중추신경계 손상 환자의 우울과 삶의 질에 대한 음악요법의 효과

최성복,정호중,심영주 고신대학교 의과대학 2010 고신대학교 의과대학 학술지 Vol.25 No.1

Objectives: To identify whether music therapy is effective for depression and quality of life (QOL) of patients with central nervous system (CNS) injury, using controlled comparison method. Methods: Twenty nine subjects with CNS injury assigned to one of the two groups, music therapy group (therapy group) or control group. Music therapy was applied to fifteen patients in the therapy group twice a week for 5 weeks (10 sessions) with daily physical and occupational therapy, while only physical and occupational therapy were applied to the control group routinely. Depression of all subjects was assessed by Beck depression inventory (BDI) and Hamiltonrating scale for depression (HRSD). QOL was measured with the use of the world health organization quality of life assessment instrument-brief (WHOQOL-BREF). Each evaluation was assessed at the beginning of this study and after 10 sessions’music therapy. Results: The mean BDI scores reduced in the two groups, but the differences were not significant. In the therapy group, the mean score of HRSD was reduced significantly after song psychotherapy for 5 weeks, from 7.6±5.6 to 3.5±4.1 (p<0.05), while it was not significantly reduced in the control group. The mean scores of WHOQOL-BREF in the therapy group were advanced in every domain. In the control group the mean score of social relationships domain was worsen after 5 weeks comparing the mean score at the beginning of this study. Conclusions : The music therapy relieves patients with CNS injury from depression, and it also seems to be able to improve QOL of them.

브레이징 온도 변화에 따른 ZrO2와 Ti-6Al-4V의 접합 특성

기세호,박상윤,허영구,정재필,김원중 大韓齒科補綴學會 2012 대한치과보철학회지 Vol.50 No.3

Purpose: In this study, brazing characteristics of ZrO2 and Ti-6Al-4V brazed joints with increasing temperature were investigated. Materials and methods: The sample size of the ZrO2 was 3 mm × 3 mm × 3 mm (thickness), and Ti-6Al-4V was 10 mm (diameter) × 5 mm (thickness). The filler metal consisted of Ag-Cu-Sn-Ti was prepared in powder form. The brazing sample was heated in a vacuum furnace under 5 × 10-6 torr atmosphere, while the brazing temperature was changed from 700 to 800℃ for 30 min. Results: The experimental results shows that brazed joint of ZrO2 and Ti-6Al-4V occurred at 700 - 800℃. Brazed joint consisted of Ag-rich matrix and Cu-rich phase. A Cu-Ti intermetallic compounds and a Ti-Sn-Cu-Ag alloy were produced along the Ti-6Al-4V bonded interface. Thickness of the reacted layer along the Ti-6Al-4V bonded interface was increased with brazing temperature. Defect ratios of ZrO2 and Ti-6Al-4V bonded interfaces decreased with brazing temperature. Conclusion: Thickness and defect ratio of brazed joints were decreased with increasing temperature. Zirconia was not wetting with filler metal, because the reaction between ZrO2 and Ti did not occur enough. 연구 목적: 온도 변화에 따른 ZrO2와 Ti-6Al-4V의 접합 특성에 대해 알아보기 위하여 새로운 브레이징 합금을 제조하고, 브레이징 온도가 접합 특성에 미치는 영향에 대하여 조사하고자 하였다. 연구 재료 및 방법: 본 연구에서 사용된 시편으로는 실험용 ZrO2 모재(ZirBlank-PS, Acucera, Inc., Gyeonggi-do, Korea)는 소결 전의 블록형태(65 mm × 36 mm × 12 mm (t))이며, 이를 잘라 사포(#2400)로 표면연마 후 소결하였다. 소결된 ZrO2 시편의 크기는 3 mm × 3 mm × 3 mm (t) 이다. Ti-6Al-4V 모재(Ti 6Al 4V ELI CG Bar, TMS, Washington, USA)는 직경 10 mm × 5 mm (t)를 사용하였다. 소결된 ZrO2와 Ti-6Al-4V의 접합을 위하여 브레이징 합금을 제조하였다. 시편을 3군으로 나누어A군은 700℃에서, B군은 750℃에서, C군은 800℃에서 각각 브레이징 하였다. 브레이징 부의 두께와 결함율의 측정은 각 군당 하나의 시편으로 각 시편 당 5회씩 반복 측정하여 평균값을 취하였다. 결과: 브레이징 합금을 사용하여 진공 브레이징을 수행한 결과 ZrO2 와 Ti-6Al-4V 는 700℃ - 800℃에서 양호한 접합을 보였다. 브레이징 후 브레이징 온도 변화에 따른 브레이징 부의 두께 및 결함율의 변화는SEM을 사용하여 측정하였다. 브레이징 온도가 700℃에서 800℃로 증가함에 따라 CuTi 금속간 화합물 층 및 Ti-Sn-Cu-Ag계 화합물 층의 두께는 각각 4.5 ㎛에서 10.3 ㎛로, 3.1 ㎛에서 5.0 ㎛로 증가되었다. 또한 브레이징 온도가 700℃에서 800℃로 증가함에 따라 브레이징 접합계면의 결함율은 ZrO2 및 Ti-6Al-4V 계면에서 각각25%에서 16.3%, 5%에서 1.5%로 감소되었다. 결론: 브레이징 온도가 700℃에서 800℃로 증가됨에 따라, 브레이징 접합계면의 결함율은 ZrO2 및 Ti-6Al-4V 계면에서 모두 감소되었다. 이는 결함부에서 ZrO2와 활성원소인 Ti과의 반응이 충분히 일어나지 않아서 브레이징 합금이 ZrO2에 웨팅되지 않은 것이 원인이라고 사료된다.

뇌졸중 환자에서 연하장애와 신체기능장애의 연관성

김도성,심영주,김기찬,정호중 고신대학교 의과대학 2010 고신대학교 의과대학 학술지 Vol.25 No.2

Backgrounds : In almost stroke patients, dysphagia is improved with rehabilitation therapy. But, it is not identified the relationship between dysphagia and physical function recovery in stroke patients. Methods : A total of 21 patients with stroke-caused swallowing disorders based on a videofluoroscopic swallowing study (VFSS) were examined swallowing function and physical function at admission and after treatment for 4 weeks (including Vitalstim). Swallowing function was evaluated by the functional dysphagia scale (FDS) using VFSS before treatment and after treatment. Physical function was evaluated by the motricity index (MI) and modified barthel index (MBI) at admission and after 4 weeks. And the relationship between dysphagia and physical function recovery was evaluated. Results : After treatment for 4 weeks, total score, residue in oral cavity, oral transit time, laryngeal elevation and epiglottic closure, residue in valleculae, residue in piriform sinus, coating of pharyngeal wall after swallow were significantly decreased in FDS (p<0.05). There were a significant improvement in MBI (p<0.05) and the correlation between FDS and MBI. But, MI was not showed correlation with FDS. Conclusions : There was relationships between swallowing function improvement and recovery of physical function in almost FDS factors.

다형성 교모세포종에서 광범위 전적출술후 단기 재발된 치험 1예

박호권,강중식,조준,문창택,장상근,임정애 건국대학교 의과학연구소 2003 건국의과학학술지 Vol.13 No.-

Glioblasty/ma Multiforme(GBM) is the one of the most common malignant tumors in central nervous system(CNS). The incidence of the tumor is about 12% of all CNS tumors and about 50% of all intracranial tumors. Though the development of the microsurgical technique, radiosurgical technique, and chemotherapy works effectively, complete cure of the GBM has not been achieved. It has been known that the prognosis of GBM depends on the extent of surgical tumor removal, remained tumor volume, radiation dose, and chemotherapy. Not only patient's age but also tumor characteristics such as MRI enhancement, angiogenesis and necrosis are also very important prognostic factors. Authors experienced very aggressive GBM in aged woman, who received gross total tumor removal, but refused other therapeutic motalities postoperatively. Very rapid recurrence of GBM and global cerebral edema in aged woman should be considered fatal. This case demonstrates the effectiveness of aggressive removal and the limited usefulness of neurosurgical tools in GBM recurrence. Authors would suggest that the early diagnostic effort and the verified neurosurgical therapy for malignant tumor are still strongly requested to make better prognosis.

검도와 연관된 근골격계 통증

하호성,김기찬,,정호중 KOSIN UNIVERSITY COLLEGE OF MEDICINE 2006 高神大學校 醫學部 論文集 Vol.21 No.1

Background : The purpose of this study is to understand the distribution of Kumdo related pain and associated factors Materials and Methods : A clinical evaluation was done by a physiatrist with radiography. 119 men and 11 women were interviewed about Kumdo experience, daily and weekly practice time, pain complaint, anatomical disturbance of pain by total 15 question at January, 2006. Result : Lower limb was the most common area of pain complaints, followed by upper lims, spine in orders. Tendinitis (5 cases) on wrist was most common in upper limb and plantar fascitis (7 cases) was most common at lower limb. Conclusion : Kumdo related pains were more disturbance in lower limb, followed by upper limb. And most common disease was plantar fascitis of foot.

척추주위근을 침범한 신경통양 근위축증 (Neuralgic Amyotrophy) 2례

전포성,정상욱,김기찬,정호중 고신대학교 의학부 1998 高神大學校 醫學部 論文集 Vol.13 No.1-2

Neuralgic amyotrophy is a clinical syndrome of unknown etiology characterized by the acute onset of severe shoulder girdle pain followed by motor weakness or paralysis, and variable sensory loss. Up to 90 percent of patients eventually recover within the third years and the treatment is symptomatic. Neurologic findings and electrodiagnostic studies are only useful diagnostic methods of neuralgic amyotrophy and other laboratory testing are frequently normal or nonspecific. We report two cases of neuralgic amyotrophy with paraspinal muscles involvement with review of literature.

초음파 펄스에코 신호의 3차원 처리

송문호,손상락,조정호,성제중,안형근,장순재 한국비파괴검사학회 2003 한국비파괴검사학회지 Vol.23 No.5

비파괴 시험을 위한 3차원 구조의 초음파 영상에는 다양한 결함을 명백하게 보여줄 수 있을 만큼 상세하고 쉽게 알아볼 수 있는 정보가 제공되어야 한다. 수년 동안 원자력 발전소에서 사용된 금속관에 발견되는 소규모의 균열은 전형적인 결함들인데, 이러한 밀리미터 이하의 균열이나 결함은 최종 3차원 영상에서 묘사되어야만 의미있는 검사가 될 것이다. 향상된 선명도와 그에 따른 결함의 발견 과정의 한 단계로써, 펄스에코(pulse-echo) 초음파를 사용한 3차원 영상제작 기술을 제안한다. 이 기술은 필요한 스캐닝과 펄스에코 데이터의 처리과정을 통한 검사로 3차원 물체의 3차원 영상을 생성하는데, 2차원 위너필터(Wiener filter)에 의해 초음파 빔을 선명하게 하는 기술을 포함한다. 제안하는 위너필터는 빔의 전달에서 펄스에코 데이터를 초음파 빔 방향의 수직방향에 따라 필터링한다. 이 3차윈 처리과정은 결함의 선명성을 증진시키고 사용자에게 3차윈 구조물의 좌우 회전 및 축 회전과 같은 조작 능력을 제공한다. 이러한 조작 능력은 3차원에서 다양한 결함들의 크기와 위치의 분명한 묘사를 가능하게 한다. Infrasonic imaging of 3-D structures for nondestructive evaluation must provide readily recognizable images with enough details to clearly show various flaws that may or may not be present. Typical flaws that need to be detected are miniature cracks, for instance, in metal pipes having aged over years of operation in nuclear power plants; and these sub-millimeter cracks or flaws must be depicted in the final 3-D image for a meaningful evaluation. As a step towards improving conspicuity and thus detection of flaws, we propose a pulse-echo ultrasonic imaging technique to generate various 3-D views of the 3-D object under evaluation through strategic scanning and processing of the pulse-echo data. We employ a 2-D Wiener filter that filters the pulse-echo data along the plane orthogonal to the beam propagation so that ultrasonic beams can be sharpened. This three-dimensional processing and display coupled with 3-D manipulation capabilities by which users are able to pan and rotate the 3-D structure improve conspicuity of flaws. Providing such manipulation operations allow a clear depiction of the size and the location of various flaws in 3-D.

油菜의 雄性不稔系統에 關한 發生學的 硏究

李萬相,李重浩 圓光大學校 1981 論文集 Vol.15 No.1

油菜의 雄性不稔系統인 Mokpo MS, Chisa MS와 正常品種인 龍塘을 比較品種으로 하여 雄性不稔發現에 있어 그 原因올 밝히기 爲하여 發生學的으로 調査하였던 바, Chisya MS는 不完全하고, Mokpo MS는 小胞子母細胞減數分裂異常으로 四分子期 以後 退化되기 시작하여 開花直前에는 小胞子나 花紛粒은 찾아 볼 수 없고, 絨毯組織, 內被, 中層, 表皮가 그대로 殘存하고 있는 點으로 보아 完全한 雄性不稔系統임이 確實하다. 大胞子에서 Chisaya MS는 正常的으로 卵裝置가 形成되나, Mokpo MS는 異常이 있다. Present work was carried out to investigate the cause of male sterile appearance in the rape with Mokpo MS line and Chisaya MS one as the male sterile lines and with cv Yongdang as nomal variety. The results obtained were as follows: The male sterility of Chisaya MS line was imperfect, but that of Mokpo MS line was perfect on account of abnormal meiotic division of microspore mother cells or being lacking pollen grains at just before blooming and judging from intact remain of tapetal tissue, endothicium, middle layer and epidermis of anther at just before blooming. The egg apparatus of Chisaya MS line was normal, but that of Mokpo MS line, abnormal.

광대역 고출력 공간 전력 증폭 소자에 관한 연구

이성호,권세웅,이병무,윤영중 연세대학교 산업기술연구소 2002 논문집 Vol.33 No.2

In this paper, spatial amplifier using wideband printed dipole antennas is proposed for spatial power combining. The input and output printed dipole antennas have wide bandwidth of 22 %(5.44 ㎓∼6.75 ㎓) and 26.3 %(5.2 ㎓∼6.78 ㎓), respectively. Gain of the designed amplifier is 9.5 ㏈ at 6 ㎓. As a result, the proposed spatial amplifier using wideband printed dipole antennas and amplifiers shows that the gain is 16.8 ㏈ at 6 ㎓ and 3-㏈ gain bandwidth is 1.04 ㎓.

Vinblastine이 백서 배양 Type-1 별아교세포에 미치는 세포독성에 관한 연구

하상호,박승택,문연자,김종영,김정중,정연태 圓光大學校 醫科學硏究所 1994 圓光醫科學 Vol.10 No.1-2

It has been reported that vinblastine, anticancer drug, is a neuroteratogen inducing various neural malformations such as microcephaly and neural tube defect(NTD), but the study on the toxicity of neuroglial cells, especially type-1 astrocytes using culture system is not well established. In order to evaluate the cytotoxicity of vinblastine on cultured type-1 astrocytes of neonatal rat brain in vitro. MTT assay and also light and electron microscopic studies were carried out. The results were as follows: 1. MTT_90 and MTT_50 in cultured type-1 astrocytes were 1×10 exp (-1) μM and 1×10 exp (2)μM of vinblastine, respectively. 2. Vinblastine was highly toxic in cultured type-1 astrocytes(MTT_50 ≤ 100 μM). 3. In a light microscopy, cultured type-1 astrocytes showed decrease of cells in number, cytoplasmic perforation, vacuolization and cytoplasmic granulation after cultured type-1 astrocytes were treated with 1×10 exp (2)μM of vinblastine for 24 hours. Cultured type-1 astrocytes damaged by vinblastine showed degenerative changes of cells morphologically. 4. In an electron microscopy, increment of glial fibrillary acidic protein(GFAP), increased free-ribosomes, cisternal dilatation of rough endoplasmic reticulum (rER). few dense bodies and vacuoles were shown in cultured type-1 astrocytes treated with 1×10 exp (2)μM of vinblastine for 24 hours. The results indicate that vinblastine has markedly cytotoxic effect on the type-1 astrocytes of neonatal rat brain in vitro study.