악성 흉수, 결핵성 흉수 및 부폐렴 삼출액과 농흉에서 Interferon-gamma, Interleukin-2 Receptor, Interleukin-6, Interleukin-10 농도의 비교

김명훈,김승준,박용근,김석찬,이숙영,김영균,김관형,문화식,송정섭,박성학,Kim, Myung-Hoon,Kim, Seung-Joon,Park, Yong-Keun,Kim, Seok-Chan,Lee, Sook-Young,Kim, Young-Kyoon,Kim, Kwan-Hyoung,Moon, Hwa-Sik,Song, Jeong-Sup,Park, Sung-Hak 대한결핵및호흡기학회 2000 Tuberculosis and Respiratory Diseases Vol.49 No.5

Background : Cytokines are chemical mediators that control and modulate many inflammatory processes. They work in different fashions in a variety of diseases. Discriminating between malignant effusion, tuberculous effusion, and parapneumonic effusion are crucial from the clinical view-point in Korea. In the current study, interferon-gamma (IFN-${\gamma}$), soluble interleukin-2 receptor (IL-2R), interleukin-6 (IL-6) and interleukin-10 (IL-10) were measured for this purpose. Methods : Pleural fluids from patients with malignant disease, tuberculosis, parapneumonic effusion and lung empysema were collected and gauged using commercial ELISA kits. Results : 34 patients were enrolled in this study. Among these 15 cases were malignant effusions, 12 were tuberculosis pleurisy and 7 were parapneumonic effusion and lung empyema. The levels of cytokines measured in this study were as follows, in order of frequency, malignant effusion, tuberculous effusion, parapneumonic effusion and lung empyema. The levels of INF-${\gamma}$ were higher in tuberculous effusion than in malignant or parapneumonic effusion ($295.5{\pm}585.5$ vs. $16.7{\pm}50$ vs. $10.0{\pm}0$ pg/ml, p>0.05). The levels of IL-2R were higher in tuberculous effusion than in malignant or parapneumoruc effusion ($7423.5{\pm}3752.8$ vs. $3247.4{\pm}1713.3$ vs. $3790.2{\pm}3201.1$ pg/ml, p<0.05). No significant differences were found in the levels of IL-6 between the groups ($600{\pm}12.8$ pg/ml in malignant effusion, $556.4{\pm}161.7$ pg/ml in tuberculous effusion, $514.4{\pm}224.8$ pg/ml in parapneumoruc effusion). IL-10 levels were higher in parapneumoruc effusion than in malignant or tuberculous effusions ($98.4{\pm}141.7$ vs. $28.2{\pm}55.5$ vs. $11.3{\pm}11.7$ pg/ml, p<0.05). Conclusion : These results suggest that the measurement of IL-2R levels in pleural fluids may be a useful means of differentiating between tuberculous effusion and pleural effusions of other origins, and that the measurement of IL-10 levels in pleural fluids may be useful to differentiate between parapneumonic effusion and pleural effusions of other origins.

정상근과 근막 유발점이 활성화된 근육의 초음파 영상의 비교

김명훈,김수현,김현진,Kim, Myung-Hoon,Kim, Su-Hyon,Kim, Hyun-Jin 대한물리치료학회 2013 대한물리치료학회지 Vol.25 No.2

Purpose: The objective of this study was to offer primary clinical data examining whether change of imaging structure and quantitative evaluation of muscle activity on myofascial trigger points can lead to implementation of an analytical technique for evaluation of myofascial pain diagnoses. In addition, we examined the effect of a variety of mediation techniques, in order to examine neuromuscular physiological characteristics of myofascial trigger points muscle by comparing differences in pressure pain threshold and ultrasound imaging. Methods: Participants in the study included 30 adults in their twenties. The subjects were divided into the normal and myofascial trigger points groups. Clinical outcomes were evaluated by pressure pain threshold for pain and ultrasound imaging was performed for evaluation of the structural characteristics of muscle. Independent t-test was used for statistical analysis. Results: The two groups showed statistical significance in the change in pressure pain threshold (p<0.05). Findings of ultrasound imaging analysis showed no significant differences, increased muscle thickness was observed (p>0.05). Findings of ultrasound imaging analysis showed significant differences, increased muscle echodensity was observed (p<0.05). Findings on ultrasound imaging analysis showed significant differences, increased muscle white area index was observed (p<0.05). Conclusion: From these results, active myofascial trigger points muscle showed quality deterioration on ultrasound imaging. Thorough evaluation of imaging structure and physiological characteristics can be useful quantitative analytical techniques for diagnosis of myofascial pain syndrome and a primary factor reflected in physical therapy intervention.

영국의 의료체계

김명훈,Kim, Myeong-Hun 대한병원협회 1993 대한병원협회지 Vol.22 No.1.2

허리 및 하지 근력운동 후 스트레칭이 20대 남성 허리 유연성에 미치는 효과

김명훈,김현진,Kim, Myung-hoon,Kim, Hyun-jin 대한물리치료과학회 2019 대한물리치료과학회지 Vol.26 No.1

Background: The purpose of this study was to the effects of stretching on lumbar flexibility after lumbar and lower muscle strengthening exercise. Design: Randomized Controlled Trial. Methods: 24 subjects without back pain in their twenties were divided into 12 experimental groups and 12 control groups. The experimental group performed a stretching program after muscle strength exercise. In the control group, only muscle strength exercise was performed, and total exercise was performed 24 times a week for 8 weeks to compare and analyze before and after experiment. Results: The results of this study are as follows: 1) There was no statistically significant difference in both before and after weight of experimental group and control group. 2) There was no statistically significant difference in both before and after skeletal muscle levels of experimental group and control group. 3) There was no statistically significant difference in both before and after fat mass of experimental group and control group. 4) There was a statistically significant difference in both before and after trunk forward flexion of experimental group and control group. Conclusion: This research showed a positive affect on increasing flexibility, which is expected to have a great effect on improvement of flexibility in the future.

전자기록 환경에서의 세계 각국 평가체제 개편에 관한 연구 - 국가적 차원의 영구보존기록 평가전략을 중심으로 -

김명훈,Kim, Myoung-Hun 한국과학기술정보연구원 과학기술정보센터 2008 Journal of Information Science Theory and Practice Vol.39 No.2

본고는 전자기록 환경에서의 국가 평가체계 정비 방향을 모색하기 위한 시론적 연구로서의 의미를 지닌다. 전자기록 환경에서의 필연적인 평가방식이라 할 수 있는 기능평가는 국가적 차원의 영구보존 기록 선별에는 일정 한계를 지닌다. 이에 본고에서는 우선 기능평가가 지닌 한계를 논의한 다음, 이를 보완하기 위한 방안으로 영구보존 대상 평가전략의 필요성을 제기하였다. 그리고 이에 대한 구체적인 사례를 고찰하기 위해, 호주의 범정부 기능분석, 영구의 평가정책 및 수집정책, 독일의 다기관협력 평가전략, 캐나다의 거시평가 전략을 분석하였다. 결국 이러한 분석은 현용 가치와 사회적 가치가 조화된 국가 평가체계의 토대를 제공해주게 된다.

재활원의 물리치료대상 뇌성마비아의 임상적 고찰

김명훈,김상엽,Kim, Myung-Hoon,Kim, Sang-Yeob 대한물리치료과학회 1999 대한물리치료과학회지 Vol.6 No.3

The prognosis and result of treatment are influenced by associated cerebral handicaps. 38 cerebral palsied children in rehabilitation center were analized and neuromotor type severity associated defects, and their correlation were studied. The results were follows: 1. neuromotor type distribution was 65.78% of spasticity, 21.05% of athetoid, 2.63% of Ataxia, Tremor, and Rigidity, 5.26% of mixed type. 2. Mean values of I.Q, S.Q and M.Q were 84.3, 63.0 and 26.6 respectively, and percentages of strabismus, speech disturbance, shoulder abnormality, spine abnormality and hip abnormality were 26.3%, 81.5%, 5.2%, 52.6% and 15.9% respectively. 3. Significant differences were noted between each group of mild, moderate, and severe in S. Q, M. Q, and spine abnormality and between moderate and severe group in speech disturbance.

척수 손상 환자에 관한 실태 조사

김명훈,Kim, Myung-Hoon 대한물리치료과학회 1996 대한물리치료과학회지 Vol.3 No.2

The incidence of spinal cord injury increase due to traffic accident, industrial accident and leisure sports. Spinal cord injury damages motor and sensory function below the injury level, also affects autonomic functions associated with voiding and defecation. Sexual dysfunction and psychosocial, vocational maladaptations are also some of the unwanted consequences of injury. The purpose of this study is look for means to prevent and to manage complications in spinal cord injury through investigation and analysis. The subjects of this study in spinal cord injured patients were admitted to the department of physical therapy, Kwangju christian Hospital, Nam Kwang Hospital, Chun Nam university Hospital and Cho Sun university Hospital, from April, 1, 1995 to March, 31, 1996. The results are as follows: 1. The subjects comprised 96 cases of spinal cord injury, ranging from 17 to 85(mean-40.8 yrs) and included 72 males and 24 females. Among these patients, 58 were cervical injury, 20 were thoracic injury and 18 were lumbar injury. 2. As for a major causative of spinal cord injury were traffic accident(59.4%), fall down (27.1 %), and motocycle(4.2%).. 3. The bladder control were taken by indwelling cathetar(41.7%), Crede maneuver(37.5%) and self voiding(16.7%). The bowel control were taken by all aid(61.5%), assitance(32.3%) and self defecation(6.2%). 4. Possible of sexual function were 35 cases (47.9%). 5. The device of transfer used wheel chair(69.8%) and bed(16.7%). 6. The patients with higher cord lesion got more serious pain than lower cord lesion. Also the patients with higher cord lesion got a serious spasticity. 7. The incidence of decubitus ulcer among 96 patients were in case 46(47.9%). The largest group of the pressure sore sites were sacral portion(82.0%), less than 1 month of onset occured a large numbers(50%). Incidence of pressure sore by spasticity occured many patients in case of mild or moderate. Incidence of pressure sore by pain occured many patients in case of severe pain.

항에스트로겐이 성체 수컷 마우스 수출소관의 형태적 변화에 미치는 효과

김명훈,Kim, Myung-Hoon 대한물리치료과학회 2003 대한물리치료과학회지 Vol.10 No.1

This study was designed to investigate the function of estrogen in related with the effects of the antiestrogen on morphologic changes of efferent ductules of the adult male mouse. Estrogen is synthesized in the male reproductive system and is found in high concentrations in rete and seminal fluids. Adult male mice, 30 days old, were injected subcutaneously with ICI(5mg/mouse) once per week for 8 weeks. Tissues were fixed by vascular perfusion on days 8, 10, 12, 14, 16, 25 and 59 post-treatment. The lumen of efferent ductules began to dilate from the day 8 and continued to the day 59 post-treatment. Epithelial cell height in the efferent ductules of the treated mice decreased all the time periods, compared to the control. Cell height in proximal region of the efferent ductules in the treated groups decreased most by 38%. Supranuclear cytoplasmic height in epithelial cell of the ducts also showed the decrease of 46%, 39% and 33% in proximal, conus and common regions in the treated groups, respectively. ICI 182,780 treatment in the male mouse reproduced a similar morphological abnormalities that were observed in the efferent ductules of the ${\alpha}ERKO$ mouse.

물리치료사의 직무만족과 이직의도에 관한 연구

김명훈,Kim, Myung-Hoon 대한물리치료과학회 2001 대한물리치료과학회지 Vol.8 No.1

This study was attempted to examine the relationship between job satisfaction and turnover intention of physical therapist in order to suggest some method to enhance their job performance and the degrees of job satisfaction. High turnover intention of physical therapist is one of the serious problems at the present time which providing low quality physical therapy. The data were collected from July 1, to August 31, 2000 and analyzed by ANOVA, Pearson Correlation Coefficients. The summarized result are as follows: 1. The job satisfaction score of physical therapists showed the highest of the pride of patient treatment and total mean score was 2.96. 2. Those who were in the range of 26 to 30 years of age showed the strongest desire to leave the hospital 3. There were 68.8% in male. 47.6% in female who hoped to turnover intention. 4. There were significant difference between those who want to leave and those who want remain in relation patient number, work hospital work years. 5. There were no significant difference between those who want to turnover intention and those who want remain in relation patient number and work years. 6. The major reason for job satisfaction were work time and work areas.

효율적인 VOD 서비스를 위한 RVOD와 NVOD간의 전환 프로토콜

김명훈,박호현,Kim, Myoung-Hoon,Park, Ho-Hyun 한국정보처리학회 2008 정보처리학회논문지 A Vol.15 No.4

최근 광대역화 되어가는 네트워크 환경에 발맞춰 VOD의 수요 역시 급증하고 있다. 기존의 VOD 서비스는 RVOD 또는 NVOD 중 한 가지 방식으로만 서비스가 가능하였다. 이렇듯 한 가지 방식으로만 서비스를 하게 되면 시시각각 변화하는 클라이언트의 수요에 대응할 수 없어서 서버에 과부하가 걸리거나, 서버의 대역폭을 낭비하는 결과를 초래하는 등 서버의 네트워크 자원을 효율적으로 사용하지 못하였다. 이에 본 논문에서는 효율적인 VOD 서비스를 위한 프로토콜에 관한 연구를 수행하였다. 기존의 VOD 서비스 알고리듬을 적용할 수 있는 새로운 프로토콜을 제안하고, 시뮬레이션을 통해 성능을 분석하였으며, 새로운 프로토콜을 적용시킨 서버/클라이언트 구조의 시스템을 개발하였다. 본 논문에서는 RVOD/NVOD 통합 모드 전환 프로토콜을 제안한다. 제안된 프로토콜은 RVOD와 NVOD 두 가지 방식 모두를 제어할 수 있고, 두 방식간의 모드 전환을 할 수 있다. 그러므로 본 프로토콜을 사용하여 클라이언트의 수요 변화에 맞춰 모드를 전환한다면 서버의 대역폭을 효율적으로 관리할 수 있다. 특히 기존의 RVOD 및 NVOD 연구 방식들을 적용할 수 있다. 그러므로 본 논문에서 제시한 프로토콜은 앞으로의 VOD 시장에서 활용도가 매우 높을 것으로 기대된다. Recently, as network environment has broadened, the demands on VOD have been increased. The VOD services can be categorized into two types, RVOD and NVOD. Practical VOD services adopt one of them exclusively. Since a method using only one of RVOD and NVOD is not able to deal with frequently variable demand of clients, it leads to a result of overload on a server and a waste of server bandwidth. The efficiency of the network resource usage becomes lower. Hence this paper presents a study on the protocol for efficient VOD services. We propose a new protocol appliable for the existing VOD service algorithm, analyze its performance through simulation, and developed server/client systems applying the new protocol. We propose a mode switching protocol combined with protocols used in RVOD and NVOD. The proposed protocol is not able only to control both RVOD and NVOD but also to change the mode between RVOD and NVOD. As a result of using the proposed protocol to meet frequently variable demand, server bandwidth can be used efficiently. Especially, it can be applied to the existing VOD service algorithms. Therefore, we expect that the proposed protocol in this paper will be widely used in emerging VOD markets.