요추간판탈출증에서 현미경 수술과 경피적 자동수핵제거술에 대한 비교연구

신원한,장재칠,주교성,김범태,최순관,변박장 순천향의학연구소 1997 Journal of Soonchunhyang Medical Science Vol.3 No.1

A retrospective study of operative results were carried out in a series of 164 patients who were performed microdiscectomy and 57 patients performed automated percutaneous lumbar discectomy (APLD) for herniated lumbar discs between January 1, 1990 and June 30, 1996 at the Department of Neurosurgery, Soonchunhyang University Hospital. The operative results were analysed, and the correlation between preoperative clinicoradiological factors and postoperative clinical results were statistically assessed. The major results were as follows : 1. Of 164 microdiscectomy cases, 102 were males and 62 were females, mean age was 42.4 years and incidence was the highest in the 5th decade, and of 57 APLD cases, 43 were male and 14 female, mean age was 32.2 years and incidence was the highest in the 3rd decade. 2. The preoperative symptoms and signs were lumbago(98.2%), radiating pain(96.3%), positive straight leg raising test(77.4%), motor weakness(27.4%), claudication(13.4%) & voiding difficulty(2.4%) in microdiscectomy cases, and lumbago(98.2%), radiating pain(98.2%), positive straight leg raising test(70.2%) & motor weakness(17.5%) in APLD cases. 3. Number of operated levels were performed 226 in microdiscectomy and 74 in APLD. The most commonly operated levels of two groups were L4-5 level. 4. Operative results 1) The overall success rates by Prolo's scale were 87.1% in microdiscectomy and 80.7% in APLD, respectively. 2) In younger age group (below 30 years) and in non-compensatory group, success rates were significantly higher in microdiscectomy. 3) As to protrusion and degeneration on MRI, clinical results of moderate protrusion and degeneration of discs in microdiscectomy were statistically significant, and those of mild protrusion and degeneration of discs in APLD were also statistically significant. 4) The most common cause of failure was inappropriate removal of disc material in microdiscectomy and sequestered discs in APLD. According to the above results, there were no differance in overall success rates between microdiscectomy and APLD. But clinical results seem to be influenced by the age, existence of compensation, and by the degree of protrusion and degeneration of discs as prognostic factors. If the selection of operative procedure between microdiscectomy and APLD for herniated lumbar disc is carefully done with clinical and radiologic findings of patients, good outcome might be achieved.

결찰양식이 교정용 브라켓과 교정선 사이의 마찰력에 미치는 영향

신현정,권오원,김교한 대한치과교정학회 1998 대한치과교정학회지 Vol.28 No.5

마찰력은 치아이동시 활주이동부에 유해한 인자로 인식되어져 왔으나 치아이동에 저항하는 고정원에 있어서는 유리한 인자로 받아들여질 수 있다. 즉 마찰력이 작은 결찰법들을 이용하여 효과적인 치아이동을 도모하는 반면 마찰력이 큰 결찰법들을 이용하여 브라켓의 걸림에 의해 치아이동이 거의 일어나지 않게 하면 고정원을 강화할 수 있다. 인공타액하에서 시간경과에 따른 교정선과 브라켓 사이의 마찰력 변화, 탄성 모듈과 스테인레스 강 결찰선을 이용하여 각각 결찰양식을 달리 하였을 때의 마찰력 변화 그리고 결찰재의 내료를 달리 하였을 때의 마찰력 변화를 알아보기 위하여 .018" ×.025" 슬롯의 상악 중절치용 standard edgewise twin 브라켓과 .017" ×.022" 스테인레스 강 교정선을 탄성 모듈, .009" 스테인레스 강 결찰선 그리고 .012" 스테인레스 강 결찰선을 이용하여 다양하게 결찰하였다. 또한 통상적인 방법으로 결찰한 탄성 모듈 결찰군을 결찰 직후와 1주 간격으로 4주간 마찰력을 측정하여 다음과 같은 결과를 얻었다. ·탄성 모듈 whole tie시 시간경과에 따른 마찰력은 4주 경과시 가장 높았으나 3주, 2주, 1주, 결찰 직후간에는 통계학적으로 유의한 차이가 없었다(P>0.05). ·탄성 모듈로 결찰시 마찰력은 twisting tie가 가장 높았고 double overlay tie, whole tie, half tie 순으로 나타났으나 twisting tie와 double overlay tie 간에는 통계학적으로 유의한 차이가 없었다(P>0.05). ·스테인레스 강 결찰선으로 결찰시 half tie 군이 whole tie 군보다 낮은 마찰력을 보였으며 ligature tying plier로 결찰한 경우가 needle holder로 결찰한 경우보다 더 높았고 .012" 결찰선을 이용한 경우가 .009" 결찰선을 이용한 경우보다 더 높았다(P<0.05). ·통상적인 방법으로 탄성 모듈과 스테인레스 강 결찰선을 이용하여 결찰한 경우 두 군간에 유의한 차이가 없었다(P>0.05). The frictional force has been considered as an harmful factor in an active unit where tooth movement occurs, but as an advantageous factor in anchor unit that resist tooth movement. That is, efficient tooth movement is planned by using ligation methods that have low levels of bracket-wire frictional force and the anchorage control can be achieved by using ligation methods that have high levels of bracket-wire frictional force that result in binding of the bracket accompanied by little or no tooth movement. The purpose of this study was to evaluate the frictional force generated between bracket and wire in accordance with the methods of ligation, the material of ligation and the passage of time under artificial saliva. Tested were 0.017×0.022inch stainless steel wires in standard edgewise twin brackets for upper central incisors in a 0.018-inch slot. The wires were ligated into the brackets with elastomeric modules and stainless steel ligatures. Whole tie, half tie, twisting tie and double overlay tie were done with elastomeric modules. With 0.009-inch stainless steel ligature whole tie and half tie were done by needle holder and whole tie by ligature tying plier. With 0.012-inch stainless steel ligature whole ties were done by needle holder. Whole tie groups of elastomeric module were kept in artificial saliva bath at 37℃ for 28 days. The frictional force was recorded by means of an Instron universial testing instrument (4202 INSTRON, Instron Co., U.S.A.) at initial, 7, 14, 21, and 28 days. The results for ligated samples in a simulated oral environment revealed the following: ·In elastomeric module whole tie, 28days group was significantly greater mean static frictional force than any other group but there were no significant differences among any other group (p>0.05). ·Elastomeric module twisting tie were significantly greater mean static frictional forces than any other ligation method but there were no significant differences between twisting tie and double overlay tie(p>0.05). Twisting tie, double overlay tie, whole tie, half tie showed differences in decreasing order. ·Stainless steel half tie produced lower mean static frictional force than whole tie, ligature tying plier produced greater mean static frictional force than by needle holder and ligation with 0.012-inch stainless steel ligature produced greater mean static frictional force than with 0.009-inch stainless steel ligature (p<0.05). ·There were no significant differences between the mean static frictional forces of elastomeric whole tie and stainless steel whole tie (p>0.05).

草鳥中毒에 關한 綠豆의 解毒效果

禹元洪,韓宗鉉,辛民敎 圓光大學校 醫科學硏究所 1985 圓光醫科學 Vol.1 No.2

This study was carried out to elucidate the effectiveness of Testa mungo counteracting the poisonous effect of Aconiti Radix and difference in effectiveness between Testa mungo extract and Testa mungo juice. First, Lethal dose 50 of Aconiti Radix for mouse, since then, the difference in effectiveness between Testa mungo extract and Testa mungo juice was observed. Mice were pretreated by dosing half LD 50 of Aconiti Radix in oral administration for histological examination for 7 days and the damage of liver was induced. Among 1 group dosed with Testa mungo extract, Ⅱ group dosed with Testa mungo juice and control group, the difference of counteracting effects of the toxicity of Aconiti Radix were observed histologically. The results were as follows : 1. Lethal dose 50 of Aconiti Radix was 49.8㎎/20g. (confidence limits ; 22.7∼86.2㎎/20g) 2. The counteracting effects for the toxicity of Aconiti Radix LD 50 were seen above 13.3 ㎎/20g in group dosed with Testa mungo extract and above 0.4cc/20g in group dosed with Testa mungo juice. 3. In the histological exainination, the counteracting effects of Testa mungo for the toxicity of Aconiti Radix was seen from 3 days on the liver-damaged mice by the result of being pretreated with Aconiti Radix extract for 7 days. 4. Testa mungo juice was more effective than Teata mungo extract in the counteracting effects for the toxicity of Aconiti Radix.

전립선 선암종에서의 p53 및 I-cadherin 단백의 면역조직 화학적 연구

맹이소,김원일,이교영,김영신,강창석,심상인 대한병리학회 1998 Journal of Pathology and Translational Medicine Vol.32 No.3

팽이 톱밥 人工栽培時 培地微生物相의 經時的인 密度變化

배태웅,文炳周,辛元敎,宋模烈,李鉉旭,曺東進 東亞大學校生命資源科學大學附設 農業資原硏究所 1996 農業生命資援硏究 Vol.5 No.1

팽이 재배에 있어 가장 큰 문제 중의 하나는 雜菌에 대한 汚染, 특히 細菌에 의한 피해가 극심하므로 作業段階와 栽培過程 전반에 걸쳐 培地徵生物相의 經時的인 密度變化에 따른 雜菌의 培地內 流入時期를 조사하여 汚染菌의 發生消長을 알아보기 위해 現地農家에서 시험해 본 결과 接種후 培養室에서 菌絲培養을 시작한 5일후부터 細菌이 檢出되기 시작하여 菌긁기전까지 약 25일간 0.5∼3.1×10⁴cfu/g의 密度를 보였으나 經時的인 密度增加는 없었고, 菌絲培養이 끝난 뒤 菌긁기직후부터 細菌의 密度는 118.3×10⁴cfu/g으로 급격히 높아졌으며 子實體生育 기간동안에 시간이 경과함에 따라 密度가 현저하게 증가되는 경향을 나타냈다. 이는 培養室 안으로 흐르는 空氣를 통하여 甁內로 細菌이 流入되고 또한 菌긁기 직후 培地表面에 灌注하는 물과 加濕機에서 噴霧되는 물粒子가 細菌의 密度增加에 절대적으로 영향을 미치는 것으로 판단되므로 이때가 細菌性褐斑病菌에 感染되기 가장 용이한 시기로 생각된다. 眞菌은 菌긁기후 子實體生育 기간동안 1.17∼7.87×10⁴/g의 密度로서 菌絲培養 기간동안의 密度보다 다소 높게 檢出되었으나 대체로 經時的인 密度增加는 보이지 않았으며, 放線菌은 거의 검출되지 않거나 菌絲培養 후 5일째부터 다소 검출되기 시작했으나 밀도가 매우 낮았고 經時的으로도 증가되지 않았다. One of the most serious problem on the Enoki mushroom cultivation is the infection by pathogenicitic microorganisns, especially bacterial diseases causing serious economical losses in the mushroom production. It was carried out to find the tendency of the development of mushroom diseases by temporal changes and variation of the densities of media microflora through the cultivation periods and working stages in a mushroom farm. According to the results, several bacteria were detected from the fifth day after the inoculation and incubation of mycelium in the incubation room, and the density of bacterium was 0.5∼3.1×10⁴cfu/g media for 25 days before the inoculum-removing, although there was no increment of the density. Since the inoculum-removing after the spawn run, the density of bacterium was rapidly increased as 118.3×10⁴cfu/g media, and was significantly increased by time during the growth period of fruitbodies. It was hypothesized that it is the most suitable period for the pathogen infection because the bacterium might be introduced by the air in the incubation-room, and the increment of bacterium density might be affected by moisture supplied through watering or humidifier in the growing room after the inoculum-removing. Fungi were detected as the density as 1.17∼7.87×10⁴/g media and the density was slightly higher than that during the incubation period of hyphae, although there was no significant increment. Generally, the density of Actinomycetes was disregardfully low, or Actinomycetes were hardly ever found, although there was found some 5 days after incubation hyphae in few cases.

수술의 함정 : 중심성 신경세포종 2례 2 Cases of Central Neurocytoma

김범태,주교성,장채칠,신원한,최순관,변박장 대한신경외과학회 1999 Journal of Korean neurosurgical society Vol.28 No.3

악안면 영역에서의 유리 전완피판술 적용례분석

김욱규,송원욱,황대석,김용덕,신상훈,김종렬,정인교 부산대학교 병원 암연구소 2009 부산대병원학술지 Vol.- No.25

3-D Simulation of T-Shaped Electrode and Comparison of Results with Experiments

Shin, Yeong-Kyo,Hwang, Tae-Su,Kang, Seok-Dong,Park, Hun-Gun,Ryu, Jae-Hwa,Kim, Hyun-Chul,Shin, Seong-Won,Lee, Jae-Koo The Korean Infomation Display Society 2002 Journal of information display Vol.3 No.2

Numerical simulation is one of the most useful tools to study gas discharge phenomena that occur in alternating current plasma display panel (AC-PDP) cell. Most PDP cell simulations have been performed for two-dimensional cell, is cross-section along the address electrode. We developed a three-dimensional PDP simulator and applied it to a T-shaped electrode cell in order to show the effects of sustain electrode shape that cannot be included in two-dimensional simulation. The dependence of power consumption on electrode shape and area in the simulation showed the same trend as experiment.

Incidence of Gastric Involvement In Nongastric Marginal Zone Lymphoma

( Shin Kyo Yoon ),( Hwoon Yong Jung ),( Shin Kim ),( Dok Hyun Yoon ),( Joo Ryung Huh ),( Cheol Won Suh ) 대한내과학회 2011 대한내과학회 추계학술대회 Vol.2011 No.1

Background: There is an assertion that esophagogastroduodenoscopy (EGD) should be included in the routine diagnostic work-up of extra nodal marginal zone lymphoma (MZL) based on an observation that a significant proportion of patients presenting with nongastric MZL had gastric involvement as well. However, incidence of gastric involvement in nongastric MZL has not been investigated in Asia, where incidence of MZL is higher than Western countries. Aims: The present study was undertaken to assess the incidence of gastric involvement in nongastric marginal zone lymphoma. Methods: Between April 1993 and December 2010, 153 consecutive patients with nongastric MZL were treated in the Asan Medical Center, Seoul, Korea. We retrospectively analyzed the results of these patients. Results: We present our experience of 47 cases of EGD which comprised 30.7% of all 153 nongastric MZL patients. The median age at diagnosis was 51 years, and the overall male-to-female ratio was 0.72. One hundred patients (86.3%) initially presented with localized disease (defined by Ann Arbor stage I/II), 2 (1.3%), 15 (9.8%), 4 (2.6%) patients were stage IIIa, IVa, IVb, respectively. In 136 patients (88.9%), single site of extranodal involvement of lymphoma was identified. The most common primary site of nongastric MZL was ocular adnexa and orbit (48.4%), intestine (11.1%), lung (9.8%), nasal sinus (5.9%) in decreasing order of frequency. Of 153 nongastric MZL patients, 47 patients (30.7%) were underwent EGD for initial staging work-up, and no patient was found to have gastric involvement of lymphoma. The most common endoscopic and pathologic diagnosis of EGD was chronic superficial gastritis (16 patients, 34%) (Table 1). Summary: None of the 47 patients who had undergone EGD had gastric involvement of EGD. Our findings do not support routine EGD in patients with extranodal MZL. Table1. Endoscopic diagnosis whom underwent EGD for routine work-up of extra nodal MZL.

경남지역 양액재배용 지하수의 이온 분포특성

신원교(Shin Won-Kyo),이영한(Lee Young-Han),전성건(Cheon Seong-Gun),황연현(Hwang Yeon-Hyeon),조강희(Cho Kang-Hee) (사)한국생물환경조절학회 1998 시설원예‧식물공장 Vol.7 No.3