입원환자 낙상예방 프로그램에서 근력운동의 효과: 낙상 고위험군 노인환자를 중심으로

이현옥 ( Hyun-ok Lee ),이병화 ( Byung-hwa Lee ),이창희 ( Chang-hee Lee ) 한국보건정보통계학회(구 한국보건통계학회) 2017 보건정보통계학회지 Vol.42 No.4

Objectives: The purpose of this study is to analyze the changes in the indices of body muscle strength, the indices of muscle strength associated with physical balance, and index of the pain relief between the intervention group who performed the muscle strength exercise and control group who not performed the muscle strength exercise. The study period was from September 7, 2016 to May 12, 2017, and it was conducted after receiving Institutional Review Board approval. Methods: Among 40 participants who were recruited in this study, the final analysis subjects were a total of 39 people, excluding the one people who dropped out during the 2-week. For analysis, the changes were compared with baseline and after two weeks by comparing three types of body muscle strength indices, four types of physical balance indices, and one type of pain relief index. Finally, we analyzed whether there is a difference between the groups in the each changes. Results: In the body muscle strength index change analysis, the change of muscle mass relative to weight was not statistically significant, but the difference between the groups regard to change was statistically significant (p<0.05). The lower body strength and the bone mineral were statistically significant in both the intervention and control group, but the difference between the groups regard to change was not statistically significant. In the index of muscle strength associated with physical balance change analysis, the intervention group showed improvement much higher in the right arm, left arm, right leg, and left leg of muscle mass than the control group. Also, the muscle mass of the right arm and the left arm was statistically significant in the analysis of the difference between the groups regard to change (p<0.05). Analysis of changes in pain relief index showed that the intervention group showed significantly improvement higher than the control group, and the difference between the groups regard to change was statistically significant (p<0.05). Conclusions: In the elderly patients in the hospital where the fall prevention program was provided, it was concluded that the intervention group higher improved the muscle strength associated with physical balance and the pain relief compared with the control group.

Mie 산란 방법과 엔트로피 해석 방법을 이용한 혼합연료비에 따른 분무 균질도 특성에 관한 연구

이창희,이기형,이창식,배재일,Lee, Chang-Hee,Lee, Ki-Hyung,Lee, Chang-Sik,Bae, Jae-Il 대한기계학회 2003 大韓機械學會論文集B Vol.27 No.1

In this study, his technique was applied to a GDI spray in order to investigate the mixture distribution. In addition, the homogeneity degree and diffusion effect according to ambient temperature in the high pressure chamber were analyzed by using an entropy analysis method. From this experiment, we could find that entropy analysis is very effective method for the analysis of mixture formation, and the entropy values increase with the progress of uniformity in diffusion Process. we tried to provide the fundamental data for parameter which effects on the spray macroscopic characteristics with mixture ratio of diesel and gasoline. In addition, the mixture formation was analyzed by using entropy analysis. The entropy analysis is based on the concept of statistical entropy, and it identifies the degree of homogeneity in the fuel concentration. From the entropy analysis results we could find that the direct diffusion phenomena is a dominant factor in the formation of a homogeneous mixture at downstream of GDI spray especially in vaporizing conditions. As to increasing ambient temperature and increasing gasoline rate, the entropy intensity using the statistic thermodynamics method is increased because evaporation rate is higher gasoline than diesel.

나노 복합산화물을 이용한 고온입자 미세화 기술

이창희,박경태,박주현,윤병현,장창환,Lee, Chang-Hee,Park, Kyung-Tae,Park, Joo-Hyun,Yoon, Byoung-Hyun,Chang, Chang-Hwan 대한용접접합학회 2010 대한용접·접합학회지 Vol.28 No.3

양자펌프 억제제에 반응을 보이지 않은 인후두 역류질환 환자에서 고해상도 식도 내압검사의 분석

이창희,이현섭,진성민,이상혁,Lee, Chang-Hee,Lee, Hyun-Sub,Jin, Sung-Min,Lee, Sang-Hyuk 대한후두음성언어의학회 2012 대한후두음성언어의학회지 Vol.23 No.1

Background and Objectives : Laryngopharyngeal reflux disease (LPRD) originates from regurgitation of gastric contents to the laryngopharynx, and it is relatively common disease in otolaryngology. Proton-pump inhibitor (PPI) medication is frequently using treatment method in present time, but controversies exist regarding treatment for it. High-resolution manometry (HRM) system is a newly developed device that using 36 channels and pressure topography plotting program, checking the function and status of esophagus. The aim of this study was to evaluate clinical usefulness of HRM in LPRD patients who do not response to PPI medication. Materials and Method : From July 2009 to July 2010, a total of 99 patients who were suspected LPRD according to symptoms (Reflux Symptom Index >13) and laryngoscopic findings (Reflux Finding Score >7) were retrospectively enrolled in this study. Patients were consisted of 31 men and 68 women, the mean age was 51.8 years, the mean BMI was 22.46. Patients have taken PPI medication for 2 months, after medication, they performed HRM. Comparative analysis was performed with results of the difference in symptoms. Results : In 99 patients, 37 patients (37.4%) show not improvement of LPRD symptoms after PPI medication. Among them, 18 patients (48.6%) showed abnormal findings that were classified as Peristaltic dysfunction (38.9%), Diffuse esophageal spasm (11.1%), Relaxation impairment of LES (11.1%), Achalasia (5.6%), Hypotensive LES (11.1%), Relaxation impairment of UES (11.1%), Nutcracker esophagus (5.6%), Decreased resting pressure (5.6%). Other 62 patients (62.6%) show improvement of LPRD symptoms, 23 patients (37.1%) showed abnormal findings. Most common finding was Peristaltic dysfunction (43.4%) More prevalent abnormal findings of HRM were found in patients who revealed no response to PPI medication (48.6% vs. 37.1%), but it does not reach the statistical significance. Conclusion : Although statistical significances is not showed, the difference observed in the frequency of HRM abnormal finding between response and no response for PPI medication. It has been estimated that HRM may be used to determine differential diagnosis in patients with LPRD. Further studies in lager population containing normal controls will be needed to prove clinical usefulness.

일부 스티렌 폭로 근로자의 뇨중 대사산물과 신경행동학적 검사

이창희,문덕환,이헌,박준한,김대환,이종태,전진호,김휘동,이채언,Lee, Chang-Hee,Moon, Deog-Hwan,Lee, Hun,Park, Jun-Han,Kim, Dae-Hwan,Lee, Jong-Tae,Chun, Jin-Ho,Kim, Hwi-Dong,Lee, Chae-Un 대한예방의학회 1996 Journal of Preventive Medicine and Public Health Vol.29 No.4

In order to prepare the fundamental data for the health promotion by assessing the exposure level of styrene, the author determined the concentration of mandelic acid and phenylglyoxylic acid in urine of 42 workers who were exposed to styrene by high performance liquid chromatography and surveyed 16 symptoms, by questionnaire and also tested neurobehavioral test(digit symbol, benton visual retention) in 2 FRP plants of Kyung Nam area from July to September, 1995. Control was sampled by age sex matching method. The concentration of styrene in air was determined by gas chromatography. The results were as follows; 1. Geometric mean concentration of styrene in air was 17.4ppm, geometric mean concentration of mandelic acid(MA) in urine were 404.3mg/g creatinine for exposure group, 46.4mg/g creatinine for control group, geometric mean concentration of phenylglyoxylic acid(PGA) in urine were 57.5mg/g creatinine for exposure group, 9.5mg/g creatinine for control group. Mean concentration of MA and PGA showed statistically significant difference between exposure group and control group(p<0.01). 2. Number of symptom were 2.9 for exposure group, 3.3 for control group, number of digit symbol were 24.1 for exposure group, 32.5 for control group, number of Benton visual retention test were 6.1 for exposure group, 6.0 for control group, respectively. As result of adjusting the education year, number of Benton visual retention test showed statistically significant difference between exposure group and control group(p<0.05). 3. Excellent correlation were observed between environmental styrene exposure and urinary MA(r=0.80), PGA(r=0.73), and MA+PGA(r=0.81).

틸팅 차량용 추진시스템의 재점착 제어방법에 관한 연구

이창희(Lee Chang-Hee),김형철(Kim Hyung-Cheol),이은규(Lee Eun-Kyu) 한국철도학회 2005 한국철도학회 학술발표대회논문집 Vol.- No.-

In this paper, a re-adhesion control scheme is proposed for 1C2M propulsion system of TTX. The possibility of slip between wheel and rail in railway system is increasing because of the tendency of high speed and a climatic change. This slip results in the decrease of adhesive effort between this wheel and rail, so the control strategy of traction effort which can reduce the speed promptly and make most use of the maximum adhesive force is absolutely necessary. This paper describes the modeling of the TTX system, and this system is verified by the simulation.

연습용 10-20 Electrode System을 이용한 뇌파검사 실습의 효율성과 만족도 평가

이창희,김대진,최정수,이종우,이민우,조재욱,김성욱,Lee, Chang Hee,Kim, Dae Jin,Choi, Jeong Su,Lee, Jong-Woo,Lee, Min Woo,Cho, Jae Wook,Kim, Suhng Wook 대한임상검사과학회 2017 대한임상검사과학회지(KJCLS) Vol.49 No.3

Electroencephalography (EEG) is distinct from other medical imaging tests in that it is a functional test that helps to diagnosis disorders related to the brain, such as epilepsy. The most important abilities for a medical technologist when performing an EEG are knowing the exact location of the electrode and recording the EEG wave clearly, except for artifacts. Although theoretical education and practical training are both included in the curriculum for improving these abilities, sufficient practical training has been lacking due to problems like expensive equipment and insufficient practical training time. We try to solve these issues by manufacturing the training 10-20 electrode system and by estimating the efficiency and satisfaction of the training 10-20 electrode system through a questionnaire. The time required for practical training using this system was $43.58{\pm}9.647min$, which proved to be efficient. The satisfaction score of participants who experienced curriculum practical training was improved from $7.21{\pm}2.285$ to $9.46{\pm}1.166$. Based on these findings, it is considered that practical training via the use of the training 10-20 electrode system will solve the problems, such as lack of equipment and insufficient practical training time. Nonetheless, to further improve the training 10-20 electrode system, it must overcome the limitations of developing a device capable of checking the actual brain waves and validating the exact location of electrode attachment.

양자펌프 억제제에 반응을 보이지 않은 인후두 역류질환 환자에서 고해상도 식도 내압검사의 분석

이창희,이현섭,진성민,이상혁,Lee, Chang-Hee,Lee, Hyun-Sub,Jin, Sung-Min,Lee, Sang-Hyuk 대한후두음성언어의학회 2011 대한후두음성언어의학회지 Vol.22 No.2

Background and Objectives : Laryngopharyngeal reflux disease (LPRD) originates from regurgitation of gastric contents to the laryngopharynx, and it is relatively common disease in otolaryngology. Proton-pump inhibitor (PPI) medication is frequently using treatment method in present time, but controversies exist regarding treatment for it. High-resolution manometry (HRM) system is a newly developed device that using 36 channels and pressure topography plotting program, checking the function and status of esophagus. The aim of this study was to evaluate clinical usefulness of HRM in LPRD patients who do not response to PPI medication. Subjects and Method : From July 2009 to July 2010, a total of 99 patients who were suspected LPRD according to symptoms (Reflux Symptom Index >13) and laryngoscopic findings (Reflux Finding Score >7) were retrospectively enrolled in this study. Patients were consisted of 31 men and 68 women, the mean age was 51.8 years, the mean BMI was 22.46. Patients have taken PPI medication for 2 months, after medication, they performed HRM. Comparative analysis was performed with results of the difference in symptoms. Results : In 99 patients, 37 patients (37.4%) show not improvement of LPRD symptoms after PPI medication. Among them, 18 patients (48.6%) showed abnormal findings that were classified as Peristaltic dysfunction (38.9%), Diffuse esophageal spasm (11.1%), Relaxation impairment of LES (11.1%), Achalasia (5.6%), Hypotensive LES (11.1%), Relaxation impairment of UES (11.1%), Nutcracker esophagus (5.6%), Decreased resting pressure (5.6%). Other 62 patients (62.6%) show improvement of LPRD symptoms, 23 patients (37.1%) showed abnormal findings. Most common finding was Peristaltic dysfunction (43.4%) More prevalent abnormal findings of HRM were found in patients who revealed no response to PPI medication (48.6% vs. 37.1%), but it does not reach the statistical significance. Conclusion : Although statistical significances is not showed, the difference observed in the frequency of HRM abnormal finding between response and no response for PPI medication. It has been estimated that HRM may be used to determine differential diagnosis in patients with LPRD. Further studies in lager population containing normal controls will be needed to prove clinical usefulness.

내시경적 유두 괄약근 절개술 후 지연성 출혈을 보인 총담관 결석 치험 1례

이창희,이윤경,채현석,김동언,김영훈,한승훈,이익준,Lee, Chang-Hee,Lee, Yoon-Kyung,Chae, Hyun-Seok,Kim, Dong-Un,Kim, Young-Hoon,Han, Seung-Hoon,Lee, Ik-Jun 대한소아소화기영양학회 2000 Pediatric gastroenterology, hepatology & nutrition Vol.3 No.2

Common bile duct stones are an unusual occurrence in children. Endoscopic retrograde cholangiopancreaticography and endoscopic papillary sphincterotomy are excellent tool for diagnosis and therapy. Bleeding after endoscopic papillary sphincterotomy occurs in approximately 0.5~12% of procedures. We experienced a case of common bile duct stone in 5-year-old boy. After endoscopic papillary sphincterotomy, the stone was passed. 5 days after the procedure bleeding occurred, but it was controlled spontaneously.

웹을 통한 원격제어 시스템

이창희,이광제,원영진,유희삼,Lee, Chang-Hee,Lee, Kwang-Je,Won, Yong-Jin,Ryu, Hee-Sahm 대한전자공학회 2002 電子工學會論文誌 IE (Industry electronics) Vol.39 No.3

본 논문에서는 이동하는 로봇을 제어하기 위한 웹 상에서의 시스템 구성을 논의한다. 즉, 웹에서의 제어 방법을 구체적으로 설명하고 실험한 결과를 나타내었다. 시스템은 서버 측에 있는 간단한 인터페이스를 엑세스하여 원격제어 한다. 이를 위해, 원격 사용자는 인터넷상에서 시스템을 원격으로 조절하기 위하여 www 브라우저가 설치된 범용 컴퓨터가 있어야 한다. 원격 사용자가 서버 측의 html파일을 구동하여 신호를 입력하면, 자바로 작성된 프로그램이 직렬포트에 연결된 기기를 구동한다. 원격제어 신호는 적외선 센서를 거쳐 라인트레이서에 전달되어 운행을 원격으로 제어한다. 웹에서의 시스템의 동작 확인을 위하여 시스템의 기기로는 라인트레이서를 사용하였다. This paper discusses the work-in-progress of a system to control a moving robot over the WWW(World Wide Web). That is, we describes the experimental results and control methods of system over the world wide web. The remote control of the system is controlled by accessing a simple form of interface that is connected to the server. For this application, a remote operator should have a general-purpose computer with Internet connection and a WWW browser to remotely operate the line-tracer through the Internet. As a remote operator summits an input by operating html files in the server, the program written in java is operated the equipment is being connected to the serial port. By being transmitted to the line-tracer through the infra-red sensor, the remote controlled signal is operated in distance. As a tool in order to identify the system's operation of the over the web is used the line-tracer.?