체간안정화 훈련이 만성 뇌졸중 환자의 호흡기능에 미치는 효과

이경진(Kyeong-Jin Lee),정주현(Ju-Hyeoun Jeong),조명래(Myeong-Rae Jo),김세윤(Se-Yoon Kim),김난수(Nan-Soo Kim) 대한심장호흡물리치료학회 2019 대한심장호흡물리치료학회지 Vol.7 No.1

Purpose : The purpose of this study is to examine the effects of trunk stability training on improving trunk control, respiratory function, and respiratory muscle activation in stroke patients. Methods : The subjects were assigned to two groups: the intervention group (n=15) and the control group (n=15). Both groups participated in a conventional stroke rehabilitation program, but the intervention group also received trunk stability training for 30 minutes a day, 3 times a week, for 6 weeks. The main trunk stability exercise consisted of the dead bug exercise. Trunk control was assessed using a trunk impairment scale, and respiratory function (pulmonary function and respiratory muscle function) was assessed using spirometry. The data were analyzed using the Pearson correlation, independent t-test, and paired t-test. Results : Trunk control was significantly positively correlated with pulmonary function and respiratory muscle strength. Both groups showed a significant increase in trunk control and respiratory function. Conclusion : This study demonstrated that a conventional stroke rehabilitation program and trunk stability training have positive effects on respiratory function and respiratory muscle activation in stroke patients.

신손상시 수술 결정에 있어서 CT의 역할 : 중증 신손상을 중심으로 Its Role in Decision of Operation, Especially in Severe Renal Injury

이현경,박수성 동국대학교 경주대학 1993 東國論集 Vol.12 No.-

To evaluate the role of CT to guide how to treat patients with renal injury, we retrospectively reviewed 521 abdominal CT scans of patients with blunt abdominal trauma during a 71-month period. Thirty-one patients among them were diagnosed as renal injury. We classified those 31 patients by the category of CT-based renal injury ranging from category 1 to category 3 and compared those with clinical outcome, retrospectively. All of patient in category 1(100%), 4 patients in category 2(66%) and 1 patient in category 3(50%) were treated censervatively. Totally 29 patients(91%) were successfully treated without operation. No patient who was initially treated without surgery required delay operation due to renal injury. In conclusion, even severe renal injury including category 3 by CT scan can be managed without operation.

홍삼 조사포닌 성분의 중추작용

이순철,이수정,정경수,유관희,김학성 충남대학교 약학대학 의약품개발연구소 1995 藥學論文集 Vol.11 No.-

The present study was undertaken to elucidate the characteristics of red ginseng total saponin in behavioral changes on ambulation, forced swim test and convulsion in mice. The ambulation and the duration of immobility on forced swim test were not affected by red ginseng total sapinin. On the other hand, the duration of immobility induced by DMI, PGL but not CIP was significantly decreased, and the onset of convulsion induced by pentylenetetrazole was significantly shortened by preadminstration of red ginseng total saponin. These results suggest that red ginseng total saponin component may play an important role in modulation synergism with drugs acting on depression and convulsion, and that the characteristics of synergetic effect induced by red ginseng total saponin potentiate the central norepinephrine neuron activity.

위암 환자의 복강내 투여를 위한 Activated Charcoal-Alginate Bead 제형으로부터 Mitomycin C의 용출 거동

이진호,최선웅,서중기,김동민,정경수,오정연,김진향,노승무,민병무,김용백,김창식,박근성,강대영,송규상,양준묵,조준식,정현용,김학용,인현빈 충남대학교 의과대학 지역사회의학연구소 1998 충남의대잡지 Vol.25 No.1

Locoregional recurrence is the most common type of recurrence in surgical operation of gastric adenocarcinoma, and peritoneal dissemination is one of the most difficult problems in advanced gastric adenocarcinoma treatment. Because the peritoneal cavity is the most common site of the first recurrence after gastric cancer resection, intraperitoneal chemotherapy seems a logical choice for cancer chemotherapy. In this study, Mitomycin C (MMC)-activated charcoal (CH)-alginate (ALG) beads were prepared by the mixtures of CH particles adsorbed with MMC as an anti-cancer drug and aqueous alginate solution. The alginate is recognized as biodegradable, nontoxic, and biocompatible. The release of MMC from the beads in 0.1 M Tris buffer was stable and continuous until about 1 week. The MMC-CH-ALG beads can be applied in the peritoneal cavity for intraperitoneal chemotherapy since they provide a good adhesiveness on the tissue and controlled release pattern of the drugs.

1. 06㎛ Nd : YAG Laser를 이용한 요추간판탈출증의 경피적 수핵감압술

이흥선,변박장,최순관,신원한,권귀향,이인수,이경석,김범태 순천향대학교 1994 논문집 Vol.17 No.4

The 1.06㎛ Neodymium-YAG Laser(800 micron hemisherical) is revealed a useful tool for percutaneous laser disc decompression(PLDD). Especially PLDD would be applied to the management of lumbar disc herniation with minimal intervention. Total irradiated energy to one level of disc space was bout 1000 to 2000 joules. We performed this method at 10 levels, in 7 cases of patients, consisting of 4 males and 3 females with an average age of 37.7 years. Five cases showed excellent and good results, were observed. In two cases, open surgery was required because of unsatisfactory results. The best results were obtained in the protrusion type of disc herniation. We have summarized some advantages of PLDD: a) safe and simple procedure in an outpatient setting, b) avoiding general anesthesia, late spinal instability, c) possibility of repetitive use.

도시지역 노인의 건강행위 실천 실태

이태진,배상수,이기홍,임재영,강경화 노인간호학회 2008 노인간호학회지 Vol.10 No.1

Purpose: The purpose of this study was to identify the health status and health behavior practices of elders living in urban areas. Methods: The participants were selected by convenience sampling and consisted of 137 elders 65 or over living in a city in Kyunggi Province. Data collection was done through interviews using a structured questionnaire. Results: Of the participants. 66.4% perceived their health status as 'not healthy'. The average number of present illnesses reported by the elders was 1.7. The average scores for health behavior practices were low (smoking cessation: 1.64, drinking abstinence: 1.79, exercise: 0.40, regular diet: 1.54, weight control: 1.67, regular physical check-up: 0.77). The scores for health behaviors practices showed significant differences according to general characters and health status. Conclusion: Health promotion programs for elders should be designed to enhance health behaviors practices.

문제행동 청소년을 위한 대인관계 집단치료 효과

이후경,안현주,김선재,윤성철,봉수연 大韓神經精神醫學會 2003 신경정신의학 Vol.42 No.5

Objectives : Fast change and confusion of the value system in society affect the identity formation of adolescents. So Adlescents' behavioral problems seem to be increasing yearly. It is known that the interpersonal group therapy is the most effective treatment modality among many group programs for adolescents with behavioral problems. Objectives of this study are as follows ; first, evaluate therapeutic effects of the interpersonal group therapy for adolescents with behavioral problems second, examine the therapeutic factors ; third, analyze the group process : fourth, orgamize the group therapy for adolescents with behavioral problems as an applicable treatment modality. The types of group therapy performed in this study are small, closed, homogeneous, outpatient, timelimited, and adolescent group. Methods : This study was carried out at one of the adolescents mental health services in Uiwang Mental Health Center, from April to June and from September to November in 2000. The subjects were 2nd grade students in K middle school with behavioral proplems. The experimental groups were composed of 4 groups including 2 male groups and 2 female groups (male 11, female 17), and the control groups matched the same conditions as the experimental groups (male 10, female 19). The group therapy was performed weekly in CA (club activity) time, and it took 60-70 minutes at one time. They met total 10 sessions including preparatory meeting and termination meeting. Before and after this program, self-rating scales (behavioral problems, aggression, and impulsivity) were applied for subjects, and the teacher rating scales (behavioral problems, aggression and impulsivity) were performed by teachers in charge. After each session, Yalom's 13 therapeutic factors scale was perfbrmed. At the last meeting, total assessment questionnaire was compleled. Results : The mean scores of all self-rating scales (behavioral problem, aggression, and impulsivity) were lower in the experimental groups (both male and female group) than the control groups, but not significant statistically except the behavioral problem scale of female students. The mean scores of all teacher rating scales (behavioral problem, aggression, and impulsivity) were lower in the experimental groups (both male and female group) in comparison with the control groups, all significant statistically. As faras the therapeutic factors are concerned ; first, the mean scores of all therapeutic factors in female students were higher than in male students and the mean scores of all therapeutic factors in the later half sessions were higher than the former half sessions ; second, catharsis and existential factor were high in all students and sessions ; third, identification with therapist factor was high in all students and sessions : fourth, during the later half sessions, interpersonal input was relatively high in male students and socializing technique was relatively high in female students. Its forthe total assessment questionnaires ; 100% of male students and 88.2% of female students reported that they were helped by this group therapy ; 100% of male students and 82.4% of female students reported that they would participate willingly if future opportunity of the same group therapy is given for them. Conclusion : Adolescents with behavioral problems who participated in this study showed the decrease of behavioral problems and the change of aggressive and impulsive attitudes in comparison with the control groups although they had some differences between male and female students. The group therapy with adolescents would be practiced more broadly and extensively though there are several accompanied problems including the difficulty of structuring, the deficit of motivation, and financial problem.

전북지역 강우 성분과 산성비 강하에 관한 연구

이경보,강종국,이덕배,김종구,이경수 원광대학교 환경과학연구소 1996 環境科學硏究誌 Vol.5 No.1

專門大學海洋土木科模型敎育課程 修正開發硏究

李東周,林秉龍,張仁奎,申文燮,金榮燮,朴昌圭,金康洙 군산대학교 1988 群山水産專門大學 硏究報告 Vol.22 No.1

This is a study to modify the curriculum of the ocean civil engineering department in junior college. We collected and analyzed data which are concerned on the curriculum development or improvement, the marine techniques and the ocean policy. And then we also gathered the opinions of the professors serving at the ocean civil engineering department by holding several conferences and investigated the opinions of the ocean civil engineers serving at the industrial organization by way of the inquring papers. In addition we collected the advices of educational specialists and ocean civil specialists by visiting personally. On the basis of above opinions we developed the jobs of graduates and made a model curriculum shown in Table 6. We tried to intensify the subjects of special basic field related to the ocean & civil engineering and the subjects of basic experiment & practise. The ocean observation practise was newly formed and the E. D. P.S was reinforced.

한 중소도시의 청소년 약물사용 실태조사

이후경,김선재,윤성철,봉수연,안현주,박선영 대한신경정신의학회 2001 신경정신의학 Vol.40 No.1

-초록- 연구목적: 약물사용의 가능성이 가장 높은 시기는 십대 후반에서 이십대 초반의 청소년기로 알려져 있다. 또한 청소년기의 약뮬사용은 빠른 의존의 가능성, 심각한 약물남용으로 진행할 가능성, 약물로 인한 공격성의 증가 등으로 심각한 사회문제가 될 여지가 많다. 그러므로 저자들은 중소도시에서 청소년 약물사용의 예방 및 치료를 위한 정책을 마련하는데 기초가 될 수 있는 청소년 약물사용 실태를 조사하는 것을 목적으로혹시청소년상담실의 기금을 받아 본 연구를 시행하였다. 저자들이 세운 연구가 설은 다음과 같다. 첫째, 나이, 성(性)과 같은 개인적 요인에 따라 청소년의 약물사용에 차이가 있을 것이다. 둘째, 가정, 또래집단과 같은 환경적 요인에 따라 청소년의 약물사용에 차이가 있을 것이다. 셋째, 음주, 흡연, 비행과 약물사용과는 상화관련이 있을 것이다. 방법: ㅎ시 4개 중학교 학생 833명(51.6%), 3개 고등학교 학생 780명(48.4%), 성별은 남자(49.5%), 여자(50.5%), 총 1613명을 대상으로 하여 1999년 7월 12일부터 14일까지 3일간 설문조사를 실시하였다. 결과: 1) 술(59.4%), 담배(34.4%)의 경험이 가장 높았고, 의약품 중에는 진통제(33.1%), 흡입제(inhalants)중에는 본드(0.7%), 마약류 중에서는 히로뽕(0.4%)의 사용이 가장 많았다. 2) 술, 담배, 수면제, 각성제, 신경안정제의 사용경험이 중학생 보다 고등학생이 거의 두 배 이상 높았다. 3) 약물을 사용하지 않는 학생의 부모 화목도 점수가 약물을 사용하는 학생의 부모 화목도 점수보다 의미 있게 높은 것으로 나타났다. 4) 흡연 및 음주경험이 있는 학생의 친구들이 그렇지 않은 학생의 친구들에 비해 술, 의약품, 흡입제를더 많이 사용하였다. 5) 술, 담배, 약물을 사용하는 학생들이 비행 가능성이 높았다. 6) 술을 사용하게 되는 가장 많은 이유는 '친구들과 어울리기 위하여'(55.0%), 담배를 사용하게 되는가장 많은 이유는 '심심해서'(50.9%)이었다. 7) 술, 담배, 약물을 사용하면 다른 것을 사용할 가능성이 높은 것으로 나타났다. 결론: 한국의 청소년 약물사용경험은 이제까지의 연구와 본 연구를 종합하여 볼 때 지속적으로 증가하고 있다. 향후 약물사용을 줄이기 위해서는 국가적인 차원에서 약물사용 실태조사가 선행되어야 하고, 그 결과에 따른 적절한 대책의 수립과 정신과 의사들의 적극적인 참여가 필요하다. Objectives : The purpose of this research is to help solve adolescent issues involving substance uses, which may become begin to undergo many changes(i.e.practising various roles, thereby leading to independent life styles). More often than not, adolescent drug problems develop into social problems, chiefly behavioral imitations and heavy dependence on medicine. The authors conducted a survey of adolescent substance uses to develop preventive measures against the drug habit prevalent among young people, thereby formulating a policy to deal with problematic community. Funded by a Yuth Counselling Center in the city of H. the research was conducted on the following assumptions that there will be : Firstly, a comparison of drug uses by sex and age ; Secondly, variance of substance users by family background and peer group ; Thirdly, a combination of heavy drinking, smoking and delinquency resulting in the drug habit. Methods : the survey included a total of 1613 students during 3 days, 12 through 14, July, 1999. The subjects were 833 pupils(51.6$) from 4 middle schools and 780 students(48.4%) from 3 high schools in the city of H with a ratio of 49.5%(males) and 50.5%(females). Results : 1) Experience of substance use is most referable to drinking(59.4%) and smoking(34.4%) while given to analgesics(33.1%) among medicines, glue(0.7%) among inhalants and philophone(0.4%) among narcotics. 2) High school students found more than double the amount of smoking and drinking as well as uses of hypnotics, stimulants and sedatives by junior high school students. 3) Our resalt showed was significantly noted that non-users had a better relationship with their parents than most users. 4) Smoking and drinking problean could be more easily developing into adolescent substance uses. 5) Alcohol, cigarette, and drug users showed more misconducts than other adolescents. 6) Most adolescents believe theat drinking is necessary for making friends(55.0%), while smo-king is just for killing time(50.9%) 7) Drinking, smoking, and other substance users were found to develop into more proble-matic habits. Conclusion : The present survey and several others show that adolescent substance uses in Korea are on the rise. Therefore, extensive counter-measures will be necessary followed by nationwide epidemiological survey of the pending issue, with the psychiatrists participating in the campaign.