전치개교의 교정치료후 과두위치 변화

신수정,장영일 대한 두개하악장애학회 1993 대한두개하악장애학회지 Vol.5 No.2

ABSTRACTThis study was aimed to evaluate the changes in condylar position when severe anterior open bite pa- tients were treated with MEAW.The subjects consisted of 11 patients(21 TMJs) who visited the departement of orthodontics in SNUH, having severe anterior open bite as a chief complain. They were supposed to wear the up and down elas- tics and MEAW after finishing the leveling. The condylar position was evaluated with individualized cor- rected tomography in centric occlusion taken before and after treatment.The results were as follows; 1. In the change of condylar position after treatment, there were no statistically significant differences in right and left TMJs. 2. In the change of condylar position after treatment, there were no statistically significant differences in each malocclusion groups. 3. There were no statistically significant differences in percent dispacement of condyle between before and after treatment. 4. There were no statistically significant differences in the amount of change in condylar change. This study was aimed to evaluate the changes in condylar position when severe anterior open bite patients were treated with MEAW. The subjects consisted of 11 patients(21 TMJs) who visited the departement of orthodontics in SNUH, having severe anterior open bite as a chief complain. They were supposed to wear the up and down elastics and MEAW after finishing the leveling. The condylar position was evaluated with individualized corrected tomography in centric occlusion taken before and after treatment. The results were as follows ; 1. In the change of condylar position after treatment, there were no statistically significant differences in right and left TMJs. 2. In the change of condylar position after treatment, there were no statistically significant differences in each malocclusion groups. 3. There were no statistically significant differences in percent dispacement of condyle between before and after treatment. 4. There were no statistically significant differences in the amount of change in condylar change.

주택시장구조 변화에 대한 실증 분석

장용동(Chang, Young–,Dong) 한국주거환경학회 2009 주거환경(한국주거환경학회논문집) Vol.7 No.2

Korea is known to have the market structure changes around the time of the construction of 2 million houses and IMF foreign exchange crisis. This paper tries to verify the existence of structure changes and the change time points. First we carried the estimation of housing price equation which is believed to represent the market structure. The housing price equation fully contains the information of housing market even in the reduced form. We used the housing price as dependant variable and the Chonsei price, the GDP, the interest rate of corporate bond, the mortgage loans and the approved residential construction area as independent variables. The estimation shows the proper fitness with a good result of autocorrelation. Given with the estimated housing price equation we carried the statistical test for the structural changes of housing market. We used the three tests (Chow Test, Chow's Forecast Test, N-Step Forecast Test) and the results of all three tests indicate that the housing market experienced the market changes in 1991 and 1999(or 2000, 2001). These results are fully matched to the presumptions on the market structural changes. Also These findings imply that the policy makers must consider the market changes before they manipulate the market variables. Since there are market changes even the same policy tools could give the different results. It should give more uncertainty to the market instead of the stability. The statistical resutls show that there were market changes after IMF foreign crisis which means that the policy makers should select different set of policy tools different from those applied in the IMF foreign crisis. The proper and precise analysis of market movement must be done before the housing policy is adopted.

걷기운동과 조깅운동의 지질대사 변화에 관한 분석

장영금(Young Kum Chang),임식(Sik Lim) 한국사회체육학회 2001 한국사회체육학회지 Vol.16 No.-

The purpose of this study was to examine the impact of regular exercise on the change of lipids. Three groups were organized, which included a control group, a walking group and a jogging group. The latter two groups were asked to get no extra exercise. By type of exercise, the experimental group was divided into two subgroups: walking and jogging. The mean heart rate per minute was maintained at 40%HRmax(±5%) in the walking group and at 70°%HRmax(±5%) in the jogging group. Both groups walked or run separately for 30 minutes at a regular pace. The pretest was conducted before the experiment, and posttest was implemented twice, 8 and 12 weeks after the experiment. The lipids was measured while they were relaxed. The variables to be observed were total-cholesterol, triglyceride, HDL-C and LDL-C. As a result of analyzing the collected data, the following findings were given: 1. There was no significant lipids change when they were at ease after getting incremental loading exercise. So the incremental loading exercise didn`t affect lipids change during relaxation. 2. The two types of incremental loading exercise brought a different change, to lipids 8 weeks after the groups started exercising. Especially, the jogging group showed most increase or decrease, which showed jogging, one of high-intensive exercises, was more effective. 3. Exercise 12 weeks after, it`s found that not only type of exercise but exercise term made a difference to lipids change. In both walking and jogging groups, lipids change was more significant after 12-week exercise than 8-week one. This fact suggested that higher-intensive (jogging) and longer-term(12 weeks) regular exercise was more effective. 4. The control group showed no significant difference in lipids change after getting incremental loading exercise during different terms. Therefore, it could be said that incremental loading exercise didn`t have any influence, unless it`s done on a regular basis. 5. The lipids change of the walking group was more significant after 8- and 12-week exercise than at ease, except HDL-C. This implied HDL-C could increase after walking exercise for more than 8 weeks at least. So a regular exercise with an intensity equivalent to or higher than that of walking would produce a good result. 6. For the jogging group, HDL-C also increased more significantly after 12-week exercise than after 8-week one. As a regular exercise for 12 weeks or more exerted a significant impact on lipids change, a high-intensive and long-term exercise turned out more effective. In the jogging group, there was a significant lipids decrease among pretest, 8-week after posttest, and 12-week after posttest. And there also was a significant lipids decrease, except HDL-C, between 8-week exercise and 12-week one. Accordingly, a regular exercise for 8 weeks or more at least could serve to reduce cholesterol.

최빈국 지역정부의 기후변화적응계획 수립을 위한 기술적 가이드라인 개발 연구

장훈 ( Hoon Chang ),송영일 ( Young-il Song ),심창섭,문지원,이명주 한국환경정책평가연구원 2016 기후환경정책연구 Vol.2016 No.-

전 세계적으로 기후변화가 가속화됨에 따라 이로 인한 영향과 피해가 더욱 심각해지고 있다. 선진국보다는 최빈국이 기후변화에 의한 위험에 더욱 취약함에 따라 유엔기후변화협약에서 는 최빈국을 대상으로 기후변화로 인한 피해 저감을 위하여 기후변화적응계획 수립을 권고하였다. 유엔개발계획, 유엔기후변화협약 등의 국제기구 혹은 몇몇 국가에서는 기후변화적응계획 수립 가이드라인을 마련하여 최빈국의 적응계획 수립을 지원하고 있으나 현재까지 적응계획의 수립은 저조한 상황이다. 2010년 COP16에서부터 기후변화적응계획 수립을 권고하였으나 48개 최빈국 중 현재까지 다섯 국가에서만 적응계획 수립을 완료하였다. 한편 유엔자본 개발기금5)에서는 최빈국 지자체의 기후변화적응 능력 향상을 위해 LoCAL 프로젝트를 추진하고 있으며, KEI는 국내에서의 기후변화적응계획 수립 노하우를 토대로 동 프로젝트에 기술적 측면의 지원을 하고 있다. 이러한 KEI 지원의 일환으로 본 연구에서는 최빈국 지역정부의 기후변화적응계획 수립을 위한 가이드라인을 개발하고 이를 최빈국 중 하나인 부탄에 적용하였다. 본 연구에서 제안하는 가이드라인의 세부적인 내용은 다음과 같다. 중앙정부뿐만 아니라 지자체에서도 활용 가능하도록 국내외 기후변화적응계획 수립 관련 가이드라인을 검토하여, 절차별 방법이나 특성을 파악하였다. 그리고 부탄 및 캄보디아와 같은 일부 최빈국을 방문하여 현지 조사를 통해 가이드라인의 개발 방향을 정립하였다. 본 연구에서 제안하고 있는 기후변화적응계획 수립의 절차는 국내 기초지자체의 계획 수립 절차를 참고하였고, 절차별 과학적인 평가 방법은 필요한 자료의 유무나 질을 고려하여 정성적 또는 정량적 측면의 방법을 총 8단계로 나누어 제안하였다. 지역의 일반 현황과 기후변화 현황을 분석하고, RCP 시나리오 기반의 기후변화 전망을 분석하여 향후 기온이나 강수량이 기후변화로 인해 어떻게 변화하는지 예측하는 방법을 제안하였다. 그리고 이해당사자를 대상으로 기후변화적응에 대한 니즈를 파악하여 우선적으로 고려해야 할 사항이 무엇인지 판단하고, 과거 구축된 자료를 바탕으로 기후변화로 인한 재해 및 영향이 무엇인지 분석하는 방안을 제안 하였다. 취약성 평가는 수행 여건에 따라 정량적, 정성적 방법으로 평가될 수 있으며, 리스크는 3회에 걸친 전문가 설문을 통해 정성적인 방법으로 분석하도록 하였다. 이와 같이 분석된 종합적인 평가 결과를 기존의 최빈국 개발사업(investment menu)과 비교하여 적응계획 이행을 위하여 우선적으로 추진해야 할 사업을 선정하고, 체계적인 평가 및 모니터링 전략을 구축하는 등 전반적인 적응계획 수립 및 이행에 걸친 방안을 제안하였다. Due to accelerated climate change, its impacts and devastations are increasing day by day. As developing countries are more vulnerable to climate change compared to developed countries, UNFCCC recommended the development of a climate change adaptation plan in order to reduce their exposure to risks derived by climate change. Since COP 16, 2010, developing countries were encouraged to establish National Adaptation Plans(NAPs). Including UNDP and UNFCCC, many organizations proposed guidelines to assist the development of NAPs. yet only 5 out of 49 countries have officially submitted them. Meanwhile, UNCDF has been supporting the developing countries to foster their climate change adaptation capacities through LoCAL projects, while the Korea Environment Institute(KEI) has been providing technical elements for the projects. In alignment to such activities, this research have employed the guideline for the formation of the adaptation plans for local governments in Bhutan as a pilot program. The guideline is comprised by the study of various climate change adaptation planning guidelines and its attributes of each procedures. As case studies, field missions were carried out in Bhutan and Cambodia to enhance the understanding of the research. In regards of the process on composing the National Adaptation Plans, this research referred to the Korean national adaptation plans of the local governments. In consideration of the availability and quality of statistical information, the scientific procedures has been comprised in eight qualitative and qualitative steps. Through the analysis of the region`s general circumstances, climatic factors and RCP based scenario examinations, this research presents how to estimate the shift of temperature and precipitation altered by climate change. Moreover it raises the necessity of the needs of climate change adaptation to be prioritized through stakeholders and added on to the accumulated data and reviewed in the aspects of climate change disasters. For the vulnerability assessment, depending on the circumstances, both qualitative and quantitative methods may be applied and the risk evaluation will be conducted by three stages of expert surveys. The outcome derived by such methodologies will be assessed with prior LDC investment menus and considered when selecting the priority projects for initiating the adaptation plans.

노인운동의 변화단계에 따른 의사결정 균형에 대한 연구

김소인,전영자,박은숙,김순용,장성옥,이평숙,이숙자 성인간호학회 2000 성인간호학회지 Vol.12 No.1

Purpose : This study was carried out to identify the factor of decisional balance for exercise. This was composed of a set of variables at the level of decision making when the elderly decide to do exercise. It was used to classify and identify the characteristics of the stages of change for exercise to which the elderly belong, and was used to identify the variables of decisional balance which influence the stage of change for exercise in the elderly. Methods : Convenient samples of 198 subjects over age 60 in Seoul(mean age=70) were selected from community living, mentally competent older adults and the data was collected from April 1, 1999 to May 31, 1999. The research instrument was the Decisional Balance Measure for Exercise(Marcus & Owen., 1992), Stage of Change Measure(Marcus et al, 1992). The data was analyzed by SAS Program. Results: 1. According to stage of change measure, without missing data, 191 subjects were distributed in each stage of change for exercise : 50 subjects(26.1%), 7 subjects(3.6%), 52 subjects(27.2%), 4 subjects(2%), and 78 subjects(40.8%) belonged to the pre-contemplation stage, contemplation stage, preparation stage, action stage and maintenance stage. 2. Factor analysis identified 3 factors of decisional balance as appropriate factors for excise of the elderly and named by researchers; 1)'Perceived Physical-psychological benefit', 2)'Perceived Physical-psychological burden', and 3)'Perceived time burden'. 3. The analysis of variance showed that the two components Perceived Physical - psychological benefit(F=45.95, p=.0001), and Perceived Physical-psychological burden(F=26.52, P=.001) were significantly associated with stage of change. 4. Through the discriminant analysis, it was found that both 'Self Perceived Physical-Psychological benefit' and 'Perceived Physical-Psychological burden' were the influential variables in discriminating the three stages of change(pre-contemplation, preparation, and maintenance). Conclusion: Results are consistent with the application of the Transtheoretical model, which has been used to understand how people change health behaviors. Even though this study is a cross-sectional, not a longitudinal study, the findings of this study give useful information for exercise intervention about especially the factors relating to decision making for exercise of the elderly in the different stages of change of exercise.

펠던크라이스 기법, 탄성밴드 운동 및 복합운동 적용이 현대무용전공자의 체간근력에 미치는 영향

김채수(Kim Chae-Soo),권혜영(Kwon Hye-Young),이원재(Lee Won-Jae),조창모(Jo Chang-Mo),김진환(Kim Jin-Hwan),주성범(Ju Sung-Bum),이미경(Lee Mi-Kyoung) 한국체육과학회 2011 한국체육과학회지 Vol.20 No.1

This study is carried out to examine the effect of applying Feldenkrais method, elastic band training and combined training on trunk muscle. The subjects of this study were 32 modern dance majors and they were divided into four groups which consists of 8 peoples each, Feldenkrais method group(modern dance + Feldenkrais method), elastic band training group(modern dance + elastic band training), combined training group(modern dance + Feldenkrais method + elastic band training), and control group(modern dance). Measurement variables which are trunk muscle were measured before training, and after 4 and 8 weeks training and the results are as follow: In the left muscle strength change at Centaur 0°, Feldenkrais method group, elastic band training group and combined training group showed significant increase after 8 weeks training compared to before training. In the right muscle strength change, Feldenkrais method group and combined training group had significant increase after 8 weeks training. In the left muscle strength change at Centaur 45°, Feldenkrais method group and combined training group showed significant increase after 8 weeks training compared to before training and after 4 weeks training. Also elastic band training group showed significant increase after 8 weeks training compared to before training. In the right muscle strength change, Feldenkrais method group and elastic band training group significantly increased after 8 weeks training compared to before training. In the left muscle strength change at Centaur 90°, Feldenkrais method group and combined training group showed significant increase after 4 and 8 weeks training compared to before training. In the right muscle strength change, Feldenkrais method group showed significant increase after 4 and 8 weeks training compared to before training, and elastic band training group significantly increased after 8weeks training compared to before training. In the left muscle strength change at Centaur 135°, there was no significant changes. In the right muscle strength change, elastic band training group and combined training group showed significant increase after 8 weeks training compared to before training. In the left muscle strength change at Centaur 180°, combined training group showed significant increase after 4 and 8 weeks training compared to before training. In the right muscle strength change, combined training group showed significant increase after 4 and 8 weeks training compared to before training. From above results, applying 8 weeks regular program of Feldenkrais method, elastic band training and combined training to modern dance majors showed positive changes on improvement of trunk muscle strength and physical strength. Also this study implemented to verify the effects of trunk muscle strength and body balance through supplementary training program, and showed the effects in the training group and control group after 8 weeks trunk muscle strengthening program. Feldenkrais method, elastic band training and combined training are very effective to improve trunk muscle strength of modern dance majors so that continuous implementation and application of these effective training program shall be provided for strengthening trunk muscle.

Projections of summertime ozone concentration over East Asia under multiple IPCC SRES emission scenarios

Lee, Jae-Bum,Cha, Jun-Seok,Hong, Sung-Chul,Choi, Jin-Young,Myoung, Ji-Su,Park, Rokjin J.,Woo, Jung-Hun,Ho, Changhoi,Han, Jin-Seok,Song, Chang-Keun Elsevier 2015 Atmospheric environment Vol.106 No.-

<P><B>Abstract</B></P> <P>We have developed the Integrated Climate and Air Quality Modeling System (ICAMS) through the one-way nesting of global–regional models to examine the changes in the surface ozone concentrations over East Asia under future climate scenarios. Model simulations have been conducted for the present period of 1996–2005 to evaluate the performance of ICAMS. The simulated surface ozone concentrations reproduced the observed monthly mean concentrations at sites in East Asia with high R<SUP>2</SUP> values (0.4–0.9), indicating a successful simulation to capture both spatial and temporal variability. We then performed several model simulations with the six IPCC SRES scenarios (A2, A1B, A1FI, A1T, B1, and B2) for the next three periods, 2016–2025 (the 2020s), 2046–2055 (the 2050s), and 2091–2100 (the 2090s). The model results show that the projected changes of the annual daily mean maximum eight-hour (DM8H) surface ozone concentrations in summertime for East Asia are in the range of 2–8 ppb, −3 to 8 ppb, and −7 to 9 ppb for the 2020s, the 2050s, and the 2090s, respectively, and are primarily determined based on the emission changes of NO<SUB>x</SUB> and NMVOC. The maximum increases in the annual DM8H surface ozone and high-ozone events occur in the 2020s for all scenarios except for A2, implying that the air quality over East Asia is likely to get worse in the near future period (the 2020s) than in the far future periods (the 2050s and the 2090s). The changes in the future environment based on IPCC SRES scenarios would also influence the change in the occurrences of high-concentrations events more greatly than that of the annual DM8H surface ozone concentrations. Sensitivity simulations show that the emissions increase is the key factor in determining future regional surface ozone concentrations in the case of a developing country, China, whereas a developed country, Japan would be influenced more greatly by effects of the regional climate change than the increase in emissions.</P> <P><B>Highlights</B></P> <P> <UL> <LI> Change in ozone level is determined by the combination of NO<SUB>x</SUB> and NMVOC emissions. </LI> <LI> Ozone level over East Asia would get worse in the near future (the 2020s) than far future. </LI> <LI> A high-concentration event generally increases and more frequently occurs in the future. </LI> <LI> Change in ozone air quality in a developing country depends more on emissions change. </LI> <LI> Change in ozone air quality in a developed country depends more on climate change. </LI> </UL> </P>

Effect of Total Hip Arthroplasty on Ipsilateral Lower Limb Alignment and Knee Joint Space Width: Minimum 5-Year Follow-up

Choi Yun Seong,Park Jung-Wee,Kim Tae Woo,Kang Kee Soo,Lee Young-Kyun,Koo Kyung-Hoi,Chang Chong Bum 대한의학회 2023 Journal of Korean medical science Vol.38 No.20

Background: This study aimed to 1) assess the effect of total hip arthroplasty (THA) on coronal limb alignment, namely, the hip–knee–ankle angle (HKA), 2) identify factors that determine changes in the HKA, and 3) determine whether alignment changes influence the knee joint space width. Methods: We retrospectively evaluated 266 limbs of patients who underwent THA. Three types of prostheses with neck shaft angles (NSAs) of 132°, 135°, and 138° were used. Several radiographic parameters were measured in the preoperative and final radiographs (at least 5 years after THA). A paired t-test was used to confirm the effect of THA on HKA change. Multiple regression analysis was performed to identify radiographic parameters related to HKA changes following THA and changes in knee joint space width. Subgroup analyses were performed to reveal the effect of NSA change on the HKA change, and the proportion of total knee arthroplasty usage and changes in radiographic parameters between maintained joint space and narrowed joint space groups were compared. Results: The preoperative mean HKA was 1.4° varus and increased to 2.7° varus after THA. This change was related to changes in the NSA, lateral distal femoral angle, and femoral bowing angle. In particular, in the group with a decrease in NSA of > 5°, the preoperative mean HKA was largely changed from 1.4° varus to 4.6° varus after THA. The prostheses with NSA of 132° and 135° also led to greater varus HKA changes than those with an NSA of 138°. Narrowing of the medial knee joint space was related to changes in the varus direction of the HKA, decrease in NSA, increase in femoral offset. Conclusion: A large reduction in NSA can lead to considerable varus limb alignment after THA, which can have adverse effects on the medial compartment of the ipsilateral knee.

Aflatoxin B_1 투여가 急性 肝 病變에 미치는 영향에 對한 病理學的 硏究

장선문,이충식,강대영 충남대학교 의과대학 지역사회의학연구소 1989 충남의대잡지 Vol.16 No.1

In an attempt of elucidate the pathologic and histochemical changes of aflatoxin B_2-induced hepatie lesions, the present study in male Sprague-Dawley rats was undertaken to evalute the relation between pathologic change of the liver and histochemical changes of several enzymes : alkaline phosphatase, acid phosphatase and succinic dehydrogenase at 3. 9. 24. 48. 72, and 144 hours after single administration of aflatoxin B_1 by gastric tube. The aflatoxin B_1 was dissolved in peanut oil(0.5㎎ aflatoxin B_1 to 0.5ml peanut oil). Grouop of male rats received aflatoxin B_1 1㎎ per ㎏ of body weight, respectively. Control animals were given a similar volume of peanut oil alone. The results on morphologic and histochemical changes were as follows: 1. The necrotic change of liver was mainly periportal, and it became most severe at 24 hours and was more prominent in the large dose group than the small dose group. 2. Biliary ductular cell proliferation started to appear within 72 hours and after became regressed later in the small dose group, but it remained approximately 144 hours after exposure in the large dose group. 3. Electron microscopically, all three groups showed irregular nuclear membrane and nucleolar change characterized by segregation of granular and fibrillar elements. All the group showed cytoplasmie changes such as dilatation of rough endoplasmic reticulum with detached ribosome, hyperplasia of smooth endoplasmic reticulum, increased numbers of lipid droplets and mitochondrial alteration. The above change in the large dose group was more severe than those of the small dose group. 4. In the histochemical study of experimental animals, there was a decrease in the intensity of the staining reaction of alkaline phosphatase and succinic dehydrogenase within 24 hours and a progressive decrease in staining intensity was noted at 144 hours. And then the staining intensity of the acid phosphatase was similar to that shown by the control animal. In summary, the data obtained by present experiments indicate aflatoxin B_1 exerts periportal necrosis of hepatic lobules accompanied by bile ductular cell proliferation, and inhibition of protein synthesis, as jedged by elertron microscopic and histochemical changes.

용성산인(龍城山人) 이창원(李昌遠)의 사상학설(四象學說)과 체질침(體質鍼)에 대한 고찰(考察)

안창범,윤현민,허재영,권혜연,Ahn, Chang-beohm,Youn, Byuon-Min,Hea, Jae-young,Kwon, Hae-Yon 대한침구의학회 2002 대한침구의학회지 Vol.19 No.1

Objective : This study was carried out to review Chang-Won Lee's theory of Sasangand acupuncture of constitution. Methods : We have investigated Chang-Won Lee's unknown literature "Medicine of sassang "(四象醫學). Results : Constitutional acupuncture is based on the diversity of human being and medically developed the response variation to disease and acupuncture. The diversity is due to the Organ's Congenital Formation Variation based on human nature and it is categorized as four from physiology, pathology, symptoms, to therapy. Chang-Won Lee's constitutional acupuncture discriminated constitution of comparison palpations of right and left both sides. He insisted that constitution only four type(Sasang), not exist man of To-Hyoung (土形人) in "young -chu"(靈樞) and his constitutional acupuncture all used Jung-kyuck (reinforcement acupuncture method) and Seong-kyuck(reducing acupuncture method) of Sa-am(舍岩)