기능성 위장질환의 종류에 따른 정신사회적 특성 및 삶의 질의 차이에 관한 연구

박승규,이상열,류한승,최석채,양찬모,장승호,염동한,이귀행,Park, Seung-Kyu,Lee, Sang-Yeol,Ryu, Han-Seung,Choi, Suck-Chei,Yang, Chan-Mo,Jang, Seung-Ho,Yeom, Dong Han,Lee, Kuy-Haeng 한국정신신체의학회 2021 정신신체의학 Vol.29 No.1

연구목적 본 연구에서는 기능성위장질환 환자를 과민성 대장 증후군, 기능성 소화불량, 기능성 변비, 기능성 흉부 작열감, 중복집단(두 개 이상의 기능성 질환이 중복)으로 분류하여 정신사회적 특성을 비교하고, 기능성위장질환 환자의 삶의 질과 연관된 요인들을 알아보고자 하였다. 방 법 일 대학병원 소화기 내과 전문의에 의해 기능성 위장질환으로 진단받은 환자 144명을 기능성위장질환 환자 집단으로 선정하였다. 인구통계학적 요인을 조사하였으며 정신사회적 요인을 평가하기 위해 Korean-Beck Depression Inventory-II (K-BDI-II), Korean-Beck Anxiety Inventory (K-BAI), Korean version of Childhood Trauma Questionnaire (K-CTQ), Multi-dimensional Scale of Perceived Social Support (MSPSS), Korean Version of Connor-Davidson Resilience Scale (K-CD-RISC), World Health Organization Quality of Life Assessment Instrument Brief Form (WHOQOL-BREF)를 사용하였다. 결 과 중복집단이 다른 집단에 비해 BDI-II 점수(F=11.09, p<0.001)와 BAI 점수(F=8.93, p<0.001)가 유의하게 높았다. 아동기 외상에서 정서적 방임(F=2.54, p=0.04)은 IBS 환자집단이 FD 환자 집단에 비해 유의하였다. FGID 환자에서 삶의 질은 우울증상(r=-0.196, p<0.01), 불안(r=-0.235, p<0.01), 아동기 트라우마(r=-0.222, p<0.01)와 음의 상관관계를 보였고, 사회적 지지(r=0.512, p<0.01), 회복탄력성(r=0.581, p<0.01)과는 양의 상관관계를 나타냈다. 결 론 연구결과 중복 환자 집단에서 우울, 불안이 유의하게 높았으며 아동기 외상에서 IBS 환자 집단이 FD 환자 집단보다 정서적 방임이 유의하게 높았다. 따라서 추후 기능성 위장질환 환자의 치료에 있어 정신사회적 요인에 대한 적극적인 개입이 요구된다고 하겠다. Objectives : The purpose of this study is to compare the psychosocial characteristics of patients diagnosed with functional gastrointestinal disorder (FGID) by classifying them into irritable bowel syndrome (IBS), functional dyspepsia (FD), functional constipation (FC), functional heartburn (FH) groups, and overlap group (two or more functional diseases) and to examine the factors associated with the quality of life (QoL) of patients with FGID. Methods : A total of 144 patients who were diagnosed with FGID were selected as the subjects. The demographical factors were investigated; Korean-Beck Depression Inventory-II (K-BDI-II), Korean-Beck Anxiety Inventory (K-BAI), Korean version of Childhood Trauma Questionnaire (K-CTQ), Multi-dimensional Scale of Perceived Social Support (MSPSS), Korean Version of Connor-Davidson Resilience Scale (K-CD-RISC), and World Health Organization Quality of Life Assessment Instrument Brief Form (WHOQOL-BREF) were used to evaluate the psychosocial factors. Results : TThe overlap group had a significantly higher K-BDI-II score (F=11.09, p<0.001) and K-BAI score (F=8.93, p<0.001) compared to other groups. In childhood trauma, the IBS patients had a difference in emotional neglect (F=2.54, p=0.04) than the FD patients. The QoL of FGID patients had a negative correlation with depression (r=-0.196, p<0.01), anxiety (r=-0.235, p<0.01), and childhood trauma (r=-0.222, p<0.01), and a positive correlation with social support (r=0.512, p<0.01) and resilience (r=0.581, p<0.01). Conclusions : Overlap group had a higher level of depression and anxiety, and the IBS patient group had a higher level of emotional neglect than the FD patient group in terms of childhood trauma.

질환에 따른 기능장애 요소의 이해와 물리치료

박승규,김상엽,Park, Seung-Kyu,Kim, Sang-Yeob 대한물리치료과학회 1999 대한물리치료과학회지 Vol.6 No.3

We are approaches various painful diseases in clinic. Although same disease, it is different to acute, subacute and chronic stage of disease. Therefore, to understanding of tissue anatomy, pathology and physiology is necessary to under-standing pattern of diseases. It is duty work that choice of hot or ice, electrotherapy, choice of adaptable frequency and mathod of exercise therapy etc. During treatment it is important method to choose to treat the client. As treating the client by exercising or treating when the client is resting and seeing if anything else is a problem etc. So what I have approached some of the treatment that a physical therapist could miss during treatment.

초음파를 이용한 경피약물수송의 촉진

박승규,김태열,Park, Seung-Kyu,Kim, Tae-Youl 대한물리치료학회 2001 대한물리치료학회지 Vol.13 No.3

Transdermal drug delivery offers various advantages over conventional drug delivery systems, such as avoidance gastrointestinal degradation and hepatic first-pass effect. encourages patient compliance. and possible sustained release of drugs. However, transdermal transport of drugs is low permeability of the stratum corneum, the superficial layer of the skin. Many physicochemical and biological factors influencing transdermal transport is described together with the corresponding experimental and clinical results. Phonophoresis is medical treatment with drugs introduced into the skin by ultrasound energy. Enhanced drug penetration is through to result from the biophysical alterations of skin structure by ultrasound waves. The frequency used for phonophoresis is usually from 20 kHz to 15MHz. Phonophoresis can be categorized in to three ranges: low-frequency range(below 1 MHz). therapeutic frequency range(1 to 3MHz), and high-frequency range(above 3 MHz). The depth of penetration of ultrasound into skin is inversely proportional to the frequency. Cavitation may cause mechanical stress. temperature elevation, or enhanced chemical reactivity causing drug transport. One theory is that ultrasound affects the permeation of the stratum corneum lipid structure as the limiting step in permeating through the skin. The range of indications for phonophoresis is wide. Aspecific classification of the range of indications is obtained by classification of pathological conditions. The continuous research is needed for many interesting issucs of phonophoretic transdermal delivory in new future.

가정방문물리치료가 재가장애인의 일상생활동작과 기능에 미치는 영향

박승규,지혜영,허재원,Park, Seung-Kyu,Ji, Hey-Young,Heo, Jae-Won 대한물리치료학회 2011 대한물리치료학회지 Vol.23 No.2

Purpose: The purpose of this study was to provide basic data for the effectiveness and the necessity of home visiting physical therapy through examining performance ability and functional changes in daily life activities by investigating the life of disabled persons living at home. Methods: After selecting 100 people with physical disabilities greater than level 3 and brain damage related disabilities living in Youngam-Gun, we conducted mobility tests according to a Modified Bathel Index (MBI), the Berg Balance Scale (BBS), and floor and bed movements? for Activities of Daily Living evaluation. We did this before the experiment and after doing home visiting physical therapy for 90 minutes at a time, once a week for 6 months Results: 1) Persons who live in a bed are higher than those who live in a floor. There was a significant difference between persons who live in a floor and those who live in a bed in the change in MBI and BBS scores after home visiting physical therapy. 2) Those with a musculoskeletal disorder had a significantly different change in MBI and BBS according to the type of disease and kind of disability. Those with neuropathy had a significantly different change in MBI. Those with physical disabilities showed a significant difference in MBI and BBS. Conclusion: A home visiting physical therapist can cause an improved performance ability and lead to the ability of disabled persons living at home to carry out activities of daily livingin a large part and the study for brain lesion disabilities except physical disabilities and stroke which occupy large proportion of disabled persons should be done.

뇌졸중 환자의 누운 자세에서 앉기 동작의 생체 역학적 분석

박승규,양대중,강정일,이준희,윤종혁,Park, Seung-Kyu,Yang, Dae-Jung,Kang, Jung-Il,Lee, Jun-Hee,Yoon, Jong-Hyeouk 대한물리치료학회 2013 대한물리치료학회지 Vol.25 No.2

Purpose: This study was conducted in order to suggest an effective method of daily life movement training for stroke patients by comparison and analysis of the biomechanic characteristics of sitting up from a lying posture in stroke patients and healthy elderly participants. Methods: Fifteen stroke patients and 15 age-matched elderly participants were included in the study. The movement of sitting up from a lying posture was divided into three stages, and the differences in muscle activity in the sternocleidomastoid (SCM), rectus abdominis (RA), external oblique (EO), and rectus femoris (RF) during the movement were analyzed. Results: Subjects in the experimental group showed slower speed than those in the control group. In the neck joint, the change of angle in movement showed a larger decrease at all stages in the experimental group than in the control group; the movement also decreased in stages I and II in the upper trunk joint. The movement also showed a statistically significant decrease in stage II in the lower trunk, pelvic, and hip joints. The SCM showed higher activity in the control group than in the experimental group, showing a statistically significant difference; the RA showed high activity in the experimental group. The RF showed higher activity in the control group than in the experimental group, showing a statistically significant difference. Conclusion: From the results obtained above, increasing movements in the neck, pelvic, and hip joints and strengthening of lower body muscles are required in order to improve the ability for getting up from a lying posture in stroke patients.

편마비 환자의 계단과 경사로 오르기 동안 하지의 근 활성도 분석

박승규,천동환,Park, Seung-Kyu,Cheon, Dong-Whan 대한물리치료학회 2012 대한물리치료학회지 Vol.24 No.4

Purpose: The purpose of this study was to investigate the change of muscle activities during level walking, stairs and ramp climbing in hemiplegic patients. Methods: Eight hemiplegic patients were recruited and agreed to participate in this study. Muscle activity was measured by MP100 system (BIOPAC System Inc., Santa Barbara, CA, USA). Statistical analysis was used as a one-way repeated measure of ANOVA to know the difference according to the gait conditions (level walking, stairs and ramp ascending). Results: In the swing phase, muscle activity of rectus femoris muscle, with the side lower extremities affected, were generally significantly different in the stair and ramp ascending. In addition, biceps femoris muscle with unaffected side lower extremity was generally significantly different in the ramp ascending. In the swing phase, muscle activity of tibialis anterior muscle with unaffected side lower extremities was generally showed a significant difference in the ramp ascending. In the stance phase, climbing stairs and ramps showed an increase in the muscle activities. Further, climbing the stairs increased muscle activities of the gastrocnemius muscle. Conclusion: These findings indicate that compared with the level walking climbing stairs, ramps and muscle activities of lower extremity during each showed different results. It can be seen that in accordance with the terms of gait are different muscles group recruitment.

최적경로와 가중직교인자를 이용한 화자인식

박승규,배철수,Park, Seung-Kyu,Bai, Chul-Soo 한국음향학회 1992 韓國音響學會誌 Vol.11 No.2

최근, 많은 연구자들이 KLT를 이용한 통계적 처리방법으로 화자인식을 수행하고 있으나, 통계적 처리방법의 개인성 포함정도와 음성의 동적인 발성속도는 화자인식율의 저하요인이 되고 있다. 본연구에서는 각 화자의 직교인자에 개인성을 강조하기 위하여 화자의 고유치를 가중치로 한 가중직교인자와 음성의 동적인 시간특성을 정규화하는 DTW의 최적경로를 이용한 화자인식방법을 연구하였다. 이방법을 확인하기 위하여 종래의 통계적 처리에 의한 화자인식, 최적경로와 최적경로와 가중직교인자를 이용한 화자인식의 결과를 비교한 결과, 종래의 방법보다 우수한 화자인식율을 얻어 그 유효성을 확인하였다. Recently, many researchers have studied the speaker recognition through the statistical processing method using Karhunen-Loeve Transform. However, the content of speaker's identity and the vocalization speed cause speaker recognition rate to be lowered. This parer studies the speaker recognition method using weighted orthogonal parameters which are weighted with eigen-values of speech so as to emphasize the speaker's identity, and optimal path which is made by DWP so as to normalize dynamic time feature of speech. To confirm this method, we compare the speaker recognition rate from this proposed method with that from the conventional statistical processing method. As a result, it is shown that this method is more excellent in speaker recognition rate than conventional method.

편마비 환자에서 발 교정구의 적용이 체중분포과 균형에 미치는 영향

박승규,강양훈,Park, Seung-Kyu,Kang, Yang-Hun 대한물리치료학회 2012 대한물리치료학회지 Vol.24 No.4

Purpose: We investigated the effect of postural stability and balance with foot orthotics in hemiplegic patients. Methods: The subjects enrolled in this study were 16 hemiplegic patients who were examined for balance ability, weight distribution, and limits of stability with or without foot orthotics insole. Balance was measured according to a stance position by BIORESCUE: static balance open eyes (SEO), static balance close eyes (SEC), dynamic balance open eyes (DEO), dynamic balance close eyes (DEC), right and left weight distribution (RLWD), anterior and posterior weight distribution (APWD) and limit of stability (LOS). The data were analyzed with SPSS window version 18.0 (IBM Co., Armonk, NY, USA). Results: The results were of significant changes to the SEO (p<0.05), RLWD (p<0.05), APWD (p<0.05), and LOS (p<0.05). The SEC, DEO and DEC were not found to be statistically significant. Conclusion: It was found that foot orthotics affected the balance for hemiplegic patients. Therefore, it is thought to help fall prevention to measure the balance ability.

Push - up plus 운동이 둥근 어깨를 가진 대상자의 견갑골 위치와 근활성도에 미치는 영향

박승규,박재만,이준희,Park, Seung-Kyu,Park, Jae-Man,Lee, Jun-Hee 대한물리치료학회 2010 대한물리치료학회지 Vol.22 No.5

Purpose: This study aimed to provide a scientific basis for effects of the push-up plus exercise program on scapular position and on muscle activity in individuals with rounded shoulder posture (RSP). Methods: The supine method was applied to 46 potential subjects, of which 30 with RSP were selected. Subjects with RSP were divided into two groups: a gender push-up plus group as the experimental group a pectoralis minor self.stretch group as the control group. RSP data after 4 weeks of each intervention were obtained and analyzed to measure the activities of the 3 muscles. Results: The two groups differed significantly with regard to EMG changes in the serratus anterior (p<0.05). The EMG results indicated a significant reduction in the activity of the upper trapezius in the experimental group (p<0.05). EMG results indicated a significant increase in the activity of the serratus anterior after the intervention (p<0.05). EMG results of the subjects in the control group indicated that the activity of the upper trapezius significantly decreased (p<0.05). The RSP values of the subjects in both groups were significantly decreased (p<0.00). Conclusion: An improvement in the strength of the serratus anterior, and in the stretch effectiveness of the pectoralis minor, as well as changes in the scapular position were observed after 4 weeks of push-up plus exercise by the subjects.

VUV 이오나이저용 Ca-Sr-Ba계 산화물 캐소드에 낮은 일함수를 갖는 금속산화물 첨가의 영향

박승규,이종혁,김란희,정주형,한완규,이수현,전성우,김대준,김도윤,이광섭,Park, Seung-Kyu,Lee, Jonghyuk,Kim, Ran Hee,Jung, Juhyoung,Han, Wan Gyu,Lee, Soo Huan,Jeon, Sung Woo,Kim, Dae Jun,Kim, Do-Yun,Lee, Kwang-Sup 한국재료학회 2019 한국재료학회지 Vol.29 No.4

There are several manufacturing techniques for developing thermionic cathodes for vacuum ultraviolet(VUV) ionizers. The triple alkaline earth metal emitters(Ca-Sr-Ba) are formulated as efficient and reliable thermo-electron sources with a great many different compositions for the ionizing devices. We prepare two basic suspensions with different compositions: calcium, strontium and barium. After evaluating the electron-emitting performance for europium, gadolinium, and yttrium-based cathodes mixed with these suspensions, we selected the yttrium for its better performance. Next, another transition metal indium and a lanthanide metal neodymium salt is introduced to two base emitters. These final composite metal emitters are coated on the tungsten filament and then activated to the oxide cathodes by an intentionally programmed calcination process under an ultra-high vacuum(${\sim}10^{-6}torr$). The performance of electron emission of the cathodes is characterized by their anode currents with respect to the addition of each element, In and Nd, and their concentration of cathodes. Compared to both the base cathodes, the electron emission performance of the cathodes containing indium and neodymium decreases. The anode current of the Nd cathode is more markedly degraded than that with In.