소아의 후두개에 발생한 과립 세포종 1예

오재규,박선주,유태현 고신대학교의과대학 2008 고신대학교 의과대학 학술지 Vol.23 No.3

Granular cell tumors are relatively uncommon benign laryngeal lesions, especially in children. The granular cell tumor can occurs everywhere in our body. Half of all granular cell tumors occur in the head and neck, with a third of these occuring in the tongue. The larynx is relatively uncommon location, accounting for approximately 7% to 10% of all reported cases. Typically, the most common presenting symptom is hoarseness, with some patients also presenting stridor, hemoptysis, dysphagia. But the tumor may be asymptomatic and be discovered only incidentally during a routine examination. Confirmative diagnosis should be made histopathologically and supported by immunohistochemical staining using S-100. Treatment of a granular cell tumor is complete excision with an attempt to maintain normal structures. We experienced a 14-year-old woman with laryngeal granular cell tumor, which involves the epiglottic lower margin. She was successfully treated with complete excision under laryngomicroscopic dissection. So we report it with a review of literatures.

편도 절제술 후 출혈에 관한 임상적 분석

오재규,박선주,유태현 고신대학교의과대학 2008 고신대학교 의과대학 학술지 Vol.23 No.3

Background and Objectives : Hemorrhage is one of the most common complication after tonsillectomy. Despite of many various efforts, it still remains unsolved problem to many otolaryngologist. Because so many factors are related to postoperative bleeding after tonsillectomy, so we tried to see the postoperative hemorrhage rate in relation to various parameters. Material and Methods : A retrospective study on patients who had underwent tonsillectomy in Wallace Memorial Baptist Hospital for 6 years from January 2002 to December 2007. Parameters such as sex, seasons of year, age distribution, tonsil size, previous tonsillitis history and anesthesia type were considered. Results : Overall hemorrhage rate was 2.6%. Postoperative hemorrhage was common in adult males with incidence of 4.5% and most of them was secondary hemorrhage. In age distribution, the incidence was high in the group of 16~30 year. Bleeding was common in autumn, grade II tonsil and increased when the history of tonsillitis was frequent, and local tonsillectomy was better in terms of bleeding compared with tonsillectomy under general anesthesia. but there was no statistical significance. Conclusion : To reduce the incidence of postoperative hemorrhage, perioperative education and complete bleeding control during operation is important for high risk patients.

영산강유역 하천 저질토의 영양염류 용출률 측정

유태종,현미,조재현 대한상하수도학회 2003 상하수도학회지 Vol.17 No.3

In order to simulate the water quality model for rivers, lakes and dams, nutrients release rate from sediment should be considered as one of input data. In this study, nutrients release rates of phosphorus and nitrogen from sediment were investigated in the main stream and the branch streams in Yeongsan river. Nutrient release rate was measured under anaerobic, aerobic conditions and different pH levels. PO^3_4-P release rate noticeably increased with high pH level and anaerobic condition. On the other hand, nitrogen release rate showed an increasing tendency when pH was far away from neutral points. Nitrogen release rate was higher with aerobic condition than anaerobic condition.

저작근에 전이된 신세포암 1예

정재현;황인성;유지형;성락희;노충희;정재용 인제대학교 2011 仁濟醫學 Vol.32 No.-

Renal cell carcinoma is the third most common neoplasia of the genitourinary tract. Its most common type, representing 60% of the cases, is the clear cell carcinoma, with an incidence peak between 50 and 70 years. Metastases are present at the time of diagnosis in approximately 30% of the patients, the major sites being lungs, bones, skin, liver, and brain. But distant metastasis of malignant neoplasm to the masseter muscle is extremely rare. We report a case of renal cell carcinoma (RCC) metastasizing to the masseter muscle.

Silorane-based 복합레진의 색안정성에 관한 연구

손유진,현홍근,김영재,김정욱,이상훈,김종철,한세현,장기택 大韓小兒齒科學會 2010 大韓小兒齒科學會誌 Vol.37 No.1

본 연구의 목적은 silorane-based 복합레진의 색안정성을 기존의 methacrylate-based 복합레진과 비교하여 평가하는 것이다. Silorane-based 복합레진인 P90(3M ESPE, USA), methacrylate-based 복합레진인 Tetric Ceram(Ivoclar Vivadent, Liechtenstein), Z250, Z350(3M ESPE, USA)을 이용하여 시편을 제작하고, 증류수, 커피, 레드 와인, 카레 용액에 담가 1일, 3일, 7일, 14일, 21일, 28일 후 색 변화를 분광광도계로 측정하고 실험 전후의 색상차이(ΔE*_(ab))값을 산출하여 다음과 같은 결과를 얻었다. 1. 카레 용액 > 레드 와인 > 커피 > 증류수의 순으로 레진 시편의 변색이 크게 나타났다. 2. 네 가지 종류의 레진을 비교하였을 때, Z350 > Z250 > Tetric Ceram > P90의 순으로 변색이 크게 나타났다. 3. 카레 용액의 경우 네 종류의 레진 모두에서 침지 1일 이후 수용도 역치 이상(ΔE*_(a)b>3.3)의 변색이 나타났다. 4. 레드 와인의 경우 Z350, Z250, Tetric Ceram에서 침지 1일 이후, P90에서는 침지 28일 이후에 수용도 역치 이상의 변색이 나타났다. 5. 커피의 경우 Z350에서 침지 1일 이후, Z250에서 침지 3일 이후, Tetric Ceram에서 침지 7일 이후에 수용도 역치 이상의 변색이 나타났으나 P90에서는 침지 28일 이후에도 수용도 역치 이상의 변색이 나타나지 않았다. The objective of this study was to evaluate the color stability of new silorane-based composite resin compared with methacrylate-based composite resins after immersion in 3 staining solutions. One silorane-based composite(Filtek P90) and 3 methacrylate -based composites(Filtek Z250, Filtek Z350, Tetric Ceram) were evaluated. Twenty disk-shaped specimens(10×2mm) of each of 4 composite resins were prepared. The specimens were then divided into 4 groups of 5 specimens each and immersed in 3 staining solutions( coffee, red wine, curry solution) or distilled water(control) for 28-day test period. Color of the specimens was measured with a spectrophotometer(Color Eye 7000A) using CIE L*a*b* color space relative to CIE standard illuminant D65 at baseline, 1day, 3days, 7days, 14days, 21days and 28days after staining. The color differences( ΔE*_(ab)) were calculated. The results were obtained as follows ; 1. The mean color changes(ΔE*_(ab)) of the composites were greatest in curry solution, then red wine, coffee and distilled water, in decreasing order. 2. The mean color changes(ΔE*_(ab)) of the composites were greatest in Z350, Z250, Tetric Ceram and P90, in decreasing order.

기술교과 교육 제도 및 연구의 국제적 동향 : ICTES '95 발표 논문을 중심으로 through Analyzing of Papers Presented at the ICTES '95

이재원,김진순,류창렬,노태천,최완식,최유현,송일민 충남대학교 공업교육연구소 1995 論文集 Vol.18 No.1

The purposes of this study were: (a) to analyze the papers presented at the ICTES according to the papers' representing countries and their main subjects, (b) to analyze the educational systems of the countries in technology education, and (c) to review the international trends of technology education through the papers presented at the conference. The papers(64 total) presented at the ICTES could be classified into eight countries of papers representing Japan(37), Taiwan(8), Korea(6), U. S. A.(3), India(3), Philippines(3), China(2), Singapore(2). The main subjects the papers dealt with could also be classified into educational system/history(9). curriculum/objectives and contents(9), international activities(9), methods/teaching-learning process and teaching materials and new media(40). Followings were the major and new issues presented at the ICTES: (a) Introduction of each country's technology education system. (b) Proposition of a new framework for technology education and a world core curriculum in technology education. (c) Creativity and problem-solving for the instructional method of technology education. (d) Methods and utilization of high technology media in technology education. (e) Necessity of engineering concept in technology education in technology oriented society. (f) Proposition of philosophical direction of technology education based on famous Asian philosophers.

行列多項式 Liapunov 函數 構成에 依한 誘導電動機의 安定度 解析

李鉉雨,黃有燮,李浚析,文在星 慶南大學校 附設 工業技術硏究所 1988 硏究論文集 Vol.6 No.-

非線形 시스템을 나타내는 狀態空間의 動特性 모델로부터, 定常狀態 값들이 알려지면, 行列多項式에 依해, Scalar Type의 Liapunov 函數를 構成하고 이를 誘導電動機의 安定解析에 適用시킨다. 線形 시스템에 對한 Liapunov 函數의 構成法은 잘 알려져 있으나, 非線形 시스템의 Liapunov 函數 構成法은 아직 體系化되어 있지 못하다. 따라서, 本 論文에서는, 從來의 定常狀態 附近에서의 Taylor 展開에 依한 線形化 技法에 依存하지 않고, 非線形性을 나타내는 項을 分離하여, 行列變換시킴으로서, 線形시스템의 Liapunov 函數 構成法을 살리고, 非線形性이 强한 誘導電動機의 狀態空間모델에 適用시켰다. 그 結果, 求해진 安定領域은, 線形化에 依한 것보다는 훨씬 넓은 5次元의 超空間으로 表現되는 誘導電動機의 漸近安定領域이 되었다. In this paper, when the steady state values for multidimensional and nonlinear Dynamic Models of State Space Representations are given, Liapunov functions of scalar types using matrix quadratic polynomials are constructed by Special Matrix Transformation Techniques and are applied to Stability Analysis of Induction Motors. Futhermore, Liapunov function construction precedures for linear systems can be specified in detail. But, unfortunately, for nonlinear systems, there are no the complete construction techniques. In this paper, differently from conventional methods using Linearization obtained from Taylor series expansions about steady state operating points. Linear terms and nonlinear ones are individually seperated, and by special matrix transformation techniques, similiar construction procedurs such as in the cases of linear systems, are introduced, and are applied to Stability Analysis of Induction Motor. The hyperspaces of multidimensional stability region, obtained from these techniques, were larger than the obtained ones from conventional linearlization techniques about equilibrium points and were assured to be Asymptotic Stability Region ensuring the stable operation of Induction Motor.

심장사상충증 이환견의 치료 1례

심재현,김유수,김건우,이병희,김지용,박성준,송근호 충남대학교 수의과대학 동물의과학연구소 2004 動物醫科學硏究誌 Vol.12 No.-

A 4-years old pointer dog was referred to the Veterinary Teaching Hospital of Chungnam National University with chief compliment of anorexia, exercise intolerance, hemoptysis, coughing and ascites. It was diagnosed as heartworm disease (class 3) by physical and laboratory examination, radiography, ultrasonography and electrocardiography. This dog was undertaken by adulticidal therapy. Normal conditions and good appetite after therapy were observed.

최근 8년간(2001-2008) 서울대학교치과병원 소아치과의 진료현황 및 수익분포 변화에 대한 조사

손유진,현홍근,김영재,김정욱,이상훈,김종철,한세현,장기택 大韓小兒齒科學會 2010 大韓小兒齒科學會誌 Vol.37 No.1

The practice pattern of pediatric dentistry in the university dental hospital has been changing for the last several decades, due to socioeconomic changes, developments in dental materials and increasing number of private pediatric dental clinics. The purpose of this study is to survey the changing patterns of pediatric dental treatment in the university dental hospital and to present the future direction for pediatric dentistry. Patient distribution and practice trends were reviewed based on the OCS (order communication system) records of the department of pediatric dentistry, Seoul National University Dental Hospital from 2001 to 2008. Results were as follows; 1. The number of patients increased up to 2005 and decreased in 2006, and has remained constant up to 2008. 2. The proportion of preventive and orthodontic treatment increased and the proportion of restorative and pulpal treatment decreased. 3. In restorative treatment, amalgam restoration decreased and resin restoration increased. 4. Frequency of sedation decreased in 2006, 2007 and increased in 2008. 5. Frequency of general anesthesia increased up to 2008. 소아치과 전문 지역 의원의 증가, 소아치과에 대한 보호자의 인식 변화, 치의학의 발전, 소아치과 진료 범주의 확대 등에 의해 최근 소아치과의 진료 양상이 크게 변화하고 있다. 이러한 변화 양상을 파악하고 앞으로의 대학병원 소아치과 및 소아치과 전문 지역 의원의 진료분담에 대한 방향성을 제시하고자 본 연구를 시행하였다. 2001년 1월 1일부터 2008년 12월 31일까지 서울대학교치과병원 소아치과에 내원한 모든 초진 및 재진 환자를 대상으로, 서울대학교치과병원 종합의료정보시스템(OCS)을 통하여 1년간의 외래환자집계 및 수가코드별 진료 행위 건수 및 수익 분포를 조사하여 다음과 같은 결과를 얻었다. 1. 내원환자의 수는 2001년부터 2005년까지 대체로 증가하다 2006년에 감소하였으며 그 이후에는 2006년도와 별다른 변화가 없었다. 2. 2001년에는 예방치료가 6.84%, 수복치료가 49.96%, 치수치료가 9.64%, 외과치료가 10.78%, 교정치료가 22.78%를 차지하였으나, 2008년에는 예방치료가 15.40%, 수복치료가 28.97%, 치수치료가 3.28%, 외과치료가 14.83%, 교정치료가 37.52%를 차지하여 수복치료와 치수치료의 비율은 감소하고 예방치료와 교정치료는 증가하였다. 3. 수복치료의 비율에 있어서 아말감과 글라스 아이오노머 수복 및 기성금관수복의 비율은 감소하였고, 레진의 비율은 증가하였다. 4. 진정요법하 치과치료는 2005년까지 증가하다 2006년, 2007년에는 감소하였고, 2008년에 다시 증가하였다. 5. 전신마취하 치과치료는 2001년부터 2008년까지 꾸준히 증가하였다.

태아용 ECMO 시스템 개발

김재열,유신,마상동,김창현 朝鮮大學校 機械技術硏究所 2001 機械技術硏究 Vol.4 No.1

태아를 자궁외에서 인공양수로 충만한 Chamber에 넣고 막형산화기와 체외순환용 회로를 제대동정맥에 연결함으로서 염소태아의 자궁외 생존 모델을 수립하였다. 염소태아의 자궁외 최장 생존시간은 48시간이었으며, 염소태아의 자궁외 생존을 위한 혈류역학적, 혈액화학적 기초자료를 분석하였다. 태아의 자궁외 생존에 필요한 ECMO 순환 혈류량은 223±15.2㎖/min이었으며 태아생존률 및 태아생존시간에 체온, 마취시간, 태아체중 및 수술 숙련도등이 관계가 있었다. 인공양수를 채운 인공자궁 Chamber와 펌프, 막형산화기, 회로등이 연결된 인공 자궁태반의 프로토 타입을 고안 개발함으로서 동물모델에 의한 추가적인 연구를 가능하게 하였고, 합병증의 연구 및 태아영양공급과 발육문제등을 보완연구함으로서 인간에게 인공자궁태반이 실현될 수 있는 기반연구를 수행하였다. The ECMO system using umbilical cord and membrane type oxygenator which was connected with extracorporeal circulation unit was studied for the development of fetus growth model for goat. Maximum survival time of goat fetus was 48hour and its basic data of blood blow dynamics and chemical compositions were analyzed. Average blood rate required for the extracorporeal circulation was 223±15.2 ㎖/min and survival rate and survival time of fetus was deeply related to body temperature, total anesthetized time, fetus weight and skill for the surgery. The newly developed ECMO model for fetus corrected the problem of previously used ECMO that high pressure pump directly delivered to that fetal heart by installing reservoir bag. By applying the result from this new ECMO model. Further reserach will help to apply the system to human.