노인의 운동실천 제약요인 및 운동행동변화단계별 차이

성창훈 ( Chang Hoon Seong ),유루경 ( Lu Kyung Yoo ),장채욱 ( Chae Ouk Jang ) 한국스포츠심리학회 2008 한국스포츠심리학회지 Vol.19 No.2

이 연구는 노인의 운동실천 제약요인을 탐색하고 범이론적 모형(TTM)에 기초하여 운동행동변화단계에 따른 제약요인의 차이를 알아보고자 하였다. 이를 위해 운동을 실천하고 있거나 실천하지 않는 60제 이 상 103명의 노인을 대상으로 개방형 설문을 실시하였으며, 이 결과를 토대로 개발된 운동실천 제약요인 척도를 활용하여 309명의 자료를 수집하고 제약요인의 구조 및 운동행동변화단계에 따른 차이를 검증하였다. 연구결과, 노인들의 운동실천을 제약하는 6개요인(부상우려, 운동지식 부족, 건강상실과 질병, 운동동기 부족, 시간기회 부족, 경제여건)이 발견되었으며, 운동행동변화단계에 따른 제약요인의 차이를 분석한 결과에서는 성과 연령 및 운동행동변화단계에 따른 상호작용효과 및 주 효과가 동시에 나타나 복잡한 양상을 보여주었다. 성과 연령을 함께 고려할 때, 운동행동변화단계를 가장 잘 판별하는 제약요인은 건강상실과 질병요인이었다. 이러한 결과는 노인의 운동실천 제약요인의 타당성과 중재전략 개발 의 방향성 및 후속연구의 과제와 관련하여 논의하였다. This study, based on hierarchial model of leisure constraints and trans-theoretical model(TTM), aimed to investigate the conceptual structure of exercise constraints in the aged and the difference according to the stages of change of exercise. The data were collected via a open-ended questionnaire(103 age of over 60) and self-administrated residents questionnaire survey(309 aged people) in incheon city in Korea. content analysis, descriptive and inferential analyses including factor analysis, three-way MANOVA through the stepdown F-test were used to analyze the data. The results of the study showed that the constraint dimension of exercise in the aged were 6 multi-dimensional factors, which were lack of knowledge and information to exercise, bed health and illness, motivation loss, lack of time and chance, low economic condition. Furthermore, as the results of analysis on the differences according to the stages of change of exercise, 6 constraints of exercise offered a significant contribution towards the prediction of the stages of change. The bed health and illness dimension was the best predictor for distinguishing among the stages of change considered the gender x age x stages of change effects. These results were discussed relate to cross validity of constraints and strategy of intervention for regular exercise participation.

X-LIFTING MODULES OVER RIGHT PERFECT RINGS

Chang, Chae-Hoon Korean Mathematical Society 2008 대한수학회보 Vol.45 No.1

Keskin and Harmanci defined the family B(M,X) = ${A{\leq}M|{\exists}Y{\leq}X,{\exists}f{\in}Hom_R(M,X/Y),\;Ker\;f/A{\ll}M/A}$. And Orhan and Keskin generalized projective modules via the class B(M, X). In this note we introduce X-local summands and X-hollow modules via the class B(M, X). Let R be a right perfect ring and let M be an X-lifting module. We prove that if every co-closed submodule of any projective module P contains Rad(P), then M has an indecomposable decomposition. This result is a generalization of Kuratomi and Chang's result [9, Theorem 3.4]. Let X be an R-module. We also prove that for an X-hollow module H such that every non-zero direct summand K of H with $K{\in}B$(H, X), if $H{\oplus}H$ has the internal exchange property, then H has a local endomorphism ring.

비부비동 반전성 유두종의 전산화 단층촬영상과 자기공명영상의 분석

배창훈 ( Chang Hoon Bai ),서영중 ( Young Jung Seo ),이석춘 ( Seok Choon Lee ),천승민 ( Seung Min Chen ),백운회 ( Un Hoi Baek ),정은채 ( Eun Chae Jung ),송시연 ( Si Youn Song ),김용대 ( Yong Dae Kim ) 영남대학교 기초/임상의학연구소 2005 Yeungnam University Journal of Medicine Vol.22 No.2

Background: Computed tomography (CT) is commonly used to evaluate the degree of sinus involvement in cases of inverted papilloma (IP). However, CT cannot differentiate tumor from adjacent inflammatory mucosa or retained secretions. By contrast, magnetic resonance imaging (MRI) has been reported to be useful in distinguishing IP from paranasal sinusitis. This study investigated whether preoperative assessment with MRI and CT accurately predict the extent of IP.1) Materials and methods: CT and MRI were retrospectively reviewed in 9 cases of IP. Patients were categorized into stages based on CT and MRI findings, according to the staging system proposed by Krouse. The involvement of IP in each sinus was also assessed. Results: Differentiation of IP from inflammatory disease may be more successful in routine cases where the inflammatory mucosa has low signal intensity on T1-weighted images and very high signal intensity on T2-weighted images. CT imaging could not differentiate tumor from adjacent inflammatory mucosa or retained secretions. Conclusion: Preoperative MRI of IP can predict the location and extent of the tumor involvement in the paranasal sinuses and sometimes predicts malignant changes.

Effects of DK-002, a synthesized (6aS,cis)-9,10-Dimethoxy-7,11b-dihydro-indeno[2,1-c]chromene-3,6a-diol, on platelet activity

Lee, Ki-Seon,Khil, Lee-Yong,Chae, Sang-Ho,Kim, Deukjoon,Lee, Byung-Hoon,Hwang, Gwi-Seo,Moon, Chang-Hyun,Chang, Tong-Shin,Moon, Chang-Kiu 이화여자대학교 약학연구소 2008 藥學硏究論文集 Vol.- No.17

In the present study, the mechanism of antiplatelet activity of DK.-002, a synthesized (6aS,cis)-9.10-Dimethoxy-7,11b-dihydro-indeno|2,1-c ]chroniene-3.6a-diol, was investigated. DK-002 inhibited the thrombin, collagen, and ADP-induced rat platelet aggregation in a concentration- dependent manner, with 1C_(50) values of 120. 27, and 47 μM, respectively. DK-002 also inhibited thrombin-induced dense granule secretion, thromboxane A_(2) synthesis, and [Ca^(2+)], elevation in platelets. DK-002 did not show any significant effect on ADP-induced inhibition of cyclic AMP elevation by prostaglandin E_(1). but DK-002 was confirmed to inhibit ADP-induced [Ca^(2+)] elevation and shape change. DK-002 inhibited 4- bronw-A23187-induced [Ca^(2+)], elevation in the presence of creatine phosphate/creatine phosphokinase (CP/CPK, a ADP scavenging system) and indomethacin (a specific inhibitor of cyclooxygenase). DK-002 also inhibited Ca^(2+) mobilization in thrombin- or 4-bromo-A23187-stimulated platelets through its inhibitory effects on both Ca^(2+) release from intracellular stores and Ca^(2+) influx, in the presence of CP/CPK and indomethacin. Taken together, the present study shows that DK-002 has inhibitory effects on stimulation of platelets, and suggests that its antiplatelet activity might be related to the inhibitory mechanism on Ca^(2+) mobilization in stimulated platelets. ⓒ 2005 Elsevier Inc. All rights reserved.

정신분열병에 대한 리스페리돈의 효과 및 안정성

이민수,김용구,김영훈,연병길,오병훈,윤도준,윤진상,이철,정희연,강병조,김광수,김동언,김명정,김상훈,김희철,나철,노승호,민경준,박기창,박두병,백기청,백인호,손봉기,손진욱,양병환,양창국,우행원,이정호,이종범,이홍식,임기영,전태연,정영조,정영철,정인과,정인원,지익성,채정호,한상익,한선호,한진희,서광윤 大韓神經精神醫學會 1998 신경정신의학 Vol.37 No.1

연구목적 : 본 시험의 목적은 임상시험 시작전에 연구자들을 대상으로 PANSS Workshop을 통하여 PANSS, ESRS에 대한 국내에서의 표준화 작업을 구축하고 새로운 정신병 치료제인 리스페리돈의 효과와 안정성을 재확인하여 리스페리돈 사용에 대한 적정화를 이루는데 있다. 연구방법 : 1996년 4월부터 1996년 9월까지 국내 39개 대학병원 정신과에 입원중인 혹은 증상이 악화되어 입원하는 정신분열병 환자 377명을 대상으로 다시설 개방 연구를 시행하였다. 1주일간의 약물 배설기간을 가진후, 리스페리돈을 8주간 투여하였고, 기준점, 1주, 2주, 4주, 그리고 8주후에 평가되었다. 용량은 제1일에는 리스페리돈 1mg씩 1일 2회, 제2일에는 2mg씩 1일 2회, 제3∼7일에는 3mg씩 1일 2회 투여하였다. 이후 환자의 임상상태에 따라 임의로 증량할 수 있으며, 최대 일일 16mg을 초과하지 않도록 하였다. 추체외로 증상을 조절하기 위한 투약을 허용하였다. 임상증상 및 부작용의 평가는 PANSS(Positive and Negative Syndrome Scale), CGI(Clinical Global Impression) 그리고 ESRS(Extrapyramidal Symptom Rating Scale)을 사용하였다. 연구결과 : 377명중 343명(91%)이 8주간의 연구를 완결하였다. 치료 종결시점인 8주후 PANSS 총점수가 20% 이상 호전된 경우를 약물 반응군으로 정의할때, 약물반응군은 81.3%였다. 리스페리돈에 반응하는 예측인자로는 발병연령, 이전의 입원 횟수, 유병기간이 관련 있었다. 리스페리돈은 1주후부터 PANSS양성, 음성, 및 일반정신병리 점수상에 유의한 호전을 보여 효과가 빨랐다. CGI의 경우도 기준점에 비해 1주후부터 유의한 감소를 나타내었다. ESRS의 경우, 파킨슨 평가점수는 기준점과 비교해 투여 1주, 2주, 4주후 유의하게 증가되었다가 8주후 기준점과 차이가 없었다. Dystonia 평가점수는 1주후만 유의한 증가를 보였으며, dyskinesia 평가점수는 유의한 차이가 없었다. 혈압, 맥박수의 생명징후 및 일반 혈액학 검사, 생화학적 검사, 심전도 검사에서 유의한 변화는 없었다. 결 론 : 이상의 다시설 개방 임상 연구를 통해 리스페리돈은 정신분열병 환자에서 양성증상뿐만 아니라 음성증상 및 전반적인 증상에도 효과적인 것으로 사료된다. 보다 명확한 평가를 위해서는 다른 항정신병약물과의 이중맹검 연구가 필요할 것으로 생각되며, 또한 장기적 치료에 대한 평가도 함께 이루어져야 하겠다. Objective : The purpose of this study was to investigate the efficacy and safety of risperidone in the treatment of Korean schizophrenic patients. Method : This multicenter open study included 377 schizophrenic patients drawn from 39 university hospitals. After a wash-out period of 1 week, the schizophrenic patients were treated with risperidone for 8 weeks and evaluated at 5 points ; at baseline, and 1, 2, 4 and 8 weeks of treatment. The dose was increased from 2mg/day(1mg twice daily) to 6mg/day(3mg twice daily) during the first week and adjusted to a maximum of 16mg/day over the next 7 weeks according to the patient's clinical response. Medication to control extrapyramidal symptoms was permitted. The psychiatric and neurological status of the patients was assessed by PANSS, CGI, and ESRS scales. Results : 343(91%) of 377 patients completed the 8-week trial period. Clinical improvement, as defined by a 20% or more reduction in total PANSS score at end point, was shown by 81.3% of patients. The predictors of response to risperidone were associated older age, shorter duration of illness, fewer previous hospitalization. Risperidone had rapid onset of action ; a significant decrease of the total PANSS and three PANSS factor(positive, negative, general), and CGI was already noticed at the end of first week. For the ESRS, parkinsonism rating scores were significantly increased until week 4 comparing with baseline. Dystonia rating scores were significantly increased until week 1, and dyskinesia rating scores were not significantly changed during the study. Laboratory parameters including vital sign, EKG, hematological, and biochemical values showed no significant changes during the trial. Conclusions : This study suggests that risperidone is generally safe and effective against both the positive and negative symptoms in our group of patients.

提川地域의 山麓緩斜面 硏究

張載勳 誠信女子大學校 1974 硏究論文集 Vol.7 No.1

The principal purposes of this research are th make certain the chracteristics of the piedmont gentle slopes in Je-Cheon area, and to compare them with those of pedimerct which can be seen in arid and semi-arid regions. Average gradient of the piedmont gentle slopes are 2°or less than 2°, and inclination of mountains behind them are 45°or more. The longitudinal profiels of the gentle slopes are slightly concave upward or almost flat and their transverse profiles are undulating shapes. Border lines where piedmont gentle slopes and escarpment behind them meet are straight and simple. Piedmont gentle slopes areas are consist of granite and mountain area behind them are gneiss, so there are conspicuous differences in the resistance of rocks against denudation between them. The veneered materials on granitic bedrocks are almost lacking in sorting and their thickness are 2-3meters. gravels, much of them are derived from gneiss, are subangular (the roundness-0.4∼0.6). The characteristics of the veneered materials on these gentle slopes indicate that they are similar to those on pedimements which are developing in arid and semi-arid regions nowadays. The surfaces of granitic bedrocks are slightly undulated, but much similar to those of the piedmont gentle slopes veneered with detritus. Piedmont gentle slopes are now dissected to depth of 10-20meters by streanlet and river. These facts indicate that piedmont gentle slopes are not in the process of formation, but of destroy. The granitic bedrocks under the veneered materials are weathered to a the depth of more than 20meters, but partially not weathered. From the above mentioned characteristics, it is concluded that piedmont gentle slopes in Je-cheon area are similar to pediments formed under arid climate. These phenomena mean that the favourable climatic conditions for the development of pediments existed in south Korea.

부산지역 소방공무원의 폐기능과 호흡기증상

김성훈,김정원,,김종은,손병철,김정호,이창희,장상환,이채관 大韓産業醫學會 2006 대한직업환경의학회지 Vol.18 No.2

목적: 본 연구에서는 소방관 집단의 호흡기 증상과 폐기능을 조사하여 호흡기 질환의 유병 정도를 비교 분석함으로써 소방관의 호흡기 질환과 화재 노출과의 관련성을 규명하고자 하였다. 방법: 2004년 11월 13일부터 동년 12월 15일까지 부산 소재 4개 소방서와 부속 파출소의 남성 소방공무원 699명을 대상으로 폐기능 검사와 호흡기 설문조사를 실시하였다. 호흡기 증상 설문은 BMRC에서 개발한 설문조사표를 이용하였다. FVC, FEV_(1), MMEF 예측치는 Morris의 폐기능 예측식을 사용하여 계산하였고, 폐기능 검사 이상을 판정하기 위하여 미국 NHNES 기준에 따라 정하였다. 폐기능 측정치와 호흡기 증상은 노출유무와 흡연여부로 집단을 나누어 각각 비교분석하였다. 유의수준은 p<0.05로 정하였다. 결과: 폐기능 비교에서 화재노출군이 FVC, FVC%, FEV_(1), FEV_(1)%, FEF_(25%)는 비노출군에 비해 통계학적으로 유의하게 저하되어 있었고, 이를 흡연여부에 따라 층화하였을 때, FVC 와 FEV_(1)은 흡연여부와 관계없이 노출 여부에 따른 차이를 보이나 FVC%, FEV_(1)%, PEFR은 흡연군에서만 차이를 보였다. 폐기능 검사 이상을 비교하면 전체적으로 화재노출군이 비노출군보다 폐기능 이상자의 수가 많았고 흡연군에서 FEV_(1) 이상자의 차이는 통계적으로 유의하였다. FVC, FEV_(1), MMEF를 종속변수로 하여 다중회귀분석을 시행하였을 때, FVC와 FEV_(1)은 부분적으로 화재노출유무와 관련성이 있었다. 호흡기 증상 조사에서 화재노출군은 비노출군에 비해 코막힘, 목아픔, 흉부압박감의 증상의 호소율이 통계학적으로 유의하게 높았으나, 이를 흡연여부에 따라 층화하면 이들 증상들은 경계역의 차이를 보였다. 결론: 이러한 결과들을 종합하면 소방관은 화재진압과정에서 노출되는 많은 호흡기 유독물질로 인해 급성 폐기능 저하와 높은 호흡기 증상 호소율을 보이며, 이는 화재노출 외에 흡연의 부가적 효과가 영향을 미친다고 생각된다. 따라서 폐기능이 저하된 경방군에서 주기적인 폐기능 검사가 실시되어야 하며, 금연과 호흡기 보호구의 철저한 착용이 권장되어야 하겠다. Objective: The purpose of this study was to evaluate the relationship between respiratory disorders and fire exposure by investigating and analyzing the lung function and respiratory symptoms of firefighters. Methods: The health effects of firefighting on respiratory function were investigated in 699 male fire officers in 4 fire departments in Busan by recording respiratory symptoms and measuring lung function. The data were analysed according to fire exposure and smoking habits. Results: Mean spirometric data showed significantly decreased levels in the fire-exposed group (FVC, -0.20 L; FVC%, -4.2%; FEV_(1) -0.21 L; FEV_(1)%, -5.1%; FEF25%, -0.13 L/SEE p<0.05). After stratification by smoking habits, FVC and FEV1 showed a significant difference between groups. The prevalence of spirometric abnormality was greater for the fire-exposed group than for the non-exposed group. Significantly higher prevalences of nasal stiffness (16.7% vs. 10.9%), sore throat (17.7% vs. 14.2%) and chest tightness (6.5% vs. 2.5%) were recorded in fire fighters compared to controls (p<0.05). However, after stratification by smoking habits, the 3 symptoms were showed only marginal differences in the smoking group. Conclusions: This study demonstrated that fire-exposed firefighters generally suffer a decline of lung function and a higher prevalence of respiratory symptoms. These results suggest that the exposure to routine firefighting activity is associated with adverse health effects to the respiratory system.

비부비동 반정성 유두종의 전산화 단층촬영상과 자기공명영상의 분석

배창훈,서영중,이석춘,천승민,백운희,정은채,송시연,김용대 영남대학교 의과대학 2005 Yeungnam University Journal of Medicine Vol.22 No.2

Background: Computed tomography (CT) is commonly used to evaluate the degree of sinus involvement in case of inverted papilloma (IP). However, CT cannot differentiate tumor from adjacent inflammatory mucosa or retained secretions. By contrast, magnetic resonance imaging (MRI) has been reported to be useful in distinguishing IP from paranasal sinusitis. This study investigated whether preoperative assessment with MRI and CT accurately predict the extent of IP. Materials and methods: CT and MRI were retrospectively reviewed in 9 case of IP. Patients were categorized into staged based on CT and MRI findings according to the staging system proposed by Krouse. The involvement of IP in each sinus was also assessed. Results: Differentiation of IP from inflammatory disease may be more successful in routine case where the inflammatory mucosa has low signal intensity on T1-weighted images and very high signal intensity on T2-weighted images. CT imaging could not differentiate tumor from adjacent inflammatory mucosa or retained secretions. Conclusion: Preoperative MRI of IP can predict the location and extent of the tumor involvement in the paranasal sinuses and sometimes predicts malignant changes.

자궁내막기질인 Type I Collagen을 이용한 생쥐 배아의 착상에 관한 연구

김정훈(Chung Hoon Kim),채희동(Hee Dong Chae),강병문(Byung Moon Kang),장윤석(Yoon Seok Chang),강은희(Eun Hee Kang),전용필(Yong Pil Cheon),박견(Kyun Park) 대한산부인과학회 2000 Obstetrics & Gynecology Science Vol.43 No.1

목적: Type I collagen을 이용하여 3차원적 배양체계와 유사한 구조적인 환경을 조성하여 생쥐 배아의 착상전후의 상태를 보기 위한 연구를 중심으로 하였다. 연구방법: 포배단계의 배를 획득하기 위해서 자궁과 수란관의 일부를 적출하고 배양액으로 관류하여 배를 획득한 후 실험에 사용하였다. 멸균된 centrifuge용 시험관에 collagen이 polymerization되게 하였다. 배아는 착상과정의 비교를 위하여 type I collagen군(실험군)과 대조군으로 나누었으며, 대조군에서는 type I collagen 없이 배양액만 사용하여 배아를 배양하였다. 배의 성장과 분화는 24시간 단위로 해부현미경하에서 관찰하였다. 결과: 배양 제 3일에 배아의 부착율은 차이가 없었으나, 배아의 크기는 대조군에 비하여 실험군에서 뚜렸하게 컸다. 배아의 성장이 대조군에서 배양용기의 표면을 따라 수평적으로 진행되는 것과는 달리 실험군에서는 구형을 이루며 입체적으로 성장하기 때문에 색깔이 훨씬 진하게 나타났다. 배아의 발달단계를 관찰한 결과 배양 제 4일과 5일에는 실험군에서 대조군에 비하여 유의하게 발달단계가 높았다. 결론: Type I collagen을 사용한 본 연구는 착상연구의 모델로서 실험적으로 원하는 환경을 설정할 수 있고 관찰이 용이한 장점을 보여주었으나, 생체의 자궁내막세포와 같은 dynamic milieu가 결여되어 있어, 실제의 자궁내막과 유사한 체계를 이루는 배양체계를 어느 정도 수준까지 완성하려면 지속적인 연구가 필요할 것으로 사료된다. Objectives: To examine the in vitro interactions of blastocyst attachment using type I collagen. Materials and methods: ICR mice were used and follicular growth was stimulated by pregnant mare serum gonadotropin and human chorionic gonadotropin. On day 4 of pregnancy, the uteri were removed and blastocysts were flushed. Mixtures of 1mL sterile water, 0.5mL DMEM, 2mL type collagen solution and 0.5mL 0.1M NaOH were prepared and transferred to an incubator where the collagen solution polymerized. Blastocysts were transferred to dishes previously coated with type I collagen. CMRL 1066 was used as the basic culture medium. It was supplemented with 1mM glutamine and 1mM sodium pyruvate plus 50 IU/ml penicillin and 50 mg/ml streptomycin. During the first 4 days the culture medium was supplemented with 20% fetal calf serum and thereafter with 20% heat inactivated human cord serum. All blastocysts were initially cultured for 2 days without media change. After 2 days, fresh medium was renewed daily. The stages of embryo growth were examined and recorded everyday under a dissecting microscope and classified according to the standard in vivo criteria set forth by Witschi. Results: By 48h, nearly all blastocysts had attached to the surface of collagen pad. Following adhesion to the collagen pad, the blastocysts maintained their 3-dimensional integrity in contrast to control. The embryos in collagen pad were not flattening and kept polarity and spherical shape during culture. The polar trophoblast invaded the type I collagen downward unlike the horizontal growth in control. In the developmental stage of mouse blastocyst, there were significant differences between control and type I collagen group during day 4 and 5 culture. Conclusion: Blastocyst development was better in type I collagen group than control. Therefore, in vitro culture study using type I collagen could provide improved model for the establishment of blastocyst implantation study.

BGA패키지에서의 무연솔더 접합부 전단 시험법의 최적화

김종웅,문정훈,서창제,정승부 대한금속ᆞ재료학회 2006 대한금속·재료학회지 Vol.44 No.3