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        노령 환자에서 대퇴골 전자부 주위 골절에 대한 수술적 치료 시행 후 일상적인 기능적 회복지수

        심대무 ( Dae Moo Shim ),김태균 ( Tae Kyun Kim ),김종윤 ( Jong Yun Kim ),최덕화 ( Duk Hwa Choi ),이정숙 ( Joung Suk Lee ),이성인 ( Seong In Lee ) 대한골절학회 2012 대한골절학회지 Vol.25 No.1

        목적: 노령의 대퇴골 전자부 주위 골절의 대부분이 수술적 치료를 시행하는바, 이러한 수술적 치료 후 퇴원을 하여도 일상 생활 기능에 큰 영향을 받게 된다. 이에 본 연구에서는 65세 이상의 노령 인구에서 발생한 대퇴골 전자부 주위 골절에서 골절의 형태, 골절 위험 요인과 기능 회복의 정도를 평가하고 회복에 미치는 요인을 파악하고자 하였다. 대상 및 방법: 2006년 1월부터 2007년 12월까지 본원에서 대퇴골 전자부 주위 골절로 수술적 치료를 시행한 환자 중 만 65세 이상의 환자 총 121명에서 1년 이상 추시가 되었던 61명 중 면담 및 전화 설문에 응답한 50명을 대상으로 하였다. 나이, 성별, 수상 방법 및 대퇴골 전자부 주위 골절 종류, 수술을 확인하고 수술 전후 일상 생활 기능 회복 지수 평가표에 따라 100%를 기준으로 하여 점수가 높을수록 기능이 높다고 해석하고 수술 후 일상 생활 기능 회복 정도를 평가하였다. 결과: 평균 연령은 75.8세이었으며, 성별에서 여자가 31명 (62%)으로 남자보다 여자가 많았으며 수상 방법에서 골절의 원인으로 실족이 27명 (54%)으로 가장 많았다. 골절 형태 분석에서 대퇴 전자간부 골절이 34명 (68%)으로 많았으며, 수술 전에 비교하여 기능적 회복 지수는 평균 16.24% 감소하였고, 연령에 높을수록 기능적 회복 지수의 감소도 증가하였고 성별에서는 여성의 기능 회복지수가 높았으며 골절 양상에 따른 경우 대퇴 전자하부 골절에서 17.6% 감소를 가져왔다. 결론: 65세 이상의 고령 환자에서 대퇴골 전자부 주위 골절 수술 후 일상적인 기능 회복 지수는 수술 전에 비하여 평균 16.24% 감소하였으며 가장 많은 감소는 생활 능력 중 기본 생활 능력 회복의 감소였으며 나이는 증가할수록, 성별에서는 여성이, 골절 양상에서는 대퇴 전자하부 골절의 경우 기능적 회복 지수의 감소폭이 큰 것으로 조사되어 이들 요인이 기능 회복에 중요한 영향을 미칠 것으로 생각된다. Purpose: Although most peritrochanteric fractures in old age necessitates surgical treatment, daily life functions are still impaired after discharge. We assessed the types of peritrochanteric fracture, risk factors, and functional recovery in elderly patients who were over 65 years old. We also tried to determine factors for recovery to daily life. Materials and Methods: From January 2006 to December 2007, among 61 patients who were over 65 years old with the possibility of 1 year follow-up, 50 patients were selected through interviews. After verifying age, sex, mode, types of fracture, and method, we analyzed daily living activities with a functional recovery index and estimated recovery of daily life functions after surgery, assuming a score increase if functional recovery was good. Results: The mean age was 75.8 years, and females (31 patients, 62%) exceeded males. Slipping (27 patients, 54%) was the most common cause of fracture, and the intertrochanteric femur fracture was the most common fracture type (34, 68%). The average functional recovery index decreased 16.24% compared with the pre-operation value, having a tendency to decrease more in old age and female patients. Subtrochanteric femur fracture showed a 17.6% decrease in functional recovery index among the fracture types. Conclusion: In elderly patients over 65 years, the functional recovery index after peritrochanteric fracture decreased 16.24% on average compared with the preoperation state. The largest decrease was in basic life ability. The functional recovery index decreased more in old age, females, and subtrochanteric femur fracture, which indicates these factors influence functional recovery.

      • 뇌성마비아의 早期療育에 관한 考察 : Bobath의 이론을 중심으로 Focusing on Bobath's Theory

        이정숙 中央醫學社 1983 中央醫學 Vol.45 No.6

        Bobath's theory on the early diagnosis and rehabilitation of C.P. children sum-marized as follows; 1) Abnormal motor activities appears as a result of immaturity in the high level <of C. N. S producing an abnormal. motor activity in the low level of C. N. S in C. P ,children. In consequence voluntary no real motor-activity is repressed. 2) It is important to use fully their sensory function in training C.P children, because CT children have the disturbance in sensory-motor activity as well as in motor-activity. 3) The abnormal motor activity of CT children is easy to be repressed with early Diagnosis and Rehabilitation. As a result, the normal motor activity will be prom-oted.

      • KCI등재후보

        굽힘반복에 따른 슬랙스 무릎부위의 역학적 특성 변화

        이정숙,권헌선,성수광 한국의류산업학회 2004 한국의류산업학회지 Vol.6 No.4

        The mechanical properties of jean slacks to the type of cutting lines in knee region and the bending time, after doing bending 0 times, 500 times, and 1500 times, the effects of whether or not cutting line, the fabric direction of the cutting area, and the number of cutting lines were investigated for tensile, shearing, compression, and mixing value of mechanical properties. The results are as follows: EM to bending times were larger in order of weft<wp/wf 1<wp/wp 1<warp<wp/wf <wp/wp 2<bias. G to bending times were influenced by the number of cutting lines to the shearing which entails tensile property more than bi-axel. Regardless of fabric direction, the sample of 2 cutting line showed very lower G than 1 cutting line sample. WC to bending times were larger for wp/wpl sample than other samples. RC to bending times decreased for 1 cutting line sample but increased continuously for 2 cutting line sample except at the times of 1000. 2HG/G, the combination of mechanical properties decreased as bending times increased. W/T were small in 1 cutting line sample, both before and after bending. As to shrinking of cut area after 1500 time bending, wp/wf 1 sample showed larger shrinking in weft than in warp. The shrinking of wp/wf 2 sample were larger in weft. wp/wp 1 and wp/wp 2 samples showed equal shrinking in warp and weft.

      • KCI등재후보

        성별에 따른 청바지 착용자의 의복행동 차이

        이정숙,성수광 한국의류산업학회 2004 한국의류산업학회지 Vol.6 No.3

        This is the result of the comparison of the number of jeans, colors, images, opinions when it was purchased, shapes according to the gender of persons in jeans. According to the gender, male students had 1.64 jeans(46.3%) and female students had 2.09 jeans(53.7%) on the average. Male students selected colors of jeans which they don't have, but want to wear once in the order of blue(3.7%), red(21.0%), white(24.1%), black(25.6%), and others(25.6%). Female students selected colors in the order of blue(3.2%), hlack(15.6%), red(24.8%), white(27.7%) and others(25.6%). In case of the general image about jeans, male students thought the jeans as masculine(1.2%), sexy(3.1%), unisexual(3.2%), active (23.6%), young(29.8%), and comfortable(36.5%) and female students thought it as masculine(0.3%), sexy(3.5%), unisexual (10.4%), young(21.9%), comfortable(28.1%) and active(35.8%). Male students considered torn or holed jeans ill-mannered (10.7%), delinquent, (20.7%)trendy(21.0%), comfortable(22.9%), and dandy(24.7%). Female students think it ill-mannered (3.4%), delinquent7.1%, trendy(17.4%), comfortable(21.I%), and dandy(50.9%). When they purchase jeans, male students choose according to trends(17.9%), don't consider design(19.5%) and look for their own styles(62.6%), female students didn't consider design(5.2%), choose according to trends(22.0%), and look for their own styles(72.5%). The designs of jeans which they usually wear were bell bottom(1.5%), wide-shaped(7.4%), baggy(17.5%), straight-shaped(73.6%) in case of male students, on the other hand, in case of female students, baggy(10.2%), wide-shaped(11.0%), hell bottom(17.0%), and straight-shaped(61.8%). The designs of jeans which they didn't have but want to wear once are wide-shaped(10.1%), bell bottom(13.2%), baggy(20.9%), and straight-shaped(55.2%) in case of male students. On the other hand, females students want to wear baggy(11.6%), wide-shaped(15.0%), straight-shaped(27.6%), and bell bottom(45.8%). The above-mentioned findings illustrated that both male and female students regarded blue as the original color of jeans, but they wanted to wear jeans in colors other than blue. In the past, jeans were considered masculine and unisex, but they viewed jeans as an apparel that was comfortable to wear and made it easier to move. Female students had a higher tendency to be fashionable than male students, and their preference for jeans was consequently different. Jeans manufacturers should take those characteristics into account to produce products in different colors and form.

      • 절개선을 활용한 직물의 신장변화에 관한 연구

        이정숙,성수광,이인아 한국의류산업학회 2002 한국의류산업학회지 Vol.4 No.3

        To propose a basic material that can improve the crumples in the knee area and can be applied as an element of garment design, the present study examined the elongation rates of the samples by differentiating the number of cutting lines according to the direction of the fabric, and then determined the puckering phenomenon by judging the conditions of the seams based on the looks of seam lines after bi-axil elongation. After the subjective evaluation on the knee areas of both the standard and modified trousers, the following conclusion was drawn : The elongation rates of the samples are: warp (3.98%)<warp1 (4.29%)<weft1 (5.30%)<weft (5.82%)<warp2 (5.68%)<bias (6.96%)<weft2 (8.64%). The samples in the warp direction: as the cutting lines increase, the elongation rate grows by 1.4%. The elongation rates of the samples in the weft direction: the sample with one cutting line has 0.52% lower rate than that in the weft direction without cutting line; that with two cutting lines has 1.68% higher rate than that running on the bias. The subjective evaluation on the knee areas: the subjects wearing the standard trousers feel more comfortable when sitting on a chair (0.2) >cross-legged (-0.2) > squatting down (-0.4); those in the modified trousers feel more comfortable when sitting on a chair (0.2) > cross-legged (0)> squatting down (-0.6). In the cross-legged posture, the modified trousers (0) has higher scores in the subjective evaluation than the standard ones (-0.2). The evaluation on the looks of needleworks in the samples with cutting lines along the direction of the fabric: weft2 (5.0)<weft1 (4.8)<warp1 (3.8)<warp2 (2.8).

      • KCI등재후보

        상이한 콜라젠 형에 대한 Streptococcus cricetus와 Streptococcus rattus의 부착성

        이정숙,김각균,최선진 대한구강생물학회 1991 International Journal of Oral Biology Vol.15 No.2

        Mutans streptococci are a major causative microorganism of dental caries and their virulence is associated with its ability to attach to teeth. Collagens which are a major component of organic substances in dentin and cementum may be used as a means for attachment of cariogenic microorganisms to teeth. Therefore, this study was performed to compare the adhesion of S. cricetus and S. rattus to different collagen types and dentin fractions which contain collagen. Human type 1, 3, 4, 5 collagen prepared as a solution of 200 ㎍/㎖ in 0.04 M sodium acetate buffer(pH 4.8) was coated on the wells of microtitration plate. Human dentin prepared from extracted teeth was decalcified in 0.6 N HCl for 5 days, and HCl-soluble and HCl-insoluble fractions were prepared. These two fractions were also coated on the wells. Cells of S. cricetus and S. rattus (7.0×10^6 cells/㎖) labeled with ^3H-thymidine were added to the wells and the reaction mixtures were incubated for 2 hours at room temperature. After washing of the wells with buffered KCl three times, the wells were cut out, and counted to enumerate the number of attached bacteria in scintillation fluid by Scintillation Spectrometer. The following results were obtained. 1. S. cricetus attached most well to collagen type 5 and its attament was decreased in the order of type 1, 4, 3. 2. S. rattus attached most well to collagen type 4 and its attament is decreased in the order of type 3, 1, 5. 3. S. cricetus attached to HCl-soluble and HCl-insoluble fractions more than to control group and attached to HCl-insoluble fraction more than to HCl-soluble fraction(p<0.05). 4. S. rattus attached to HCl-insoluble fraction more than to control group(p<0.05). 5. S. rattus attached to HCl-insoluble fraction more than S. cricetus(p<0.05). From the above results, it is assumed that S. rattus and S. cricetus recognize different part of collagen molecule for adhesin.

      • KCI등재

        진 슬랙스 구입 및 수선에 관한 실태조사 : 18~23세 남녀 학생을 대상으로 Targeted of the Male and Female Students with in Age Group between 18 and 23

        이정숙,성수광 한국의류산업학회 2003 한국의류산업학회지 Vol.5 No.2

        Compared with male students, female ones perceive themselves to be heavier in the lower part than in the upper part of the body, and have round belly, thick thigh and big calves. 61.2% of the male students buy their jean slacks based on their waist size, while 76.6% of female students do it based on their hip size. Those who are in the range of shorter heights tend to choose their jean slacks by their hip sizes, while those in the range of taller heights tend to buy them by their waist sizes. Most female students repair their jean slacks in the waist(61.8%) and/or length(60.4%). Male ones tend to repair them in the hip area(76.2%) and/or crotch(72.1%). The areas of repair are different by age: group A4 repair mostly in the waist(32.7%), while 40.3% of the students in group A3 tend to change any area they like, such as in the hip(38.1%), length of slacks(33.6%), or crotch(45.2%). Female students seem to feel uncomfortable in jean slacks in all the areas but waist. By age, group A1 seem to feel uncomfort in the crotch(31.4%); group A3, in the waist(41.9%), hip(32.0%), knee(33.3%) and thigh(34.2%). The students in group H1 tend to feel more comfort in the waist(28.4%), while those in the group H3, in the thigh area(30.3%). The area that would make jean slacks more comfortable was the waist(61.4%) in the male students, and the thigh(61.7%) in the female students. By age, the area that needs more ease was the waist(40.8%) in group A3; the tummy(35.1%) and thigh(33.0%) in group A4, and; the crotch(29.8%) in group A1. By height, group H1 need more ease in the waist(38.6%); group H2, in the tummy(44.6%), and; group H3, in the crotch(37.2%).

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