저항운동 프로그램이 류마티스 관절염 환자의 일상 활동 수행 능력에 미치는 효과

길숙영 대한류마티스 건강전문학회 1997 근관절건강학회지 Vol.4 No.2

In an attempt to measure effects of the Programmed Resistance Exercise on the daily performance of patients with rheumatoid arthritis, a quasi-experiment : non-synchronised control group pre-post-test, was carried out for 8 weeks: from june 3 to November 29, 1996. 25 for the experimental group and 26 for the control group were conveniently sampled among registered out-patients on rheumatoid arthritis clinic of Anam Hospital, Korea University Medical Center, The programmed experimental resistance exercises were carried out by the experimental group five times a week for eight weeks. Before and after experiments, level of functional task performance, functional disability, joint mobility, ESR,CRP, self-efficacy and family support were measured and statistically analysed. The results of the analysis of the effects on the Programmed Resistance Exercise are as Follows : 1. A statistically significant post-test effects on functional task performance were revealed: 1) the experimental group climbed up and down the 10 steps of the stairs significantly faster than the control group(P=0.0001). 2) the experimental group walked 100m significantly faster than the control group(P=0.0000). 3) After the experiment, the experimental group could sit down and get up from chairs with no armrest as low as 30cm, 40cm, 50cm on their own, with no assistance as opposed to the control group who could not sit down and get up from such low chairs(P=0.0084). 4) the experimental group lifted 0-15 Kg object up to their own heights with no specific strain than the control group(P=0.0000). 2. A significant reduction in the functional disabilities was revealed in the experimental group(P=0.0017) 3. A notable increasement of the joint mobility was revealed in the experimental group. 4. A decrease in the ESR in both the experimental and the control groups was noticed, however, the difference was not statistically significant(P=0.9546). 5. The CRP of both experimental and control groups decreased with no significant difference(P=0.6022). 6. The self-efficacy increased significantly in the experimental group(P=0.0042), however, no significant effect of self-efficacy on the actual practice of the program was noticed. 7. The family support revealed to be significantly higher in the experimental group(P=0.0013), however, the effect of the family support on actual practice of the program revealed not significant. Judging from the results of these experiments, the resistance exercise program not only improves the functional capacity of rheumatoid arthritis, but also diminishes their functional disabilities and has a great on increasing their joint mobility, self-efficacy, and family support. Concluding, in promoting the daily performance of rheumatoid arthritis, the resistance exercise program would be an appropriate nursing intervention.

생체분해성 망막압정을 이용한 망막고정에 대한 실험적 연구

김용백,민병무,김창식,박근성,김승영,길숙종,조항진,이성복,노승무,송규상,강대영,조준식,양준묵,정경수,최선웅,이진호,김학용,인현빈 충남대학교 의과대학 지역사회의학연구소 1998 충남의대잡지 Vol.25 No.1

Biodegradable retinal fixation devices obtain mechnical fixation of the retina with desirable chorioretinal scarring and with the potential for local, sustained release of antimetabolites and steroids to inhibit proliferative vitreoretinopathy. We manufactured a biodegradable retinal tack with barb that was designed in order to prevent intrusion from implantation of retinal tacks. This study was carried to evaluate the efficacy for retinal fixation and the capability for sustained release of drugs with a newly designed biodegradable retinal tack Biodegradable retinal tacks were made of polymers of glycolic acids and were designed with barbs in a shape to prevent the disinsertion. Biodegradale retinal tacks are divided into 3 parts, a conical portion that is inserted into the sclera, a cylinder portion that remains in the vitreous, and a neck portion between the pin and the cylinder. The tapered conical end was manufactured to allow easy insertion through the retina and choroid into the sclera. A cylinder portion was manufactured with a tapered angle that fixes firmly into the orifice of 19 gauge spinal needle. A neck portion, 0.4 mm in diameter, was designed to prevent disinsertion from following implantation of retinal tack. The applicator was a 19 gauge spinal needle and its orifice was prepared to 15°angle to accept the tapered cylinder portion of the retinal tack. The retinal tacks, secured in the needles, were passed through the formed vitreous and inserted into the retina, choroid, and sclera and were released by pushing the internal needle, usually within 2-3mm of the medullary ray of the posterior rabbit retina A retinal tack was placed in each of 8 pigmented rabbit eyes. Slit-lamp biomicroscopy, indirect ophthalmoscopy and fundus photography were performed periodically from 1 day to 8 weeks after surgery. Eight eyes were enucleated and studied by light microscopy at 8 weeks. Biomicroscopic evaluation of the animals revealed edemas adjacent to the retinal surfaces immediately after insertion of the biodegradable retinal tacks in all the animals. These edemas disappeared after 1 week. The first noticeable change in the size of retinal tacks was shown after 2weeks. The size of the retinal tacks gradually got smaller, decreasing to about one-half at 4 weeks and about one-third at 8 weeks. All retinal tacks remained in inserted places without any movement for an 8 week period. On light microscopy, epiretinal proliferations were seen to extend into the vitreous cavity. Cellular capsules that lined the inner aspect of the scleral defect caused by tack insertion were found. However the adjacent retina had a normal cytologic appearance and architecture in all specimens. We manufactured a biodegradable retinal tack that is designed to prevent intrusion from implantation of retinal tacks. All biodegradable retinal tacks reduce in size with time, but no retinal tacks extruded from the inserted place. The newly designed biodegradable retinal tack can be used for retinal fixation and may be used as a vehicle for the introduction of pharmacologic agents to prevent the cellular events that promote proliferative vitreoretinopathy.

생체분해성 고분자를 이용한 사시수술용 제형개발 및 효용성에 대한 연구

민병무,김용백,김승영,김창식,박근성,길숙종,조항진,이성복,노승무,송규상,강대영,조준식,양준묵,정경수,최선웅,이진호,김학용,인현빈 충남대학교 의과대학 지역사회의학연구소 1998 충남의대잡지 Vol.25 No.1

A new device, muscle clamping system was developed to facilitate exact quatifying technique A strabismus surgery, and reduce the risk of complications. The device is composed of a lower fixing body with three jaws and an upper supporting body. They are used to clip an extraocular muscle and fix it to the sclera with a single bite. Superior rectus recession on 16 rabbit eyes were performed with this new device. Conjunctival injection, muscle adhesion strength, and light microscopic findings were examined at 1, 2, 4 and 8 weeks postoperatively. The Conjunctival injection were minimal, adhesion power ranged from 420 to 600 gram gravity, which is sufficient in withstand the normal pull of human extraocular muscle. In microscopic exam, some Inflammatory cells and fibrosis were found. The new device was technically easy, fast, and accurate, so it may be useful in stabismus surgery.

생체분해성 안과제형의 안구내흡수정도와 안독성

민병무,김용백,박근성,송규상,양준묵,이성복,조항진,길숙종,김승영,김학용 충남대학교 의과대학 지역사회의학연구소 1998 충남의대잡지 Vol.25 No.1

An improved retinal tack can be used to fix the retina in complicated retinal detachment and proliferative vitreoretinopathy. We used the retinal tack made by biodegradable polyglycolic acid, polylactic acid and copolymers. The tacks with polyglycolic acid were placed in the retina the right eyes of 10 rabbits as group 1, with polylactic-polyglycolic acid copolymers as group 2 in each left eyes. We examined the absorption rates and degree of intraocular inflammation at 1 day, 1, 2, 4, and 8 weeks and compared both eyes. The tacks were absorbed with time in both eyes, but more rapid in copolymers. And there was no inflammation in both eyes. Now, this study will be a base on the drug delivery system in intraocular pharmacological and surgical management.

클러스터링 기법을 이용한 퍼지 모델링에 관한 연구

원태현,김문수,이용길,강석규 동의공업대학 2000 論文集 Vol.26 No.1

In this paper, a new approach to modeling of static and dynamic systems using clustering techniques. To express the various and complex behavior of systems, we combine multiple model method. The Gustafson-Kessel algorithm is used in partitioning of system, and Takaei Sugeno rule structure is adopted to form the fuzzy rules. According to simulation, the performance of fuzzy modeling technique is evaulated.

An Implementing a Virtual Experience System for Changdeokgung(east palace) by Using the 3D Digital Restoration Technology

Park Kil-yong,Kim Suk-tae,Cho Jae-mo,Han Sang-gil,Oh Hyung-suk (사)한국디지털디자인협의회 2007 (사)한국디지털디자인협의회 conference Vol.2007 No.1

Cultural property stands for traces of human history and has spiritual value in advance rather than any economic value. Although there exist enormous cultural assets in Asia where they have the longest history on the whole world, many have been destroyed by pounder and natural disasters. And the surviving remains have not been kept well either. Subsequently the protection of cultural property and the restoration of lost parts are urgently necessary. However, it is more difficult for cultural construction properties to have any actual restoration than any other cultural property because they have problems including problems relating to their places and budgets for restoration and maintenance. The digital graphic technology under development due to the advance of computers has been paid attention to as an alternative to solve such problems, and the cultural heritage database produced by the digital restoration might make good materials to produce cultrral contents with highly added value such as games and movies. This study mainly aims at materializing the digital restoration of Changdeokgung located to the east among six palaces in Seoul, the Capital City of Korea during Chosun Dynasty, and the restoration result in building a virtual experience system by using the virtual reality based on the high quality motion pictures and game engine. In addition, the study also provides the academical significance to develop databases possible of being applied to various cultural contents by examining a prototype of the palace construction culture in the past.

An Implementing a Virtual Experience System for Changdeokgung(east palace) by Using the 3D Digital Restoration Technology

Park Kil-yong,Kim Suk-tae,Cho Jae-mo,Han Sang-gil,Oh Hyung-suk 한국디자인지식학회 2007 한국디자인지식학회 Conference Vol.2007 No.8

Cultural property stands for traces of human history and has spiritual value in advance rather than any economic value. Although there exist enormous cultural assets in Asia where they have the longest history on the whole world, many have been destroyed by pounder and natural disasters. And the surviving remains have not been kept well either. Subsequently the protection of cultural property and the restoration of lost parts are urgently necessary. However, it is more difficult for cultural construction properties to have any actual restoration than any other cultural property because they have problems including problems relating to their places and budgets for restoration and maintenance. The digital graphic technology under development due to the advance of computers has been paid attention to as an alternative to solve such problems, and the cultural heritage database produced by the digital restoration might make good materials to produce cultrral contents with highly added value such as games and movies. This study mainly aims at materializing the digital restoration of Changdeokgung located to the east among six palaces in Seoul, the Capital City of Korea during Chosun Dynasty, and the restoration result in building a virtual experience system by using the virtual reality based on the high quality motion pictures and game engine. In addition, the study also provides the academical significance to develop databases possible of being applied to various cultural contents by examining a prototype of the palace construction culture in the past.

저항운동 프로그램이 류마티스 관절염 환자의 기능장애, 생화학적 지수, 자기효능감 및 가족지지도에 미치는 영향

길숙영(Kil Suk-Yong) 기본간호학회 1997 기본간호학회지 Vol.4 No.1

응급의료 센터의 체류 및 입원대기 시간 지연 요인

길숙영(Kil Suk Yong),김옥준(Kim Ok Jun),박진선(Park Jin Sun) 기본간호학회 1999 기본간호학회지 Vol.6 No.3

Study on a Partial Discharge Test for Low-Voltage Electronic Components

Gyung-Suk Kil,Dong-sik Kang,Don-ha Hwang,Jae-man Song,Jae-yong Song,Yong-ju Kim 한국물리학회 2006 THE JOURNAL OF THE KOREAN PHYSICAL SOCIETY Vol.49 No.III

This paper deals with a partial discharge (PD) test on low-voltage electronic components, which is increasingly being accepted as a non-destructive and effective dielectric test. A comparative experiment, combined with the withstand voltage test (WVT) specified in IEC standards, was carried out on low-voltage insulation transformers. The results show that the insulation degradation of the sample progresses during the WVT. However, if an apparent charge of below 1 pC is detected, the PD test can be performed within the range of 30 . 50 % of the test voltage specified in the WVT. Therefore, the PD test can be applied successfully in place of the WVT as a non-destructive test on low-voltage electronic components.e6