하인두암에서의 하부경계 파악을 위한 자기공명영상활영술의 유용성

진영완,이동엽,홍남표,송영호,최희석,안회영,Jin, Young-Wan,Lee, Dong-Yeup,Hong, Nam-Pyo,Song, Young-Ho,Choi, Hee-Suck,Ahn, Hwoe-Young 대한기관식도과학회 2000 大韓氣管食道科學會誌 Vol.6 No.1

Background and Objectives:Submucosal spread of hypopharyngeal canceris frequently incriminated for the high incidence of local recurrence after resection. Although mucosal spread is better detected by means of direct visualization, submucosal spread is better evaluated by using cross-sectional imaging rather than endoscopy. This study was designed to evaluate the efficacy of MRI in diagnosing involvement of inferior margin of hypopharyngeal cancer. Materials and Method : Eight patients with hypopharyngeal cancer underwent MRI prior to surgery. And postoperative histopathopogic involvement of tumor was compared with the preoperative MRI axial scan. Results : In preoperative MRI findings, involvement of pyriform sinus apex was 6 cases(definitive 5 cases, probable 1 cases), that of esophageal inlet was 1 case(probable), that of cervical esophagus was 1 case(probable). In postoperative histopathologic findings, the results were same. Conclusion : MRI evaluation for patient with hypopharyngeal cancer ensures accurate staging and provides essential information about the tumor involvement of inferior margin. And there is needed to be thin section thickness in evaluation of inferior margin of hypopharyngeal cancer.

훈련방법의 차이가 흰쥐의 혈액성분과 랩틴농도에 미치는 영향

진영완,Jin, Young-Wan 한국생명과학회 2006 생명과학회지 Vol.16 No.6

The purpose of this study is to evaluate the different type of exercise training on the changes of blood variables and leptin in SD rats. For this study, SD rats were divided into three groups: control group (CG: n=10), swim trained group (SG: n=10), and treadmill trained group (TG: n=10). The animals were housed in a pathogen-free animal facility ($22-24^{\circ}C$, 50-60% relative humidity, 08:00-20:00 lighting hours) at D university animal center, Pusan, Korea). Food and water were available ad libitum. The trained rats underwent a 8-wk endurance swim training (5 times/wk) in water at $26-29^{\circ}C$ (SG) and treadmill training (5 times/wk) in DAEJONG treadmill for 60 min. All data were expressed as mean and standard deviation by using SPSS package program (ver 10.0). The result through the statistical analysis of this data were summarized as follows: 1. In the weight changes, there were significant differences among CG, SG and TG(p<.05) after regular swim and treadmill training. TG showed the lowest weight than the other groups. 2. In the epididymal & perirenal adipose tissue levels, there were significant differences among CG, SG and TG(p<.05) after regular swim and treadmill training. TG showed the lowest adipose tissue levels than the other groups. 3. In the triglyceride changes, For the SG and TG, there were significantly decreased after regular swim and treadmill training. TG showed the lowest triglyceride levels than the other groups. 4. In the insulin hormone, For the SG and TG, there were significantly decreased after regular swim and treadmill training. TG showed the lowest insulin levels than the other groups. 5. In the leptin changes, For the SG and TG, there were significantly decreased after regular swim and treadmill training. TG was the lowest than the other groups. Based on the results, Regular swim and treadmill training decrease body weight, epididymal & perirenal adipose tissue levels significantly, this is caused but by decreased triglycerides, insulin, and leptin hormone levels not by the other factors. Regular treadmill training decreased insulin hormone levels compare to swim training, however there was no direct insulin effect on the weight changes. and it might be the direct effect of leptin hormones. 본 연구는 비슷한 강도의 규칙적인 수영과 트레드밀 훈련이 흰쥐의 체중, 지방량, 혈중 triglyceride, insulin, 및 랩틴 호르몬 변화에 미치는 영향을 살펴보고 운동이 비만에 미치는 영향을 과학적으로 분석하고자 하였다. 본 연구의 결과로 규칙적인 훈련은 체중과 지방량을 감소시킬 뿐만이 아니라 혈중 triglyceride, insulin, 및 랩틴 호르몬을 감소시킴으로 비만 예방에 큰 효과가 있는 것으로 알려졌으며, 같은 기간의 비슷한 강도의 운동에서 수영 훈련 보다는 트레드밀 위에서 달리는 운동이 비만 예방에 더 큰 효과가 있는 것으로 나타났다. 추후 서로 다른 운동을 부여하여 운동생리학적인 변화를 비교할 뿐만이 아니라 이러한 원인을 규명하는 기전적인 연구가 진행되어져야 한다고 본다.

A Biomechanical Comparative Analysis between Single-Radius and Multi-Radius Total Knee Arthroplasty for Sit-to-Stand Movement

진영완,Jin, Young-Wan Korean Society of Life Science 2006 생명과학회지 Vol.16 No.5

단축범위 무릎인공관절 수술자와 다축범위 무릎인공관절 수술자를 대상으로 앉았다 일어나는 동안 운동학적 및 운동역학적 요인들을 비교분석한 결과는 다음과 같다. 앉았다 일어나는 동작은 다축범위 수술자 집단이 단축범위 수술자 집단보다 0.19초(p= 0.033) 빠르게 나타났다. 최대상체 굴곡각도는 다축범위 수술자 집단이 단축범위 수술자집단 보다 $10^{\circ}(p=0.014)$정도 크게 나타났다. 상체굴곡 각속도는 다축범위 수술자 집단이 단축범위 수술자 집단보다 $7^{\Omega}{\cdot}S^{-1}$(p= 0.058)빠르게 나타났다. 단축범위 수술자 집단과 다축범위 수술자 집단의 ADD와 ABD의 차이는 거의 없었다. 대퇴사두근의 근전도분석은 내측광근은 무릎굴곡각 $60^{\Omega}-15^{\Omega}$(p<0.05)에서 단축범위 수술자 집단 근전도 값이 다축범위 수술자집단 근전도값 보다 작게 나타났다. 외측광근은 무릎굴곡각 $60^{\Omega}-45^{\Omega}$(p<0.05)에서 단축범위 수술자 집단 근전도 값이 다축범위 수술자집단 근전도값 보다 작게 나타났다. 대퇴직근의 값은 무릎굴곡각 $60^{\Omega}-30^{\Omega}$(p<0.05)에서 단축범위 수술자 집단 근전도 값이 다축범위 수술자집단 근전도값 보다 작게 나타났다. 대퇴이두근의 값은 무릎굴곡각 $75^{\Omega}-15^{\Omega}$(p<0.05)에서 단축범위 수술자 집단 근전도 값이 다축범위 수술자집단 근전도값 보다 작게 나타났다. Eight of the individuals had a unilateral S-RAD TKA and Multi-Radius TKA ($Scorpio^{TM}$ PS, Howmedica-Osteonics, Inc.). The instrument were used Peak Motion Measurement $System^{TM}$, $MYOPAC^{TM}$EMG System, KIN-COM $III^{TM}$ System. The Figure 3 shows that the average time for the S-RAD group to accomplish the sit-to-stand movement was 1.59 s, which was 0.19 s less than the M-RAD group (p= 0.033). In Figure 5, the S-RAD TKA group tended to have $7^{\Omega}{\cdot}S^{-1}$ less trunk flexion velocity than that of the M-RAD group (p= 0.058). The Figure 6 shows that the S-RAD TKA limb tended to have less ADD displacement (p = 0.071) than that of the M-RAD TKA limb. We failed to find significant differences for ABD and ADD displacements between the S-RAD and M-RAD N-TKA limbs (p= 0.128 and 0.457, respectively). The VM of the S-RAD TKA limb demonstrated significant less RMS EMG than that of the M-RAD TKA limb from $60^{\Omega}$ to $15^{\Omega}$ of knee flexion (p 0.05). The VL of the S-RAD TKA limb also demonstrated significant less RMS EMG than that of the M-RAD TKA limb from $60^{\Omega}$ to $45^{\Omega}$ of knee flexion (p 0.05). Similar to the VM and VL, the RF of the S-RAD TKA limb showed less RMS EMG than that of the M-RAD TKA limb from $60^{\Omega}$ to $30^{\Omega}$ of knee flexion (p 0.05).

구개 및 인두편도 적출술 적응증의 변화 양상

진영완,조중생,차창일,홍남표,안회영,Jin, Young-Wan,Cho, Joong-Saeng,Cha, Chang-Il,Hong, Nam-Pyo,Ahn, Hwoe-Young 대한기관식도과학회 2000 大韓氣管食道科學會誌 Vol.6 No.1

Background and Objectives : Adenotonsillar hypertrophy is the most common disorder in pediatric otolaryngology, which should be suspected as a possible cause of obstructive sleep apnea syndrome (OSAS). In the past, most of the adenotonsillectomy were performed because of recurrent infection, but now OSAS is the most common indication in many centers. Materials and Method : A review of 1,945 adenotonsillectomy performed between 1990 and 1998 is presented. We classified into two categories of indication for adenotonsillectomy and analyzed changing trends of indication for adenotonsillectomy. Results : Although recurrent infection remains the predominant indication for surgery, there has been a rise in OSAS as a significant indication from 13.67% in 1990 to 24.26% in 1998. Conclusion : An increase has occurred in the percentage of adenotonsillectomy performed for OSAS due to adenotonsillar hypertrophy. This trend promises to continue as physicians become increasingly aware of the prevalence and seriousness of adenotonsillar hypertrophy as a cause of sleep apnea.

Disciplinary Sport Biomechanics : 잔디와 맨땅에서 축구 인스탭 슈팅시 운동 역학적 차이

진영완,이성철,이성재,김상복 ( Young Wan Jin,Sung Cheol Lee,Seung Jae Kim,Sang Bok Kim ) 한국체육학회 1996 국제스포츠과학 학술대회 Vol.1996 No.2

실제 병원성 균주에서 Vicryl $plus^{(R)}$ (Ethicon, USA)의 효용성

진영완,나영천,Jin, Young-Wan,Na, Young-Cheon 대한성형외과학회 2011 Archives of Plastic Surgery Vol.38 No.5

Purpose: Surgical site infections (SSIs) are the third most frequently reported nosocomial infection. Of these SSIs, mostly were confined to the incision associated with underlying disease as diabetes, cigarette smoking, systemic steroid use, obesity, operating room environment, suture and surgical technique. This study has been planned to reduce the SSIs by using Vicryl $plus^{(R)}$ (Ethicon, USA) which contains triclosan, a broad-spectrum antibacterial agent, into the infected wound to evaluate whether or not Vicryl $plus^{(R)}$ (Ethicon, USA) is effective to nosocomial bacteria using a zone of inhibition assay. Methods: We did a comparison of Vicryl $plus^{(R)}$ suture (with triclosan) size 2-0, 5-0 with $Vicryl^{(R)}$ suture (without triclosan) size 4-0 each as treatment and control group, applied in Mueller-Hinton agar infected by following mircroorganisms: Methicillin-sensitive $Staphylococcus$ $aureus$ (MSSA), Methicillin-resistant $Staphylococcus$ $aureus$ (MRSA), Acinetobacter baumanii, $Escherichia$ $coli$, Enterobacter faecalis, Pseudomonas aeruginosa, Candida albicans. Cultures were made of the selected mircroorganisms, seeding the study strain in agar plates for 24 and 48-hour period in an oven at $37^{\circ}C$ followed by zone of inhibition assay. Results: Vicryl $plus^{(R)}$ group has demonstrated to create a zone of inhibition against MRSA, MSSA and $A.$ $baumanii$, but no effect on $E.$ $faecalis$, $P.$ $aeruginosa$, $C.$ $albicans$. Vicryl $plus^{(R)}$ suture size 2-0 also had antibactericidal effect while Vicryl $plus^{(R)}$ suture size 5-0 did not. $Vicryl^{(R)}$ group had no zones of inhibition showing colonization at all mircroorganisms. Conclusion: Our results seem to warrant the use of Vicryl $plus^{(R)}$ as absorbable buried suture when concerning SSIs as a prophylaxis against surgical nosocomial infection.

태권도화의 운동과학적 연구

진영완(Young-Wan Jin),박승범(Seung-Bum Park) 한국생명과학회 2008 생명과학회지 Vol.18 No.12

본 연구는 태권도 전문 기능화 개발을 위한 제안으로서 고급기술의 사용과 기능을 고려하여 회전력이 강화된 전문태권도화의 운동역학적인 특징을 분석하고자 하였다. 연구방법은 2가지 태권도화 종류를 이용하여, 텐션마찰계수 측정계와 지면반력기를 이용하여 얻은 결론은 다름과 같다. 정적마찰계수 비교는 A사 0.60, M사 0.61로 나타났다. 모멘트(회전 마찰력) 비교는 M사 태권도화가 회내(3.23Nm), 회외(2.70Nm) 모두 A사 태권도화 회내(3.20Nm), 회외(2.62Nm) 보다 높게 나타났다. 지면반력 비교는 Fz의 값은 세가지 조건에서 각각 유의한 차이가 있는 것으로 나타났으며(p<0.05), Fy의 최고의 힘은 세가지 조건에서 유의한 차이가 없는 것으로 나타났다. Fx 보다 앞서 나타나는 피크의 형태를 보여주고 있다. The purpose of this study was to compare the biomechanical difference of barefoot and two types taekwondo footwear. which will provide scientific data to coaches and players, to further prevent injuries and to improve each players skills. How to an effect on human body which studied a kinematics and kinetics from 8 college students during experiments. This study imposes several conditions by barefoot and two types of taekwondo footwear ran under average 3.82±0.59 m/sec for kinetics analysis. The result of comparative analysis can be summarized as below. Friction coefficient analysis showed A Company shoes 0.60 and M Company shoes 0.61. Ground reaction force also showed that statically approximates other results from impact peak timing (p<0.001), Maximum loading rate (p<0.001), Maximum loading rate timing (p<0.001) and impulse of first 20 percent (p<0.001). Moment was M Company shoes bigger than A Company shoes to pronation moment and supination moment.

국제학술대회 & 아시아운동역학회 창립총회 논문집 : 천연잔디용 축구화와 인조잔디용 축구화의 운동역학적 특성연구

진영완 ( Young Wan Jin ),박재영 ( Jae Young Park ),신성훈 ( Sung Hwun Shin ) 한국운동역학회 2006 한국운동역학회 춘계학술발표논문집 Vol.2006 No.-

축구 인프론트 킥 동작의 운동학적 분석

진영완(Jin, Young-Wan) 한국코칭능력개발원 2021 코칭능력개발지 Vol.23 No.4

재활운동에 참가한 뇌졸중환자의 운동과학적 연구

Young Wan Jin(진영완) 한국생명과학회 2010 생명과학회지 Vol.20 No.11

본 연구는 뇌졸중 발병 후 재활운동에 참가하는 환자들을 대상으로 재활운동 3개월이 지난 시점에서 1차 실험을 하였고, 6개월이 지난 시점에서 2차 실험을 하여 운동역학적 비교분석을 하였다. 실험에 사용된 장비는 영상분석기, 족저압분석기, 근전도분석기를 사용하였다. 대상자는 7명으로 하였으며 통계방법은 t-test분석 이용하였다. 결과는 엉덩관절의 최대신전 피크 값과 최대신전 피크 모멘트 값에서 통계적으로 유의한 차이를 나타내었다(p<0.05). 족저압의 비교에서는 환측 다리의 족저압에서 일반적인 걷기 동작시에 족저압의 중심이동거리에서 통계적으로 유의한 차이를 나타내었다(p<0.05). 근전도 분석에서는 대퇴사두근 중의 대퇴직근과 외측광근의 근력에서 통계적으로 유의한 차이를 나타내었다(p<0.05). The purpose of this study was to describe the biomechanical characteristics of stroke patients. These characteristics were obtained during walking on a Zebris system, cinematography system and EMG system. Seven female stroke patients participated in this study. The magnitude of the profiles (joint peak angle, joint peak moments, foot pressure COP, EMG data) correlated with rehabilitation training duration using t-test. The significance level selected for this study was p<0.05, t-test. Joint analysis identified significant differences in hip joint peak angle and hip joint peak moment. Foot pressure verified significant differences in gait line length of COP. The EMG signal proved significant differences in rectus femoris and vastus lateralis.