Effects of Repeated Steroid Injection at Subacromial Bursa With Different Interval

Seung Deuk Byun,Yong Ho Hong,Sung Kyung Hong,Jin Won Song,Seung Beom Woo,Jae Hyun Noh,Jong Min Kim,Zee Ihn Lee 대한재활의학회 2014 Annals of Rehabilitation Medicine Vol.38 No.6

Objective To evaluate the effects of repeated steroid injection at subacromial bursa with different interval for patient with periarticular shoulder disorder.Methods Group A (n=10) received subacromial bursa injection only on their first visit, group C (n=10) received the injection on their first visit and one week later, and group B (n=10) received the injection on their first visit and two weeks later. All injections were done with a combination of 40 mg (1.0 mL) of triamcinolone and 5.0 mL 0.5% lidocaine (6 mL total). We examined the active range of motion (AROM) of the shoulder joint, visual analogue scale (VAS), and shoulder disability questionnaire (SDQ) at baseline at 1, 2, and 4 weeks after the initial injection.Results In VAS, comparing the changes in VAS between groups, group B showed significant improvements compared with group A or C at 4 weeks after the initial injection (p<0.05). In SDQ, comparing the changes in SDQ between the groups, group B and C showed more improvement than group A at 4 weeks after the initial injection, but these results were not statistically significant (p>0.05). In AROM, comparing the changes in AROM of external rotation between groups, group B and C showed significant improvement compared with group A at 4 weeks after the initial injection (p<0.05). Conclusion It may be more effective in pain relief for patients with periarticular disorder to receive subacromial bursa injections twice with 2-week interval, as opposed to once.

Th e Additive Eff ects of Hyaluronidase in Subacromial Bursa Injections Administered to Patients with Peri-Articular Shoulder Disorder

Seung Deuk Byun,박동휘,Yong Ho Hong,Zee Ihn Lee 대한재활의학회 2012 Annals of Rehabilitation Medicine Vol.36 No.1

Objective To evaluate the additive eff ects of hyaluronidase combined with steroids in patients with peri-articular shoulder disorder. Method Thirty patients with peri-articular shoulder disorder were given subacromial bursa injections once a week for three consecutive weeks. Fifteen patients (Group A) underwent subacromial bursa injections with hyaluronidase 1,500 IU, triamcinolone 40 mg and 0.5% lidocaine (total 6 ml). Another fi fteen patients (Group B)underwent the same injections with triamcinolone 40 mg and 0.5% lidocaine (total 6 ml). We examined the active range of motion (AROM) in the shoulder, used a visual analogue scale (VAS) for measurement, and administered a shoulder disability questionnaire (SDQ) at the commencement of the study and then every week until one week after the third injection. Results There were no significant difference between group A and B before the injections took place (p>0.05). Statistically signifi cant improvement was seen in the VAS, SDQ, and AROM of fl exion, abduction, internal rotation at one week after the first and second injections compared with the parameters measured at previous visits in both groups (p<0.05), except the SDQ between one week after the fi rst and second injections in group B (p>0.05). Improvement in all parameters measured at one week after the third injection compared with the measurement values at one week after the second injection were not statistically signifi cant in both groups (p>0.05). However,group A (the hyaluronidase group) showed signifi cantly greater improvements than group B in terms of their SDQ and AROM of internal rotation scores one week after the three injections had taken place (p<0.05). Conclusion Peri-articular shoulder disorder patients who underwent subacromial bursa injections using hyaluronidase and steroids showed greater functional improvements than those who were given only steroid injections.

Subacromial Bursa Injection of Hyaluronate with Steroid in Patients with Peri-articular Shoulder Disorders

Seung Deuk Byun,박동휘,Won Duck Choi, 대한재활의학회 2011 Annals of Rehabilitation Medicine Vol.35 No.5

Objective To investigate the additive effect of sono-guided subacromial bursa injection of hyaluronate with steroid in patients with peri-articular shoulder disorders. Method This prospective randomized controlled trial involved 26 patients who had shoulder pain. Group A,consisting of 13 patients, was treated with a sono-guided subacromial bursa injection containing a mixture of 0.5%lidocaine (5 ml) and triamcinolone 40 mg (1 ml), followed by injection with sodium hyaluronate (2 ml) once a week for 3 weeks. The other 13 patients (Group B) were treated with a sono-guided subacromial bursa injection containing a mixture of 0.5% lidocaine (5 ml) and triamcinolone 40 mg (1 ml) once a week for 3 weeks. The effects were assessed using a visual analogue scale (VAS) of shoulder pain, active range of motion (AROM), shoulder function assessment scale (SFA), shoulder disability questionnaire (SDQ) at study entry and every week from first injection until 4 weeks after the 1st injection (= 2 weeks after 3rd injection). Results (1) Demographic features and all parameters measured before injection did not show a significant diff erence between the 2 groups. (2) Statistically signifi cant improvements were shown in VAS, SFA, SDQ during the 1st, 2nd, and 4th week after the first injection in both groups (p<0.05). (3) SFA showed signifi cant improvement at 1 week after injection only in group A (p<0.05). (4) AROM of internal rotation showed signifi cant improvement at week 4 after the 1st injection only in group A (p<0.05). Conclusion Subacromial bursa injection of hyaluronate with steroid in patients with peri-articular shoulder disorders has additive effects on functional improvement of the aff ected shoulder, including the AROM of internal rotation.

18세기 전라도 지역 무신란(戊申亂)의 전개과정

변주승(Byun, Ju-Seung),문경득(Mun, Gyeong-Deuk) 강원대학교 인문과학연구소 2013 인문과학연구 Vol.0 No.39

무신란(戊申亂)은 영조 4년(1728)에 경기, 충청도, 전라도, 경상도 지역에서 영조의 왕위계승 정통성을 부정하며 일어난 반란이다. 본 논문은 무신란에 대한 조사와 처결이 기록된 ?무신역옥추안(戊申逆獄推案)?을 주로 활용하여, 전라도 지역에서 일어난 무신란을 크게 반란군의 부안 평교 집결과 박필현의 태인 거병으로 나누어 살펴보았다. 반란군의 부안 평교 집결은 정세윤과 원만주가 포섭한 부안 인근 지역의 반란군이 3월 15일에 평교에 집결한 사건이다. 원래 이들은 3월 19일에 평교에 집결해 청주로 이동해 반란군과 합류할 계획이었다. 그런데 이인좌의 급한 연락을 받은 정세윤과 원만주가 먼저 청주로 이동한 뒤, 15일에 부안 평교에서 집결했다. 그러나 주동자의 부재와 악천후, 적은 규모 등으로 인해 해산했고, 일부만 청주로 이동해 반란에 가담했다. 집결의 주모자인 정세윤은 변산적과 밀접한 관련이 있는 인물인데, 기존의 연구에서 변산적은 흔히 ‘변산의 도적 무리’로 이해되었다. 그러나 정세윤의 행적과 실제로 반란에 가담한 자들을 분석해본 결과, 변산적은 ‘변산의 역적 무리’였다. 박필현의 태인 거병은 당시 태인 현감이던 박필현이 관군을 이끌고 태인을 출발하여, 3월 22일 새벽 전주성 서쪽 삼천까지 진출하여 전주성을 공략하려 했던 사건이다. 박필현은 반란군을 토벌한다는 명분으로 태인의 군사를 이끌고 전주성의 군사와 합류했다가, 결정적인 순간에 배신하여 전주성을 장악할 계획이었던 것으로 보인다. 그러나 태인 현감에서 파직되고, 부안과 나주의 반란군이 계획대로 오지 않자, 박필현은 태인의 관군만을 거느리고 전주성으로 향했다. 그는 전라감사 정사효에게 편지를 보내 포섭을 시도했으나, 전주영장 이경지가 편지를 받아들이지 않아 실패했다. 이에 바로 청주로 이동할 뜻을 밝히자, 박필현의 목적이 반란군 토벌이 아니라 반역이라는 사실을 알아차린 태인의 관군들이 도망쳐, 박필현의 태인 거병은 실패로 돌아갔다. 다음과 같은 몇가지 점에서 본 논문의 연구 의의가 있다. 첫째, ?무신역옥추안?에 나오는 관련자의 진술을 비교?검증하여, 전라도 지역 무신란의 전개과정을 파악했다. 둘째, 무신란의 전개과정에 있어 중요한 역할을 했으나, 기존 연구에서 자세히 다루지 못한 ‘정세윤’을 분석했다. 셋째, 무신란 당시의 ‘변산적’이 하층민으로 구성된 변산의 도적 무리라는 기존 견해와 달리, ‘변산의 역적 무리’임을 밝혔다. In 1728, there was the national-wide The Musin Revolt against King Yeongjo(英祖) in Gyeonggi(京畿), Chungcheong(忠淸) and Jeolla(全羅) province. I conducted research about the Musin Revolt by using “the investigation record of the Musin Revolt(?戊申逆獄推案?)” and, in particular, examined the gathering of armed forces in Bu`an(扶安) Pyeonggyo(平橋), and marching of Bak Pil-hyeon(朴弼顯)’s Taein(泰仁) army. Th Rebel forces in locality of Bu`an assembled at Pyeonggyo until March 19. they originally planed to move to Cheongju(淸州) and join in rebel forces; but Jeong Se-yun(鄭世胤) left for Cheongju after receiving the urgent message from Lee In-jwa(李麟左), and the others gathered at March 15. However, they were dispersed due to the absence of rebellion leaders and inclement weather, scaled-downed forces. Bak Pil-hyeon who was local governor of Taein planned to lead the army of Taein to convert to the rebel forces. So he assembled the army and marched on Jeonju at March 22. However, rebel forces of Bu`an and Naju did not arrive, and he was also dismissed from the governor. Thus he solely moved to Jeonju. He sent a messenger to Jeong Sa-hyo(鄭思孝), the Govenrnor of Jeonju, and tried to embrace the army of Jeonju. However, Commanding officer of Jeonju, Lee Gyeong-Ji(李慶祉) refused to accept this attempt. Additionally the army of Taein realized Bak Pil-hyeon`s plan to convert itself to the rebel forces, they scattered immediately and Bak Pil-hyeon failed to implement the plan for revolt. This thesis is important in conducting research about following things. First, this thesis analyzes the statements of people concerned who are recorded on the “investigation record of the Musin Revolt”, exploring the development of Musin Revolt in Jeolla Province. Second, it examines Jeong Se-yun whom precious studies did not focus on. He did not only played a significant role in the development of entire Musin revolt. Third, this it proves that ‘the bandits of Byeonsan’(邊山賊) were comprised of people in the low class, and actually rebellious local residents.

동해 가스전 탄성파 자료에서 나타나는 AVO 반응의 한계점에 대한 고찰

신승일 ( Seung Il Shin ),변중무 ( Joong Moo Byun ),최형욱 ( Hyung Wook Choi ),김건득 ( Kun Deuk Kim ),고승원 ( Seung Won Ko ),서영탁 ( Young Tak Seo ),차영호 ( Young Ho Cha ) 대한지구물리학회 2008 지구물리 Vol.11 No.3

대퇴골 간부 분쇄 골절의 폐쇄적, 부분개방적, 완전개방적 골수강내 고정의 임상적 연구

윤승호(Seung Ho Yune),이광진(Kwang Jin Rhee),황득수(Deuk Su Hwang),변기용(Ki Yong Byun),양준영(Jun Young Yang) 대한정형외과학회 1993 대한정형외과학회지 Vol.28 No.5

동해 가스전 탄성파 자료에서 나타나는 AVO 반응의 한계점에 대한 고찰

신승일 ( Seung Il Shin ),변중무 ( Joong Moo Byun ),최형욱 ( Hyung Wook Choi ),김건득 ( Kun Deuk Kim ),고승원 ( Seung Won Ko ),서영탁 ( Young Tak Seo ),차영호 ( Young Ho Cha ) 한국지구물리탐사학회 2008 지구물리와 물리탐사 Vol.11 No.3

18세기 전라도 지역 무신란(戊申亂)의 준비과정 -「무신역옥추안(戊申逆獄推案)」을 중심으로-

변주승 ( Ju Seung Byun ),문경득 ( Mun Gyeong Deuk ) 충남대학교 인문과학연구소 2013 인문학연구 Vol.46 No.4

무신란(戊申亂)은 영조 4년(1728)에 경기도, 충청도, 전라도, 경상도 지역에서 영조의 왕위계승 정통성을 부정하며 일어난 반란이다. 본 논문은 무신란에 대한 조사와 처결이 기록된 「무신역옥추안(戊申逆獄推案)」을 주로 활용하여 연구를 진행하였다. 이 논문은 『추안급국안』 「무신역옥추안」에 실린 진술을 분석하여 이러한 사건의 실상과 관련자들을 구체적으로 파악했다는 데 의의가 있다. 전주·남원 괘서 사건은 영조가 경종을 독살했다는 내용의 괘서가 영조 3년 12월 12일 전주에, 12월 14일 남원에 걸린 사건이다. 박필현이 심유현과 이유익으로부터 경종 독살설을 나만치에게 전달했고, 나만치는 이러한 내용을 토대로 괘서 사건에 관여한 것으로 보인다. 전주에 괘서한 사람은 정탁이나 송하, 남원에 괘서한 사람은 정탁인 것으로 추정된다. 이 괘서의 목적은 영조가 경종을 독살했다는 사실을 세상에 널리 알려 반란의 정당성을 선전하기 위한 것이었다. 담양 화약고 방화 사건은 담양부사 심유현과 박미귀가 담양의 화약고에서 화약을 훔친 뒤, 흔적을 은폐하기 위해 일으킨 사건이다. 이들은 화약을 훔쳐 이유익과 남태징의 집으로 운반하였는데, 이 화약의 용도는 반란군이 서울을 공격할 때, 홍화문과 돈화문을 부수기 위한 목적이었던 것으로 보인다. 즉, 담양의 화약고 방화 사건은 무신란을 위해 주요 전략물자인 ``화약``을 확보하기 위해 일으킨 사건이었다. In 1728, there was the national-wide The Musin Revolt against King Yeongjo(英祖) in Gyeonggi(京畿), Chungcheong(忠淸) and Jeolla(全羅) province. This study is conducted by using “the investigation record of the Musin Revolt(「戊申逆獄推案」)” that includes investigation and judgment about this revolt. This thesis has significance in term of analyzing “the investigation record of the Musin Revolt(「戊申逆獄推案」)”in the Chu`an and Guk`an and grasping the cases and the people involved. Anonymous posters that King Gyeongjong(景宗) was poisoned to death by King Yeongjo(英祖) were put up at December 12 in Jeonju(全州) and at December 14 in Namwon(南原). These posters would have to do with spreading information to justify the revolt. In this context, there was incendiarism at a gunpowder storage in Damyang(潭陽), since Sim Yu-hyeon(沈維賢) and Bak Mi-gwi(朴美龜) stole gunpowder and removed all traces. After stealing gunpower, they transported it to houses of Lee You-ik(李有翼) and Nam Tae-jing(南泰徵). This gunpower would have used to destroy Hong-hua(弘化門) and Don-hua gates(敦化門). In other words, this case occurred because they were willing to secure gunpower, one of significant war materials. Lee ho(李호) tried to win Naju(羅州) Na(羅) Clan over to rebel force through Na Man-Chi(羅晩致) who lived in Eunjin(恩津) at Chungcheong province. Lee ho wanted to raise up an army in Naju at Jeolla Province. But this attempt to embrace Naju Na clan was failed and they did not participate in the Musin Revolt. Leaders of the Musin Revolt prepared themselves for rebellion in Jeolla province, and made an effort to propagate justification and secure war materials and rebel forces. Their efforts triggered off the Musin revolt.

Feasibility and Effects of Newly Developed Balance Control Trainer for Mobility and Balance in Chronic Stroke Patients: A Randomized Controlled Trial

So Hyun Lee,정태두,Seung Deuk Byun,김철현,Jin Young Go,Hyeon Uk Nam,Jin Seok Huh 대한재활의학회 2012 Annals of Rehabilitation Medicine Vol.36 No.4

Objective To investigate the feasibility and effects of balance training with a newly developed Balance Control Trainer (BCT) that applied the concept of vertical movement for the improvements of mobility and balance in chronic stroke patients.Method Forty chronic stroke patients were randomly assigned to an experimental or a control group. The experimental group (n=20) underwent training with a BCT for 20 minutes a day, 5 days a week for 4 weeks, in addition to concurrent conventional physical therapy. The control group (n=20) underwent only conventional therapy for 4 weeks. All participants were assessed by: the Functional Ambulation Categories (FAC), 10-meter Walking Test (10mWT), Timed Up and Go test (TUG), Berg Balance Scale (BBS), Korean Modified Barthel Index (MBI), and Manual Muscle Test (MMT) before training, and at 2 and 4 weeks of training.Results There were statistically significant improvements in all parameters except knee extensor power at 2 weeks of treatment, and in all parameters except MBI which showed further statistically significant progress in the experimental group over the next two weeks (p<0.05). Statistically significant improvements on all measurements were observed in the experimental group after 4 weeks total. Comparing the two groups at 2 and 4 weeks of training respectively, 10mWT, TUG, and BBS showed statistically more significant improvements in the experimental group (p<0.05).Conclusion Balance training with a newly developed BCT is feasible and may be an effective tool to improve balance and gait in ambulatory chronic stroke patients. Furthermore, it may provide additional benefits when used in conjunction with conventional therapies.

피부암전구증에서 광역동요법의 치료효과

이혜남 ( Hye Nam Lee ),이정덕 ( Jeong Deuk Lee ),백승철 ( Seung Chul Baek ),변대규 ( Dae Gyoo Byun ),허동 ( Dong Houh ) 대한피부과학회 1998 대한피부과학회지 Vol.36 No.3

Background: Photodynamic therapy(PDT) is a type of photochemotherapy that is designed to kill targeted tumor cells. Objective : The Clinical effects of PDT were analysed for response rates, post-treatment healing and adverse effects on several cutaneous carcinoma in situ. Method: PDT with topical 5-aminolevulinic acid-based irradiation of corresponding 630+5nm light was performed in 6 carcinoma in situ patients who had actinic keratosis, Bowen' disease or cutaneous squamous cell carcinoma. Result: In all patients the clinical results were exellent with respect to initial complete responses and cosmetic outcome. Conclusion :PDT might be chosen as a first line treament for cutaneous carcimoma in situ. (Korean J Dermatol 1998;36(3): 407-414)