Rifampicin에 의해서 유발된 혈소판 감소성 자반증 1례

김재삼,양해주,김영완,허완재,임채호,성낙현,김계영 大韓血液學會 1997 大韓血液學會誌 Vol.32 No.1

예비전력 정예화 방안

김재삼,Kim, Jae-Sam 대전대학교 군사연구원 2007 군사학연구 Vol.5 No.-

Reserved forces of ROKA are in charge of replacement of TOE in the wartime and mission of rear area operation. But there is institutional inertia in the law and organization oriented to fill human resources rather than take mission. We need to prepare for the investment and arrangement of reserved forces as military power that would be replaced standing forces. In this portion, to reinforce reserve forces elite, First, efficient mobilization regulations and systems are suggested. I covered a maintenance of relevant mobilization ordinances which need to legislated and approved by national assembly for wartime and development of mobilization system which might lose the appropriate time for mobilization due to complicated declaration procedures and measures to overcome the panic at the initial stage of the war and organization and employment of nationwide transportation system and mobilization center. To ensure efficient resource management and mobilization of reserve forces with a number of approximately 3 million, there's a necessity of organization for integration and conciliation. To make it real, I suggested establishing and employing the mobilization center, on first phase, employ the mobilization center focusing on homeland divisions, on second phase, it is advisable to convert to national level mobilization system and develop to central mobilization center focusing on national emergency planning committee. During peacetime, in conjunction with Mobilization Cell, mobilization center can conduct resource survey and integrate and manage mobilization resources and take charge of mobilization training of subordinate units, and during wartime, in conjunction with mobilization coordination team and Cell, can ensure the execution of mobilization. Second, Future oriented reserve forces management system such as service system of reserve forces and support system of homeland defense operations. Current service and trainings of reserve forces by the year have very low connection, as it is very complex to manage the resources and trainings, and service and training lack the equity, re-establishment of service system is required. Also in an aspect of CSS and cultivation support for reserve forces, as the scope and limitation of responsibility between the armed forces and autonomous organization is obscure, conditions to conduct actual-fighting exercises are limited. Concentrated budgetting is extremely difficult because reserve forces training fields are scattered nationwide, and facilities and equipments are rapidly getting older. To improve all these, I suggest the organization of homeland defense battalion with a unit of "City-Gun-District" and supporting the local reserve forces. Conduct unit replacement or personal replacement for those who have finished their 1 or 2 years and homeland defense operation duty for those with 3-5 years for consistency and simplification. Third, I suggest Future oriented Reserved Training(FRT) and Training Center oriented training management to establish a reliable reserve training. Reserves carry out expansion of unit, conventional combat mission, homeland defense and logistics support during wartime, and actual-fighting exercise, and disaster relief, peace keeping activities. Despite diverse activities and roles, their training condition still stays definitely poor. For these reasons, Modernization of weapons and facilities through gradual replacement and procurement is essential to enhance mobilization support system.

골프 드라이버 다운스윙시 하지관절모멘트 변화 분석

김재삼,주명덕,성낙준 한국교원대학교 교육연구원 2018 敎員敎育 Vol.34 No.3

The purpose of this study was to investigate joint moment of lower body segments on college golf players. Three dimensional swing analysis was conducted on the three subject was asked to swing with driver, where two force plates were built, with his normal speed and tempo. The resultant joint moments of the lower extremities were computed using the kinematic variables of the segments, anthropometric measures and the ground reaction force data. Based on the results of this study, the following conclusions were; Fisrt, On the anterior-posterior axis, The left ankle joint was revealed inversion-moment from backswing-top to follow-throw. And The right ankle joint was revealed eversion-moment from backswing-top to vertical position of club downswing, and revealed inversion-moment from horizontal club position of downswing. And left knee joint was revealed abduction moment from horizontal club position of downswing. And left hip joint was revealed supination moment with the outer rotation of thigh. The right ankle joint was revealed inversion-moment from horizontal club position of downswing. And right knee joint was revealed adduction moment from vertical position of club downswing. And right hip joint was revealed supination moment from horizontal club position of downswing. Second, On the interior-exterior axis, The left ankle joint was revealed plantar flexion-moment to gain momentum. And left knee joint was revealed extension-moment from impact-position. And left hip joint was revealed extension-moment with the outer rotation of thigh. The right ankle joint was revealed plantar flexion-moment. And right knee & hip joint was revealed extra extensionmoment for impact. And showed flection moment for finish posture in follow-throw phase. Third, On the vertical axis, The left ankle-abduction, knee-pronation and hip-supination moment were revealed from horizontal club position of downswing. And the right ankle-abduction, knee-pronation and hip pronation moment were revealed. And, the right knee joint was revealed supination-moment from impact. The right hip joint was revealed supination-moment from horizontal club position of follow-throw. 이 연구의 목적은 골프선수들을 대상으로 3차원 영상분석과 지면반력산출 데이터를 이용하여, 드라이버 다운스윙시 전후축, 좌우축, 수직축에 발생하는 발목, 무릎, 고관절의 하지 관절모멘트의변화 양상을 분석함으로써, 드라이버 스윙 시 하지관절의 효율적인 움직임에 대한 객관적인 근거자료를 제시하는데 있다. 이를 통해 드라이버 스윙 동작에 대한 과학적 이해와 선수들의 경기력향상에 도움을 주고자 하며, 이러한 연구목적을 달성하기 위해서 골프선수 3명을 대상으로 3D-모션캡쳐시스템 및 지면반력 장비를 이용하여 드라이버 스윙 시 하지 관절모멘트를 측정 분석한 결과, 다음과 같은 결론을 도출하였다. 첫째, 전후축(X축)기준으로, 왼발의 경우 꾸준히 발목의 내번모멘트가 작용하고, 클럽수평이후부터는 무릎관절의 외전모멘트가 발현되며, 허벅지의 외측회전으로 인한 고관절의 회외모멘트가발현되었다. 오른발의 경우 발목에는 클럽수평이전에는 외번모멘트가 작용하다 클럽수평이후에는내번모멘트가 작용하였다. 클럽수직이후부터는 무릎관절의 내전모멘트가 발현되며, 고관절의 내측회전모멘트가 발현되었다. 둘째, 좌우축(Y축)기준으로, 왼발의 경우 추진력을 얻기 위한 동작으로 발목의 저측굴곡모멘트가 작용하고, 임팩트이후부터는 무릎의 신전모멘트가 발현되며, 고관절의 신전모멘트는 클럽수평이후에 발현되었다. 오른발의 경우 왼발과 함께 발목의 저측굴곡모멘트가 작용하고, 무릎관절과고관절에서는 강력한 신전모멘트가 발현되어 임팩트를 완성하고, 팔로스루 단계에 들어서면 안정된 피니쉬자세를 위한 굴곡모멘트가 발현되었다. 셋째, 수직축(Z축)기준으로, 왼발의 경우 클럽수평이후에 발목의 외전모멘트, 무릎의 회내모멘트, 고관절의 회외모멘트가 발현되었다. 오른발의 경우 발목은 외전모멘트, 무릎은 회내모멘트, 고관절은 회내모멘트가 발현되었으며, 이후 무릎은 임팩트이후에 회외모멘트, 고관절은 팔로스루수평이후에 회외모멘트가 발현되었다.

골프 아이언클럽 다운스윙시 하지관절모멘트 변화 분석

김재삼,주명덕 한국교원대학교 교육연구원 2016 敎員敎育 Vol.32 No.1

The purpose of this study was to investigate joint moment of lower body segments on teaching pro-golfers. Three dimensional swing analysis was conducted on the three subject was asked to swing with 7-iron, where two force plates were built, with his normal speed and tempo. The resultant joint moments of the lower extremities were computed using the kinematic variables of the segments, anthropometric measures and the ground reaction force data. Based on the results of this study, the following conclusions were;Fisrt, The left ankle joint was revealed inversion-moment from backswing-top to follow-throw. and, the right ankle joint was revealed adduction-moment from down swing vertical position of the club head to Follow-throw horizontal of the club head. Second, The left knee joint was revealed maximal external rotation moment on back swing top position. But, the left knee joint was not revealed internal rotation & external rotation moment on impact. The right knee joint was revealed maximal extension moment during center of mass move to right foot on back swing top position. Third, The left hip joint was revealed abduction moment during downswing. The right hip joint was revealed maximal internal rotation moment on back swing top position. and slowly reduced internal rotation moment to impact. 이 연구의 목적은 프로 골퍼들을 대상으로 3차원 영상분석과 지면반력산출 데이터를 이용하여, 아이언 클럽 다운스윙시 발목, 무릎, 고관절의 하지 관절모멘트의 변화 양상을 분석함으로써, 하지관절의 효율적인 움직임에 대한 객관적인 근거자료를 제시하는데 있다. 이와 더불어 아마추어 학생선수 및 골프동호인들의 아이언 다운스윙 동작에 대한 과학적 이해와 효율적인 훈련방법 적용 및 골프 경기력 향상에 도움을 주고자 한다. 이러한 연구목적을 달성하기 위해서 프로골퍼 3명을 대상으로 3차원 영상분석장비와 지면반력 측정 장비를 이용하여 아이언 다운스윙시 하지 관절모멘트를 측정 분석한 결과, 다음과 같은 결론을 도출하였다. 첫째, 왼발 발목관절은 다운스윙시 클럽헤드가 수직 위치에서 임팩트 직전의 수평 위치에 이르기까지 강력한 왼발 발목의 내번모멘트가 발현되어 왼발 발목이 외측으로 회전하지 않도록 강력히 지탱하였다. 오른발 발목관절은 왼발 발목이 고정된 상태에서 오른발의 발목이 내전되면서 오른발과 상체가 목표방향 쪽으로 내측회전을 수행하였다. 둘째, 왼발 무릎관절의 경우, 다운스윙초기는 수직축을 중심으로 최대외측회전모멘트가 발현되었다가 임팩트직전까지 감소추세가 나타났으며 임팩트 순간에는 왼무릎의 고정에 따라 내외측회전모멘트가 거의 발생하지 않았다. 셋째, 왼발 고관절은 다운스윙전반에 걸쳐 외전모멘트가 나타났으며, 오른발 고관절은 백스윙탑에서 다운스윙 시작시 최대 내측회전모멘트가 나타났으며 그후 임팩트시점까지 내측회전모멘트가 점진적으로 감소하였다. 백스윙탑 시점에서 상체의 움직임이 정지된 상태에서 오른발 고관절에 내측회전모멘트가 나타난 이유는 백스윙탑시점에서 초기 다운스윙으로 변환되는 순간에 상체와 하체의 꼬임이 수행되기 때문이다.

급변하고 있는 등록금 정책에서 주목할 점

김재삼 교육비평 2011 교육비평 Vol.29 No.-

항문직장 기형 쇄항에 병발한 결장 천공에 의한 거북 1례

김재삼,박진길,임희택,황수범,황은영,신효경,구철희,지문석 釜山醫師會 1995 釜山醫師會誌 Vol.31 No.7

연세의료원 GE Advance™ 양전자방출단층촬영기(Positron Emission Tomography) 의 표준 성능평가

김재삼,오맹근,이창호,장정웅,정하규,김희중 대한핵의학기술학회 2001 핵의학 기술 Vol.6 No.1

남자 골프 선수의 아이언 클럽 유형별 스윙동작에 대한 운동역학적 비교 분석

김재삼,주명덕 한국교원대학교 학교체육연구소 2008 학교체육연구소지 Vol.15 No.1

The purpose of this study was to acknowledge kinematic and Kinetic differences of Men's progolfer's swing-motion of the type of iron-clubs. and This study will offer to basic data to development of golf -swing analysis system as analyze swing-motion of #3

Preparation and Characterization of Epoxy Resin Systems Modified by Poly(phenylene oxide)

김재삼,민병각 한국고분자학회 2014 한국고분자학회 학술대회 연구논문 초록집 Vol.2014 No.10

Insertion Sequence 6110의 Mixed-Linker 중합효소 연쇄반응을 이용한 Mycobacterium tuberculosis의 Molecular Typing

김재삼,김계영,허완재,임채호,정희진,박승철,성낙현,김우주,김민자 대한감염학회 1996 감염 Vol.28 No.1

목적 : M. tuberculosis에서 mixed-linker를 이용한 IS6110의 PCR을 시행하여 그 RFLP를 분석하고, 이를 기존의 RFLP법에 의한 결과와 비교 분석하여 신속하고 효과적인 molecular typing법으로서의 유용성을 검토하였다. 방법 : Mixed-linker PCR법을 이용하여 다양한 약제 감수성을 보이는 13명의 환자에서 분리된 14결핵 균주들의 임상 분리균을 대상으로 IS6110과 이에 인접된 염기서열을 포함하는 다양한 절편들을 증폭시켜 얻어진 mixed-linker RFLP를 conventional RFLP와 비교하였다. 결과 : 13명의 환자에서 분리된 13균주들의 mixed-linker RFLP 결과 모든 다른 RFLP양상을 보였으며, 이는 conventional RFLP의 결과와 일치하였다. Mixed-linker PCR법으로 증폭된 절편들은 기본적으로 150-600 bp 사이에 존재하였으며, IS6110의 한절편인 소식자로 Southern hybridization하여 IS6110에 특이함을 증명하였다. Mixed-linker RFLP는 conventional RFLP보다 더 많은 수의 절편들을 보여 주었다. Mixed-linker와 conventional RFLP 양상들은 약제 내성과 무관하였다. 결론 : Mixed-linker PCR법은 기존의 conventional RFLP법보다 더욱 간편한 방법으로 결핵균의 신속한 동정 및 molecular typing을 가능하게 하여 결핵의 역학조사에 효과적인 방법임을 알 수 있다. Background : Various classic typing methods including phage typing, antibiotic resistance typing and multilocus enzyme electrophoresis have been proven inefficient because of the phenotypic and genotypic homogeneities of the Mycobacterium tuberculosis(M.tuberculosis) species. Thus, DNA restriction fragment length polymorphism(RFLP) analysis using the repetitive element insertion sequence 6110(IS6110) of the M. tuberculosis genome has been proposed to be a powerful epidemiologic tool. However, this method requires large amount of genomic DNA and Southern hybridization procedures. The aim of this study was to evaluate DNA RFLP analysis by mixed-linker polymerase chain reaction(mixed-linker PCR) for a rapid, simple typing method, which specifically amplified genomic RFLP fragments containing IS6110 with using one primer specific for IS6110 and a second primer complementary to a linker ligated to the restricted genomic DNA. Methods : Fourteen clinical isolates of M. tuberculosis with various drug susceptibilities including 2 strains isolated from a patient were used for the study. Their RFLP patterns by mixed linker-PCR(mixed liker RFLP) were analyzed and compard with those by the conventional RFLP method. Results : Mixed-linker RFLP obtained from 13 isolates of 13 patients showed all different reproducible patterns and 2 isolates from the same patient showed almost the same RFLP patterns which had different drug susceptibility. mixed-linker RFLP patterns were correlated to the results by the conventional RFLP. And mixed-linker RFLP showed a higher number of fragments containing IS6110 than those by the conventional RFLP. However, both mixed-linker and conventional RFLP were independent of drug resistance patterns. Conclusion : Mixed linker-RFLP is a rapid, simple typing method with high discrimination and reproducibility, and seems to be useful for epidemiologic study of M. tuberculosis.