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연조직 가동술(IASTM)이 장거리 달리기 선수들의 장경인대 증후군에 미치는 영향
김영균,박종성 대한운동학회 2016 아시아 운동학 학술지 Vol.18 No.3
[PURPOSE] To investigate effects of instrument-assisted soft tissue mobilization(IASTM) on flexibility and pain in long distance runners with iliotibial band syndrome (ITBS). [METHODS] Twelve amateur long distance runners with ITBS participated in this study. Jogging with pain test was applied on treadmill with 8km/h speed for 5 minutes. Ober’s test was measured with digital inclinometer. Noble’s compression test and Renne’s test were measured with Numeric Rating Scale (NRS). IASTM was applied for 5 minutes around iliotibial band area, and Ober’s test, Noble’s test, and Renne’s test were measured again immediately after the treatment. This experiment continued for 6 weeks. [RESULTS] Each week of IASTM treatment (pre-post) showed significant change in Ober's test (week 1 p=.01, week 2 p=.02, week 3 p=.03, week 4 p=.001, week 5 p=.001, week 6 p=.004). 6 week Ober's test degree change was not significant(p=.64). 6 week IASTM treatment Noble's compression test change was significant (p=.001). Each week of IASTM treatment (pre-post) was not significant with Noble's compression test (p=.13). 6 week IASTM treatment Renne's test change was significant (p=.001). Each week of IASTM treatment (pre-post) was not significant (p=.22). Jogging pain change in 6 weeks was significant (p=.001). Jogging pain decreased 2.75 to 0 in 6 weeks. [CONCLUSIONS] 6 week IASTM treatment can decrease pain with iliotibial band syndrome in long distance runners.
자가치아골이식재를 이용한 치조능 수직 및 수평증대술: 증례보고
김영균,김수관,엄인웅,Kim, Young-Kyun,Kim, Su-Gwan,Um, In-Woong 대한악안면성형재건외과학회 2011 Maxillofacial Plastic Reconstructive Surgery Vol.33 No.2
Horizontal and vertical ridge augmentation was performed using autogenous tooth bone graft block and powder in 44-year old male patient. Excellent bony healing was obtained 2~4 months after ridge augmentation. Implant treatment was performed successfully.
하악골 골절 환자들의 악관절 상태 평가: 일차보고 관절내시경적 검사, 조직형태학적 및 관절활액 분석
김영균,김현태,이도훈,최윤정,정훈,Kim, Young-Kyun,Kim, Hyoun-Tae,Lee, Do-Hoon,Choi, Yoon-Jung,Chung, Hoon 대한구강악안면외과학회 2001 대한구강악안면외과학회지 Vol.27 No.4
The purpose of this study is to validate the potential etiologic factors for temporomandibular disorder(TMD). TMJ arthroscopic examination was performed in upper joint compartment of 32 joints from 20 patients with mandibular fractures. Synovial fluid was collected from the upper joint space during pumping manipulation with normal saline. Cytologic smearing and histomorphologic exam of synovial fluid were performed in 15 joints. Prostaglandin $E_2(PGE_2)$ concentration was measured in 11 joints. Leukotriene $B_4(LTB_4)$ concentration was measured in 8 joints. There were several arthroscopic variables such as ecchymosis, fibrillation, and adhesion. Histomorphologic exam showed a variety of findings such as bloody smears, cellular cluster, degenerated cells and cartilage, undifferentiated crystal. Mean $PGE_2$ concentrations were 316.5 pg/ml. Mean LTB4 concentrations were 45.9pg/ml. This study demonstrated a variety of findings on inflammatory and degenerative changes of TMJ. Because acute trauma such as mandibular fracture is a major etiologic factor in cartilage degradation and biochemical and intraarticular pathology, clinicians must identify and address TMJ signs and symptoms during follow-up periods in the long term.
중증하지허혈을 동반한 당뇨 환자에서 역행적 발동맥접근술을통한 전경골동맥의 스텐트삽입술: 1예
김영균,신일용,김지일,원용성,윤상섭,문인성,박장상,김장용 대한혈관외과학회 2012 Vascular Specialist International Vol.28 No.4
Endovascular therapy of critical limb ischemia is indicated in high risk patients, especially the diabetics. The ipsilateral antegrade femoral approach is the most common access site. When this approach fails, the retrograde pedal artery percutaneous approach can be considered. A 51-year-old diabetic male patient was presented with severe rest pain and gangrene on his right 4th toe. Computed tomography angiography showed multilevel calcific arterial occlusive disease, involving the popliteal and proximal anterior tibial arteries. Below knee angioplasty and stenting of the right leg was done through ipsilateral antegrade femoral approach and retrograde pedal artery approach. The C-arm guided retrograde pedal approach for calcific artery was useful for recanalization of the occluded anterior tibial artery when antegrade approach failed.
집단뇨검사(Urinary mass screening) 방법으로 단백뇨와 혈뇨의 동시검사가 가지는 진단적 가치에 대한 연구
김영균,이종국,Kim, Young-Kyoun,Lee, Chong-Guk 대한소아신장학회 1999 Childhood kidney diseases Vol.3 No.1
Purpose : To evaluate the diagnostic significance of simultaneous examination of hematuria and proteinuria in the urinary mass screening for early detection ot incipient renal diseases. Method and Object : During the period of 4 months from August to December in 1997, we did urinary mass screening on students of first grade of high school (16 years aged group) nationwide together with Korean Association of Health(KAH). In the first screening test, Comber-10 $N^{(R)}$ M dipsticks were used to detect proteinuria, hematuria, pyuria and nitrite simultaneously. Total 26,508 students (16 years aged group) from 33 high schools in every province in Korea, respectively, complied to the urinary mass screening. After then, one high school in Seoul was selected to reveal the true incidence of incipient renal diseases among students who showed hematuria in the initial screening through intensive examinations. Those who had hematuria and/or proteinuria visited the Paik hospital, and underwent blood tests and ultrasonographic examinations. The results were evaluated. Results 1) The initial screening revealed that the prevalence of proteinuria, hematuria, pyuria and positive nitrite urine, were $0.73\%,\;2.69\%,\;0.23\%\;and\;0.03\%$, respectively. 2) The first urinary screening among 875 students from one high school in Seoul selected fir the second test showed proteinuria, hematuria, pyuria and positive nitrite urine, were $0.91\%,\;4.68\%,\;0.34\%\;and\;0\%$, respectively. a) Total 8 among 875 students showed proteinuria, but one of them had orthostatic proteinuria and those remaining 7 students had transient proteinuria. b) There were 41 students who had hematuria in the initial screening. Among 33 who complied the second test, only one student showed asymptomatic isolated hematuria and those remaining students were normal. Conclusion : 1) Because of high false positive hematuria rate in the urinary mass screening, it dosen't seem to be appropriate that hematuria screening using dipsticks be included in the urinary mass screening. 2) A unified organization is needed from the fret that so various results of urinary mass screening came out. 3) Positive rates of pyuria and nitrite were so low that validity of urinary mass screening for urinary tract infection needs more studies.
IgA 신병증에 병발한 급성 연쇄상구균 감염후 사구체신염
김영균,이준호,한혜원,하일수,정해일,최용,Kim Young Kyoun,Lee Jun Ho,Hahn Hyewon,Ha Il Soo,Cheong Hae Il,Choi Yong 대한소아신장학회 2000 Childhood kidney diseases Vol.4 No.2
The pathogenesis of IgA nephropathy and acute poststreptococcal glomerulonephritis is not fully understood. In the past, acute poststreptococcal glumerulonephritis was the most common cause of gross hematuria in children, but now IgA nephropathy is the most common one. We experienced two cases of acute poststreptococcal glomerulonephritis superimposing to IgA nephropathy in boys Case 1 had upper respiratory infection before elevation of anti-streptolysin O, generalized edema, gross hematuria and proteinuria. The complement levels were normal. Electron microscopic findings of renal biopsy at ten days after onset showed a few big subepithelial 'humps' and localized heavy subendothelial and mesangial deposits. Immunofluoroscopic findings revealed predominant IgA deposition in the mesangium. The electron microscopic findings were diagnostic of acute poststreptococcal glomerulonephritis On the other hand, immunoflorescence microscopic findings were compatible to IgA nephropathy. In case 2, the renal biopsy which was done 2 years after onset showed only finding of IgA nephropathy. To our knowledges, there has been kw reports of acute poststreptococcal glomerulonephritis superimposing to IgA nephropathy which was confirmed by renal biopsy. We report two cases of acute poststreptococcal glomerulonephritis superimposing: to IgA nephropathy with a brief review of the literatures.
백서에서 치아회분과 석고 매식 후 두개 결손부의 생물물리적 성질에 관한 실험적 연구
김영균,고영무,Kim, Young-Kyun,Ko, Young-Mu 대한악안면성형재건외과학회 1997 Maxillofacial Plastic Reconstructive Surgery Vol.19 No.1
The purpose of this investigation was to determine the biomechanical property of calvarial defects reconstructed using toothash, plaster and tooth-plaster mixture. Full-thickness bony defects were made on the rat calvaria with size of $10mm{\times}10mm$. Group 1 was filled with toothash only, group 2 : toothash-plaster mixture, and group 3 : plaster only. The defects were allowed to heal for 12 and 20 weeks before killing the animals. Light microscopic examinations vas taken after 12 week after operation. The hardness was evaluated for test of mechanical property. The following results were obtained : 1. In light microscopic examination 12 week after operation, there were no inflammatory and foreign body reaction. Implanted particles were resorbed gradually or united directly with newly formed bone. 2. In hardness test, the hardness of newly formed bone was lower than that of normal bone and there was significant difference(P<0.01). The site of new bone formation has enough hardness to resist the mechanical stress. These results suggest that toothash and plaster are biocompatible and osteoconductive material.