젊은 성인에서 흡연에 의한 상완동맥 내피기능의 부전에 관한 연구

이상철,권영주,방덕원,이선해,이보영,김지욱,김영훈,온영근,현민수,김성구 순천향의학연구소 2002 Journal of Soonchunhyang Medical Science Vol.8 No.1

Background and Objectives : Cigarette smoking is a major factor and the most modifiable risk factor for atherosclerosis. Endothelial dysfunction is an early event in atherosclerosis, before the structural change of the systemic arteries. We hypothesized that endothelial dysfunction might be present in the systemic arteries of young adult smokers and that this might be dose-dependent phenomenon. Therefore, we try to certify that smoking is associated with endothelial dysfunction in healthy young adults without other risk factor of atherosclerosis. Subjects and Methods : we studied noninvasively 29 subjects aged 3 to 4 decades without other risk factor of atherosclerosis, they were composed of the two groups, current smokers(n=15) and nonsmokers(n=14). Smoking history varied from 3 to 20 pack years. Using high-resolution ultrasound, vessel diameter and mean flow rate were measured at rest, during reactive hyperemia(with flow-mediated endothelium-dependent dilation), and after sublingual nitroglycerin(NG-induced endothelium-independent vasodilation). Result : Flow mediated endothelium dependent dilation was observed in the control subjects (9.4±3.44%) but was impaired in the smokers(5.8±2.51%)(p=0.004). NG-induced endothelium independent dilation is no difference in all subjects. Conclusion : Cigarette smoking is associated with endothelial dysfunction in healthy young adults.

한국판 성인용 자기 보고형 및 관찰자 보고형 Young ADHD 척도의 신뢰도 및 타당도 연구

김은경,서신영,김근향 大韓神經精神醫學會 2006 신경정신의학 Vol.45 No.6

Objectives : The purpose of this study is to assess the psychometric properties and to investigate factor structure of the Korean version of the Young ADHD Questionnaire-Self-Report (K-YAQ-S) and the Young ADHD Questionnaire-Informant-Report(K-YAQ-I). Methods : 269 normal college students completed the K-YAQ-S and the Lee Ji-Yeon's adult ADHD scale (1996). 213 in-formants of the subjects completed the K-YAQ-I. Results : The K-YAQ-S and the K-YAQ-I had good internal consistency (Cronbach's =.957, .965). An ADHD symptomatology and emotional problem subscales of the K-YAQ-S showed strong correlation with the Lee Ji-Yeon's adult ADHD scale. The delinquency and social functioning subscales of the K-YAQ-S and all subscales of the K-YAQ-I correlated significantly but were relatively lower. An exploratory factor analysis showed that the K-YAQ-S revealed 4 factors (ADHD symptomatology, emotional problems, delinquency, social functioning) and the K-YAQ-I being composed of 3 factors (ADHD symptomatology/aggressive behavior, emotional problem/social functioning, illegal act). Conclusion : These results suggest that the K-YAQ-S and the K-YAQ-I rating scale is a reliable and a valid test. These scales would be useful in diagnostic evaluation and in measuring the treatment effect for ADHD adult.

數種의 市販 淸凉飮料에 依한 琺瑯質 脫灰效果

김영숙,신영림,송근배,김영진 慶北大學校 齒科大學 1992 慶北齒大論文集 Vol.9 No.1

The purpose of this study was to investigate the effects of tooth enamel dissolution by commercial beverages. Five kinds of beverages(cola, cider, aquarius, boribori and sunkist orange) were selected for test medium and sixteen of extracted 3rd molar were used for tooth enamel specimens. The acidity of each beverage was determined with pH meter and the concentration of total glucose was checked with Glucose kit and U-V spectrophotometer. The dissolved calcium was determined by Atomic Absoprtion Spectrophotometer and the change of enamel surfaces were observed with Scanning Electron Microscopy(× 400 & × 1,000 magnification). All collected data were analyzed by one-way & two-way ANOVA in SPSS/PC^+ program. The obtained results were as follows: 1. The major containing acid type of cola beverage was phosphoric acid but the other beverages(cider, aquarius, boribori and sunkist) were citric acid. The pH of each beverage was lowest in cola and sport drink, cider, boribori, fruit juice in ascending order(F=205.85, p<0.001), the average pH of 5 kinds of beverage was 2.84 ±0.04, all beverages used in this experiment were low enough to decalcify the tooth enamel. The total glucose concentration of each beverage was 2.74% in aquarius, 2.78% in cider, 3.96% in sunkist, 4.23% in boribori and 4.27% in cola. 2. The average dissolved calcium concentration in 5cc of beverage was 1.54±0.12ppm/5㎖ of HNO_3 in cola, 1.76±0.38ppm in sunkist, 1.90±0.09ppm in boribori, 3.03±0.09ppm in aquarius, 3.59±0.38ppm in cider and the final calcium contents, which is extrated original calcium contents from total calcium contents after 120 minutes were highest in cola(1.27ppm) and aquarius(1.02ppm), cider(0.58ppm), sunkist(0.45ppm), boribori(0.33ppm) in the order(p<0.05). 3. The direct proportional relationship was not found between the degree of surface change on Scanning Electron Microscopy and the amount of dissolved calcium per immersion time. But the more the immerging time was lengthened, the more surface change was observed. The surface change of 120 minutes group was more remarkable than 30 and 60 minutes immerged group in each beverage.

자일리톨 껌 저작에 의한 유치 우식증 예방효과 비교분석

한성근,최연희,손은영,송근배,김영진,남순현 大韓小兒齒科學會 2004 大韓小兒齒科學會誌 Vol.31 No.2

자일리톨 껌 저작에 의해 어린이들의 유치우식증 예방효과를 평가하기 위하여 3개 어린이집에서 만 5~6세 어린이 123명을 최종 선정하였다. 자일리톨 껌을 씹는 군(42명), 솔비톨 껌을 씹는 군(42명) 그리고 아무런 조치도 취하지 않은 대조군(39명)으로 나누어 12개월 동안 하루 5회씩 껌을 저작하게 한 다음 구강검사와 우식활성 검사를 통해 유치우식증 예방효과를 비교 분석 하였다. 12개월 동안 대조군 어린이들에서는 dfs index가 5.19개면 증가하였고 솔비톨 군에서는 2.96개면이 증가한 반면 자일리톨 군에서 2.62개면이 증가하여 대조군에 비해 자일리톨 군은 47.1%가 감소하였고 솔비톨 군에서는 43.6%가 감소한 것으로 나타났다. Dentocult-SM strip 검사 및 site strip 검사 결과 모두에서 대조군에 비해 자일리톨 껌과 솔비톨 껌을 씹은 군의 아동들에서 우식활성도가 공히 감소되었다. 따라서 본 연구와 같은 집중적인 자일리톨 껌의 저작 사업은 대상자들과 부모들의 사업에 대한 호응도가 높았고, 사업 시행이 다른 국책 구강보건사업에 비해 용이하였으며 특히 유치우식증 예방적인 측면에서 효과적인 것으로 나타났다. The effect of xylitol and sorbitol chewing gums on dental caries levels among 5-year old kindergarteners was investigated. Three kindergartens the operations of which were partly subsidized by municipal government of Daegu city, Korea, were chosen as the study sites. The child base of the kindergartens were considered demographically and ethnically similar, representing middle-income families. The subjects were examined at their own kindergarten by the two dentists. Participation in the program was voluntary. Over 12 months, 123 participants chewed xylitol chewjng gums(X group; 42 subjects), sorbitol chewing gum@ group; 42 subjects), or did not receive chewing gum as a control group(C group: 39 subjects). Consumption of xylitol and sorbitol was 4.5 to 5.0 g/day/subject, consumed in five daily chewing episodes of 5 min. Oral examination, Dentocult-SM test and interproximal dental plaque collection were completed at baseline and 12 months later. The dmfs of group C increased 59.2%. but group S increased 33.4% and group X increased only 31.3% during 12 months study period. The caries prevention ratio was 47.1% at group X and 43.6% at group S. There also appeared the reduction of caries activity at group X(1.39), group S(1.50) than control group(1.79). Compared with groups S and C, there was a statistically significant reduction of S. mutans in interproximal plaque in group X. The results suggest that xylitol chewing gum can prevent dental caries of deciduous dentition, and may be a little more effective than a sorbitol-containing product in controlling some caries-associated parameters in kmdergarten-age subjects.

양돈폐수로부터의 수소 생성 특성

장영복,정태영,차기철,정형근,김성헌,김동진,유익근 한국물환경학회 2004 한국물환경학회지 Vol.20 No.4

The characteristics of H₂ production from livestock wastewater were investigated through an anaerobic acid forming process using Clostridium beijerinckii and the photosynthetic process using Rhodobacter sphaeroides. The submerged separation membrane was installed in the acid forming reactor. The photosynthetic process is composed of two reactors(photosynthetic reactor 1 and photosynthetic reactor 2) which is connected continually. The removal rate of COD and the production of volatile fatty acid(VFA) in the acid forming process were approximately 50% and 1000㎎/ L, respectively. The 70% of COD in the effluent of acid forming process was removed through the photosynthetic process. The production of H₂ in the photosynthetic reactor 1 and 2 was 50 and 25mLH₂/gVFA_(COD), respectively. The values of Y in acid forming reactor, photosynthetic reactor 1 and 2 was 0.2263, 0.0601 and 0.0393, respectively. The acetic acid and butyric acid produced in acid forming process were converted to H₂ by photosynthetic bacteria.

점진적 Distraction Technique을 이용한 상악골의 전방이동

박영욱,차봉근,김지혁 대한악안면성형재건외과학회 2000 Maxillofacial Plastic Reconstructive Surgery Vol.22 No.6

Several surgical and/or orthodontic procedures have been used in maxillary protraction. Currently procedures with the use of distraction osteogenesis have been studied by many investigators and applied to various clinical situations and this procedure is rapidly becoming an alternative technique to treat craniofacial growth disturbances and dysplasias. So we performed distraction osteogenesis for 12-year old young patient with maxillary hypoplasia, and 7-year old young patient with severe maxillary deficiency due to unilateral cleft lip & palate. First we performed incomplete Le Fort I osteotomy(pterygomaxillary dysjunction and no maxillary downfracturing) and then tried to protract the maxilla by way of extraoral device, Delaire type face mask. During the follow-up period of 12 months and 13 months respectively, we could attain the successful results by analysis of lateral cephalometrics in facial profiles. So we suggest that this maxillary distraction technique is one of the excellent therapeutic choices in the treatment of growing children with maxillary deficiency.

법랑질 접착에 대한 습윤 효과

고근호,조영곤,진철희,유상훈,김종욱,박병철,기영재,최희영,김종진 大韓齒科保存學會 2004 Restorative Dentistry & Endodontics Vol.29 No.3

This study evaluated the microleakage and interfacial gap between enamel and composite resin under the dry and wet condition of the enamel surface, V shaped class 5 cavities were prepared on the occlusal portion of extracted human molars. Samples were divided into three groups: D group (air dry for 10-15s), BD group (blot dry with moist cotton pellet), and DR group (air dry for 10-15s and rewet with Aqua-Prep F for 20s). Cavities were filled using Aelitefil composite resin after applied One-Step. Microleakage was tested by 2% methylene blue dye solution and the data were statistically analysed by Kruskal-Wallis test and Mann-Whitney test. Also Enamel-resin interface was observed under SEM. Group BD showed statistically lower microleakage than group D (p〈0.05). but there was no statistically significant difference between group BD and DR (p)0.05). At the enamel-resin interface, group D showed the gap of 2 ㎛ thickness, but group BD and DR showed close adaptation. In conclusion, the use of blot dry and rewetting agent (Aqua-Prep F) resulted in decreased microleakage and improved adhesion between enamel and resin when using One-Step.

노인틀니 보험급여를 위한 건강보험재정추계연구

권호근,김영남,정기호,송근배,박덕영 대한구강보건학회 2003 大韓口腔保健學會誌 Vol.27 No.3

The purpose of this study is to estimate the National Health Insurance budget needed for the Korean elderly's denture service coverage. For more exact estimating the budget, denture need and demand were calculated by using 2000 National Oral Health Survey data. The results were summarized as follows ; 1. Over 65 years old, full denture and partial denture need per arch were each 8.5% and 16.8%. And over 70 years old, those were each 11.3% and 17.8%. 2. Over 65 years old, full denture and partial denture demand per arch were each 22.8% and 21.2%. And over 70 years old, those were each 27.%% and 21.1%. 3. Based on the denture need, the health insurance budget needed in the first operative year was about 955.4 billion won, over 65 years old and about 644.2 billion won, over 70 years old. 4. Based on the denture demand(wear), the health insurance budget needed in the first operative year was about 207.5 billion won, over 65 years old and was about 151.6 billion won, over 70 years old. If health insurance policy of elderly's denture service coverage is performed, actual denture wear rate is going to increase, and the budget needed is also increasing. Because current National Health Insurance budget status is poor, it is difficult to execute health insurance coverage for elderly's denture service. Therefore we suggest that health insurance coverage for preventive service is to be considered in order to reducing denture need in the long term view.

급성 췌장염의 합병이 추정되는 한국형 출혈열 1예

박영수,김창오,김영근,홍성관,장경희,허애정,염준섭,송영구,김준명 대한감염학회 2001 감염 Vol.33 No.5

The Korean hemorrhagic fever (KHF) is an acute febrile disease with characteristic of fever, bleeding tendency, and renal failure. There are many complications of Korean hemorrhagic fever such as infection, anemia, internal bleeding, hypopituitarism, respiratory, and neurologic complication. A few cases were reported on acute pancreatitis with hemorrhagic fever abroad, but there was no case about Korean hemorrhagic fever with acute pancreatitis in this country. We experienced a case of Korean hemorrhagic fever associated with suspected acute pancreatits. With review of articles, we report a case of 51 year-old woman with KHF, where acute pancreatitis developed during management, (Korean J Infect Dis 33:376∼379, 2001)

감마선(^60Co) 조사에 의한 항진균 세균의 돌연변이체 유도

정혜영,이영근,김재성,조규성,이영복 한국환경농학회 2002 한국환경농학회지 Vol.21 No.3

항진균 세균의 특성 및 기능변화 가능성을 조사하기 위하여 버섯폐배지, 온천수, 해조류 및 삼림토양으로부터 식물병원성 진균에 대한 8 종의 항진균 활성 균주를 분리하였고 감마선(^60Co)을 이용하여 LD_95 에 돌연변이체를 유도하였다. Bactllus circulans K1, Burkholderia gladioli K4와 Bacillussubtilis YSl은 12 종의 식물병원성 진균에 대go 항진균 활성을 보였다. 이들 균주의 방사선감수성 조사결과 B. gladioliK4는 감마선에 대한 높은 감수성을 보였으며, D_10 값은 0.11kGy 였다. 감마선에 의해 유도된 Kl-1004와 YSl-1009는Botryosphaeria dothidea에 대해 항진균 활성이 증가되었다. B.subtilis YS1의 돌연변이체인 YSl-1006과 YS1-1009는 tebuconazol과 copper hydroxide에 대해 농약 저항성을 나타냈다. SAR535, SAR5108 과 SAR5l18 돌연변이체는 야생형 균주인 Streptomyces sp. SAR01에 비해 5 종의 식물병원성 진균에 대해 항진균 활성이 없었다. 연구결과, 방사선을 이용하여 다양한 기능의 돌연변이체 유도가 가능하였다. 이를 이용하여 항진균 활성 관련 유전자 연구 및 균주개량이 가능할 것으로 사료된다. In order to evaluate the antifungal activity of bacteria against plant pathogenic fungi, 8 bacteria were isolated from mushroom compost, hot spring, seaweed, and forest soil and mutants from them were induced by LD_(95) gamma radiadon(^(60)Co). Bacillus circuluns K1, Burkholderia gladioli K4 and Bacillus subtilis YS1 showed wide antifungal spectrum against 12 kinds of plant pathogenic fungi. From the radiation sensitivity test, R gladioli K4 was very sensitive to gamma radiation and its D_(10) value was 0.11 kGy. Antifungal activities of B. circulans K1-1004 and B. subtilis YS1-1009, which were induced by the radiation of ^(60)Co increased against Botryosphaeria dothidea. The mutant strains, B. subtilis YS1-1006 and B. subtilis YS1-1009 were resistant to tebuconazole and copper hydroxide. SAR535, SAR5108, and SAR5118 mutated from Streptomyces sp. SAR01 were antifungal activity deficient mutants against 5 kinds of plant pathogenic fungi compared to wild strain, so that they could be supposed to be model strains for studying antifungal mechanism. It is suggested that various functional types of mutants could be induced by gamma radiation and applied usefully.