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        주관절 강직의 관절경적 치료

        남기영,문영래 대한견주관절학회 2010 대한견주관절의학회지 Vol.13 No.2

        Purpose: Management of the stiff elbow by arthroscopic procedure is an effective but technically demanding. Our purpose was to review the specific arthroscopic maneuver which can be useful for the stiff elbow. Materials and Methods: A stiff elbow that is refractory to conservative treatment can be treated surgically to remove soft tissue or bony blocks to motion. The olecranon or coronoid osteophyte and loose bodies have been removed arthroscopically with good results and rare complications. Results and Conclusion: For the successful arthroscopic management of elbow stiffness, it need to knowledge and skills for debride contracted tissue and preserve vital anatomic structure. 목적: 주관절 강직의 관절경적 처치는 효과적이지만 술자의 능력이 요구되는 것이 사실이다. 이 종설의 목적은 주관절 강직에 대한 관절경적 처치 방식을 기술하고자 한다. 대상 및 방법: 비수술적 치료에 반응하지 않는 주관절 강직의 경우 운동 제한을 유발하는 연부 조직 및 골성 물질을 제거하게 된다. 이때 주두, 구상 돌기의 골극과 유리체의 제거는 합병증의 빈도는 낮고 좋은 결과를 보장한다. 결과 및 결론: 관절경을 이용한 주관절 강직의 치료에서는 구축된 조직을 절제하고 중요한 해부학적 구조물들을 보호하기 위한 지식과 숙련된 기술이 필수적이다.

      • 뇌졸중으로 인한 편마비 환자에서 슬라이딩 재활기구를 이용한 하지 운동의 효과

        남기영 대한뇌졸중학회 2006 Journal of stroke Vol.8 No.1

        Background: The purpose of this study was to determine the effects of the Sliding rehabilitation machine¢c(Kyungpook National Univ, Korea) in patients with hemiplegia caused by stroke. Method: Forty hemiplegic patients with stoke were enrolled for in this study. Experimental group (n=20) were trained with the sliding rehabilitation machine for 20 min/day, 5 days/week, for 2 weeks. Using the rehabilitation machine, the paretic lower limb could be forced to use selectively compared with the nonparetic lower limb. Control group were trained with conventional physical therapy. Functional Ambulatory Category (FAC), lower extremity Fugl-Meyer assessment (FMA), Brunnstrom stage of leg, Berg Balance Scale (BBS), lower extremity Motricity Index (MI), and lower extremity muscle power by hand-held dynamometer were measured before and 2 weeks after training.Results: Significant improvement of the lower extremity Motricity Index, and the lower extremity muscle power was observed in experimental group (p〈0.05). FAC, BBS, lower extremity FMA were improved in both groups (p〈0.05). Conclusion: The sliding rehabilitation machine will be effectively used for lower extremity muscle strengthening in patients with hemiplegia.

      • KCI등재

        혈관조영색전술을 이용한 비조절성 후비강부 출현의 처치 : 증례 보고

        남기영,권대근,김종배 대한악안면성형재건외과학회 2000 Maxillofacial Plastic Reconstructive Surgery Vol.22 No.4

        The posterior nasal bleeding sometimes develope a life threatening situation because of its limited access and the profuse vascular network of the bleeding area. There are various methods of hemostasis including packing, cautery, and arterial ligation those vary in effectiveness. But sometimes patients cannot tolerate these methods or show rebleeding sign. So, if all of these methods are not successful, we should consider the further treatment. The selective angiographic embolization has various advantages such as rapidness, repetition, good visualization, and being performed under local anesthesia, therefore it can provide useful way in patients with massive, intractable posterior nasal bleeding. We report a case of angiographic embolization for intractable posterior nasal bleeding patient and review the effectiveness of the this treatment.

      • KCI등재

        키토산이 첨가된 의치상 레진 복합체의 항균 특성 및 물성에 관한 연구

        남기영,신영민 대한치과재료학회 2017 대한치과재료학회지 Vol.44 No.2

        In this study, we proposed a modified polymethylmethacrylate (PMMA) denture acrylic impregnated with chitosan as a novel antimicrobial denture base material. We fabricated the samples of chitosan-PMMA denture acrylic (CPD) into four types (1.0 , 3.0 and 5.0 % and 0 %; control) according to the mass fraction (w%) of chitosan blended to pristine PMMA powder with methylmethacrylate (MMA) liquid by the ratio of 1.7 g/ml. For mechanical evaluations, surface morphology, degree of conversion, flexural strength and color changes were tested. The antifungal effects were evaluated in vitro as a number of viable cells (CFU; colony forming unit) in retrieved fungal suspension on samples after 24 hour incubation. A significantly reduced CFU was exhibited at 5.0 % CPD (p < 0.05) by the 40.9 ± 2.1 % inhibitory effect. CPD exhibited the similar microscopic surface texture and no statistical differences (p > 0.05) of the degree of conversion and flexural strength values as compared to pristine PMMA. Color differences were detected at 3.0 and 5.0 % of CPD by the reference value of 2.69. Within the limitation of present study, CPD could be a possible intrinsic antifungal denture material with the proper mechanical characters for a denture biomaterial. For clinical application, future studies including color stability, anti-adherent mechanism and the long-term effect were still required. 키토산이 투여된 의치상 레진 (CPD: chitosan-PMMA denture acrylic)의 항균특성 및 물성을 평가하기 위해 키토산 분말을 PMMA 분말에 0 (대조군), 1.0, 3.0 및 5.0 w% (질량 분율)로 첨가한 후 혼수비 1.7g/ml로 MMA용액과 중합하였다. 항균특성은 Candida albicans (ATCC 14053) 희석 균액 100 μL를 시편표면에 접종하고 24 시간 배양 후 회수 된 진균 현탁액의 생균수 (CFU; colony forming unit)로 평가하였고 키토산 분말첨가에 따른 의치의 물성변화는 중합전환율, 굴곡 강도 및 색조안정성을 통하여 측정하였다. 5.0 % CPD에서 대조군에 대한 유의성 있는 진균 부착 억제율 (40.9 ± 2.1 %)이 관찰되었고 키토산 첨가에 따른 중합전환율, 굴곡강도 수치의 통계적 차이는 나타내지 않았으나 (p=0.05) 3.0 w% 이상 투여 군들에서 농도비례적으로 허용 색조변화 기준치 (ΔE =2.69)를 초과하였다. 본 연구의 키토산-의치상 레진 복합체는 적절한 물성과 내재적 항균특성을 가진 치과생체재료로서의 가능성을 도출하였고 임상 적용을 위하여 색조 안정성 개선을 포함한 명확한 항균작용기전 그리고 장기 효과 등의 연구들이 계속 진행되어야 할 것으로 사료된다.

      • KCI등재
      • 가톨릭의 人間觀 : 實相과 規範 The Realities and the Norms

        南基英 慶熙大學校 1987 論文集 Vol.16 No.-

        The Christian perspective on man is a fatalistic and empirical realism;and its perspective on ethics is a teleological normative. It is a realism in that all men need God simply because. He exists. Creation. corruption. immortality. judgement, heaven, hell, blessing. revelation-all are real. The origin. the principle and the purpose of humans. which are real, are not humans themselves, and cannot exist outside of the order God sot up. Man is a fatalistic being who should agree to God's created order if he is to realize his goal. The divine order is a transcendental reality. Creation and redemption do not get nullified for the simple reason that humans do not experience them. Good people wicked people, Confucianists, Buddhists and Taoists-all, as the objects created by God. undergo resurrection and judgement and in the end will live in the heaven or the hell;and they cannot be redeemed expcept through Christ. The Christian perspective on ethics is a teleological normative. Man should lead earthly life for the sake of heavenly life. Because a norm is an order aiming at the real heavenly life. it is realistic and teleological. A norm is a-rule of action; and a normative action makes transcendental improvement of the states of human existence. A man should accept the fact that he is an insecure and unhappy sinner. and revovate his own miserable states by opening himself to God, other humans and the world. Opening to God, which can neither be stopped nor be restricted, requries a dynamic antion. To conclude, man is an imperfect being which can never comprehend his realities. purpose or norms without a recourse to divine revelation, and yet he is a dynamic personality who should undergoes endless changes without losing his own everlasting identity. A human judgement or any other earthly matter should not stop him;and such wrong ideas on humans as the extreme skepticism of existence and the extreme nihilism should be disowned. Also, the materialistic idea that the body is the origin of the spirit. the idealistic view that advocates the reverse of materialism, the pantheistic claim that nature is the whole and the perfect, and the humanist comception the measure of everything-all do not accept the human that humansare realities as such Only the Christian perspective on human beings is sound and accepts the reality as such.

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