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- 저자 : 송해윤 (검색결과 4 건)
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군날개절제술 후 발생한 공막연화증에서 무세포성 동종진피이식술
송해윤,임재석,곽주영.Hae Yoon Song. M.D.. Jae Seok Im. M.D.. Ju Young Kwak. M.D. 대한안과학회 2008 대한안과학회지 Vol.49 No.10
Purpose: To report two cases of successful acellular dermal allograft transplantation for scleromalacia following pterygium excision. Case summary: A 72-year-old female patient developed scleromalacia on the nasal side of the right eye, and a 79-year-old female patient developed scleromalacia with inflammation on the nasal side of the left eye. They had previous histories of pterigia removal on the sites of scleromalacia. Acellular dermal allograft (AlloDerm<sup>®, Lifecell, NJ, USA) transplantations were done. After the operations, inflammation and pain ameliorated and the grafts survived without any particular complications. Conclusions: In treating scleromalacia, the transplantation of acellular dermal allografts produced relatively satisfactory results without undesirable problems commonly encountered when using conventional materials. J Korean Ophthalmol Soc 2008;49(10):1685-1689
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전신 마취하 복강경 수술 시 복강 내압과 체위 변동이 안압에 미치는 영향
송해윤,최종우,권정도,Hae Yoon Song,Jong Woo Choi,Jeong Do Kwon 대한안과학회 2011 대한안과학회지 Vol.52 No.10
Purpose: The present study proposes to examine the change of IOP in response to the rise of abdominal pressure and in response to position change during laparoscopic surgery. Methods: The subjects of the present study included 28 patients who had laparoscopic appendectomy and 20 patients who had laparoscopic cholecystectomy. In both groups, the IOP was measured before surgery, after general anesthesia, after the occurrence of pneumoperitoneum, after position change according to operative method, after the removal of pneumoperitoneum and under general anesthesia. Results: When comparing the IOP before and after the occurrence of pneumoperitoneum, the IOP after the occurrence increased by 3.70 ± 0.96 mm Hg in the appendectomy group and by 3.15 ± 0.5 mm Hg in the cholecystectomy group. After the occurrence of pneumoperitoneum, the IOP measured in the head-low position was 3.25 ± 0.16 mm Hg higher than measured in the level position in the appendectomy group, and the IOP measured in the head-high position was 2 ± 0.12 mm Hg lower than measured in the level position in the cholecystectomy group. Between the 2 groups, there was a significant difference of 6.5 mm Hg in IOP according to the change of head position. Conclusions: In the present study, the occurrence of pneumoperitoneum in laparoscopic surgery increased IOP, and position change according to operative method also changed IOP. In addition, IOP was significantly different between the 2 groups. In order to prevent the patient from being exposed to high IOP for a long period during laparoscopic surgery, keeping the duration of pneumoperitoneum and a head-low position to a minimum may be helpful. J Korean Ophthalmol Soc 2011;52(10):1208-1214
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송해윤,정상문,임재석,이응,권정도 대한안과학회 2009 대한안과학회지 Vol.50 No.12
목적: 체위를 달리하여 고부하 역기 운동을 할 때 안압의 변화를 살펴보고자 한다. 대상과 방법: 성인남자 30명을 대상으로 안과검사 및 체질량지수, 세 가지 벤치프레스 체위에서 최대근력을 조사하였다. 운동 전 각 체위에서 기준 안압과 최대 근력의 80%를 사용하여 기구를 들 때와 내릴 때에 안압을 측정하였다. 결과: 운동 전 두위 상승위에서 14.38±2.32 mmHg, 두위 하강위에서 18.20±2.89 mmHg로 두위를 하강할수록 안압이 상승하였다 (p<0.001). 운동시 안압이 상승하였으며, 역기를 내릴 경우 안압 상승 폭이 3.72±1.85 mmHg로 올릴 경우 2.61±1.63 mmHg 보다 크게 측정되었다(p<0.001). 두위를 하강한 상태에서 역기를 내릴 때 안압은 22.10±2.79 mmHg로 가장 높게 측정되었다. 체질량지수와 근력 운동 전 안압은 유의한 연관성을 보였다(p<0.05). 결론: 체위 하강 상태에서 근력 운동은 안압 상승의 폭을 증가시켰다. 이러한 변화가 녹내장 환자에서 어떤 영향을 미칠지는 부가 연구가 필요하나, 말기 녹내장 환자에서는 체위 하강 상태의 고부하 역기 운동 시에 주의할 필요가 있을 것으로 사료된다. Purpose: To measure intraocular pressure (IOP) as a function of positional changes of the head during heavy weight lifting. Methods: The subjects of this study were 30 healthy adult males in their twenties to forties. This study investigated their ophthalmic examinations, BMI (body mass index), and 1RM (one repetition maximum) according to the three bench press positions. The baseline IOP was measured in each position before starting exercise. IOP was measured during pre-exercise and then lift down, lift up when exerting 80% of 1RM in three bench press positions. Results: Before exercising, the IOP was higher in the lowered head position in the decline bench press (18.20±2.89 mmHg) than in the incline bench press (14.38±2.32 mmHg) (p<0.001). The IOP increased significantly during the bench press exercise, relative to during the pre-exercise (p<0.001). Upon lift down, IOP increased by 3.72±1.85 mmHg greater than upon lift up, and mean IOP increased by 2.61±1.63 mmHg (p<0.001). In our experiments, IOP increased to a maximum of 22.10±2.79 mmHg, measured during lift down in the decline bench press configuration. The BMI and the IOP before exercise showed significant correlation (p<0.05). Conclusions: IOP increased more during exercise involving a lower head position. Further study is needed to know the extent to which this result is relevant for glaucoma patients and which activities and head positions during exercise may worsen glaucoma. In the meantime, patients with severe glaucoma may need to avoid lifting heavy objects with a lowered head position.
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목 관절가동범위 측정을 위한 스마트폰 어플리케이션의 유용성
이춘엽,송해윤,이정민,장문영 대한지역사회작업치료학회 2017 대한지역사회작업치료학회지 Vol.7 No.1
목적 : 건강한 성인을 대상으로 목의 관절가동범위를 측정하는데 임상에서 간편하게 적용할 수 있는 스마트폰 어플리 케이션의 유용성을 확인하고자 한다. 연구방법 : 목의 관절가동범위는 스마트폰 어플리케이션과 각도계로 목의 굽힘, 폄, 오른쪽 돌림, 왼쪽 돌림, 오른쪽 가쪽 굽힘, 왼쪽 가쪽 굽힘의 움직임을 각각 측정하였다. 검사자내 신뢰도와 검사자간 신뢰도를 측정하기 위해 같은 검사자가 두 번, 다른 검사자가 한 번으로 총 세 번 측정을 실시하였다. 검사 순서는 무작위로 하였으며, 두 검사자는 서로 측정한 결과를 알지 못하게 하였다. 결과 : 연구에 참여한 대상자는 남자 9명, 여자 21명이었다. 실험 결과 스마트폰 어플리케이션과 각도계의 평균 각도 비교에서 오른쪽 가쪽 굽힘을 제외한 모든 항목에서 유의한 차이가 없는 것으로 나타났다(p>.05). 스마트폰 어플리 케이션과 각도계의 검사자내 신뢰도는 전 움직임에서 ICC값이 .841∼.958로, 검사자간 신뢰도는 전 움직임에서 ICC 값이 .720∼.944로 나타나 모두 높은 수준의 신뢰도를 보였다. 결론 : 스마트폰 어플리케이션과 각도계는 목의 관절가동범위를 측정하는데 신뢰할 수 있는 것으로 나타나, 스마트폰 어플리케이션은 관절가동범위에 신속하고 정확한 측정으로 인해 임상에서 유용한 도구로 활용할 수 있을 것이다. Objective : The purpose of this study was to estimate the reliability of cervical range of motion measurement in healthy adults using smart phone application and goniometer that can be easily applicated in clinical setting. Methods : The cervical range of motion was measured as the flexion, extension, right rotation, left rotation, right lateral flexion, and left lateral flexion. To measure the reliability of intra-rater and inter-rater reliability, the same examiner performed two measurements and the other examiner performed once, total measurement were performed three times. The order of tests was randomized and two examiners didn't know the results of measurements. Results : Thirty healthy adults were participated. The result of this study shows that there were are no significant differences in all movements except the right lateral flexion in comparison of average angle of smart phone application and goniometer. The intra-rater reliability of smart phone application and goniometer showed ICC as .841∼.958 and the inter-rater reliability showed ICC as .720∼.944 for all movements. Conclusion : These results suggest that smart phone application and goniometer have proven to be reliable in measuring the cervical range of motion. Smart phone application can be used as a useful tool in clinical setting due to fast and accurate measurements of cervical range of motion.
KCI
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