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      • KCI등재후보

        Gelfoam-induced Swallowing Difficulty after Anterior Cervical Spine Surgery

        양주철,김태완,박관호 대한척추신경외과학회 2013 Neurospine Vol.10 No.2

        Symptomatic diffuse idiopathic skeletal hyperostosis (DISH) is not common. Gelfoam is one of the most commonly used topical hemostatic agents. But, in the partially moistened state, air retained in its pores may result in excessive expansion on contact with liquid. The onset of swallowing difficulty after anterior cervical spine surgery due to appling gelfoam is a rare complication. A 77-year-old man with swallowing difficulty was admitted to our hospital and we diagnosed him as DISH confirmed by radiological study. After removing the DISH, patient’s symptom was relieved gradually. However, on postoperative day (POD) 7, the symptom recurred but lesser than the preoperative state. We confirmed no hematoma and esophageal perforation on the operation site. We observed him closely and controlled the diet. Three months later, he had no symptom of swallowing difficulty, and was able to be back on a regular diet, including solid foods. We present a complication case of swallowing difficulty occurring by gelfoam application.

      • Treadmill을 이용한 중년 여성들을 혈중지질의 변화

        양주철,이일호 경남대학교 교육문제연구소 1999 敎育理論과 實踐 Vol.9 No.-

        The Purpose of the study is to know the Relation of the disease of adult people. The plasma Lipoprotein after treadmill exercise routines. The subjects were 15 healthy woman in their 40s and proceeded the exercise 12 weeks at the 70%of their maximal heart rate. the training frequency was 5 times a week and exercise time the 30 minutes. 1. T.G are reduced significantly after 12-week training 30.4mg/dℓ comparing with them before training. (P< 0.05) 2. LDL-C are reduced signigicantly after 12-week 29.5mg/dℓ training comparing with them before training. (P< 0.05) 3. HDL-C are reduced significantly after 12-weektraining. (P< 0.05) 4. Hb are reduced significantly after 12-week 6.4mg/dℓ training comparing with them before training. (P< 0.05) In conclusion, when the subjects continued doing exercise for 12 weeks at the intensity of 70% their maximal heart rate, the serum lipid was chanced reducing significantly. Accordingly, the training intercity and duration of this study sill natice the importance if chronic exerese in their 40s woman.

      • KCI등재후보

        Analysis of Factors Contributing to Postoperative Spinal Instability after Lumbar Decompression for Spinal Stenosis

        양주철,김성곤,박관호,김태완 대한척추신경외과학회 2013 Neurospine Vol.10 No.3

        Objective: Decompressive laminectomy is one of the most commonly used surgical methods for the treatment of spinal stenosis. We retrospectively examined the risk factors that induce spinal instability, including slippage (spondylolisthesis) and/or segmental angulation after decompressive laminectomy on the lumbar spine. Methods: From January 1, 2006 to June 30, 2010, 94 consecutive patients underwent first-time single level decompressive laminectomy without fusion and discectomy. Of these 94 patients, 42 with a follow-up period of at least 2 years were selected. We measured the segmental angulation and slippage in flexion and extens ion dynamic lumbar radiographs. We analyzed the following contributing factors to spinal instability: age/sex, smoking history, disc space narrowing, body mass index (kg/m2), facet joint tropism, effect of the lordotic angle on lumbar spine, asymmetrical paraspinal muscle volume, and surgical method and level. Results: Female patients, normal lordotic angle, and asymmetrical paraspinal muscle volume were factors more significantly associated with spondylolisthesis (p-value=0.026, 0.015, <0.01). Statistical results indicated that patients with facet tropism were more likely to have segmental angulation (p-value=0.046). Facet tropism and asymmetry of paraspinal muscle volume were predisposing factors to spinal instability (p-value=0.012, <0.01). Conclusion: Facet joint tropism and asymmetry of paraspinal muscle volume are the most important factors associated with spinal instability; therefore, careful follow-up after decompressive laminectomy in affected patients is necessary.

      • KCI등재
      • 韓ㆍ日學生間의 身體構成 變化 패턴에 관한 比較硏究

        梁株哲,李鐵煥 경남대학교 교육문제연구소 1997 敎育理論과 實踐 Vol.7 No.2

        The subjects of this study were 2,369 primary, middle and high school boys and girls of Korea(1,002) and Japan(1,367). 6 to 17 years old. The purpose of this study was to compare age-related changing pattern of body structure and body composition of Korean youth with those of Japanese, and to analyze the differences Korean and Japanese youth. The results are as follows : 1. Body height of Japanese boys was significantly higher than that of Korean boys the case of 12 fears old and older, and for the case of girls, 11 years old and older. 2. Body weight of Japanese youth was higher than that of Korean in the case of 11 years old and older. 3. Triceps skinfold thickness of Korean and Japanese couth was the highest among four regions, Calf followed it and suprailiac was the lowest in the case of boys. However, in the case of girls, subscapular was the lowest. 4. Total skinfold thickness of Japanese youth was higher than that of Korean in all age groups except girls of high school period. 5. Body density of Korean youth was higher than that of Japanese in all age groups except in the case of girls of high school period. 6. % Fat of Japanese couth was higher then that of Korean in all age groups, but LBM was the opposite case of % Fat. 7. Ponderal Index of Korean youth was higher than that of Japanese from 6 to 11 fears old. However, Starting from 12 years and older, Ponderal Index of Japanese was higher than Korean. As they grew older, differences in values of Ponderal Index gradually expanded for the case of girls.

      • KCI우수등재

        자연과학편 : 온열폭로(溫熱曝露) 기간중(期間中) 흰쥐의 수종혈청산소(數種血淸酸素)의 변화(變化)

        梁柱哲(YANGJOO-CHULL) 한국체육학회 1985 한국체육학회지 Vol.24 No.1

        본 연구는 온열환경에 Sprague-Dawley계 웅성 흰쥐로 폭로하여 혈청 크레아친 포스포키나제(creatine phoshokinase), 혈청 크레아친 포스포키나제 동위효소(creatine phosphokinase isoenzyme), 혈청 알도라제(aldolase) 및 이소시트르산 탈수소효소(isocirtic dehydrogenase)의 활성치의 변화를 관찰하였고 회복기에서는 이들 효소 활성치의 변화 양상도 검토하였다. 온열폭로는 34℃, 상대습도 50∼70%에서 안정상태로 매일 오전 9시부터 오후 1시까지 4시간씩 25일간 폭로하였고 대조군과 회복군은 각각 50일간 및 25일간을 24℃에서 사육하였다. 1) 혈청 CPK의 활성치는 온열폭로로 인하여 폭로 초기에 유의적으로 증가하였으나 곧 감소되어 정상치로 접근하였고 회복 초기에는 약간 상승하였으나 유의적인 차는 없었으며 회복말기에 이르기까지 효소 활성치는 항상성을 유지하였다. 2) 대조군의 전기영동분리는 3개의 전기영동분획을 나타내었으나 주로 MM-CPK 및 BB-CPK가 현저하게 나타났고 MB-CPK는 매우 적은 함량이 나타났다. 온열폭로시 혈청 CPK활성치의 증가는 CPK의 동위효소인 MB-CPK분획의 즉각적인 증가의 반영임을 알 수 있었고 회복군은 정상적인 전기영동상으로 되돌아갔다. 3) 온열폭로로 인하여 혈청 ALD의 활성치는 온열 폭로 초기에 유의성 있게 증가 및 감소나 나타났으며 이어 증가하였으나 대조군 보다 약간 낮은 값으로 회복기의 말기까지 지속하였다. 4) 온열폭로로 인하여 혈청 ICD의 활성치는 폭로 초기에 유의적으로 상승하였으나 곧이어 안정치로 접근하였으며 온열폭로 말기 및 회복말기까지 안정치를 지속하였다. 5) 본 연구의 결과를 종합하여 볼 때 34℃의 온열처리가 온열폭로 초기에 혈청 CPK, 혈청 CPK동위효소 혈청 ALD 및 혈청 ICD 활성치 모두에 영향을 미치는 것으로 생각된다. 특히 비활동상태로의 온열처리로 MB-CPK 동위효소의 상승을 가져왔다. 이들 온열처리에 기인되는 수종의 혈청효소 활성치의 상승은 아마도 세포 손상 혹은 세포막투과성의 증가에 기인되는 것으로 생각된다. 이들 효소활성의 변화는 일반적으로 회복초기에 안정치로 되돌아가는 것을 알 수 있었다. These studies describe changes in the activity of serum creatine phosphokinase (CPK) and serum creatine phosphokinase isoenzyme (CPK-isoenzyme), serum aldolase (ALD) and serum isocitric dehydrogenase ^*ICD) on heat exposed rats (Sprague-Dawley male) in a hot environment (34℃) and relationship of these change to the recovered rats. Rats were exposed for 4hr daily for 25 days at 34℃ with a relative humidity of 50-70% without physical activity. Control and recovered rats had been kept a temperature of 24℃ for 50 days and for 25 days, respectively.1) The serum CPK activity level was a high significantly in the early stage of heat-exposure period and a high in the early stage of the recovery period. After the early stage of the recovery period, serum CPK activity showed a attaining steady-state level with the resting level at the end of recovery period.2) Electrophoratic separation of serum of control rats showed three bands indicating three CPK isoenzymes Isoenzymes MM-CRK and BB-CPK appeared most prominently, whereas only trace of MB-CPK was found. The increase in serum CPK level during heat exposure is a reflection of an immediate increase in the MB-CPK type of CPK isoenzyme. The isoenzyme patterns of recovered rats recovered the resting isoenzyme levels at the end of covery period.3) The activity of serum ALD increased and decreased in the early stage of heat-exposure period, and then decreased in the early stage of recovery period. These differences were statistically significant. The level of serum ALD activity at the end of heat-exposure period, and at the recovery period was less than the control values.4) Heat exposure caused a significant increase in serum ICD activity in the early stage of heat-exposure period, but the recovered rats attained a new steady-state level with the resting level for the recovery period.5) From the result attained in the present study thermal treatment to 34℃ seems to affect serum CPK and CPK isoenzymes, serum ALD, and serum ICD activity levels in the early stage during heat-exposure period. Exposure of rats to the prolonged thermal treatment effects an increase in the MB-CPK isoenzyme. These several enzyme activity levels recovered generally the resting level in the early stage of recovery period. Therefore, consideration must be given to the possible mechanism by which heat exposure may alter cellular permeability leading to a rise in serum enzymes values. The possibility is considered that this is due indirectly to the tissue destruction, known to occur during prolonged thermal treatment.

      • 지표 개발을 통한 우리나라 교통 SOC 스톡의 국제비교

        신의,이재민(Lee, Jae-Min),양주 대한교통학회 2004 대한교통학회 학술대회지 Vol.46 No.-

        사회간접자본(SOC)은 교통, 통신, 전력 등 국가전체의 경제활동에 필요한 기반을 제공하는 공공시설로 정의되는데, 국가 예산상으로는 도로, 철도, 지하철, 공항, 항만 등 교통시설 외에 다목적댐, 치수, 용수사업을 SOC사업으로 분류하고 있다. 우리 경제의 경쟁력 강화를 위해서는 주요 사회간접자본 특히, 도로, 철도, 항만, 공항 등의 교통 인프라를 적기․적소에 공급하여 물류비용을 절감시켜 효율적인 생산 및 소비활동을 뒷받침해야 한다. 사회간접자본 부족을 타개하기 위한 정부 노력의 결과, 교통부문 SOC투자의 경우 2003년에 13.9조원으로 지난 5년간 32.7% 증가하였다. 그러나 이러한 교통부문 SOC 투자규모 대해서, 국가경제 규모에 비해 과잉 투자가 이루어지고 있으므로 줄여야 한다는 견해와 향후 일정기간 지속적으로 현재의 교통 SOC 투자가 유지되어야 한다는 견해가 대립되고 있는 실정이다.

      • KCI우수등재

        자연과학편 : 각종(各種) 운동선수(運動選手)의 체격(體格) · 체형(體型) · 신체구성(身體構成)의 분석연구(分析硏究) -'88국가대표선수(國家代表選手)를 중심(中心)으로-

        양주철(JooChulYang),이철환(ChulWhanLee) 한국체육학회 1988 한국체육학회지 Vol.27 No.1

        This study was applied to 82 male national players in 6 events, 42 female players in 4 events and 99 non-athletes of both sexes.The main purposes of this study were to analyze basic informations for physique, somatotype and body composition of national players in comparision with Olympic players non-athletes.The results were as following:1. General characteristics and physique(1) The average age of total players was 20.9 years of age for male, 18.6 for female, but the average of age of each events was more and less different with sports events. The average age of all sports was younger than that of Olymic players. In paticular, the age difference of national yacht from Olympic yacht players as more than 10 years.(2) The career of total players was 7.3 years for male, 7.5 for female, The career of badminton and baseball players were more than of other events.(3) Physiques of Olmpic players were getting bigger year after year.(4) Length, body weight, breadth and girth of national players were smaller than those of Olympic player, but skinfold thickness of national players was thicker than that of Olympic players.(5) Physique of national rower was the biggest of all events. The sizes of body segments of players had unique characteristics with sports events.2. Somatotype(1) There was a typical sportsman somatotype with sports events.(2) Mesomorphy component of male players was the highest of three components, endomorphy followed it, ectomorpohy was the lowest. Index difference between endomorhpy and mesomorphy was lower than expected.(3) Endomorphy component of female rowers and badminton players was higher than other.(4) Mean somatotype of both sexes was endomorphic mesomorph or mesomorph endomorphy Second component of national players was lower than that of Olympic players, but first component was higher.(5) Analysis of distribution under 13 somatotype categories showed that there were 71.8% of total players(male:76.8%, female:61.9%) in mesomorph endomorphy and endomorphic mesomorph type that were not desirable somatotype for sportsman.3. Body composition(1) HWR of national players was lower than that of Olympic players.(2) HWR of male canoeists, and badminton players of both sexes were higher than that of others.(3) Body density and LBM of canoeists were the biggest of all male sports events, and cyclist, yacht players, badminton players, baseball players, rowers followed it in order. Those of national badminton plays were the biggest of all female sports events, canoeists, cyclist, junior national badminton players, rowers followed it in order.(4) Body fat of national players showed that there was diametrically opposed to IBM. On the whole national players had much body fat.

      • KCI등재

        Intramuscular Hematoma on the Psoas Muscle

        서준규,양주철,김태완,박관호 대한신경손상학회 2019 Korean Journal of Neurotrauma Vol.15 No.2

        Intramuscular hematomas on the psoas muscle are rare and usually occur as a result of trauma, iatrogenic etiology during lumbar surgery, rupture of the aortic aneurysm, and hematologic diseases. The incidence of spontaneous psoas muscle hematomas has slowly increased as a result of using anticoagulation and antiplatelet agents. Magnetic resonance (MR) imaging is a more sensitive option compared to computed tomography (CT) when diagnosing a hematoma. Coronal T2-weighted images are more useful. CT imaging is also useful to establish the rapid diagnosis of hematoma. When a prolonged prothrombin time and international normalized ratio and decrease platelet count are noted, psoas muscle hematomas should be considered, if there was no lesion in the spinal canal. Most hematomas resolve spontaneously without clinical complications if the hematoma is not large or it is not compressing the surrounding important structures, irrespective of cause.

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