단일 치아 골 절단술을 이용한 유착치아의 수술적 교정

김종렬(Jong-Ryoul Kim),송인우(In-Woo Song),이정훈(Jung-Hoon Lee) 대한치과의사협회 2004 대한치과의사협회지 Vol.42 No.6

단일치아 절골술

김종렬(Jong-Ryoul Kim),곽병학(Byung-Hak Kwak),김병민(Byung-Min Kim),박상준(Sang-Jun Park),변창순(Chang-Soon Byun) 대한치과의사협회 1993 대한치과의사협회지 Vol.31 No.12

타액선 다형성선종 환자의 임상적 연구

김종렬(Jong-Ryoul Kim),박봉욱(Bong-Wook Park),변준호(June-Ho Byun),김용덕(Yong-Deok Kim),신상훈(Sang-Hoon Shin),김욱규(Uk-Kyu Kim),정인교(In-Kyo Chung) 대한구강악안면외과학회 2005 대한구강악안면외과학회지 Vol.31 No.2

The pleomorphic adenoma is well recognized as the most common salivary neoplasm. We examined 49 patients who had received surgical excision of the pleomorphic adenoma from 1989 to 1998 with over 5 years follow-up period. We retrospectively evaluated the patients’age, sex, chief complaints, surgical methods, and recurrence or complication rates after analysis of one’s clinical and surgical records. The results are as follows : 1. There were 15 cases in parotid gland, 23 cases in palate, 8 cases in submandibular gland, and 3 cases in cheek. The ratio of male to female was 1 : 1.13. The mean age was 44. The tumor of submandibular gland occurred in more younger age than that of other salivary gland. 2. In 15 patients of parotid pleomorphic adenoma, there was 1 case(6.7%, 1/15) of recurrence. That was transformed into the malignant pleomorphic adenoma after 4 years of first surgery. We performed superficial parotidectomy of 9 cases(56.2%, 9/16), total parotidectomy of 6 cases(37.5%, 6/16), and radical parotidectomy of 1 case(6.3%, 1/16). 3. We used the rotational Sternocleidomastoid muscular flap to cover the exposed facial nerve in 12 cases(75%) after parotidectomy(7 cases of superficial parotidectomy and 5 cases of total parotidectomy). We could see 3 cases(18.7%) of facial nerve palsy and 1 case(6.3%) of Frey’s syndrome after parotidectomy. We examined Frey’s syndrome in only 1 case which was not used SCM muscular flap after parotidectomy. 4. In 23 patients of palatal pleomorphic adenoma, there were 2 cases(8.7%) of recurrence. In recurrence cases, We performed re-excision after 4 and 5 years of first surgery, respectively. We preserved partial thin overlying palatal mucosa during tumor excision in 5 cases(20%), which were proved as benign mixed tumor in preoperative biopsy. That mucosa-preserved cases had thick palatal mucosa, did not show mucosa ulceration and revealed well encapsulated lesions in preoperative CT. 5. In palatal tumors, we could see the 13 cases(52%) of bony invasion in preoperative CT views and the 4 cases(16%) of oro-nasal fistula after tumor excision. In two cases of recurrence, one(20%, 1/5) was in palatal mucosa-preserved group and the other(5.5%, 1/18) was in palatal mucosa-excised group. 6. We excised tumors with submandibular glands in the all cases of submandibular pleomorphic adenoma. There was no specific complication or recurrence in these cases. 7. After excision of the cheek pleomorphic adenomas, we could not see any complication or recurrence.

부모와 교사의 자율성지지, 내재적 미래목표와 수업참여간의 구조적 관계분석

김종렬 ( Jong Ryoul Kim ) 한국초등교육학회 2012 초등교육연구 Vol.25 No.1

본 연구의 목적은 부모와 교사의 자율성 지지, 내재적 미래목표, 그리고 수업참여간의 인과모형을 설정하고 구조적 관계를 분석해 보는 것이다. 대구광역시 초등학교6학년 학생 388명을 대상으로 부모와 교사의 자율성 지지, 내재적 미래목표, 그리고 수업참여 검사를 실시하여 자료를 수집하였다. 구조방정식 모형을 분석한 결과, 부모와 교사의 자율성 지지, 내재적 미래목표, 그리고 수업참여간의 구조적 관계를 설명하는 연구 모형이 적합한 모형으로 평가되었다. 부모와 교사의 자율성 지지가 내재적 미래목표를 매개하여 학습자의 수업참여에 미치는 직?간접적 효과를 분석한 결과, 부모와 교사의 자율성 지지가 내재적 미래목표 및 수업참여에 통계적으로 직접적이고 유의미한 영향을 미치고 있었으며, 내재적 미래목표는 수업참여에 통계적으로 유의미한 정적인 영향을 미치고 있었다. 매개 효과 검증 결과, 부모와 교사의 자율성 지지는 내재적 미래목표를 매개하여 수업참여에 통계적으로 유의미한 영향을 미치고 있었다. 부모와 교사의 자율성 지지는 내재적 미래목표를 34% 설명해 주고 있으며, 부모와 교사의 자율성 지지, 그리고 내재적 미래목표는 수업참여를 64% 설명해 주고 있었다. 본 연구의 결과는 가정과 학교에서 사회적, 환경적, 그리고 심리적으로 중요한 지지원인 부모와 교사의 자율성 지지가 내재적 미래목표와 수업참여에 중요한 역할을 할 수 있는 요인임을 밝혀 주었으며, 부모와 교사가 학습자에게 자율성을 지지하면서, 동시에 내재적 미래목표를 증진시킬 수 있는 방법을 모색하여 학습자의 적극적인 수업참여를 유도할 수 있도록 해야 할 필요성을 시사하고 있다. The purpose of this study is to investigate the structural relationship among perceived parents and teacher`s autonomy support, intrinsic future goal, and engagement. The subjects of this study were 388 sixth grade students sampled from elementary schools in Daegu. The survey instruments used for this study were perceived parents and teacher`s autonomy support test, intrinsic future goal test, engagement test. The statistical method used for data analysis was Structural Equation Modeling analysis by AMOS 7.0 and SPSS 15.O program. The findings of this study were as follows: First, the strength of correlation was high among perceived parents and teacher`s autonomy support, intrinsic future goal and engagement significantly. Second, a goodness of fit of the research model was evaluated as being very appropriate. Third, intrinsic future goal, engagement were directly predicted by perceived parents and teacher`s autonomy support significantly. Fourth, perceived parents and teacher`s autonomy support did indirectly affect engagement through intrinsic future goal significantly. Finally, this study shows that perceived parents and teacher`s autonomy support are the significant predictor for intrinsic future goal and engagement during the elementary school ages.

골막기원세포의 조골세포 분화과정에서 나타나는 혈관내피전구세포의 증식

김종렬(Jong-Ryoul Kim),송정호(Jung-Ho Song),김욱규(Uk-Kyu Kim),박봉욱(Bong-Wook Park),하영술(Young-Sool Hah),김진현(Jin-Hyun Kim),김덕룡(Deok Ryong Kim),조영철(Yeong-Cheol Cho),성일용(Iel-Yong Sung),변준호(June-Ho Byun) 대한구강악안면외과학회 2009 대한구강악안면외과학회지 Vol.35 No.4

Purpose : The purpose of this study was to examine the expression of various angiogenic factors during osteoblastic differentiation of periostealderived cells and the effects of osteogenic inductive medium of periosteal-derived cells on the proliferation of endothelial progenitor cells. Materials and methods : Periosteal-derived cells were obtained from mandibular periosteums and introduced into the cell culture. After passage 3, the cells were divided into two groups and cultured for 21 days. In one group, the cells were cultured in the DMEM supplemented with osteogenic inductive agent, including 50g/ml L-ascorbic acid 2-phosphate, 10 nM dexamethasone and 10 mM -glycerophosphate. In the other group, they were cultured in DMEM supplemented without osteogenic inductive agent. VEGF isoforms, VEGFR-1, VEGFR-2, and neuropilin-1 mRNA expression was observed. Human umbilical cord blood-derived endothelial progenitor cell proliferation was also observed. Results : The expression of VEGF isoforms was higher in osteogenic inductive medium than in non-osteogenic inductive medium. The expression of VEGFR-2 was also higher in osteogenic inductive medium than in non-osteogenic inductive medium. However, the expression of VEGFR-1 and neuropilin-1 was similar in both osteogenic inductive medium and non-osteogenic inductive medium. In addition, conditioned medium from differentiated periosteal-derived cells stimulated human umbilical cord blood-derived endothelial progenitor cell numbers compared to conditioned medium from non-differentiated periosteal-derived cells. Conclusion : These results suggest that in vitro osteoblastic differentiation of periosteal-derived cells has angiogenic capacity to support endothelial progenitor cell numbers.

혀에 발생한 대칭성 지방종증의 치험례

김종렬(Jong-Ryoul Kim),이재열(Jae-Yeol Lee) 대한구강악안면외과학회 2007 대한구강악안면외과학회지 Vol.33 No.6

Benign symmetric lipomatosis(BSL) is a lesion characterized by symmetrical and diffuse growth of adipose tissue. It is commonly found in the posterior neck or upper trunk, manifesting itself as an entity known as Madelung disease or Lanoid-Bensaude syndrome. Lipomatosis affecting the tongue is very unusual. The etiology of BSL is unknown, but It can be associated with alcoholism, liver dysfunction, hypothyroidism. Because of its diffuse histologic feature, complete resection of the lesion is often difficult. Seventy one years old male patient, whose chief complaint was multiple nodules of tongue was referred to our department. The lesion was diagnosed histopathologically as BSL and subsequently removed surgically. So we report this rare case of BSL with literature review.

외상성 타액종류

김종렬(Jong Ryoul Kim),권우철(Woo Cheol Kwon),곽병학(Byung Hak Kwak) 대한구강악안면외과학회 1994 대한구강악안면외과학회지 Vol.20 No.2

When parotid duct or gland is lacerated and functional primary repair is not accomplished, three potential complications can occur : sialocele, extraoral salivary fistula and salivary cyst. Sialocele is subcutaneous cavity of saliva which is extravasated from traumatized duct or gland. When the primary injury causing the sialocele is an injured duct, three basic methods of treatment are possible. Basically, the salivary flow must be directed intraorally as extraoral pressure is applied to the region of subcutaneous saliva extravasation, preventing an extraoral fistula. Concomitant daily aspirations of the sialocele may be required. If a sialocele occurs, one should fist attempt the insertion of a catheter via Stensen s duct into the region of the sialocele to direct drainage intraorally, aspirate the sialocele as necessary, and apply an external pressure dressing. If this fails, reexploration and anastomosis of the duct should be attempted. If anastomosis of the duct proves impossible, the proximal duct should be ligated with several silk sutures. The following case illustrates the effective treatment of sialocele by these methods. A 50-year-old man was sent to our department for evaluation of right preauricular swelling. He had deep facial laceration after automobile accident. One week after primary closure, 3.0cm×3.0cm×2.0cm-sized flucturant mass developed. At aspiration, clear yellowish serous water was seen. Sialogram showed accumulation of contrast media at right parotid gland and remnant of contrast media at excretory duct which represents pocket formation. We attempted duct exploation and excision of sialocele. A pressure elastic bandage was applied for 15 days after operation. He had no further complication nor recur after that treatment.

초등학생의 정서지능과 정신건강의 관계에서 부모와 또래 지지의 매개효과

김종렬 ( Jong Ryoul Kim ),이은주 ( Eun Ju Lee ) 한국초등교육학회 2013 초등교육연구 Vol.26 No.4

본 연구의 목적은 초등학생의 정서지능과 정신건강의 관계에서 부모와 또래 지지의 매개효과를 알아보는 것이다. 대구의 초등학교 6학년 298명을 대상으로 정서지능, 부모와 또래 지지, 정신건강 검사를 통해 최종자료를 분석하였다. 연구 결과, 초등학생의 정서지능, 부모와 또래 지지 및 정신건강의 구조적 관계를 설정한 최종모형은 적합한 것으로 나타났다. 둘째, 정서지능은 부모와 또래 지지에 직접적인 영향을 미치고 있었으며, 부모와 또래 지지는 초등학생의 정신건강에 직접적인 영향을 미쳤다. 셋째, 정서지능은 부모와 또래 지지를 매개하여 정신건강에 통계적으로 유의미한 영향을 미쳤다. 본 연구 결과를 통해, 개인적 요인인 정서지능과 환경적 요인인 부모와 또래 지지는 초등학생의 정신건강에 유의미한 영향을 미치는 변인임을 알 수 있었다. 마지막으로 본 연구의 제한점을 바탕으로 후속연구를 위한 논의를 하였다. The purpose of this study was to examine the mediation effects of parents` support and peer`s support in the relationship between emotional intelligence and mental health of elementary school students. 298 students were sampled from 3 elementary schools in Daegu. The results were as follows: First, result from structural equation modeling was found to support the final model which included emotional intelligence, parents` support and peer`s support, and mental health. Second, emotional intelligence had positive direct effects on parents` support and peer`s support. Also, parents` support and peer`s support had positive direct effects on mental health. Third, parents` support and peer`s support had significant mediating effects on the relationship between emotional intelligence and mental health. Based on these results, it should be recognized that emotional intelligence and parents` support and peer`s support are significant determinants of the elementary student`s mental health. Finally, suggestions for future research were discussed based on limitations of this study.

Complete remission of maxillary and infratemporal squamous cell carcinoma after induction chemotherapy

Jong Ryoul Kim(金鍾烈),One Ryong Moon(文元龍),Sang Jun Park(朴相俊),Uk Kyu Kim(金昱珪),Dong Kyu Yang(梁棟奎) 대한구강악안면외과학회 1992 대한구강악안면외과학회지 Vol.18 No.1

본 교실에서는 우측 상악골 및 하측두와에 광범위하게 발생한 편평세포암을 가진 64세 남자를 성공적으로 치료하였다. 5-FU와 Cis-platin을 이용한 유도화학요법을 시행하였는 바 좋은 반응을 보였으며, 그후 Weber-Fergusson 절개와 두개 피판을 이용한 접근법으로 우측상악골 및 협골 절제를 포함한 광범위 외과적 수술을 시행하였다. 술중의 동결박절표본과 영구조직표본에서 종양세포를 발견할 수 없었으며 단지 만성염증의 소견만 보였다. 술후 42개월째 종양의 재발 증거는 보이지 않고 있다.

초, 중학교급별 교실목표구조 기본심리욕구, 수업참여간의 구조적 관계 분석

김종렬(Jong Ryoul Kim),이은주(Eun Ju Lee) 한국교육심리학회 2012 敎育心理硏究 Vol.26 No.3

본 연구의 목적은 초, 중학교급별 교실목표구조, 기본심리욕구, 수업참여간의 구조적 관계를 분석하는 것이다. 연구대상은 대구광역시 2개 초등학교와 2개 중학교에서 각각 표집된 초등학생 206명 및 중학생 254명이었다. 연구 결과 첫째, 교실목표구조, 기본심리욕구, 수업참여 변인 간에 서로 높은 상관관계를 보여 주었다. 둘째, 잠재평균분석 결과, 숙달목표구조, 기본심리욕구 및 수업참여는 초등학생이 높았으며, 수행목표구조는 중학생이 높았다. 셋째, 초, 중학교급별 다집단 분석 결과, 숙달목표구조가 유능성 욕구, 관계성 욕구 및 수업참여에 미치는 상대적 영향력에서 학교급별 유의미한 차이를 보였다. 넷째, 초등학교에서는 숙달목표구조가 유능성 욕구를 매개하여 수업참여에 유의미한 영향을 미치고 있었으며, 중학교에서는 숙달목표구조 및 수행목표구조가 유능성 욕구를 매개하여 수업참여에 유의미한 영향을 미쳤다. 이러한 연구결과를 바탕으로 이론적 함의를 논하고, 향후 연구방향을 제시하였다. This study examined the structural relationship among classroom goal structure, basic psychological needs, academic engagement of elementary and middle school students. The sample consisted of 206 fifth and sith graders recruited from 8 classrooms and 254 eighth and ninth graders recruited from 9 classrooms in Daegu. The findings of this research were as follows: First, there were significant correlations among classroom goal structure, basic psychological needs and academic engagement. Second, latent mean analysis indicated that elementary school students showed significantly higher mastery goal structure, basic psychological needs and academic engagement, whereas they showed significantly lower performance goal structure than middle school students. Third, the multi-group analysis showed the effect of mastery goal structure on competence need, relatedness need and academic engagement were significantly higher among elementary schoolers than middle schoolers. Fourth, mastery goal structure of elementary school classroom increased the academic engagement through the mediating effect of competence need, whereas both mastery and performance goal structures of middle school classroom increased the academic engagement through the mediating effect of competence need. Implications for educational practice and future research were discussed.