척추전이종양의 외과적치료

김현집 대한신경외과학회 1994 Journal of Korean neurosurgical society Vol.23 No.4

The author analysed the clinical findings, result of surgical treatments in a series of 37 patients with spinal metastatic tumors. And the auther also compared the results of conventional decompressive laminectomies with surgery of systematically designed decompressions and spinal fusions. In this series, spinal metastases from the gastrointestinal tract and the liver were prominently frequent(27%) and the next were from the lung(l8%). The throacic spine was the commonest site of metastases(76%). Postoperatively 25 cases(68%) were improved, 7 cases(19%) were of no change, and remaining 5 cases( 13%) were aggravated Only one case of 30 spinal cord compression patients was ambulatory preoperatively, but 50 % (15cases) were ambulatory after operations. Systematically designed decompression with stabilization yielded higher rate of ambulatory function(67%) compared with decompressive laminectomies(33%). These data suggest that systematic decompression with spinal stabilization can maintain or regain the ambulation in spinal metasteses compressing the spinal cord.

척추 및 뇌낭미충증의 혼합형 1예

김현집,차희중,신동휘,최길수 대한신경외과학회 1976 Journal of Korean neurosurgical society Vol.5 No.1

Cerebral cysticercosis is relatively common along the regional distribution of the world, but spinal cysticercosis is extremely rare. Furthermore combined forms of the two are not ever reported in the literature. Recently we have experienced a case, which was characterized by mental confusion, gait disturbance and urinary and fecal incontinence of 6 years' duration in 45 years old woman. We found these simultaneous two lesions by myelography and conray ventriculography and carried out surgical removal of the two lesions successfully.

Conray 뇌실검사법의 부작용에 관한 임상적 고찰

김현집,조병규,채진,최길수,심보성 대한신경외과학회 1974 Journal of Korean neurosurgical society Vol.3 No.2

Conray ventriculography is a method for the roentgenographic visualization of the cerebral ventricular system with meglumine iothalamate 60% (Conray). Although it has been known that ventriculography using Conray 60% offers definite advantages compared to that with other contrast media and untoward reactions have been reported as mild and transitory ones, a significant disadvantage is the possible development of seizures. Recently we had performed Conray ventriculography and analized their untoward reactions in 2S cases which were previously proved hydrocephalic by cerebral angiographies, from March, 19-73 to August, 1974. They included twenty cases of brain tumor and five eases of hydrocephalus. Untoward reactions were analized with respect to the different concentration of the contrast media used, communicating or noncommunicating pathway of the cerebrospinal fluid and the different sites of obstruction in the cerebrospinal fluid pathway. The results were as follows: 1. Headache and convulsion were more frequently observed in cases of ventriculography using undiluted Conray. 2. High frequency of vomiting was observed in cases with communicating pathway of the cerebrospinal fluid. 3. There seemed to be no difference in untoward reactions between the levels of obstruction in the cerebrespinal fluid pathway.

통합교육형 순회교육 운영 현황과 순회교사의 인식

김현집,손승현 한국통합교육학회 2010 통합교육연구 Vol.5 No.2

The purposes of this study were to look into the current practices of inclusive itinerant education and perception of itinerant teachers. The participants of this study were 259 itinerant teachers who are involved to special education support centers(n=187) or special class of general schools(n=72). The tools that utilized in this study were questionnaire and semi-structured questionnaire for survey and interview. The conclusions drawn from the results of this study were as follows:First, the national curriculum and local guidelines that reflecting teachers needs was needed for efficient itinerant education. Second, itinerant teachers should be appointed by the their teaching career, responsibilities, durability, professionalism, competence, etc. Third, itinerant support teams should be made to provide consistent team teaching to children with disabilities enrolled inclusive classrooms. Fourth, more chances for study and training need to be provided to expand the specialization of itinerant teachers in inclusive itinerant education. Fifth, administrative and financial support on a large scale development are required for systematization of the inclusive itinerant education. 본 연구는 특수학급 미설치교 또는 특수교사 미배치교에 소속된 특수교육대상자를 대상으로 실시되고 있는 통합교육형 순회교육에 관한 연구로서, 순회교육의 운영 현황과 순회교사의 인식을 살펴보고, 순회교육을 위한 개선사항을 순회교사의 인식을 통하여 알아보고자 하였다. 연구대상은 통합교육형 순회교육을 담당하고 있는 교사 259명으로, 이는 특수교육지원센터에서 순회교육을 담당하고 있는 교사(n=187)와 특수학급을 담임하면서 순회교육을 병행하는 교사(n=72)로 이루어졌다. 연구도구로는 선행연구를 바탕으로 제작한 설문지와 반구조화된 질문지를 활용하였고, 설문조사와 반구조화된 면담을 통해 순회교육 운영 현황과 순회교사의 인식 및 요구에 관한 정보를 입수하였다. 본 연구의 결과를 통해 도출된 결론은 다음과 같다. 첫째, 통합교육형 순회교육의 효율적 운영을 위하여 순회교사의 요구를 반영한 교육과정과 시․도교육청 수준의 운영방안 및 지침 등이 제공되어야 한다. 둘째, 순회교육 담당교원에 대한 인사제도가 순회교사의 교육경력, 순회담당 희망 여부, 순회담당 지속 가능성, 교사의 전문성 및 역량 등의 준거를 통해 이루어져 가장 적합한 교사를 순회교사로 임명해야 한다. 셋째, 순회교육 대상 학교에 통합교육을 위한 지원팀을 구성하여 지속적인 교육 및 서비스를 제공해야 한다. 넷째, 순회교사의 전문화와 순회교육의 다양화를 위하여 순회교육 관련 연찬회 및 연수를 실시해야 한다. 다섯째, 순회교육 및 순회교사를 위한 보다 적극적이고, 현실적인 행․재정적 지원이 제공되어야 한다. 본 연구는 통합교육형 순회교육에 관한 거의 최초의 연구라는 점에서 의의가 있으며, 추후 연구와 통합교육형 순회교육 운영을 위한 기초자료로 활용될 수 있을 것으로 사료된다.

바벨숄더프레스 운동 시 운동강도와 무릎반동각도의 차이가 반복횟수와 근활성도에 미치는 영향

김현집,고성식,최종인,정환종,김병관,김기홍 한국스포츠학회 2021 한국스포츠학회지 Vol.19 No.1

이 연구는 바벨숄더프레스 운동 시 운동강도와 무릎반동각도의 차이가 반복횟수와 근활성도에 미치는 영향을 알아보고자 하였다. 대상자는 충남 천안 소재 D대학에 재학중인 남자 중 실험참여 조건에 부합하는 7명을 선정하였다. 운동강도는 65%1RM, 85%1RM 으로 하였고, 무릎반동각도는 NON, 45°, 90°로 총 6가지 방법의 바벨숄더프레스 운동 을 교차배분하여 실시하였다. 운동 중 반복횟수와 중간어깨세모근, 위팔세갈래근 바깥갈래, 배곧은근, 척주세움근, 넙다 리곧은근, 넙다리두갈래근, 앞정강근, 장딴지근 내측갈래의 근활성도를 측정하였으며, 측정된 데이터는 이원변량분석 방법으로 분석하였고, 통계학적 유의수준은α=.05로 설정하였다. 운동강도에 따른 반복횟수는 모든 조건에서 강도가 높을수록 낮아졌다. 무릎반동각도에 따라서는 65% 1RM 강도 조건에서는 45°조건이 NON 조건보다 높게 나타났고, 85% 1RM 강도 조건에서는 45°조건과 90°조건 모두 NON 조건보다 높게 나타났다. 활동근의 근활성도는 중간어깨세모근, 배곧은근, 넙다리두갈래근에서는 운동 강도와 무릎반동각도에 따라 차이가 없었고, 위팔세갈래근, 척추세움근, 넙다리곧은근, 앞정강근, 안쪽장딴지근은 NON조건보다 45° 조건과 90°조건에서 높게 나타났다. 결론적으로 무릎반동각도를 45°로 실시하였을 때 운동량이 높아졌다는 것을 알 수 있었다. 운동량 은 저항운동에서 근비대, 혹은 근 지구력과 관계가 있기 때문에, 추후 각도 조건에 따라 근비대와 근지구력에 미치는 영향에 대한 연구가 필요할 것으로 사료된다. This study was to investigate the effect of the difference between exercise intensity and knee bounce angle on the repetition frequency and muscle activity during barbell shoulder press exercise. Subjects were selected from 7 males who were enrolled in D Uni. in Cheonan, Chungcheongnam-do. The exercise intensity was 65%1RM and 85%1RM, and the knee bounce angle was NON, 45°, and 90°. A total of six barbell shoulder press exercises were cross-allocated. The number of repetitions during exercise and the muscle activity of the medial deltoid, triceps brachii, rectus abdominis, erector spinae, rectus femoris, biceps femoris, tibialis anterior,gastrocnemius medialis were measured The data were analyzed by a two-way variance analysis method, and the statistical significance level was set to α=.05. The number of repetitions according to the exercise intensity decreased as the intensity increased under all conditions. According to the knee bounce angle, the 45° condition was higher than the NON condition in the 65% 1RM strength condition, and the 45° condition and the 90° condition were higher than the NON condition in the 85% 1RM strength condition. The muscle activity did not differ according to the exercise intensity and the knee bounce angle in the medial deltoid, rectus abdominis, and biceps femoris. The roots tended to be higher in the 45° and 90° conditions than in the NON condition.

심보성 교수(1924~2001)를 기리며

김현집 대한신경외과학회 2002 Journal of Korean neurosurgical society Vol.32 No.3

局所 腦硬塞 急性期에서 再灌流에 關한 實驗的 硏究

김현집,정희원,한대희,심보성 대한신경외과학회 1984 Journal of Korean neurosurgical society Vol.13 No.2

Cerebral revascularization has been popular since the introduction of microsurgical technique into the neurosurgery. But there is still no satisfactory measures in the treatment of acute cerebral infarction caused by obstruction of the major cerebral artery. It was also reported that early restoration of blood flow into the infarcted area frequently aggravated the cerebral infarction. The purpose of this experiment is to establish an experimental animal model for temporary occlusion of the middle cerebral artery, and to estimate the tolerable duration of cerebral ischemia without occurrence of hemorrhagic infarction and severe cerebral edema after restoration of blood flow. For temporary arterial occlusion, 80 nylon snare was prepared around the proximal middle cerebral artery through transorbital approach. 48 hours after operation, alert cats were subjected to temporary occlusion of the artery. Occlusion of the artery for 1, 2,4, or 6 hours was followed by recirculation for 2 hours. Immediately after sacrifice, 2% solution of triphenyl tetrazolium chloride was injected into common carotid arteries. Clinical observation was done during the whole procedure of the experiment. And brain was examined grossly for cerebral infarction, hemispheric swelling and hemorrhagic infarction. The results were as follows; 1) With transorbital snare technique for temporary occlusion of the middle cerebral artery, relatively constant cerebral infarction could be produced in cats. 2) The initial clinical findings were charcteristic and similar in all cats whose middle cerebral arteries were occluded. These consisted of contralateral hemiparesis, rapid circling and tonic deviation of the head and neck toward the side of arterial occlusion. After 5-20 minutes rapid circling gait and tonic deviation disappeared, but hemiparesis and slow circling gait continued throughout the experiment. 3) In contrast to stable clinical states in animals of 8 hour occlusion group and recirculation groups after I or 2 hours of arterial occlusion, over half of cats whose middle cerebral arteries were occluded for 4 hours or more became clinically aggravated after recirculation (p<0.05). 4) There was a tendency that the infarcted area unstained with 2% solution of triphenyl tetrazolium chloride was progressively enlarged as the duration of arterial occlusion increased, but the difference was not stastically significant (p>0.05). 5) Cerebral hemispheric swelling in cats of recirculation groups became progressively increased as the duration, of arterial occlusion increased (p<0.05), and had close correlation with clinical findings. 6) In cats whose middle cerebral arteries were occluded for 6 hours, the rate of gross hemorrhagic infarction increased abruptly.

흉추 척추강 협착증의 진단과 수술치료

김현집,백선하,김영규,이선호,정희원,한대희,심보성,최길수 대한신경외과학회 1990 Journal of Korean neurosurgical society Vol.19 No.4

A stenotic spinal canal in the cervical or lumbar region is a well-known clinical entity. However, stenosis involving a thoracic vertebra is rarely mentioned in the literature. Improved neuroimaging facilities, especially MRI, let us detect the thoracic canal stenosis not so infrequently as in the past years. The authors are reporting six operative cases of thoracic myelopathy associated with thoracic spinal stenosis. Motor & sensory abnormalities were found in all cases during the clinical course. Magnetic resonance imaging and Metrizamide CT scanning were useful in the diagnosis of thoracic spinal stenosis. Treatment consisted of 'wide posterior decompression resulting in symptomatic improvement in five of six patients.

제 1-2 경추 탈구 환자에서 수술적 감압술 및 고정술이 척수기능부전에 미치는 임상적 효과

김현집 대한신경외과학회 1994 Journal of Korean neurosurgical society Vol.23 No.11

The author analysed clinical effect of surgical decompression and stabilization on spinal cord dysfunction in 20 cases of atlantoaxial dislocation. Of 20 cases, 10 cases were related with trauma(either recent or remote), 4 with bony anomalies, 3 with innammatory p m and remaining 3 of unknown etiologies. 9 cases had reducible dislocations and 11 cases were not reduced preoperatively. All cases were decompressed if necessary and stabilized via ventral transoral or posterior approaches. All cases except one, neurological symptoms and signs were improved or stabilized after operations. One patient who had been bedridden and had high preoperative CO₂ reation, died 2 months after operation due to respiratory complications. In 3 of 10 ventrally decompressed cases, pharyngeal wounds were disrupted and it took more than 3 months of admission to heal. In 3 of 17 posterior fusions, solid bony fusion could be achieved by second operations. In conclusion, atlantoaxial dislocations can be cured by systematic decompression and fusion, but complications can be serious and troublesome.

지적장애아동의 통합성공 가능성 예측 정도와 사회성숙도와의 관계 연구

김현집,신현기 檀國大學校 特殊敎育硏究所 2008 特殊敎育要求 兒童硏究 Vol.21 No.-

본 연구의 목적은 성공적인 통합교육을 위한 장애아동의 조건 중 사회성숙도가 성공적 통합에 미치는 영향의 정도를 알아보기 위함이며, 이를 위해 지적장애아동의 통합성공가능성과 사회성숙도와의 상관관계를 규명하고자 하였다. 본 연구는 시간제로 통합교육을 받고 있는 지적장애아동 101명을 대상으로 통합교육 성공예언 검사(K-SPSI)를 실시하였으며, 그 결과와 사회성숙도검사(K-SMS)의 사회지수(SQ) 결과를 수집·분석하였다. 이를 통해 얻어진 결과를 살펴보면, 첫째, K-SPSI를 실시한 결과, 통합가능급 아동이 69명, 통합경계선급 아동이 20명, 통합불가능급 아동이 12명으로 나타났으며, 성별과 연령은 통합성공가능성에 유의한 영향을 주지 않는 것으로 확인되었다. 둘째, 통합성공예언지수(SIQ)에 의해 분류된 세 집단(통합가능급, 통합경계선급, 통합불가능급)의 K-SPSI 하위영역 평균과 표준편차를 통하여 그 특성을 알아본 결과, 통합가능급 아동의 경우 전반적으로 높은 결과를 보였고, 통합경계선급 아동의 경우 대처기술과 또래관계 영역에서, 통합불가능급 아동의 경우 또래관계 영역에서 특히 취약한 결과를 보였다. 셋째, 통합성공가능성과 사회성숙도와의 관계 분석을 위하여 SIQ와 사회지수(SQ), 그리고 K-SPSI의 각 하위영역과 사회지수(SQ) 간의 상관관계를 알아본 결과, 모두 유의수준 .01에서 유의한 정적 상관관계가 있는 것으로 나타났다. 이상의 연구 결과들을 종합해 볼 때, 성공적인 통합교육을 위하여 지적장애아동이 갖추어야 할 조건 중 사회성숙도가 매우 중요한 요인이 됨을 알 수 있다. 따라서 성공적인 통합교육을 위해서는 장애아동의 교육에서 사회적 성숙에 관심을 집중하는 것이 필요하다고 본다. The purpose of this study was to look into the relationship between the possibility of successful inclusion and social maturity of children with mental retardation. The participants of this study were 101 elementary school children with mental retardation enrolled in inclusive classrooms. The tools that utilized in this study were K-SPSI(Korean Scales for Predicting Successful Inclusion) and K-SMS(Korean Vineland Social Maturity Scale). To analyse the results of the tests, descriptive statistics, independent t-test, and Pearson product correlation were employed. The results of this study were as follows; First, The results of K-SPSI showed that 69 children had abilities meaning they could be included successfully, 20 children had borderline level, and 12 children had impossible level. There was no statistical difference according to sex and age factors. Second, all children showed that the score of peer relationships was the lowest among the 4 subtests of K-SPSI. Third, there was not only high positive correlation between SIQ and SQ, but also among the 4 subtests of K-SPSI and SQ.