경피적 겸자 정복 및 골수강내 금속핀 고정을 이용한 쇄골 골절의 치료

홍기도,하성식,정남식,심재천,김경호 대한골절학회 2004 대한골절학회지 Vol.17 No.4

목적 : 경피적 겸자 정복 및 골수강내 금속판 고정술을 이용한 쇄골 간부 골절의 치료에 대해 유용성을 규명해 보고자 하였다. 대상 및 방법 : 2002년 1월부터 2003년 7월까지 본원에서 쇄골 간부 골절 환자 중 신경 및 혈관 손상이 없었고, 골절의 분쇄상이 비교적 적었던 총 16례를 대상으로 겸자를 이용한 경피적 정복 후에 골수강에 금속판을 삽입하여 고정하였다. 술 후 유합 정도 및 결과를 임상적, 방사선학적으로 분석하였다. 결과 : 방사선학적으로 골유합을 보인 경우가 총 15례였으며, 술 후 평균 9.1주에 유합 소견을 관찰하였다, 임상적으로 강 등의 기준에 따라 구분한 결과, 우수 이상이 14례로 나타났다. 1례에서 1주 만에 K-강선의 내측전위로 골절부위가 재전위되어 관혈적 정복 및 금속판 내 고정을 시행한 이외에 다른 주요 합병증은 없었다. 결론 : 저자들의 방법은 수술시간이 짧고 간단하며, 연부조직의 추가적 손상이 적어 골유합율이 높고, 수술 반흔을 남기지 않아 수술적 적응을 신중히 고려한다면 쇄골 간부 골절의 치료법의 하나로 유용할 것으로 사료된다. Purpose: To investigate the utility of surgical treatment of clavicle shan fracture using a percutaneous towel clip reduction and intramedullary fixation. Materials and Methods : This study was conducted for total 16 case of patients who had no neurovascular injury and a few comminuted bone fragment among patients with clavicle shaft fracture from January 2002 to July 2003. The method of operation was percutaneous towel clip reduction and intramedullary fixation. The clinical and radiological results were evaluated. Results : Radiologically, 15 cases showed bone unions and the avenge time was 9.1 weeks. According to Kang's criteria clinically, there were 14 cases which were more than an excellence. One case substituted open reduction and nailing fixation due to a medial migration of K-wire and re-displacement of fracture even in 1 week. However, there wasn't any other major complication. Conclusion : Due to its having no additional injury to soft tissues, no scar formations, and its short operation time, percutaneous towel clip reduction and intramedullary fixation will be very useful as one of the treatments of clavicular shaft fracture if it follows correct surgical indications.

소아 대퇴골 간부 골절에대한 Nancy정 고정술

홍기도,하성식,정남식,심재천,김재영 대한골절학회 2003 대한골절학회지 Vol.16 No.4

甲狀腺홀몬-處置 마우스에서 스트레스에 의한 腦 Noradrenaline代謝 및 血漿 Corticosterone値의 變動에 關한 硏究

洪起堵,金炯健,全普權 고려대학교 의과대학 1988 고려대 의대 잡지 Vol.25 No.3

The role of brain noradrenergic neurons in the suppressive activity of clonidine and bromazepam on the swim stress-induced increase of plasma corticosterone level was investigated in male mice pretreated with thyroxine, The obtained results were summarized as follows; 1. The plasma corticosterone level (P-CS) was significantly increased after the pretreatment with thyroxine, 4mg/kg/day for 3 days (T4-3d). And the P-CS was moderately increased by clonidine, 500ug/kg(CD) but markedly decreased by bromazepam, 10mg/kg (BA). 2. The increase of P-CS induced by swim stress at 20℃ (20-SS) was markedly suppressed by CD and BA, respectively. The 20-SS induced increase of P-CS in mice pretreated with T4-3d was not affected by CD but significantly suppressed by BA. 3. The increase of P-CS induced by swim stress at 4℃ (4-SS) was not affected by CD but markedly suppressed by BA. And the suppressive effect of BA was significantly attenuated by the pretreatment with 74-3d. 4. The decorticated brain contents of tyrosine (T), noradrenaline (NA), and 3-methoxy-4-hydroxy-phenylglycol (MHPG) were not significantly affected by 74-3d, 20-SS, and 4-SS, respectively. 5. CD significantly decreased brain MHPG and MHPG/NA ratio in normal and T4-3d pretreated mice. However, CD did net decrease brain MHPG and significantly increased brain NA in mice exposed to20-SS and 4-SS, respectively. 6. BA moderately decreased brain T in normal and T4-3d pretreated mice. But the brain content of T in mice exposed to 20-55 and 4-55, respectively, was not affected by BA.These results suggest that the suppressive effect of clonidine and bromazepam on the swim stressinduced increase of plasma corticosterone level may not be mediated by presynaptic regulation via alpha-2adrenoceptors of brain noradrenergic neurons.

MgO-Al₂O₃-SiO₂계 요업원료(Mullite,Spinel,Cordierite)의 제조 및 소결특성 : Ⅲ. 알콕사이드 졸-겔법에 의한 코디어라이트 미분말의 합성 Ⅲ.Preparation of Cordierite Fine Powder by an Alkoxide Sol-Gel Process

이홍림,김세기,이온영,정원도,김창은,이희수 연세대학교 산업기술연구소 1989 논문집 Vol.21 No.1

The gel powder of cordierite composition was prepared from Mg(NO₃)₂6H₂O, Al[ OCHCH₂(CH₃)₂] ₃ and Si(OC ₂??)₄ as sources of Mg, Al and Si-components, using isopropyl alcohol al a solvent and NH₄OH as a catalyst. Due to the difference of hydrolysis rates between Si(OC₂??)₄ and Al[ OCHCH₂(CH₃)₂]₃, the small amount of spinel was formed besides the main phase, cordierite, after clacining. At 900 ℃, μ-cordierite, the low temperature metastable form, was appeared but transformed to α-phase, the high stable form, when calcined at 1100 ℃ for 2h. The specific surface area and mean particle size of powder calcined at 600 ℃ for 2h were 62m²/g and 0.552μm, respectively. However, when acetylacetone was added to Al [OCHCH₂(CH₃)₂]₃ as a stabilizer, the transformation temperature was lowered about 80 ℃. The powder calcined at 600℃ was more porous than the former, resulting the specific surface area and mean particle size of the power to be 236 m²/g and 0.724μ m, respectively.

室內디자인의 新構成主義的 傾向에 關한 硏究

尹道根,金洪基 弘益大學校 1990 弘大論叢 Vol.22 No.2

Recently, the interior design, closely related to architectural trends, has been identified its speciality as a prefession, and increasingly extended into scopes. Therefore, those circumstances make us redefine it's essential points and theories of interior design. It accordance with those contexts, for redefining principles of spatial composition in contemporary interior design, and proposing the direction of it's development, this paper examined how the designs of neo-constructivism, the most prevailing since post-modernism in terms of formation of architectural spaces, apply to the interior space. Probably, after these examinations, we would make through a part of new techniques of spatial configurations and try new directions of the scope in interior design and architectural design. Therefore, the main points of the examinations in this paper, based on the essence of interior design and the trend of contemporary architectural design, underlined in the scopes of development, design elements, compositional techniques, and the case study and analysis of neo-constructivism.

대두 및 대두발효식품의 항돌연변이성

윤기도,권동진,홍석산,김수일,정건섭 한국미생물생명공학회 ( 구 한국산업미생물학회 ) 1996 한국미생물·생명공학회지 Vol.24 No.4

To investigate the inhibitory effect of soybean and Korean traditional fermented soybean products on the chemically induced mutagenesis, we extracted soybean, Kanjang, Doenjang, Kochujang, and Chonkukjang with water, methanol and hexane. Inhibitory effect of extracts was assayed by the SOS chromotest using Escherichia coli PQ37 as a test strain. 4-nitroquinoline-1-oxide(4NQO), N-methyl-N'-nitro-N-nitrosoguanidine(MNNG), and aflatoxin B_1(AFB_1) were used as mutagens. Methanol extracts showed relatively higher inhibitory effect than water and hexane extracts. Methanol extracts of soybea, Doenjang, Kochujang, and Chongkukjang showed inhibitory effect of 68.4, 96.3, 17.5, and 100.9%, against MNNG, and 28.6, 109.1, 41.3, and 101.8% against AFB_1., respectively. Doenjang methanol extract showed inhibitory effect of 51.0, 96.3, and 109.1% against 4NQO, MNNG, and AFB_1. Inhibitory effect of heat-treated Doenjang and Chongkukjang methanol extracts on the mutagenicity of MNNG and AFB_1 was remained over 95% of the inhibitory effect of heat-untreated extracts, demonstrating the heat stability of the potent antimutagenic activity.

장애 있는 유아 신체활동 교육의 문제점과 개선 방안

김기홍,박병도 龍仁大學校 體育科學硏究所 2005 體育科學硏究論叢 Vol.15 No.1

It is not a way of therapy but education for the infant with disability. Currently, the 7th curriculum for the infant categorize 5 teritories heath, society, language, expression and it rules to educate180 minutes per a day, 180 hours per an year. That is all about national education curriculum. Due to that curriculum physical activity education for the infant with disability has been substituted to physical therapy by whom the administrator and the teacher's mind and cognition. Therefore, It is necessary for improve to change the administrator and the teacher' mind and cognition, taking a health lesson by the teacher who majored physical education, renaming the subject name from heath to physical education, separation the subject form health category, improvement of physical education environment and emphasizing the importance of physical activities through consultation and education with parents.

대학생 축구선수의 등속성 체간근력과 대퇴근력 및 거퇴근력과의 관련성

박기용,홍석민,최경훈,추근도 한국스포츠리서치 2003 한국 스포츠 리서치 Vol.14 No.6

The purpose of this study was to investigate the relationships among trunk muscle, knee, and ankle strengths using Cybex770, the isokinetic muscle functioning measurement device. 41 K and Y University soccer players who did not have any experience about back pain or spine surgery were recruited as subjects. The results of the study were as follows. 1. Trunk extension was significantly higher than trunk flexion and muscle strength was diminished with increasing load speed. 2. Trunk flexion/extension ratio was well balanced at 30。/sec but this balance was broken with increasing load speed. 3. At 60。/sec of load speed, the knee extension and flexion of the left side were higher than those of the right side. 4. At 60。/sec of load speed, the ipsilateral muscle strengths of the left knee were well balanced but those of the right side were imbalanced. 5. At 60。/sec of load spped, the ratio of bilateral muscle strength of knee was -18.5±32.3% and this implies the possibility of knee injury. 6. Plantalflexion and dorsiflexion of the right ankle were higher than those of the left side, and dorsiflexion/plantalflexion ratio of the left side was higher than that of the right side. 7. The ratio of bilateral muscle strength of ankle at 60。/sec of load speed represented a balanced muscle development but this balance was broken with increasing load speed.8. There were partially significant relationships between trunk muscle and knee strengths. and between knee and ankle strengths. In conclusion, the trunk muscle strength of soccer player might be a very important factor to improve performance. In addition. a training technique which considering strength and speed is needed to develop not static but dynamic strength. This training not only develops well balanced muscle strength but also protects sport injury. Thus, the isokinetic training of trunk could improve the trunk muscle strength. and increase the ability of flexion/extension of knee and ankle.

알코올사용장애의 유형별 특징

임명호,백기청,이경규,홍성도,김현우,이민규 大韓神經精神醫學會 1997 신경정신의학 Vol.36 No.5

대체적으로 알코올성 장애는 이질적인 집단으로 이해되어지고 있으며, 이는 알코올성 장애의 예후와 치료가 유형에 따라 다르다고 보기 때문이다. 이러한 알코올성 장애는 음주 형태, 의존유형, 유전적 취약성(genetic vulnerability), 성격유형, 정신병리적 측면에 따라 여러 유형으로 나눌 수 있다. 본 논문은 Babor등(1992)이 분류한 A형, B형의 아형분류가 우리나라에서도 이용가능한 지를 알아보는 예비적 조사논문으로써 알코올리즘의 진단 및 이해를 기하고자 하였다. 만 18세 이상부터 만 65세 이하의 알코올중독 남자 환자 94명을 대상으로 15개의 변인에 따라 군집분석을 시행하였으며, A형과 B형의 두 아형군 및 정상대조군과의 인구학적 특성, 임상양태의 차이를 비교하였다. 결과는 다음과 같다. 1) A형, B형, 그리고 정상대조군간의 연령, 학력, 결혼상태, 종교 등의 인구학적 특성의 차이는 없었다. 2) B형은 음주시작연령, 과다한 음주를 시작한 연령, 문제를 일으킨 연령에서 A형에 비해 세 항목 모두에서 일찍 발현하는 것으로 나타났다. 또한 B형에서 A형보다 의존 정도가 더 심하며, 평균음주량 및 가장 많이 과음한 양에 있어서도 A형보다 많이 마시는 것으로 나타났다. 3) A형보다 B형에서 좀 더 1차가족 중에 알코올로 인한 문제가 있는 사람이 많이 있는 것으로 나타났다. 4) B형은 A형보다 소아청소년기에 있어서 좀 더 많은 행동문제가 있음을 나타냈다. 5) 내과적 합병증, 신체생리적 후유증 및 사회적 후유증 및 생활사 후유증 또한 B형에서 좀 더 심한 분포를 보이고 있었다. 6) 정신병리요소에서 B형은 우울, 불안, 적대감에 있어서 A형보다 모두 유의하게 심한 증상을 보였다. 7) A형, B형, 정상대조군의 세 군간에서 모두 유의한 차이를 보이는 신뢰성있는 척도는 음주일수, 의존정도척도, 생활사정도 척도, 내과적 합병증, 사회적 후유증등이었다. 8) 음주 사용척도는 두 아형군과 정상대조군을 구분하는데 매우 신뢰성이 있는 척도로 나타났다. 상기의 결과를 종합해보면, 알코올사용장애에 대하여 Babor등(1992)이 분류한 A형, B형의 아형분류는 우리나라에서도 비슷한 양상을 보였으며, 이의 적용은 향후 알코올사용장애의 진단 및 이해에 이용가능할 것으로 평가한다. Objective : Multiple typologies of alcoholics have been studied, such as Jellineck's disease concept classification, Cloninger's neurobiological learning model, Zucker's developmental model, DSM Ⅲ-R and DSM Ⅳ classification, and Babor's multidimensional typology. To study if Babor's typology modification could be used to classify Korean alcoholics, we grouped 95 male inpatient alcoholics into Babor's typology modification. Methods : This study employed cluster analysis of measures representing several dimensions : premorbid risk and vulnerability dependence severity and alcohol-related problems, chronicity and alcohol-related consequences, and comorbid psychopathology. We compared demographic and clinical characteristics among Babor's type A and type B alcoholics and normal control group. Results : Type B alcoholics showed more characteristic symptoms in family history, more childhood behavior problems, earlier onset, more drinking amount, and more dependence severity, more medical, social, physical problems, more life time severity, more depressive, anxiety, hostility, compared with type A alcoholics. The statistically significant variables differentiating three groups(type A, type B, normal control group) were drinking days, dependence severity, lifetime severity, medical, social consequence. Alcohol Use Inventory to Babor's typology of alcoholism was very useful scale differentiating three groups. Conclusion : Babor's typology of alcoholism was useful for classification of inpatient alcoholics of Korea. It can be helpful and applicable to clinical diagnosis and research in Korean alcoholic patients.

회전자형 위치센서를 갖는 스위치드 릴럭턴스 전동기의 속도 제어

김한성,장도현,최기원,김홍성 건국대학교 산업기술연구원 1996 건국기술연구논문지 Vol.21 No.-

This paper describes the practical implementation of switched reluctance motor drive for a wide range of operation speeds. Turn-on/off angle of phase switches and magnitude of current depend upon the speed and load variations. The angle controller is designed with one-chip microprocessor 8051 for various real time applications. Turn-on/off angle is controlled by timer/counter mode 2 of 8051. Position sensor for SRM drive consists of the rotor shaped slot-disc and opto-interrupter. Algorithm to control the speed of SRM with rotor type position sensor and to maintain the speed under the changed load is proposed. Experiments are executed to verify the proposed algorithm.