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- 저자 : 남동우 ( Dong Woo Nam ) (검색결과 52 건)
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동결견(凍結肩) 환자의 동서협진 치료의 임상효과 비교연구 - 견관절 가동운동범위(ROM) 변화를 중심으로 -
남동우,김행범,양동훈,임사비나,김건식,이두익,이재동,최도영,이윤호,Nam, Dong-Woo,Kim, Haeng-Beom,Yang, Dong-Hoon,Lim, Sa-Bi-Na,Kim, Keon-Sik,Lee, Doo-Ik,Lee, Jae-Dong,Choi, Do-Young,Lee, Yun-Ho 대한침구의학회 2006 대한침구의학회지 Vol.23 No.5
Objectives : To establish an effective collaborate medicine treatment of acupuncture and western medicine for treating frozen shoulder patients. Methods : 59 voluntary patients were randomly assigned to Eastern treatment group(E group, n=22), Western treatment group(W group, n=17) and East-West treatment group(EW group, n=20). The E group received acupuncture treatment on LI15, TE14, GB21 and Master Dong's acupuncture points, Shin-gwan and Gyun-joong, twice a week for 4 weeks. The W group received suprascapular nerve block, subacromial injection and trigger point injection, twice a week for 4 weeks. The EW group received acupuncture and injection treatment including nerve block All groups were instructed to practice self exercise during their daily lives. Evaluations were made before treatment and after treatment based on the change in shoulder Range of Motion(ROM) and the patient's satisfaction concerning the treatment was measured by Visual Analogue Scale(VAS). The obtained data were analyzed and compared. Results : The patient's satisfaction scores were E group 5.67, W group 7.73 and EW group 7.67. The E group and the EW group showed significant improvement in abbduction, adduction and flexion(p<0.05). The W group showed significant improvement in adduction(p<0.05). Abduction significantly improved(p<0.05) in the EW group compared to E group and W group. Flexion also showed improvement in the EW group, but the difference among the 3 groups was statistically insignificant. The three group's difference of change in extension and adduction was insignificant(p>0.05). Conclusion : Acupuncture and nerve block alone significantly improved ROM in frozen shoulder patients. Also collaborate treatment of acupuncture and nerve block significantly improved ROM in frozen shoulder patients. But the difference of the three treatments were significant only for improving abduction(p<0.05).
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남동우,손원재,김성주,김용국,김수진,유윤조,정영길,조승묵,Nam, Dong-Woo,Sun, Yuan-Jie,Kim, Sung-Joo,Kim, Yong-Kuk,Kim, Soo-Jin,Yu, Yun-Cho,Jeong, Young-Gil,Jo, Seung-Mook 한국현미경학회 2003 Applied microscopy Vol.33 No.2
본 연구는 후각점막에 내재하는 zinc의 분포를 형태학적으로 뚜렷이 보여준 예가 없기에 조직화학적으로 염색한 후 광학 및 전자현미경으로 이들의 분포를 기술하고자 하였다. 실험동물로는 성숙한 수컷 랫드(SD 계통)를 사용하였다. 우선 동물은 전신마취시킨 후 만들어진 selenium 용액 $100{\mu}l$를 복강에 주사하였고(i.p 실험군), 다른 방법으로는 selenium 용액 $100{\mu}l$를 비강 깁숙히 플라스틱관을 삽입한 후 Hamilton 주사기로 한 방울씩 떨어뜨렸다(i.n 실험군). 후각점막내 zinc를 조직화학법으로 동정하기 위해서 zinc 특이성이 높은 AMG법(Danscher, 1985)을 이용하였다. 각 실험군의 동물은 주사 후 2시간에 이르러 3% Glutaraldehyde 고정액으로 관류함으로써 희생시켰다. 고정후 비중격을 포함하여 후각부위를 떼어낸 수 $30{\mu}l$ 두께의 관상절편을 만들었다. AMG 반응이 끝나면 toluene blue (TB)로 대조염색하고, 알코올과 자일렌 등을 이용한 탈수과정 및 청명과정을 거쳐 광학현미경하에서 관찰하였다. 전자현미경적 절편을 만들기 위해 전자현미경 관찰을 위한 실험으로 vibratome을 사용하여, $100{\mu}m$ 두께의 가로절편을 만들었고, AMG염색이 끝나면 일반적인 전자현미경적 관찰을 위한 일련의 과정을 거쳐 투과전자현미경하에서 관찰하였다. Selenium 용액을 복강에 투여한 i.p 실험군에서는 $30{\mu}m$ 두께의 후각점막의 상층부와 기저부에서 강한 AMG 반응산물(silver grains)이 관찰되었으나 기저막아래 고유판에서는 전혀 관찰되지 않았다. 반면 selenium 용액을 비강점막에 직접 도포한 i.n 실험군에서는 i.p 실험군과 같이 후각점막에서 강한 AMG 반응이 관찰되었을 뿐만 아니라 이러한 반응이 기저막내 후각실의 주행을 따라 관찰되었다. 투과전자현미경으로 관찰된 후각상피에서는 AMG 과립이 지지세포의 세포 상층부에서 관찰되는 분비과립에 국한되는 소견이며, 이곳에서 관찰된 AMG은 과립(silver grains)은 원형 또는 난원형으로 그 크기는 다양하였다. 반면 세포체 하부에서 관찰된 AMG grains은 주로 용해소체위에서 밀집되어 관찰되었으며, 핵주변부 및 세포사이공간(intercellular space)에서는 AMG grains이 낱개로 구분, 관찰되었다. 한편 i.n 실험군에서 관찰된 후각점막의 전반적인 구조가 손상된 소견을 보였으며, 지지세포의 위쪽에서는 전자밀도가 높고 간상의 crystalloid structure가 다수 관찰되었고, 이들 구조에 다수의 AMG 과립이 붙어 있었다. 본 연구의 결과를 요약하면 랫드 후각점막에 존재하는 zinc는 지지세포의 분비과립과 후각세포의 축삭다발인 후각실에서 관찰되었는데 이는 zinc가 후각기능과 매우 밀접한 관련있음을 시사하며, 이는 향후 후각기능과 zinc의 연관성을 연구하는데 소중한 자료가 될 것으로 믿는다. 또한 본 연구의 결과는 후각점막의 이상으로 나타나는 여러 가지 질환의 병리에서 zinc가 영위하는 신경생물학적 기능을 밝히는데 유용한 기초자료가 될 수 있을 것으로 기대한다. The present study was designed to demonstrate ionic zinc in the rat nasal mucosa by means of zinc selenium autometallography ($ZnSe^{AMG}$). Rats were given sodium selenide either intraperitoneally (i.p) or intranasally (i.n). Prior to the i.n. administration the rats were anesthetized with pentobarbital sodium (30 mg/kg, i.p.). A thin plastic tube coupled to a Hamilton syringe was then inserted into the right nostril and $10{\mu}l$ of the solution was instilled. For the i.p. administration non-anesthetized rats were given $100{\mu}l$ of the sodium selenide solution (10 mg/kg). Control rats were instilled with saline. After 2 hrs survival, the rats were anaesthetized and transcardially perfused with 3% glutaraldehyde. The olfactory area was removed and put into same fixative. The nose was then sectioned ($30{\mu}m$) horizontally, autometallography (AMG) was performed according to Danscher et al. (1997). After silver enhancement, fine AMG grains were scattered in the whole length of the olfactory epithelium containing olfactory receptor neurons, sustentacular and basal cells. However, much higher concentration of the AMG grains occupied near the surface and in the basal region of the olfactory epithelium. Both groups of i.p. and i.n. administration showed almost same level in the concentration of the AMG grains. In i.n. group, few AMG grains were also found in olfactory nerves of the lamina propria, suggesting zinc transport into the olfactory bulb via olfactory axons. At the electron microscopic level, the AMG grains were most entirely found in the supporting cells of the olfactory epithelium, and they were mostly localized in lysosome-like organelles. The i.n. group showed various signs of tissue damage of the olfactory mucosa, where dense concentration of AMG grains were localized at crystalloid structures. The present study demonstrated dense population of ionic zinc in the rat olfactory epithelium. zinc may play a role in the olfactory functioin and in the pathogenesis of the neurodegerative disorders affecting nose.
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남동우,이종욱,범진식,장영철,정철훈,오석준,Nam, Dong-Woo,Lee, Jong-Wook,Burm, Jin-Sik,Chang, Young-Chul,Chung, Chul-Hoon,Oh, Suk-Joon 대한미세수술학회 1996 Archives of reconstructive microsurgery Vol.5 No.1
The nasal ala and columella represent a difficult location for reconstruction, especially when defect area is covered with scar. Local flap, such as forehead flap or nasolabial flap, may result in additional facial scarring and bulkiness that require multiple thinning revisions. Recent delineation of vascular territories of the ear has allowed the use of vascularized auricular free flap in the reconstruction of large ala and columella defects. Authors reconstructed two cases of full thickiness defect of the ala and columella with auricular free flap. The pedicle of this flap is the superficial temporal artery and vein. The donor vessels were anastomosed to the facial artery and vein. The results were satisfactory cosmetically and functionally.
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남동우(Dong Woo Nam),한재준(Jae J. Han),구자원(Ja-Won Koo) 대한두개저학회 2016 대한두개저학회지 Vol.11 No.2
Introduction : Superior semicircular canal dehiscence (SSCD) syndromes are characterized by tinnitus, noise- and pressure- induced vertigo, and autophony. Surgical repair of the dehiscence is the principal treatment for the patients suffering disabling symptoms. In this study, we evaluated the surgical outcome of SSCD repair via middle fossa approach (MFA). Materials and Methods : 5 patients who underwent SSCD repair via MFA were recruited. Median age of patients was 42 years (37-45) and median follow-up duration after surgery was 39.5 months (12.8-97.2). Clinical symptoms (autophony, aural fullness, hearing loss, imbalance, sound, pressure induced vertigo, and tinnitus), audiometry, vestibular evoked myogenic potential (VEMP), and electrocochleography (ECoG) were evaluated before and after surgery. Results : Sensorineural hearing loss was developed after surgery in 1 patient. In the remaining 4 patients, there were air-bone gap at lower frequency range due to lowered bone conduction threshold below 0dB, which were normalized after surgery. VEMP threshold was significantly improved after surgery (preoperative: 49 dB, postoperative: 79 dB, p=0.04). SP/AP ratio of ECoG was also improved after surgery, but it could not reach statistical significance due to small number (preoperative: 0.58, postoperative: 0.26, p=0.068). Conclusion : Most of subjective symptoms were relieved after SSCD repair via MFA. Hypersensitive bone conduction threshold, air-bone gap, VEMP threshold and SP/AP ratio of ECoG were normalized after successful repair of SCD.
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학교생활에 부적응하는 청소년을 둔 가족의 가족치료사례 연구
남동우(Dong-Woo Nam) 숭실대학교 부부가족상담연구소 2018 가족과 상담 Vol.8 No.1
This study is an analysis of a single case of family therapy conducted with a middle school adolescent with adjustment problems and his parents. The client’s school maladjustment and behavioral problems started when he was in fifth grade and became worse when he reached a middle school age and his family began family therapy. When the client was first grade, his father lost his right arm, and then his mother began working. His father has become a full time housewife man while his mother worked as an office manager and the parents’ gender roles were shifted. it. The way of communication that the family members used during the time was not functional so it triggered and maintained the client’s behavioral problems and conflicts among the family members. Data collections was made with counseling notes and verbatim records from a total of 23 family therapy sessions which consist of 18 family counseling sessions and 5 sessions only with the parents. Results include 36 low categorization and 19 middle categorization and 3 upper categorization. From this research, family therapy techniques that used by the therapist for the family such as forming a therapeutic alliance, casting light upon dysfunctional family communication patterns, coaching functional communication skills proved to be effective on reducing the client’s behavioral problems, increasing family members awareness, boundary line and differentiation as well as improving family members’ functional ways communication. From the results, this research can be used for families that encounter transitions in their development stages, especially for families that are confronted with abrupt crises, by providing informaton about family therapy experience and family education services as a reference material. 본 연구는 학교생활에 부적응하는 청소년과 부모를 대상으로 진행한 단일 가족치료사례를 분석한 것이다. 내담자의 학교 부적응과 행동 문제는 초등학교 5학년 때 시작되었고, 중학생이 되면서 문제가 더욱 심각하게 되어 가족치료를 시작하게 되었다. 내담자가 초등학교 1학년 때 아버지가 사고로 오른쪽 팔을 잃게 되면서, 엄마가 직장에 나가기 시작했다. 이때부터 아빠는 직장인에서 전업주부가 되어 아이의 등하교를 챙기는 주 양육자가 되었고, 엄마는 직장인이자 실질적인 가장이 되는 역할의 전환이 생겨났다. 이 과정에서 가족이 사용한 역기능적인 의사소통 방식은 자녀의 행동문제와 가족구성원 간의 갈등을 촉발하고 유지시키는 요인이 되었다. 자료 수집은 총 23회기의 가족치료 상담 중 가족구성원 전체가 참여한 가족상담(18회)과 부모상담(5회)에 대한 상담기록과 녹음을 바탕으로 이루어졌다. 결과는 코딩 과정을 통하여 개념들을 도출하고 개념들의 상위 범주를 발견하였는데, 36개의 하위범주와 19개의 중간범주 그리고 3개의 상위범주로 추출되었다. 본 연구를 통해서 치료자가 사용한 가족치료 기법들인 치료적 동맹 맺기, 역기능적인 가족 의사소통 패턴의 조명, 기능적인 의사소통 방식에 대한 코칭 등이 내담자의 문제 행동 감소와 가족 구성원 간에 인식, 경계선, 자아분화도 그리고 가족 의사소통 방식의 개선에 효과가 있음을 알 수 있었다. 이러한 결과를 볼 때 본 연구는 가족 발달 단계에서 전환기를 맞이한 가족들, 특히 갑작스러운 위기상황으로 전환기에 놓여 진 가족들에게 가족치료 경험에 대한 이해를 높이고, 새로운 상황에 대한 적응력을 향상시키기 위한 가족치료 및 가족교육 서비스와 프로그램 개발에 참고자료가 될 것으로 기대한다.
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