한국 해군의 협동교전능력(CEC) 발전방향에 관한 연구

남동우 해군대학 2002 海洋戰略 Vol.- No.114

유착성 관절낭염에 대한 침 및 신경차단술 처치의 임상적 관찰

남동우,임사비나,김종인,김건식,이두익,이재동,이윤호,최도영 WHO COLLABORATING CENTRE FOR TRADITIONAL MEDICINE 2007 東西醫學硏究所 論文集 Vol.2007 No.-

Objectives : To observe the effect of acupuncture and nerve block combination treatment on adhesive capsulitis patients. Metbods : 59 voluntary patients were randomly assigned to acupuncture treatment group(E group ,n=22), nerve block treatment group(W group, n=17) and acupuncture and nerve block combination treatment group(EW grouP, n=20). The E group received acupuncture treatment on LI15, TE_(14), GB_(21) and Master Dong's acupuncture points, Shin-gwan and Gyun-joong, twice a week for 4 weeks. The W group received suprascapular nerve block, subacromial injection and trigger point injection twice a week for 4 weeks. The EW group received the same treatment as the W group and after 5minutes of rest, successively received the treatment identical to that of E group. AU three groups were instructed to practice groups were instructed to practice self exercise during their daily lives. Evaluations were made before treatment and after 1, 2, 3 and 4week treatment. Constant Shoulder Assessment(CSA), Shoulder Pain and Disability Index(SPADI), Range of Motion(ROM), the patient's treatment satisfaction measured by Visual Analogue Scale(VAS) and Digital Infrared Thermographic Imaging(DITI) were used as assessment tools. The obtained data were analyzed and compared. Results : The E group showed significant improvement(p<0.05) on CSA, SPADI, VAS and DITI. As for ROM, Adduction and Extension improved significantly(p<0.05). The W group showed significant improvement(p<0.05) on CSA, SPADI, VAS and DITI. As for ROM, Abduction and Extension improved significantly. The EW group showed significant improvement(p<0.05) on CSA, SPADI and VAS. As for ROM, Adduction, Abduction, Extension and Flexion improved significantly. The improvement of CSA, VAS and Abduction ROM in the EW group was significant1y(P<0.05) superior compared to the groups treated with single type of treatment. Conclusion : It is suggested that acupuncture and nerve block combination treatment for adhesive capsulitis patients is more effective than the two single treatments. Through further studies, the acupuncture and nerve block combination treatment model may be developed into East-West Collaboration Model in treating adhesive capsulitis.

동결견(凍結肩) 환자의 동서협진 치료의 임상효과 비교연구 : 견관절 가동운동범위(ROM) 변화를 중심으로

남동우,김행범,양동훈,임사비나,김건식,이두익,이재동,최도영,이윤호 경희대학교 동서의학연구소 2006 東西醫學硏究所 論文集 Vol.2006 No.-

Objectives : To establish an effective collaborate medicine treatment of acupuncture and western medicine for treating frozen shoulder patients. Methods : 59 voluntary patients were randomly assigned to Eastern treatment group(E group, n=22), Western treatment group(W group, n=17) and East-West treatment group(EW group, n=20). The E group received acupuncture treatment on LI15, TE14, GB21 and Master Dong's acupuncture points, Shin-gwan and Gyun-joong, twice a week for 4 weeks. The W group received suprascapular nerve block, subacromial injection and trigger point injection, twice a week for 4 weeks. The EW group received acupuncture and injection treatment including nerve block. All groups were instructed to practice self exercise during their daily lives. Evaluations were made before treatment and after treatment based on the change in shoulder Range of Motion(ROM) and the patient's satisfaction concerning the treatment was measured by Visual Analogue Scale(VAS). The obtained data were analyzed and compared. Results : The patient's satisfaction scores were E group 5.67, W group 7.73 and EW group 7.67. The E group and the EW group showed significant improvement in abbduction, adduction and flexion(p<0.05). The W group showed significant improvement in adduction(p<0.05). Abduction significantly improved(p<0.05) in the EW group compared to E group and W group. Flexion also showed improvement in the EW group, but the difference among the 3 groups was statistically insignificant. The three group's difference of change in extension and adduction was insignificant(p>0.05). Conclusion : Acupuncture and nerve block alone significantly improved ROM in frozen shoulder patients. Also collaborate treatment of acupuncture and nerve block significantly improved ROM in frozen shoulder patients. But the difference of the three treatments were significant only for improving abduction(p<0.05).

랫드 후각점막내 Zinc 이온의 조직화학적 동정

남동우,손원재,김성주,김용국,김수진,유윤조,정영길,조승묵,Nam, Dong-Woo,Sun, Yuan-Jie,Kim, Sung-Joo,Kim, Yong-Kuk,Kim, Soo-Jin,Yu, Yun-Cho,Jeong, Young-Gil,Jo, Seung-Mook 한국현미경학회 2003 Applied microscopy Vol.33 No.2

본 연구는 후각점막에 내재하는 zinc의 분포를 형태학적으로 뚜렷이 보여준 예가 없기에 조직화학적으로 염색한 후 광학 및 전자현미경으로 이들의 분포를 기술하고자 하였다. 실험동물로는 성숙한 수컷 랫드(SD 계통)를 사용하였다. 우선 동물은 전신마취시킨 후 만들어진 selenium 용액 $100{\mu}l$를 복강에 주사하였고(i.p 실험군), 다른 방법으로는 selenium 용액 $100{\mu}l$를 비강 깁숙히 플라스틱관을 삽입한 후 Hamilton 주사기로 한 방울씩 떨어뜨렸다(i.n 실험군). 후각점막내 zinc를 조직화학법으로 동정하기 위해서 zinc 특이성이 높은 AMG법(Danscher, 1985)을 이용하였다. 각 실험군의 동물은 주사 후 2시간에 이르러 3% Glutaraldehyde 고정액으로 관류함으로써 희생시켰다. 고정후 비중격을 포함하여 후각부위를 떼어낸 수 $30{\mu}l$ 두께의 관상절편을 만들었다. AMG 반응이 끝나면 toluene blue (TB)로 대조염색하고, 알코올과 자일렌 등을 이용한 탈수과정 및 청명과정을 거쳐 광학현미경하에서 관찰하였다. 전자현미경적 절편을 만들기 위해 전자현미경 관찰을 위한 실험으로 vibratome을 사용하여, $100{\mu}m$ 두께의 가로절편을 만들었고, AMG염색이 끝나면 일반적인 전자현미경적 관찰을 위한 일련의 과정을 거쳐 투과전자현미경하에서 관찰하였다. Selenium 용액을 복강에 투여한 i.p 실험군에서는 $30{\mu}m$ 두께의 후각점막의 상층부와 기저부에서 강한 AMG 반응산물(silver grains)이 관찰되었으나 기저막아래 고유판에서는 전혀 관찰되지 않았다. 반면 selenium 용액을 비강점막에 직접 도포한 i.n 실험군에서는 i.p 실험군과 같이 후각점막에서 강한 AMG 반응이 관찰되었을 뿐만 아니라 이러한 반응이 기저막내 후각실의 주행을 따라 관찰되었다. 투과전자현미경으로 관찰된 후각상피에서는 AMG 과립이 지지세포의 세포 상층부에서 관찰되는 분비과립에 국한되는 소견이며, 이곳에서 관찰된 AMG은 과립(silver grains)은 원형 또는 난원형으로 그 크기는 다양하였다. 반면 세포체 하부에서 관찰된 AMG grains은 주로 용해소체위에서 밀집되어 관찰되었으며, 핵주변부 및 세포사이공간(intercellular space)에서는 AMG grains이 낱개로 구분, 관찰되었다. 한편 i.n 실험군에서 관찰된 후각점막의 전반적인 구조가 손상된 소견을 보였으며, 지지세포의 위쪽에서는 전자밀도가 높고 간상의 crystalloid structure가 다수 관찰되었고, 이들 구조에 다수의 AMG 과립이 붙어 있었다. 본 연구의 결과를 요약하면 랫드 후각점막에 존재하는 zinc는 지지세포의 분비과립과 후각세포의 축삭다발인 후각실에서 관찰되었는데 이는 zinc가 후각기능과 매우 밀접한 관련있음을 시사하며, 이는 향후 후각기능과 zinc의 연관성을 연구하는데 소중한 자료가 될 것으로 믿는다. 또한 본 연구의 결과는 후각점막의 이상으로 나타나는 여러 가지 질환의 병리에서 zinc가 영위하는 신경생물학적 기능을 밝히는데 유용한 기초자료가 될 수 있을 것으로 기대한다. The present study was designed to demonstrate ionic zinc in the rat nasal mucosa by means of zinc selenium autometallography ($ZnSe^{AMG}$). Rats were given sodium selenide either intraperitoneally (i.p) or intranasally (i.n). Prior to the i.n. administration the rats were anesthetized with pentobarbital sodium (30 mg/kg, i.p.). A thin plastic tube coupled to a Hamilton syringe was then inserted into the right nostril and $10{\mu}l$ of the solution was instilled. For the i.p. administration non-anesthetized rats were given $100{\mu}l$ of the sodium selenide solution (10 mg/kg). Control rats were instilled with saline. After 2 hrs survival, the rats were anaesthetized and transcardially perfused with 3% glutaraldehyde. The olfactory area was removed and put into same fixative. The nose was then sectioned ($30{\mu}m$) horizontally, autometallography (AMG) was performed according to Danscher et al. (1997). After silver enhancement, fine AMG grains were scattered in the whole length of the olfactory epithelium containing olfactory receptor neurons, sustentacular and basal cells. However, much higher concentration of the AMG grains occupied near the surface and in the basal region of the olfactory epithelium. Both groups of i.p. and i.n. administration showed almost same level in the concentration of the AMG grains. In i.n. group, few AMG grains were also found in olfactory nerves of the lamina propria, suggesting zinc transport into the olfactory bulb via olfactory axons. At the electron microscopic level, the AMG grains were most entirely found in the supporting cells of the olfactory epithelium, and they were mostly localized in lysosome-like organelles. The i.n. group showed various signs of tissue damage of the olfactory mucosa, where dense concentration of AMG grains were localized at crystalloid structures. The present study demonstrated dense population of ionic zinc in the rat olfactory epithelium. zinc may play a role in the olfactory functioin and in the pathogenesis of the neurodegerative disorders affecting nose.

재산화 질화산화막의 기억트랩 분석과 프로그래밍 특성

남동우,안호명,한태현,이상은,서광열 한국전기전자재료학회 2002 전기전자재료학회논문지 Vol.15 No.7

Nonvolatile semiconductor memory devices with reoxidized nitrided oxide(RONO) gate dielectrics were fabricated, and nitrogen distribution and bonding species which contribute to memory characteristics were analyzed. Also, memory characteristics of devices depending on the anneal temperatures were investigated. The devices were fabricated by retrograde twin well CMOS processes with $0.35\mu m$ design rule. The processes could be simple by in-situ process in growing dielectric. The nitrogen distribution and bonding states of gate dielectrics were investigated by Dynamic Secondary Ion Mass Spectrometry(D-SIMS), Time-of-Flight Secondary Ion Mass Spectrometry(ToF-SIMS), and X-ray Photoelectron Spectroscopy(XPS). As the nitridation temperature increased, nitrogen concentration increased linearly, and more time was required to form the same reoxidized layer thickness. ToF-SIMS results showed that SiON species were detected at the initial oxide interface which had formed after NO annealing and $Si_2NO$ species within the reoxidized layer formed after reoxidation. As the anneal temperatures increased, the device showed worse retention and degradation properties. It could be said that nitrogen concentration near initial interface is limited to a certain quantity, so the excess nitrogen is redistributed within reoxidized layer and contribute to electron trap generation.

러시아·우크라이나 갈등의 역사적 근원과 러시아의 우크라이나 침공이한반도 안보에 주는 전략적 함의

남동우,김덕기 인문사회 21 2022 인문사회 21 Vol.13 No.2

A Study on the Historical Origins of Russia-Ukraine Conflictand Strategic Implications of Russia’s Invasion of Ukrainefor Security on the Korean PeninsulaDongwoo Nam & Dukki Kim Abstract: The purpose of this study is to examine the historical origins of the Russia and Ukraine conflict and suggest strategic implications for the security of the Korean Peninsula after analyzing why Russia invaded Ukraine, which has geopolitical situation similar to the Korean Peninsula. Russia demanded the US and the West to reject Ukraine’s accession to NATO and halt NATO’s eastward movement, but Washington and EU refused to accept them. Russia finally invaded Ukraine on the pretext that the US and the West had rejected its requirements. In particular, the Ukraine crisis is a good example of how the strategic failure of a weaker nation sandwiched between great powers will cost a lot. On Balance, the Ukraine crisis has become the arena of the Great Game in the 21st century, in which the United States and Russia compete for world supremacy. We must do our best so that the Korean Peninsula does not become the arena of hegemonic competition like the 19th century. In particular, we must solve the North Korean nuclear issue based on the strong ROK-US alliance and the united people’s strength. And in order to minimize conflicts with neighboring countries and maximize national interests, we must proactively conduct strong diplomacy with stronger national defense power and strategic thinking than ever before. Key Words: Russia, Ukraine, Korean Peninsula, United States, NATO 러시아·우크라이나 갈등의 역사적 근원과 러시아의 우크라이나 침공이한반도 안보에 주는 전략적 함의남 동 우*ㆍ김 덕 기** 요약: 본 논문의 연구목적은 러시아와 우크라이나 갈등의 역사적 근원을 살펴보고, 러시아가 왜 한반도와 유사한 지정학적 환경을 가진 우크라이나를 침공했는가를 분석한 후에 한반도 안보에 주는 전략적 함의를 제시하는 데 있다. 러시아는 미국과 서방에 우크라이나의 NATO 가입 거부, NATO의 동진(東進) 중단 등을 요구하고, 미국과 서방이 거부하자 이를 핑계로 우크라이나를 침공했다. 특히 이번 우크라이나 사태는 강대국 간 충돌에 놓인 약소국의 전략적 오류가 얼마나 큰 비용을 지급하게 되는지를 보여주는 좋은 사례다. 결론적으로 최근 우크라이나 사태는 미국과 러시아가 세계 패권을 놓고 경쟁하는 21세기 Great Game의 장(場)이 되고 있다. 우리는 한반도가 19세기처럼 강대국 간 패권 경쟁의 장이 되지 않도록 최선을 다해야 한다. 특히 우리는 강한 한・미 동맹을 근간으로 북핵 문제를 해결하고, 주변국과의 갈등 최소화 및 국익 극대화를 위해 그 어느 때보다 강한 국방력과 전략적인 사고로 자강(自强) 외교를 주도적으로 펼쳐야 한다. 핵심어: 러시아, 우크라이나, 한반도, 미국, 북대서양조약기구 □ 접수일: 2022년 3월 11일, 수정일: 2022년 3월 25일, 게재확정일: 2022년 4월 20일* 주저자, 제주대학교 교수(First Author, Professor, Jeju Univ., Email: speedynam64@naver.com)** 교신저자, 동아대학교 교수(Corresponding Author, Professor, Dong-A Univ., Email: strongleg77@gmail.com)

유착성 관절낭염 치료에 있어서 한방 치료와 양방 치료의 임상적 고찰 : 동서협진 모델 개발을 위한 기초 연구를 중심으로

남동우,정인태,김주희,박유선,임사비나,이두익,이재동,이윤호,최도영 경희대학교 동서의학연구소 2006 東西醫學硏究所 論文集 Vol.2006 No.-

Objectives : To observe the effect of acupuncture treatment and western medical treatment on frozen shoulder patients. Methods : 39 voluntary patients were randomly assigned to the Eastern treatment group(E group, n=22) and the Western treatment group(W group, n=17). The E group received acupuncture treatment on LI15, TE14, GB21 and Master Dong's acupuncture points, Shin-gwan and Gyun-joong, twice a week for 4 weeks. The W group received suprascapular nerve block, subacromial injection and trigger point injection, twice a week for 4 weeks. Both groups were instructed to practice self exercise during their daily lives. Evaluations were made before treatment and after treatment using Constant Shoulder Assessment(CSA), Shoulder Pain and Disability Index(SPADI) and the patient's satisfaction concerning the treatment was measured by Visual Analogue Scale(VAS). The obtained data were analyzed and compared. Results : The E group showed significant improvement(p<0.05) according to the CSA and SPADI. The patient's satisfaction scored 5.67 on a scale of 10. The W group showed significant improvement(p<0.05) according to the CSA and SPADI. The patient's satisfaction scored 7.73. But the difference between the two groups were insignificant according to CSA and SPADI. Conclusion : Both acupuncture and nerve block treatment significantly improved frozen shoulder. But the difference of the two treatments was insignificant.

이개유리피판을 이용한 비 결손부 재건

남동우,이종욱,범진식,장영철,정철훈,오석준,Nam, Dong-Woo,Lee, Jong-Wook,Burm, Jin-Sik,Chang, Young-Chul,Chung, Chul-Hoon,Oh, Suk-Joon 대한미세수술학회 1996 Archives of reconstructive microsurgery Vol.5 No.1

The nasal ala and columella represent a difficult location for reconstruction, especially when defect area is covered with scar. Local flap, such as forehead flap or nasolabial flap, may result in additional facial scarring and bulkiness that require multiple thinning revisions. Recent delineation of vascular territories of the ear has allowed the use of vascularized auricular free flap in the reconstruction of large ala and columella defects. Authors reconstructed two cases of full thickiness defect of the ala and columella with auricular free flap. The pedicle of this flap is the superficial temporal artery and vein. The donor vessels were anastomosed to the facial artery and vein. The results were satisfactory cosmetically and functionally.

동결견(凍結肩) 환자의 동서협진 치료의 임상효과 비교연구 - 견관절 가동운동범위(ROM) 변화를 중심으로 -

남동우,김행범,양동훈,임사비나,김건식,이두익,이재동,최도영,이윤호,Nam, Dong-Woo,Kim, Haeng-Beom,Yang, Dong-Hoon,Lim, Sa-Bi-Na,Kim, Keon-Sik,Lee, Doo-Ik,Lee, Jae-Dong,Choi, Do-Young,Lee, Yun-Ho 대한침구의학회 2006 대한침구의학회지 Vol.23 No.5

Objectives : To establish an effective collaborate medicine treatment of acupuncture and western medicine for treating frozen shoulder patients. Methods : 59 voluntary patients were randomly assigned to Eastern treatment group(E group, n=22), Western treatment group(W group, n=17) and East-West treatment group(EW group, n=20). The E group received acupuncture treatment on LI15, TE14, GB21 and Master Dong's acupuncture points, Shin-gwan and Gyun-joong, twice a week for 4 weeks. The W group received suprascapular nerve block, subacromial injection and trigger point injection, twice a week for 4 weeks. The EW group received acupuncture and injection treatment including nerve block All groups were instructed to practice self exercise during their daily lives. Evaluations were made before treatment and after treatment based on the change in shoulder Range of Motion(ROM) and the patient's satisfaction concerning the treatment was measured by Visual Analogue Scale(VAS). The obtained data were analyzed and compared. Results : The patient's satisfaction scores were E group 5.67, W group 7.73 and EW group 7.67. The E group and the EW group showed significant improvement in abbduction, adduction and flexion(p<0.05). The W group showed significant improvement in adduction(p<0.05). Abduction significantly improved(p<0.05) in the EW group compared to E group and W group. Flexion also showed improvement in the EW group, but the difference among the 3 groups was statistically insignificant. The three group's difference of change in extension and adduction was insignificant(p>0.05). Conclusion : Acupuncture and nerve block alone significantly improved ROM in frozen shoulder patients. Also collaborate treatment of acupuncture and nerve block significantly improved ROM in frozen shoulder patients. But the difference of the three treatments were significant only for improving abduction(p<0.05).

오늘도 육아 전쟁은 시작되었다

남동우 부산여성가족개발원 2017 여성우리 Vol.- No.57