Continuous Wave of Condensation Technique으로 근관충전시 치근면 온도상승 분석

김영주,황윤찬,김선호,황인남,최보영,정영진,정우남,오원만 전남대학교 치의학연구소 2003 구강과학 Vol.15 No.4

This study was conducted to evaluate safety to the supporting tissues of the root while the root canal is obturated using continuous wave of condensation technique. A extracted maxillary central incisor was prepared for repeated canal obturation. After conventional access opening, working length was then established to the point 1㎜ from anatomical root apex. The root canal was prepared with GT rotary Ni-Ti file (Dentsply Maillefer, Switzerland). Five thermocouples (Onega Engineering Inc., USA) were placed at 2㎜ increments on one side beginning 1㎜ from the anatomical root apex and the other five thermocouples at 2㎜ increments on the other side beginning 2㎜ from it. For obturation, a nonstandardized medium size gutta-percha cone and a ML Buchanan plugger (Analytic technologies, USA) were selected. After drying of root canal, AH 26 root canal sealer (Dentsply Detrey, Germany) was applied on the wall of the root canal. Baseline temperature was measured on the root surface. The ML size plugger was preheated for 2seconds and then the real temperature of it was recorded before insertion into the root canal. The root canal was obturated with continuous wave of condensation technique as described by Buchanan. The root surface temperature was recorded during obturation and it was performed ten times at each of the following temperature settings: 150℃, 200℃, 250℃ and 300℃. After completion of the temperature recording, the dentinal-cementum thickness at each sites where thermocouples were attached was measured. The data were analyzed using one-way ANOVA followed by Scheffe's test and linear regression test. The results were as follows. 1. When the temperature was set at 150℃, 200℃, 250℃ and 300℃ on the digital display of System B HeatSource, the real temperature of the plugger at the 1㎜ point from the tip revealed 130.82±2.96℃, 158.00±5.26℃, 215.92±6.91℃ and 249.88±3.65℃ respectively. 2. The position of 8 ㎜ from the anatomical apex showed the highest temperature increase at each temperature settings and it was significantly higher than those of other positions (p<0.01). The temperature rise was constantly increased toward coronal portion from apex of the root. 3. The maximum temperature increase on the root surface was 2.37±0.09℃ at 150℃ setting, 3.11±0.12℃ at 200℃ setting, 3.93± 0.09℃ at 250℃ setting and 5.69± 0.15℃ at 300℃ setting. These results suggest that it be relatively kind to the supporting tissues of the root that the root canal is obturated using continuous wave of condensation technique at 150℃, 200℃, 250℃ and 300℃ temperature settings on digital display of System B HeatSource.

Continuous Wave of Condensation Technique으로 근관충전시 치근면 온도상승 분석

김영주,황윤찬,김선호,황인남,최보영,정영진,정우남,오원만 大韓齒科保存學會 2003 Restorative Dentistry & Endodontics Vol.28 No.4

This study was conducted to evaluate the temperature rise on the root surface while the root canal is being obturated using continuous wave of condensation technique. Maxillary central incisor was prepared for repeated canal obturation. Ten thermocouples (Omega Engineering Inc., Stanford, USA) were placed at 1mm increment from the anatomical root apex. The real temperature of Buchanan plugger was recorded before insertion into the root canal. The root canal was obturated with continuous wave of condensation technique as described by Buchanan and the root surface temperature was recorded during obturation at 150℃, 200℃, 250℃ and 300℃ temperature settings of System B HeatSource (Model 1005, Analytic technologies, Redmond, WA, USA). After completion of the temperature recording, the dentinal-cementum thickness at each sites was measured. The data were analyzed using one-way ANOVA followed by Scheffe's test and linear regression test. The results were as follows. 1. When the temperature was set at 150℃, 200℃, 250℃ and 300℃ on the digital display of System B HeatSource, the real temperature of the plugger at the 1mm point from the tip revealed 130.82±2.96℃ 158.00±5.26℃, 215.93±6.91℃ and 249.88±3.65℃ respectively. 2. The position of 8 mm from the anatomical apex showed the highest temperature increase at each temperature settings and it was significantly higher than those of other positions (p<0.01). The temperature rise was constantly increased toward coronal portion from apex of the root. 3. The maximum temperature increase on the root surface was 2.37±0.09℃ at 150℃ setting, 3.11±0.12℃ at 200℃ setting, 3.93±0.09℃ at 250℃ setting and 5.69±0.15℃ at 300℃ setting respectively. These results suggest that it be relatively kind to the supporting tissues of the root that the root canal is obturated using continuous wave of condensation technique at 150℃, 200℃, 250℃ and 300℃ temperature settings on digital temperature display of System B HeatSource.

대동맥 협착증과 동반된 출혈성 위장관 동정맥 기형에서 Estrogen-Progesterone 치료 1예

김도연,김화정,김효정,남준식,박수영,박영미,신정은,주미순,황민규,정혜경,손혜영,이선영,이한주 大韓消化器內視鏡學會 1999 Clinical Endoscopy Vol.19 No.부록2

성견의 2급 치근 분지부 결손에서 자가골막 이식에 의한 치주조직 재생

남승지,정현주,김영준 전남대학교 치과대학 2000 전남치대논문집 Vol.12 No.1

Autogenous periosteal grafts are the attractive alternative to existing barrier membrane materials since they meet the reqiurements of an ideal material. But no histological data are available on the effectiveness of periosteal membranes in the treatment of periodontal defects. The purpose of this study was to evaluate effect of autogenous periosteal graft on periodontal regeneration histologically. Calss Ⅱ furcation defects were surgically created on the second, third and the fourth premolars bilaterally in the mandibles of six mongrel dogs. The experimental sites were divided into three groups according to the treatment modalities; control group - surgical debridement only : Group Ⅰ- autogenous periosteal membrane placement after surgical debridement; Group Ⅱ- autogenous periosteal membrane placement after surgical debridement and bone grafting. The animals were sacrificed at 2, 4 and 12 weeks after periodontal surgery and the decalcified and undecalcified specimens were prepared for histological and histometrical analysis. Clinically all treated groups healed without significant problems. Under light microscope, at 2 weeks, control group showed significant apical epithelial migration and bone remodelling only below the notch area. But for the groupⅠ, Ⅱ with autogenous periosteal graft, less apical migration of epithelium appeared and large amount of osteoid tissue was showen above the notch area. Grafted periosteal membrane was indiscernable at 4 weeks, so periosteal membrane might be organized to surrounding tissues. Histometrically, at 4 and 12 weeks, all the test and control groups didn't show significant change of epithelial zone but new attachment level tended to be gained in the test groups than control group. These results suggest that autogenous periosteal grafts could be a good alternative for guided tissue regeneration.

EFFECTS OF LIDOCAINE ON SOMATOSENSORY EVOKED POTENTIALS IN RAT VIBRISSA/BARREL CORTEX

남순현,최병주,김현정,이만기,김영진,이혜숙 大韓小兒齒科學會 1996 大韓小兒齒科學會誌 Vol.23 No.3

본 실험은 삼차신경 자극으로 발생되는 체성 감각 유발 전위에 대한 국소마취제의 효과를 관찰하였다. 나트륨 통로차단을 통하여 약리작용을 나타내는 것으로 알려져 있는 리도카인를 뇌 피질에 국소 투여한 후 삼차신경의 체성 감각유발 전위의 강도및 지연시간을 측정하였다. 케타민으로 마취된 흰쥐의 대측성 구레나룻 자극후 뇌의 체성 감각영역으로부터 기록되는 유발전위를 분석한 결과, 리도카인을 뇌 피질에 국소 투여시 유발전위의 강도 및 지연시간의 감소가 나타났으며, 필드 전위의 형태는 이상성(양극성 및 음극성) 혹은 삼상성(양극성, 음극성 및 양극성)의 파형으로 나타났다. 필드 전위의 발생 부위는 뇌 피질의 중대뇌동맥의 상행지 상방영역이었다. 본 실험에서 나타난 초기 전위변동은 피질판 상층에 존재하는 신경세포의 탈분극 과정에 의하여 생성되고 후기 전위 변동은 피질판 상층에 존재하는 신경세포의 탈분극 과정에 의하여 생성되고 후기의 전위 변동은 동일 영역의 하층 신경세포에서 과분극 혹은 재분극이 발생한 결과라고 유추된다. 따라서 삼차신경계의 체성 감각 영역에서는 피질 상층및 하층의 과립성 피라미드 세포의 순차적인 활성화에 의하여 기본적인 신경 회로망이 형성되어 있으며 생리적 자극으로 유발되는 필드 전위는 이러한 신경망를 통하여 발생될 것으로 사료된다.

항갑상선제로 치료한 그레이브스병 환자의 관해예측인자

남일송,윤여일,김선규,김용현,이주영,목지오,윤석기,김철희,김영선,변동원,서교일,유명희 순천향의학연구소 2001 Journal of Soonchunhyang Medical Science Vol.7 No.2

Background: Most cases of Graves' disease have been treated by antithyroid drugs in Korea. The major drawbacks of antithyroid drugs are the relative high rate of relapse and the inconvinience of long term therapy. Measurement of TBII and TRH stimulation test have been considered as the most reliable tests predicting relapse, but the predictive power is not high enough to use in clinical situation. This study was performed to find good prognostic indicators in Graves' disease patients after the discontinuation of antithyroid drug therapy. Subjects and methods : We restrospectively evaluated 96 patients with Graves' disease who showed normal TRH test at the end of antithyroid drug therapy and were followed for more than one year. Serum T3, T4, T3/T4 ratio, TBII, Anti-TPO Ab and TGAb levels were measured at the time of diagnosis and at the end of therapy. Two to three months after withdrawal of antithyroid medication, serum TSH and free T3 responses to TRH were examined. These parameters were compared between the relapse group and the remission group. Results : Among the 96 patients, 22 patients(22.9%) relapsed(Group Ⅱ) and 74 patients(77.1%) remained in remmision(Group Ⅰ). No significant difference was observed between the relapse and the remission group in clinical parameters, serum T3, T4, TSH, T3/T4 ratio, TBⅡ and Anti-TPO Ab determined before and after treatment. Serum TSH and free T3 levels measured after TRH stimulation were also similar in both groups. Serum TGAb levels determined at the end of treatment were significantly higher in the remission group(p<0.05). Relapse following the discontinuation of therapy occured within 24 months in 72.7% of the relapsed cases. After 24 months, relapse rate was reduced significantly. Conclusion : These results suggest that high serum TGAb levels could be a favorable prognostic indicator for the long term remission of Graves' disease treated with antithyroid drugs, and may suggest that Hashimoto's thyroiditis is combined with Graves' disease in those patients.

환기정도에 따른 수술실용 신발 종류가 수술실 오염에 미치는 영향 : How to Choose Suitable Shoes?

남경동,정혜선,박영신,원진희,주미자,성화신,이지혜,이병희,조경숙,배재춘 한국의료QA학회 2000 한국의료질향상학회지 Vol.7 No.1

Background : Various types of protective footwear have been used to minimize bacterial contamination in operating rooms. In recent years, debate has arisen concerning the need for use of such protective footwear. This study was designed to provide useful data about choosing shoes most suitable for the surgical environment. Methods : Between November, 1999 and January, 2000, we performed this experimental study by comparing effect of three types of shoes (i.e., disposable shoescover, operating room-restricted shoes, and ordinary shoes) on bacterial contamination of operating rooms equipped with two different ventilation systems (i.e., high air-change, low air-change) respectively. Data were collected during two-hour sham operations in which subjects and their activities were strictly standardized. Bacterial flora were sampled from the study area floor and air colony-counts were measured. Results : In experiments involving high air-change ventilation system, there was a significant difference of floor contamination between three types of shoes, but no difference of air contamination. Under low air-change system, there was a significant difference of both floor and air contamination between three types of shoes. Conclusion : The results show that protective footwear would be unnecessary in the operating room with high air-change ventilation system, but it is important to choose suitable shoes carefully under low air-change system. Therefore, the use of outdoor shoes can be considered under high air-change system, but it would seem sensible to apply their first use in less bloody operations at the day surgery center or out-patient department to prevent transfer of body fluid into the outside environment.

폐암환자 말초혈액의 자연살해세포 표현형(Natural Killer Cell Phenotypes)과 T임파구 아형 (T-Cell Subsets)의 의의

남재만,서지원,김남재,김주옥,김선영 충남대학교 의과대학 지역사회의학연구소 1989 충남의대잡지 Vol.16 No.2

The authors studied the NK cell phenotype and T cell subsets in 36 patients with bronchogenic carcinoma and 11 healthy controls. The results were summarized as follows. 1. The percentage of lymphocyte and total lymphocyte counts significantly decreased in cancer patients compared to normal control(p<0.05). 2. The OKT4^+(%) was significantly decreased in patients according to celltype (especially squamous cell cancer, adenocarcinoma and large cell carcinoma) and extended stage(stageⅢ) (p<0.05), but no change in limited stage(stage Ⅰ&Ⅱ). 3. The OKT8^+(%) and OKT4^+ ratio were not significantly changed in cancer patient. 4. According to cell type, there was no significant difference of NK cell phenotype between cancer patients and controls. 5. According to stage, there was no significant difference of NK cell phenotype between cancer patients and controls. 6. There was no significant difference of NK cell phenotype in cancer patients compared to normal controls. We concluded that NK cell phenotype had no significant difference between cancer patients and healthy controls. Further studies (including NK cell activity or other function tests of lymphocyte) are needed to analyze the roles of immunologic responses in patients with lung cancer.

초등학교 고학년과 중학년의 주행변인 비교분석

조현영,정남주 호남대학교 2008 학술논문집 Vol.29 No.2

The purpose of this study was to investigate the kinematical analysis on the running motion of elementary students. The subject of this study was 12 healthy elementary students. A scholastic year were divided into 2 group : high group[6 grade], middle group[3 grade]. The following findings are obtained: It's appear that time ratio of the stance and swing in running motion about high group was 56% vs 44%, and this result was effected to wide step and stride length. Also, it's appear that displacement of center of gravity about high group was larger than middle group, and this result was effected to the horizontal velocity of center of gravity. Trunk angle was slanted to the running direction and upper arm rotation in shoulder angle was larger than middle group. And then this result was effected to the lower extremity movement. It's appear that time ratio of the stance and swing in running motion about middle group was 61% vs 39%, and this result was positively effected to narrow step and stride length. Also, it's appear that displacement of center of gravity about middle group was less than high group, and this result was effected to the low horizontal velocity of center of gravity. Trunk angle was slanted to the running direction and upper arm rotation in shoulder angle was less than high group. And then this result was negatively effected to the lower extremity movement.

체형에 따른 골프 스윙 동작 비교

정남주,윤희중,백영수 한국운동역학회 2002 한국운동역학회지 Vol.12 No.2

본 연구는 골프스윙 시 체형별로 나타나는 운동학적 요인을 분석하여 비교함으로써 체형별 골프지도를 위한 기초자료를 제공하는데 있다. 이를 위해 현재 남자 프로골프선수 9명을 대상으로 각자의 체중과 신장 그리고 상완둘레등을 고려하여 외배엽, 내배엽, 중배엽으로 체형을 나누었다. 각자의 골프스윙동작을 비디오 카메라로 촬영하여 스윙동작을 8개의 구간으로 나누어 분석하였으며 다음과 같이 결론에 도달하였다. 골프스윙 소요시간은 내배엽형이 가장 길었으며 다음으로 중배엽형, 마지막으로 외배엽형이 가장 짧은 스윙시간을 보이고 있었다. 좌우이동변위가 가장 크게 나타나는 체형은 중배엽형이었으며, 다음으로는 내배엽형, 그리고 외배엽형이 가장 작게 움직이는 것으로 나타났다. 내배엽형은 임팩트 시 상하변위가 상승쪽으로 향하고 있었으며 내배엽형과 중배엽형은 임팩트 시 거의 일정한 높이를 유지하여 안정감을 높이는 것으로 나타났다. 상체회전각도와 골반회전각도는 임팩트 시 외배엽형의 상체와 골반이 미리 돌아가는 형태를 취하고 있어 내배엽과 중배엽형에 비해 다소 다른 특징을 보이고 있었다. 이러한 스윙에 대한 체형별 운동학적 특징을 이론을 제시함에 있어 보다 근본적인 힘의 이동을 알아야 할 필요가 있다. 따라서, 차후 연구에서는 지면반력을 이용하여 압력중심점(COP)의 분석이 함께 이루어져야 할 것으로 판단된다. This study was intended to provide basic materials for golf coaching by somatotype by analyzing and comparing the kinematic factors found in each somatotype at the time of golf swing. For this purpose, the somatotype was divided into endomorph, mesomorph and ectomorph in reference to the weight, height and upper arm circumference of each of nine professional golfers. Each of their swing motions was videotaped with the camcorder and their swing motion was analyzed by dividing it into 8 sections. The time required for the swing motion, the displacement of the center of the human body and the rotation angle of the upper body were calculated through the three-dimensional image analysis based on the DLT(Direct Linear Transformation). Based on the findings of this study, the following conclusion was drawn: The endomorphic golfers showed the longest required golf swing time, followed by the mesomorphic golfer and then the endomorphic golfer. The displacement of left-to-right movement was largest in the mesomorphic golfers, followed by the endomorphic golfers the up-to-down displacement was upward at the time of impact and that the endomorphic and mesomorphic golfers raised the sense of stability by maintaining an almost uniform height at the time of impact. As for the rotational angle of the upper body and the rotational angle of the thigh, the upper body and the thigh took a form of rotating earlier in the ectomorphic golfers at the time of impact, who showed a somewhat different characteristics compared to the endomorphic and mesomorphic golfers. It is necessary to investigate the movement of more fundamental forces in presenting the theory related to the kinematic characteristics of this swing by somatotype. Accordingly, it is thought that it is necessary to analyze the center of pressure(COP) using the ground counterforce in the future study.