[독자편지] 김덕용 동지의 편지

김덕용 노동사회과학연구소 2014 정세와노동 Vol.- No.97

정서적 각성이 특질 불안자의 기억 응고화에 미치는 영향

김덕용,이장한 한국자료분석학회 2008 Journal of the Korean Data Analysis Society Vol.10 No.2

The aim of the present study was to investigate the difference of memory consolidation between a high and low-trait anxiety group for threat and non-threat words during an emotionally arousing experience in a recall and recognition test. Heart rate(HR) and Visual Analogue Scale(VAS) were measured to find the emotional differences between the anxiety trait groups. In the recall test, the results showed that the interaction effect between anxiety trait groups and word types were significant. The high-trait anxiety group recalled more threat words than the low-trait anxiety group, which recalled more non-threat words. Both of the groups remembered significantly more non-threat words than threat words regardless of the videos. Also, HR and VAS were higher during the arousal video than the neutral video. These results support previous evidence that the high-trait anxiety group remembered more threat related stimuli than the non-threat related stimuli, but there were no differences in the memory consolidation between arousal levels. 본 연구의 목적은 특질 불안자가 정서적 각성을 경험하는 동안 위협, 비위협 단어에 대한 집단 간 기억 응고화 차이를 관찰하기 위해 회상 과제와 재인 과제를 실시하였다. 정서적 각성은 객관적인 측정을 위해 자기보고 설문과 정신 생리학적 지표인 심박률을 이용하여 집단 간 차이를 알아보았다. 연구결과 회상과제에서는 동영상에 관계없이 고불안 집단은 위협단어를 더 많이 회상하였고, 저불안 집단은 비위협 단어를 더 많이 회상하였다. 반면 재인 과제에서는 두 집단 모두 동영상에 관계에 관계없이 위협 단어보다 비위협 단어를 더 많이 재인하였다. 심박률과 자기보고 설문에서는 각성 동영상이 중성 동영상보다 높게 나타났다. 이를 통하여 특질 불안자가 위협적인 자극을 비위협적인 자극에 비해 더 많이 기억한다는 선행연구는 지지 되었으나, 각성 정도에 따른 응고화의 차이는 없는 것으로 나타났다.

MEET DESIGN OF 'BAEK-JE'

김덕용 한국색채디자인학회 2007 한국색채디자인학회 학술대회 Vol.2007 No.1

슬관절 골관절염 환자의 계단 오르기 동작의 특징

김덕용,박창일,장원혁,박태훈,안소영,이선경,이돈신 대한재활의학회 2005 Annals of Rehabilitation Medicine Vol.29 No.6

Objective: To investigate the kinematic and kinetic characteristics of stair ascent in patients with knee osteoarthritis. Method: Twenty patients with knee osteoarthritis and twenty healthy controls were recruited. The kinematic and kinetic data were obtained through a three dimensional motion analyzer. The kinematic and kinetic data during stair ascent were compared between two groups. Results: The total required time of stair ascent was significantly longer in the osteoarthritis group than that of the control group (p<0.05). In comparison with the control group, the angle of maximal pelvis anterior tilting, minimal and maximal hip flexion and minimal knee flexion were significantly increased (p<0.05). However, the angle of knee flexion and ankle dorsiflexion at initial contact were significantly decreased in the osteoarthritis group (p<0.05). The maximal moment and power of knee extension and ankle plantarflexion were significantly decreased in the osteoarthritis group (p<0.05). Sixteen patients (80.0%) in the osteoarthritis group showed flexion arc after initial contact. “W” sign was shown in 16 patients (80.0%). Conclusion: We found the unique kinematic and kinetic patterns during stair ascent in patients with knee osteoarthritis, and that knee osteoarthritis influence not only kinematic and kinetic patterns of knee but also those of hip and ankle.

편마비 보행의 체간 동작 분석

김덕용 대한뇌졸중학회 2007 Journal of stroke Vol.9 No.2

Background: Although, there have been many reports on the kinematic characteristics of lower extremities in hemiplegic patients, the investigation of trunk motion in hemiplegic patients during gait is rare. Since good trunk motion is one of the essential elements of effective walking, we investigated the kinematic characteristics of trunk motion in hemiplegic patients compared to those in healthy adults using a three-dimensional motion analyzer. Methods: Twenty-three hemiplegic patients and twenty healthy control subjects were included in this study. Kinematic data of trunk movement and temporospatial parameters were obtained using a three-dimensional motion analyzer (Vicon 370 Motion Analysis System).Results: Increased anterior tilt, the abducted and externally rotated angles of the trunk, increased anterior tilt, the adducted and externally rotated angles of the pelvis were significantly noted in hemiplegic patients compared with those of normal controls. The range of motion of the trunk in the sagittal, coronal, and transverse planes in hemiplegic patients was also significantly greater than that for normal controls. Among all trunk and pelvic kinematic parameters, the range of motion of the trunk in the transverse plane was the most significant factor influencing walking speed in hemiplegic patients; however, the range of motion of the pelvis in the coronal plane was the most significant factor in normal controls.Conclusion: The trunk motion in hemiplegic patients exhibited typical kinematic characteristics during walking compared with those in healthy normal adults. These findings may be useful as baseline data for studies of hemiplegic gait. (Korean J Stroke 2007;9:128-133)

Obturator Prosthesis for Velopharyngeal Insufficiency after Treatment of Soft Palate Cancer- A Case Report -

김덕용,So Young Joo,Chang-il Park,Su Jin Yu 대한재활의학회 2011 Annals of Rehabilitation Medicine Vol.35 No.1

Velopharyngeal insufficiency after surgical resection of soft palate cancer can be troublesome. This report concerns a male suffered from severe dysphagia following combined treatment for soft palate cancer. Sequential videofluoroscopic swallowing studies (VFSS) were used to assess his swallowing function and plan the interventional strategies. Initial VFSS showed huge nasal regurgitation, increased oral transit time, residues in oral cavity, delayed swallowing reflex, pharyngeal residue, impaired laryngeal elevation, and aspiration in semisolid and liquid trials. Obturator prosthesis was fabricated to minimize velopahryngeal insufficiency. After application of obturator prosthesis, swallowing dysfunction in oral and pharyngeal stages was markedly improved. Nasal regurgitation was not shown. Oral residue, oral transit time in oral stage also improved. Residue on vallaculae and pyriform sinuses decreased in pharyngeal stage. Aspiration also decreased. We reported successful obturator prosthesis application with sequential changes of clinical and VFSS findings in our case.

양측 전대뇌동맥 경색에 의한 무동무언증에서 레보도파의 효과 -증례보고-

김덕용,박창일,온석훈,임종엽 대한재활의학회 2007 Annals of Rehabilitation Medicine Vol.31 No.2

Cerebral Air Embolism during Open Heart Surgery with Cardiopulmonary Bypass- A Case Report -

김덕용,Su Jin Yu,Chang-il Park 대한재활의학회 2011 Annals of Rehabilitation Medicine Vol.35 No.1

Cerebral air embolism is an unusual event that is mainly an iatrogenic cause, such as open heart surgery. We present a case of cerebral air embolism in a patient undergoing ASD patch repair with cardiopulmonary bypass. He had a status epilepticus, loss of consciousness and marked left limb weakness immediately after the operation. Diffusion- weighted MRI with angiography showed acute infarction in right entire hemisphere with patent internal carotid and intracranial arteries, and glucose PET brain scan showed severe decreased uptakes in right hemisphere. He recovered markedly with mild motor impairment of left upper and lower limbs in the 6 months after onset.

醫療過失에 관한 刑事法的 考察

金德容 청주대학교 대학원 1997 우암논총 Vol.16 No.-

3차원 가상현실 프로그램을 이용한 뇌졸중 환자의 인지기능 장애 평가

김덕용,박태훈,이장한,박창일,주소영,박기덕,정강재 대한재활의학회 2009 Annals of Rehabilitation Medicine Vol.33 No.1

Objective: To test the feasibility of newly developed 3- dimensional virtual reality (VR) program for assessing the post-stroke cognitive dysfunction. Method: Thirty five post-stroke patients and twenty normal healthy subjects were recruited in this study, and post-stroke patients were classified into three groups according to the severity of cognitive dysfunction. We developed three dimensional virtual reality program to assess the cognitive function with virtual subway environment from taking a subway to arriving at one's destination. The total score, number of success and cue were obtained during completing virtual tasks. We investigated the test-retest reliability, and the parameters of the 3-dimensional VR program were compared with Korean Mini-mental status examination. Results: All parameters of the VR program were significantly correlated with MMSE score (p<0.01), and showed the significant difference between patient subgroups and control group (p<0.05). The test-retest reliability of the VR program was significantly high (p<0.01). Conclusion: Three dimensional virtual reality program may be helpful to assess the cognitive function in patients with stroke. Objective: To test the feasibility of newly developed 3- dimensional virtual reality (VR) program for assessing the post-stroke cognitive dysfunction. Method: Thirty five post-stroke patients and twenty normal healthy subjects were recruited in this study, and post-stroke patients were classified into three groups according to the severity of cognitive dysfunction. We developed three dimensional virtual reality program to assess the cognitive function with virtual subway environment from taking a subway to arriving at one's destination. The total score, number of success and cue were obtained during completing virtual tasks. We investigated the test-retest reliability, and the parameters of the 3-dimensional VR program were compared with Korean Mini-mental status examination. Results: All parameters of the VR program were significantly correlated with MMSE score (p<0.01), and showed the significant difference between patient subgroups and control group (p<0.05). The test-retest reliability of the VR program was significantly high (p<0.01). Conclusion: Three dimensional virtual reality program may be helpful to assess the cognitive function in patients with stroke.