The counseling protocol according to psychological change to successful return to sports after anterior cruciate ligament reconstruction

Se-Hyun Park,Chang-Sik Um,Eun-Surk Yi 한국운동재활학회 2019 한국운동재활학회 학술대회 Vol.2019 No.05

Anterior cruciate ligament (ACL) injuries are one of the most common sports injury. There are many studies on various methods of rehabilitation exercise after surgery and mostly has been done on rehabilitation exercise programs tailored to physical changes according to each stage. However, there is little studies on the psychological counseling protocol according to stage of psychological change. The purpose of this study was to research the method of counseling according to psychological change in the patient after anterior cruciate ligament reconstruction (ACLR). The subject of this study were 60patients who underwent ACL surgery at department of orthopedic surgery, Guro hospital, Korea university. This study evaluated the emotion, confidence and risk of re-injury of patients by using ACL-RSI (ACL-Return to Sport after Injury)questionnaire. The study of result was investigate that a significant difference in all three domains in the group that could return to myself in comparison to the group who did not return to themselves(p<.05). The results of this study suggested that psychological stability was importance for a successful return after 6months, which is the time of returning from ACL surgery. Through these results, this study examined the psychological counseling methods for each recovery stage after ACL reconstruction. Also this study proposed that the psychological counseling methods by summarizing the views of various experts. The proposed contents are as follows. Phase 1, the psychological state of patients was anxiety, emotional state was fear, maladjustment and depression. Exports’s keyword of counseling method was rehabilitation cognition, effort, hope, recovery, hope. Phase 2, the psychological state of patients was slump, emotional state was maladjustment, patience and acception. Exports’s keyword of counseling method was encouragement, counsel, goal setting, effort, challenge, current representation. Phase 3, the psychological state of patients was Adaptation of physical function, emotional state was challenge, patience and acception. Exports’s keyword of counseling method was goal setting, vision, desire, effort, encouragement, counsel. Phase 4, the psychological state of patients was adaptation of Activity Daily Living(ADL), emotional state was patience, compromise and challenge. Exports’s keyword of counseling method was current situation cognition, caution recommendation, plan, vision, goal setting, effort. Phase 5, the psychological state of patients was stability, emotional state was challenge, acception and patience. Exports’s keyword of counseling method was return, counsel, solution, communication, caution recommendation, encouragement, patience.

상악동을 천공한 임플란트의 생존율에 대한 후향적 연구

이재관,엄흥식,장범석,Lee, Jae-Kwan,Um, Heung-Sik,Chang, Beom-Seok 대한치주과학회 2006 Journal of Periodontal & Implant Science Vol.36 No.4

Perforation of maxillary sinus is a common complication of implant placement in posterior maxilla. The purpose of this study was to evaluate the prognosis of sinus perforated implants placed in partially edentulous maxillae. Eighteen sinus perforated implants in 15 patients were examined for cumulative survival rate, radiographic preoperative bone level, and radiographic marginal bone level change. Twenty-two non-perforated implants in the same patients served as control. The results were as follows; 1. There was no statistically significant difference in cumulative survival rate between sinus perforated implants and non-perforated implants (P>0.05). 2. There was no statistically significant difference in the marginal bone level between sinus perforated implants and non-perforated implants (P>0.05). 3. There was no statistically significant difference in cumulative survival rate according to the preoperative bone level (P>0.05). These results suggests that perforation of maxillary sinus may not affect implant success in posterior maxillae.

Change of the saccharide contents of fruiting bodies according to growth temperature in Flammulina velutipes

Chang-Sung Jhune,Hoon-Tae Leem,Hyung-Sik Yun,Jae-Han Cho,Sun-Young Um,Won-Sik Kong 한국버섯학회 2010 한국버섯학회 국제학술대회 Vol.6 No.-

Change of the saccharide contents of fruiting bodies according to growth temperature in Flammulina velutipes

Chang-Sung Jhune,Hoon-Tae Leem,Hyung-Sik Yun,Jae-Han Cho,Sun-Young Um,Won-Sik Kong 한국버섯학회 2010 한국버섯학회지 Vol.8 No.4

To understand the saccharide contents and quantity of winter mushroom (Flammulina velutipes) according to its growth temperature, we measured the saccharide contents at different growth temperature. In our results, the saccharide of its fruiting body turned out to be mainly composed of xylose, trehalose and mannitol in all treatments. In the other hand, Ribose, myo-inositol and sucrose were detected in some treatments. The quantity of trehalose decreased as the growth temperature increased with a variation of its quantity depending on the isolates used in the experiments. In the case of xylose and mannitol, detected in all treatments, the pattern of their quantities was not possible to be profiled and the pattern might be largely depending on the isolates. However, the quantities of xylose and mannitol were largely in a direct proportion and the fluctuation of their quantities was congruent with the exception of ASI 4103, ASI 4166 and ASI 4065. The xylose quantity of ASI 4103 and ASI 4166 increased until the temperature was up to 10℃ and decreased when the temperature was above 10℃. That of ASI 4065 decreased as the temperature rose and increased when above 13℃. The mannitol quantity of ASI 4065 and ASI 4166 decreased until the temperature was up to 10℃ and increased when the temperature was above 10℃. That of ASI 4103 increased as the temperature rose and decreased when above 13℃.

Free Paper Session : LC & Liver Fibrosis ; The prognosis of hepatitis B-related Liver cirrhosis in the era of oral antiviral agents (초)

( Chang Ha Kim ),( Soon Ho Um ),( Bo Ra Keum ),( Yeon Seok Seo ),( Yong Sik Kim ),( Yoon Tae Jeen ),( Hong Sik Lee ),( Hoon Jai Chun ),( Chang Duck Kim ),( Ho Sang Ryu ) 대한간학회 2011 Clinical and Molecular Hepatology(대한간학회지) Vol.17 No.3(S)

LC,Acute : PO-25 ; Clinical significance of variations in the promoter region of the glutaminase gene on development of hepatic encephalopathy in Korean liver cirrhosis patients

( Chang Ha Kim ),( Soon Ho Um ),( Yeon Seok Seo ),( Jin Yong Jung ),( Jin Dong Kim ),( Hyung Joon Yim ),( Bora Keum ),( Yong Sik Kim ),( Yoon Tae Jeen ),( Hong Sik Lee ),( Hoon Jai Chun ),( Chang Duck 대한간학회 2012 춘·추계 학술대회 (KASL) Vol.2012 No.1

Background: In liver cirrhosis patients, hepatic encephalopathy is a serious complication and is associated with poor prognosis. Systemic hyperammonemia occurs in patients with hepatic encephalopathy. The influx of glutamine into mitochondria in central nervous system is degraded into ammonia and glutamate by glutaminase, and this in turn leads to hepatic encephalopathy by activating ROS (reactive oxygen species) system. Romero et al. discovered GCA tandem repeats located in 5’untranslated regions (UTR) of glutaminase gene promoter region, and haplotype with more GCA tandem repeats (long-long haplotype) had significantly high risk of developing hepatic encephalopathy than those who did not (short-long or short-short haplotype). So, we validated this fact in Korean liver cirrhosis patients. Methods: We investigated 120 liver cirrhosis patients in Korea University Anam hospital and took blood sampling after taking informed consent. In patients with history of overt hepatic encephalopathy, baseline characteristics and laboratory findings were obtained by chart review at the time in development of encephalopathy. In patients who did not (control group), baseline characteristics and laboratory findings were determined at the time of blood sampling and then Psychometric Hepatic Encephalopathy Score (PHES) were conducted to identify minimal hepatic encephalopathy. Results: In patients with history of overt hepatic encephalopathy, multivariate analysis revealed that age (p=0.005), alkaline phosphatase (p=0.018), total cholesterol (p=0.019) as well as other well-known variables, such as Child-Pugh score (p= 0.008) and MELD score (p=0.035) were independent prognostic factors for development of overt hepatic encephalopathy. But, haplotype was not associated with development of overt hepatic encephalopathy (p=0.794). When the control group was divided into non-hepatic encephalopathy group and minimal hepatic encephalopathy group again, age (p=0.023), Hgb (p<0.001), prothrombin time (p<0.001), albumin (p<0.001), total bilirubin (p=0.005), alkaline phosphatase (p=0.006), blood urea nitrogen (p=0.008), total protein (p=0.010), total cholesterol (p<0.001), glucose (p=0.009), sodium (p<0.001), Child-Pugh score (p< 0.001) and MELD score (p<0.001) were significantly different among these three groups. Again, haplotype did not show any differences among three groups (p=0.907). Additionaly, in Child-Pugh grade A patients, there were no significant differences in haplotypes between non-hepatic encephalopathy group and minimal hepatic encephalopathy group (p=1.000). In Child- Pugh grade B, C patients, haplotype did not show any significant differences in development of minimal or overt hepatic encephalopathy (p=0.462) as well. Conclusions: In Korean liver cirrhosis patients, we did not find any significant associations between development of overt (minimal) hepatic encephalopahty and 5’UTR GCA tandem repeat region of glutaminase promoter gene. However further large scaled prospective study upon consideration of race is warranted.

운동재활 프로그램이 뇌성마비 장애아동의 대동작 기능에 미치는 영향: 발달재활 서비스 수혜 아동 중심으로

Chang-Sik Um,Se-Hyun Park,Eun-Surk Yi 한국운동재활학회 2019 한국운동재활학회 학술대회 Vol.2019 No.05

본 연구의 목적은 운동재활프로그램이 뇌성마비 장애아동의 대동작 기능 (Gross Motor Function Measure, GMFM)에 미치는 영향을 알아보는 것이다. 연구 대상은 I시에 거주하고 있는 6세 이상 12세 미만 뇌성마비 장애아동 12명을 대상으로 2017년 6월부터 2017년 10월까지 연구하였다. 장애정도는 장애등급과 대동작 기 능분류체계 (Gross Motor Function Classification System, GMFCS)을 사용하여, 장애 1∼2등급과 GMFCS 4 ∼5등급 대상자로 하였다. 운동재활 프로그램 전과 후로 나누어 집단간 차이는 독립표본 검정으로 확인하였 고, 집단별 차이는 대응표본검정으로 확인 하였으며, 다음과 같은 결과를 얻었다. 운동재활프로그램 전·후에 따른 집단간 대동작 기능의 변화는 5가지 중 하나인 앉기 영역 (p<0.05)에서만 유 의한 결과를 보였고, 눕기와 뒤집기, 네발기기와 무릎서기, 서기, 걷기 달리기 깡총뛰기에서는 유의하지 않았 다. 운동재활프로그램 전·후에 따른 집단별 대동작 기능의 변화는 5가지 영역 중 눕기와 뒤집기에서만 유의하지 않았고 나머지 앉기, 네발기기와 무릎서기, 서기, 걷기 달리기 깡총뛰기 (p<0.05)에서는 유의한 차이를 보였 다. 집단간 차이를 살펴보았을 때 앉기 이외의 다른 영역에서 유의한 결과를 볼 수 없었던 이유는 실험집단 과 통제집단의 수준 차이를 보였기 때문인데, 초기 검사 시 두 집단의 대동작 기능 평균이 차이가 나는 것을 확인 할 수 있었다. 대동작 기능의 평균으로 보아 통제집단이 실험집단보다 높은 수준임을 확인 할 수 있었는데 운동전 실험집단 의 대동작 기능의 평균점수 135.82 였고, 통제집단의 대동작 기능의 평균점수는 168.81로 두 그룹의 운동전 의 평균점수의 차이는 33점만큼 차이가 났다. 하지만 운동 후 실험집단의 평균점수는 171.15로 통제집단의 운동전 수준을 넘어 통제집단의 운동 후 점수인 178.32와 7만큼의 차이로 두 그룹의 수준이 비슷해진 것으로 나타났다. 결론적으로 운동재활프로그램을 적용한 실험집단이 통제집단 보다 더 큰 변화를 가져 온 것을 확인 할 수 있 었다. 이것은 집단별 차이를 살펴보면 더 확연하게 드러나는데, 실험집단은 통제집단에 비해 운동전과 운동 후 눕기와 뒤집기 영역을 제외한 영역에서 모두 유의한 (p<0.05) 결과를 보인반면 통제집단에서는 실험집단 과 달리 유의한 결과를 살펴 볼 수 없었다. 실험집단의 눕기와 뒤집기 영역에서 유의한 결과를 확인 할 수 없었던 이유는 두 집단의 눕기와 뒤집기 영역 이 모두 만점에 가까운 상태여서 두 그룹 모두 유의한 결과를 얻을 수 없었다. 결론적으로 운동재활프로그램은 뇌성마비 장애아동의 대동작 기능에 영향을 미치는 것을 확인 할 수 있었다. 이번 연구를 토대로 중증 뇌성마비 장애아동들에게 맞는 다양한 운동프로그램이 연구하는 것이 필요하다고 생각된다.

LC, Acute : PO-25 ; Clinical significance of variations in the promoter region of the glutaminase gene on development of hepatic encephalopathy in Korean liver cirrhosis patients

( Chang Ha Kim ),( Soon Ho Um ),( Yeon Seok Seo ),( Jin Yong Jung ),( Jin Dong Kim ),( Hyung Joon Yim ),( Bora Keum ),( Yong Sik Kim ),( Yoon Tae Jeen ),( Hong Sik Lee ),( Hoon Jai Chun ),( Chang Duck 대한간학회 2012 춘·추계 학술대회 (KASL) Vol.2012 No.-

Background: In liver cirrhosis patients, hepatic encephalopathy is a serious complication and is associated with poor prognosis. Systemic hyperammonemia occurs in patients with hepatic encephalopathy. The influx of glutamine into mitochondria in central nervous system is degraded into ammonia and glutamate by glutaminase, and this in turn leads to hepatic encephalopathy by activating ROS (reactive oxygen species) system. Romero et al. discovered GCA tandem repeats located in 5`untranslated regions (UTR) of glutaminase gene promoter region, and haplotype with more GCA tandem repeats (long-long haplotype) had significantly high risk of developing hepatic encephalopathy than those who did not (short-long or short-short haplotype). So, we validated this fact in Korean liver cirrhosis patients. Methods: We investigated 120 liver cirrhosis patients in Korea University Anam hospital and took blood sampling after taking informed consent. In patients with history of overt hepatic encephalopathy, baseline characteristics and laboratory findings were obtained by chart review at the time in development of encephalopathy. In patients who did not (control group), baseline characteristics and laboratory findings were determined at the time of blood sampling and then Psychometric Hepatic Encephalopathy Score (PHES) were conducted to identify minimal hepatic encephalopathy. Results: In patients with history of overt hepatic encephalopathy, multivariate analysis revealed that age (p=0.005), alkaline phosphatase (p=0.018), total cholesterol (p=0.019) as well as other well-known variables, such as Child-Pugh score (p= 0.008) and MELD score (p=0.035) were independent prognostic factors for development of overt hepatic encephalopathy. But, haplotype was not associated with development of overt hepatic encephalopathy (p=0.794). When the control group was divided into non-hepatic encephalopathy group and minimal hepatic encephalopathy group again, age (p=0.023), Hgb (p<0.001), prothrombin time (p<0.001), albumin (p<0.001), total bilirubin (p=0.005), alkaline phosphatase (p=0.006), blood urea nitrogen (p=0.008), total protein (p=0.010), total cholesterol (p<0.001), glucose (p=0.009), sodium (p<0.001), Child-Pugh score (p< 0.001) and MELD score (p<0.001) were significantly different among these three groups. Again, haplotype did not show any differences among three groups (p=0.907). Additionaly, in Child-Pugh grade A patients, there were no significant differences in haplotypes between non-hepatic encephalopathy group and minimal hepatic encephalopathy group (p=1.000). In Child- Pugh grade B, C patients, haplotype did not show any significant differences in development of minimal or overt hepatic encephalopathy (p=0.462) as well. Conclusions: In Korean liver cirrhosis patients, we did not find any significant associations between development of overt (minimal) hepatic encephalopahty and 5`UTR GCA tandem repeat region of glutaminase promoter gene. However further large scaled prospective study upon consideration of race is warranted.

식괴의 종류에 따른 식도운동의 변화에 관한 연구

이정환(Jung Whan Lee),송치욱(Chi Wook Song),허병원(Byung Won Hur),강창돈(Chang Don Kang),진윤태(Yoon Tae Jeen),전훈재(Hoon Jai Chun),이홍식(Hong Sik Lee),이상우(Sang Woo lee),엄순호(Soon Ho Um),최재현(Jai Hyun Choi),김창덕(Chang Duck 대한소화기기능성질환·운동학회 2000 Journal of Neurogastroenterology and Motility (JNM Vol.6 No.1

N/A Background/Aims: It is suggested that diffuse esophagenl spasm (DES), nutcracker esophagus (NUT), and hypertensive lower esophageal sphincter (HLES) could be re-classified together as a spastic esophageal motility disorder of similar clinical background. However, there were no studies to evaluate the pathophysiological characteristics of these motor abnormalities. The aim of the study was to evaluate the changes of esophageal motor function depending on the different types of the bolus (water vs semi-solid bolus). Methods: Twenty-one healthy subjects and 42 subjects with primary esophageal motility disorders (4 DES, 12 NUT, 5 HLES, 12 nonspecific esophageal motility disorders, 9 normal) underwent a perfusion manometry with a low compliance pneumo-hydraulic capillary infusion system. Consecutively, each patient had l0 swallows of water and 10 swallows of Jello, 5 ml each. Results: In the healthy controls, the Jello swallow showed an increased amplitude and duration of distal esophageal contraction, and the velocity of peristalsis was decreased (p<0.05). Among all patients diagnosed by manometry with the water swallow, 2 cases diagnosed with HLES (40%) and 4 with NUT (33%) were changed to a diagnoses of DES after the Jello swallow. Moreover, HLES was found in 1 patient with DES (25%) and in 6 patients with NUT (50%). Conclusions: Semi-solid bolus swallows increase the contractile force of the esophagus more than water swallows. A conventional manometric diagnosis could be changed to a different spastic motility disorder of the esophagus after a semi-solid bolus swallow. It is suggested that DES, NUT, and HLES can be considered as a spectrum of spastic esophageal motility disorders sharing a similar pathophysiology. (Korean Journal of Gastrointestinal Motility 2000;6;ll-19)

사각형 강재 교각의 구조적인 거동에 관한 실험적 연구

엄창식(Um Chang-Sik),송준엽(Song Jun-Yeup),권영봉(Kwon Young-Bong) 대한토목학회 2001 대한토목학회논문집 B Vol.21 No.6B