步速變化에 따른 미끄러짐의 생체역학적 연구

서국웅,윤양진,서국은,이중숙,김용재,이언석,이훈식 釜山大學校 附設 體育科學硏究所 1992 體育科學硏究所 論文集 Vol.8 No.-

The purpose of this study was to analyze walking steps to prevent unnecessary energy consuming and prevention of injury from sliding when someone was walking. The questionnaire, high speed video system, E.M.G. system, and force platform system were used to analyze sliding mechanism in biomechanical perspective. Several results were found as following: 1. According to questionnaire regarding sliding, 93.3% of participants have sliding experiences. People have sliding experiences by greasy floor(48.4%) and obstacle (22.5%). Sliding types were found from different kinds of shoes such as sneakers (48.8%) and boots (34.2%). The results were presented as following 44.6% of participants were fall down front direction and 40.3% of people fell down rear side. 2. According to the high speed video system analyzer, step sliding increased with increasing step speed from distance and acceleration speed experiment with 80 steps/min, 100 steps/min, 120 steps/min. Also, the most sliding were occurred with sneakers, boots, and bare feet as order. 3. According to E.M.G. test results, the vastus lateralis M., the vastus medialis m., and the tibialis anterior m. of electric action potential presented strongly when participants fell front, rear, and right side. The vastus lateralis m. and the tibialis anterior m. of electric action potential presented strongly when someone fell left side, but the vastus medialis m. and the gastrocnemius m. of electirc action potential presented as weaker. 4. According to the force platform test results, the most big change of floor antipower of x-axis presented when someone fell the left side. The most of big change of floor antipower of y-axis presented when someone fell down rear side. The most of big change of floor antipower of z-axis presented similarly when someone fell the front, rear, left, and right side.

퇴행성 슬관절염 환자의 증상 중증도 지표와 DITI의 상관성 연구

서병관,류성룡,강중원,안경애,이재동,최도영,김건식,이두익,이윤호,이상훈 EAST-WEST MEDICAL RESEARCH INSTITUTE KYUNG HEE UNI 2005 東西醫學硏究所 論文集 Vol.2005 No.-

Objectives : To investigate the applicability of thermography as severity measurement in the patients with osteoarthritis (OA) of the knee. Methods : Data were obtained from 80 patiens with OA of the knee. They were asked to answer two disease-specific questionnaire (Western Ontario and McMaster Universities (WOMAC) OA index, Lequesne's Functional Index (LFI)), one generic instrument (Korean Health Assessment Questionnaire (KHAQ)), VAS in order to assess the severity of disease, quality of life, degree of pain and taken thermography in standardized environment. Results : The thermal difference between ipsilateral side and contralaterla side of lateral aspect of knee was correlated with that of medial aspect of knee, and the thermal difference of anterior thigh was correlated with that of lateral, medial aspect of knee and patella region. Age, duration of disease, duration of morning stiffness, sex, crepitus, and painful side of knee were not correlated with the thermal differences of each region. LFI, WOMAC, WOMAC pain subscale, WOMAC stiffness subscale, WOMAC physical function, KHAQ,, VAS were not correlated with the thermal differences of each region. Conclusion : Further study on the thermography on OA of the knee in population with appropriate severity grade and the standardization of analysis of thermographic data were recommended.

제통단이 퇴행성 슬관절염 환자의 삶의 질에 미치는 영향

서병관,류성룡,강중원,우현수,이상훈,이재동,최도영,김건식,이두익,이윤호 EAST-WEST MEDICAL RESEARCH INSTITUTE KYUNG HEE UNI 2005 東西醫學硏究所 論文集 Vol.2005 No.-

Objectives : to evaluate the effects of Jetongdan, the newly developed herbal medicine, on the quality of life in patients with osteoarthritis of knee Methods : Placebo-controlled, randomized clinical trial on the 80 patients with osteoarthritis of the knee was fulfilled. After enrollment, they took medication as they enrolled. And they were asked to answer the questionnaires (Korean Health Assessment Questionnaire (KHAQ), Lequesne's functional index (LF1), visual analogue scale (VAS)) and analysed with the erythrocyte sedimentation rate (ESR) at baseline, after 4 weeks and 8 weeks of medication. Results : Total KHAQ score, some categories of KHAQ like hygiene, activities were significantly improved after 8 weeks of medication. And the change of the KHAQ score was significantly correlated with the change of VAS. But LFI, VAS, ESR level was not significantly improved, and it was considered because of the short medication period and small size of study population. Conclusion : In conclusion, Jetongdan could improve the health-related quality of life in patients with osteoarthritis of knee. Further study in the large population, in long period were recommended.

신발유형별 보행동작의 운동역학적 동작분석

서국웅,윤양진,김용재,이훈식,유경복 부산대학교 사범대학 1995 교사교육연구 Vol.30 No.-

The purpose of this study was to prepare some useful data for the prevention of injury caused by shoes when female was walking. Kinematic variables were analyzed with the aid of the visual materials filmed with a 16mm high speed camera, such as angular changes of joints, displacement, velocity, and momentum of the center of body gravity. The subjects for the research were normal 4 female high school students: The analytic results of the mechanism of each locomotion pattern were as follows: 1. It is desirable Kinematically that the dispersion of power should not be caused in the movement of lower-legs by keeping natural flexion and extension of joint. 2. Too much vertical displacement of the center of body gravity was thought undesirable because it caused the dispersion of power against the moving direction. To get some propulsion in the moving direction, it was efficient to use as much energy as possible from 8 F-F support phase to the toe-off. And also the center of body gravity was moved by the inertia just after toe-off. 3. The correct walking motion occurred when the walker moved their hip joint or knee joint gently with their upper body upright and their eyes looking around. 4. In order to lengthen the stride it was essential to practice intensively the flexion of the hip joint, extension of knee and plantar flexion of ankle joint. 5. It was proved that in race walking, they could get much greater propulsion from the flexion of the ankle joint than from the hip joint or the knee joint. It was, therefore, very important to train walkers so that the initial planter flexion of the ankle joint might occur from 6 F-F of the supporting phase. 6. The flexion of the ankle joint produced the added propulsion in the moving direction but the excessive flexion increased energy consumption and caused strain on the ankle joint because it dispersed power in moving the center of body gravity. 7. It was desirable to narrow the ankle of the flexion of the hip and knee joints because it could speed up revolutions per minute of the lower limb through lessening the inertia of the revolutions. The angle made by knee joint was desirable for getting the greatest propulsion in the moving direction. 8. High heel was lower than barefoot or jogging shoes in the displacement of the center of body gravity. This result showed that the displacement of the center of body gravity was made safe by lowering the flexion and extension of knee joint.

중량물 들고 보행시 잡기유형의 차이에 대한 운동학적 분석

서국웅,윤양진,김용재,이훈식,정미라,이창민,이중숙 한국운동역학회 2000 한국운동역학회지 Vol.9 No.2

The purpose of this study was to examine the kinematic changes of the body according to various weight loads and the holding during carrying object. The experiments were conducted with utilizing image, analyses for five male and five female adults as subjects. The results were as followed. 1. Meaningful differences were shown partially in the angle changes of the subject's wrist joints, elbow joints and coxal articulations, but not in the angle changes of the subject's knee joints, according to the types of holding the objects while subjects carrying 5kg objects. So, carrying a light object of 5kg in workplaces or gyms doesn't have much influence on human joints and muscles. 2. Meaningful differences of angle changes were shown between right holding and vertical holding while subjects carrying 10kg objects. Female subjects had difficulties to hold the angles of their wrist joints and elbow joints, carrying 10kg objects, because the first loads were imposed on their wrists and female has weaker muscles than male. In right holding of 10kg objects, female subjects had backward body centers from their bodies, the angle of their coxal articulation became bigger and they had unstable behaviors. 3. Female subjects had wider angle of their wrist joints and elbow joints while carrying 15kg objects than male subjects. But male subjects had bigger angle of coxal articulation than female subjects. Because female has weaker muscles, female subjects couldn't maintain the angles of their wrist joints and elbow joints. 4. The 20kg objects influenced the angles of the wrist joints, the elbow joints and the coaxal articulations of both sex subjects in any type of holding during their carrying 20 kg objects, but didn't influence their knee joints. 5. in carrying 25kg objects, female subjects had wider angles of their wrist joints, elbow joints and knee joints in each holding type than male subjects and the significant difference were shown according to the holding type. But in the case of coxal articulation, male subjects had the bigger angles and meaningful differences. This comes from the weakness of female's muscle. N\Male subject's upper bodies were drawn back and the objects influenced their wrists more than their arms.

Chlorhexidine과 fluoride 성분의 varnish가 타액 내 mutans streptococci 수에 미치는 효과

서정아,김재곤,백병주,양연미,이용희,김상훈 大韓小兒齒科學會 2004 大韓小兒齒科學會誌 Vol.31 No.4

본 연구의 목적은 chlorhexidine(Cervitec)과 fluoride(Fluor-protector) 성분을 각각 포함한 varnish를 치아에 적용하였을 때 타액내의 mutans streptococci의 수의 감소에 미치는 효과를 알아보기 위한 것이다. 전북대학교 치과대학생 40명을 대상으로 하여 mutans streptococci 균종 수를 평가하였으며, 이들을 무작위로 네 군으로 나누어 다음과 같이 varnish를 적용하였다; A) varnish를 적용하지 않은 군(n=10), B) chlorhexidine varnish 적용군(n=10), C) fluoride varnish 적용군(n=10), D) chlorhexidine과 fluoride varnish를 모두 적용한 군(n=10), Mutans streptococci 수 측정에는 Orion diagnostica 사의 Dentocult SM을 사용하였다. Varnish를 적용하지 않은 상태에서 1차로 Mutans streptococci 수를 측정한 후 각각의 varnish를 적용하였으며, varnish 적용 12주 후 다시 측정하여 기록하였다. 모든 실험군(group B, C, D)에서 12주 후에 측정한 Mutans streptococci 수가 감소한 개체가 증가한 개체보다 많았으나 통계적으로 유의한 차이는 보이지 않았다(p>0.05). 실험에 사용된 어떠한 varnish도 적용 12주 후에 타액 내 mutans streptococci 수에 통계적으로 유의할 만한 변화를 주지는 못하는 것으로 나타났다(p>0.05). The objective of the present prospective trial was to compare the efficacy of chlorhexidine(Cervitec), Fluoride(Fluorprotector) and combination of chlorhexdine and fluoride varnishes in decreasing the level of salivary mutans streptococci. Forty healthy students of school of dentistry, Chonbuk national university were investigated to evaluate mutans streptococci(MS) counts and randomized into four groups to treat with the experimental varnishes: A) untreated group(n=10), B) chlorhexidine group(n=10), C) fluoride group(n=10), D) chlorhexidine and fluoride group(n=10). Dentocult SM^(�)(Orion Diagnostica) strip method was used for measurement of the level of mutans streptococci in saliva. Stimulated saliva were collected at baseline for mutans streptococci counts evaluation(ms1), 12 weeks later the completion of each varnish treatment, mutans streptococci counts were re-evaluated. In varnish group with chlorhexidine, fluoride and combination of chlorhexidine and fluoride, the level of mutans streptococci was lower after 12 weeks than at baseline, but there were no significant differences in saliva(p>0.05), when compared with baseline. After 12 weeks, a remarkable reduction was still found in the subjects with high level of mutans streptococci at baseline, but not different in the low and moderate level of mutans streptococci(p>0.05).

3차원 분석법의 적용 : DLT 방식 DLT(Dircet Linear Transformation) Method

서국웅,윤양진,김용재,이훈식 釜山大學校 附設 體育科學硏究所 1995 體育科學硏究所 論文集 Vol.11 No.-

The purpose of this study was to maximize the application of 3-d cine-photogrammetry, in which the DLT(Direct Linear Transformation) technique is used, by searching for some practical methods of application, and to develop a comprehensive package of programs of 3-d analyses. The raw digitized coordinate date were processed by a personal computer with the developed package. Two kinds of control-point-frame(pyramid, range pole), and a synchro-timer were designed and utilized in the study. Two theodolites were used of the angle measurements of the control points. The conclusions are as follows 1. Range pole system was much superior to control point pyramid system in the applicability of the control point frame. There was no significant difference between the calculated average length using the range pole system and the actual length of the rotation rod. 2. The automatic numerical aligning technique for the digitizing apparatus reduced the RMS of residuals of the control point space coodinates. But the optional distortion was not corrected by the correction model. 3. The application of the synchro-timer which was designed and used for the study was proved. But the standard deviation of the time interval between adjacent frames was affected by the quality of the image. 4. As a result of adopting unique of calculations of the control point space coordinates, the ratio of the power of the control point reconstruction to the size of the control point frame was reduced greatly

악성종양과 감별이 어려웠던 악안면 영역의 감염질환에 대한 치험례

서재훈,김영균,여환호 大韓顎顔面成形再建外科學會 1995 Maxillofacial Plastic Reconstructive Surgery Vol.17 No.3

It is very difficult to differentiate the malignant tumor from the maxillofacial infections that have unclear cause, severe indurated swelling, pain and nonresponsiveness to antibioitic treatment and incision and drainage. Incisional biopsy, CT, and MRI examination may not distinguish between infection and a malignant tumors. And then, the clinicians can make a mistake that they perform a unnecessary radical surgery because of inaccurate diagnosis. We present three case reports of maxillofacial infectious disease with diagnosis process, treatment and differential diagnosis. The infectious disease were not resolved with antibiotic and surgical drainage. The progression of clinical sign and radiographic, indings of these disease were masqueraded as malignant tumors.

정상 교합자와 하악 전돌증 환자에서 panorama상의 하악공의 위치에 대한 비교 연구

서병서,이재훈,김경욱 대한악안면성형재건외과학회 2002 Maxillofacial Plastic Reconstructive Surgery Vol.24 No.3

Due to lack of knowledge in location of the mandibular foramen, it's occasionally occurred the anesthetic failure or the injury of mandibular nerve and vessel during surgery. We took a test setting the mandibular prognathism patient(experimental group, 50 persons) against the patient with normal occlusion(control group, 50 persons) to prevent these problems and to grasp the location change of mandibular foramen according to facial profile. After measuring and comparing the location of mandibular foramen, using panoramic radiographs, we came to following conclusion. There wasn't significance in the antero-posterior location of mandibular foramen between control and experimental group(p>0.05). There was considerable difference in the upper and lower position of mandibular foramen between control and experimental group. It appeared that the distnace of mandibular foramen from mandibular notch is 20.66㎜(average) for the normal occlusion and 17.785㎜(average) for the mandibular prognathism. So we can see the distance of mandibular foramen from mandibular notch for patients is more near 2.815㎜(average) than normals. For the distance of mandibular foramen from the extension line of occlusal plane, it's 0.92㎜(average) lower than occlusal plane for the normal and 0.5㎜(average) upper for the patient. It's located 1.42㎜(average) upper part of the patient.

같은 엽에 동시 발생한 갑상선 유두상암과 여포상암 2예

서경원,최재영,김정훈 고신대학교의과대학 2008 고신대학교 의과대학 학술지 Vol.23 No.4

We report two rare cases of concurrent papillary thyroid carcinoma and follicular thyroid carcinoma on the same lobes of the thyroid gland. A 35-year-old female and a 32-year old male presented with a one-week history of throat discomfort and palpable anterior neck mass on the same lobe, respectively. Fine needle aspiration biopsy of two nodules resulted in papillary thyroid cancer and follicular neoplasm. This patients underwent total thyroidectomy and central compartment neck dissection. The pathologic diagnosis of two nodules at Rt. lobe of thyroid was papillary carcinoma(PTC) and follicular carcinoma.