김연식,임상현,신완식,강문원,정창훈,최문구,강지민 대한화학요법학회 1997 대한화학요법학회지 Vol.15 No.2

저자들은 최근 화농성 슬관절염과 병발한 수막구균성 수막염 1예를 체험하였고, 이는 국내에서 아직 보고되지 않은 드문 예로 사료되어 문헌고찰과 함께 보고하는 바이다. We recently experienced a case of meningococcal meningitis associated with pyogenic arthritis in a 37-year old male patient. Pyogenic arthritis developed in right knee joint during treatment for meningococcal meningitis. He was treated successfully by appropriate antibiotics and arthroscopic irrigation. To our knowledge, such a rare case has not ever been reported in Korea, Hence we report this case with a review of related literatures.

약식조리시 당의 종류와 당의 양, 조리기기에 따른 물리적 특성 연구

김연진,우순임 서울여자대학교 자연과학연구소 1997 자연과학연구논문집 Vol.9 No.-

This study makes effort to bring a nutritional but quite troublesome traditional food, yaksik, closer to the modern times by studying how different utensils(steaming pots, microwave oven, pressure cooker), types of sugars(black sugar, oligo sugar, and brown+white sugar, honey), amounts of sugar(0.75Cup, 1.00Cup, 1.25Cup) all differ in preference. And using scientific methods to evaluate the physical characteristics of yaksik, the objective is to set a standardized recipe to fit into our modern diet efficiently. Now in our experiments, with different types of sugars, amount of sugar, and cooking utensils, the results on physical characteristics of yaksik were attained by texture, water content, color measurements.

소 수정란의 공배양 및 동결이 체외발생에 미치는 영향에 관한 연구

이종진,이명헌,남윤이,이만휘,이봉구,김상근 충남대학교 수의과대학 동물의과학연구소 1996 動物醫科學硏究誌 Vol.4 No.-

The studies on the carried out to investigate the effects of co-culture with cumulus cells and oviduct epithelial cells on the in vitro fertilization and cleavage rate of bovine follicular oocytes, and to determine the optimum thawing temperature and equilibration time of frozen bovine embryos and on survival rate and in vitro developmental rate of bovine embryos. The ovaries were obtained from slaughtered Korean native cows. The follicular oocytes were cultured in TCM-199 medium containing 10 IU/㎖의 PMSG(Sigma, USA), 10 IU/㎖의 hCG, 1 ㎍/㎖의 β-estradiol(Sigma, USA) and 10% FCS(Sigma, USA) for 24-48 hrs in incubator with 5% CO_2 in air at 38.5℃ and then matured oocytes were again cultured for 12-18 hrs with motile capacitated sperm by preincubation of heparin. The bovine embryos following dehydration by cryoprotective agents and a various concentrations of sucrose were directly plunged into liquid nitrogen and thawed in 30℃ water. The results are summarized as followes : 1. The in vitro fertilization and in vitro developmental rates of bovine oocytes co-cultured with cumulus cells in TCM-199 media were 75.0%-76.8% and 17.3%-27.6%, respectively. And in-vitro fertilization rates of cumulus-enclosed oocytes(55.4%) were significantly(p<0.05) higher than cumulus-denuded oocytes(23.1%). 2. The in vitro fertilization and in vitro developmental rates of bovine oocytes co-cultured with 1 ×10^4 cells/㎖, 1 ×10^6 cells/㎖, 1 ×10^8 cells/㎖ and 1 ×10^15 cells/㎖ oviduct epithelial cells in TCM-199 media were 74.5%-77.8% and 15.7%-21.2%, respectively. 3. The in-vitro fertilization and in vitro developmental rates of bovine oocytes co-cultured in TCM-199 media containing PMSG, hCG, PMSG + hCG, PMSG + β-estradiol, hCG + β-estradiol 0 to 40 hrs after insemination were 74.0%-77.4% and 18.9% - 23.1, respectively. 4. The survival rates of bovine embryos thawed after rapid freezing in the media containing various kinds of cryoprotective agents added 0.25M and 0.50M sucrose were 14.7% - 35.1% and 17.6% - 31.6%, respectively. The survival rates of bovine embryos thawed after rapid freezing in the freezing media containing a various concentration of sucrose added 1.5M and 2.0M glycerol, 1.5M and 2.0M DMSO, and 1.5M and 2.0M propanediol were 23.5% -31.4% and 20.6% - 34.1%, respectively. 5. The temperature thawed at 30℃ after rapid freezing of bovine embryos resulted in a significantly higher embryos survival rate than did at 20℃ and 35℃. 6. The equilibration time on the survival rates of bovine embryos was attained after short period of time(2.5-5 min.) in the freezing medium higher than ling period of time(10-20min.).

활성슬러지법을 이용한 화장품폐수 처리에 관한 연구

박진식,문추연,김동일 경운대학교 산업기술연구소 2001 産業技術硏究論文誌 Vol.3 No.2(B)

In this study, Activated Sludge was operated for treatment of cosmetic wastewater and combined with sewage The results from this study are follows. During the experiments, average COD and BOD concentrations of raw wastewaters were ranged 690∼1,010 ㎎/l, 550 ∼ 880㎎/l respectively, and fluctuated sharply with time. COD removal efficiency was 73.6% at HRT 12hr. It is higher removal efficiency than HRT 4hr 62.6%, HRT 8hr 69.4% when cosmetic wastewater combine with sewage, COD and BOD removal efficiencies were higher than wastewater only, therefore treatment of combined sewage was effective.

굴껍질에 의한 산성폐수 중화능에 관한 연구

박진식,장성호,문추연,성낙창,김수생 동아대학교 환경문제연구소 1995 硏究報告 Vol.18 No.2

This Study has been carried out to evaluate the neutralization ability of waste oyster shelles. The results of this study are summerized as following ; 1. For reactiontime, neutralization effective were investigate smally but pH variations were investigate largely for 10 minutes reactiontime. 2. pH variations with dosage of oyster shelles were small except pH 2 3. Therefore, waste oyster shelles is able to neutralize for acid wastewater.