전치 견인시 상순의 긴장도와 입술반응의 변화

홍현실,김상철 원광대학교 치의학연구소 2003 圓光齒醫學 Vol.12 No.2

The purpose of this study was to evaluate dental and integumental soft tissue changes by the orthodontic treatment and relationship of upper lip strain to lip response by anterior teeth retraction. Lateral cephalometric head films of 90 cases, before and after treatment, were traced and statistically analyzed. The results were as follows; 1. Upper lip strain was alleviate by anterior teeth retraction and high lip strain group was more alleviate than low lip strain group. 2. Upper incisor was posterior and inferior positioned by the orthodontic treatment and integumental soft tissue also was posterior and inferior positioned. 3. Basic lip thickness was decrease by anterior teeth retraction, whereas vermilion lip thickness was increase.

치간 삭제 후 불소 또는 수산화인회석 도포 시 재광화 및 탈회억제에 관한 연구

홍현실,김호영,성지영,조진형,김상철 대한치과교정학회 2010 대한치과교정학회지 Vol.40 No.4

치간 삭제 후 재광화 및 치아우식 예방법을 찾기 위한 노력의 일환으로 1.23% 인산화불소 젤 또는 5%, 10% 수산화인회석함유 페이스트를 치간 삭제된 법랑질 표면에 도포하였고, 그 후 젖산탈회용액으로 처리하였다. 법랑질 표면의 재광화 및 탈회 후 결정구조 변화를 주사전자현미경으로 관찰하고 칼숨, 인, 불소 함량 등의 변화를 energy dispersive X-ray spectroscopy 로 분석해서 비교하였다. 치간 삭제 후 5%, 10% 수산화인회석함유 페이스트를 도포한 군에서 칼숨과 인 합량이 증가하였고, 1.23% 인산화불소 젤 도포 군에서는 불소 함량이 증가하였다. 또한 모든 재광화 제제에서 법랑질 표면이 매끄럽고 부드러워졌으며 결정구조가 작고 치밀해짐을 관찰할 수 있었다. 10% 수산화인회석합유 페이스트로 재광화한 군은 탈회 후에도 칼슐과 인 함량이 증가된 채로 유지되었고, 5% 수산화인회석합유 페이스트로 재광화한 군은 탈회 후 인 함량이 증가된 채로 유지되었다. 치간 삭제 후 탈회 처리 시 대조군의 법랑질은 파괴양상이 심해 거친 굴곡으로 이루어진 불규칙한 표면 상태를 나타내었으나 불소 및 수산화인회석으로 재광화한 군에서는 법랑질의 파괴양상이 적어 작은 결정입자들과 미세공극이 유지되었다. Objective: The aim of this study was to evaluate the effect of remineralization and inhibition to demineralization after fluoride gel (acidulated phosphate fluoride, APF) or hydroxyapatite (HAp) paste application on interdentally stripped teeth. Methods: After interdental stripping, 1.23% APF or 5%, 10% HAp paste were applied for 7 days for remineralization. Afterwards, teeth were exposed to lactate carbopol buffer solution for demineralization. Scanning electron microscopy (SEM) and energy dispersive X-ray spectroscopy (EDS) were used to compare change in surface contents and crystal structures after remineralization, and then after demineralization. Results: EDS analysis indicated that calcium (p < 0.001) and phosphate (p < 0.01) contents were increased after 10% HAp paste application on stripped enamel, calcium (p < 0.05) and phosphate (p < 0.01) contents were increased after 5% HAp paste application, and fluoride (p < 0.01) contents were increased after 1.23% APF application. SEM image showed that enamel surfaces became smoother and crystal structures became small and compact after APF or HAp application. After demineralization, calcium (p < 0.05) and phosphate (p < 0.05) contents remained increased on the enamel remineralized with 10% HAp paste, and phosphate (p < 0.05) contents remained increased on the enamel remineralized with 5% HAp paste. After demineralization, surfaces looked less destroyed in the enamel remineralized beforehand than those of the control, and small pores between crystal structures, formed by remineralization were remained. Conclusions: Hydroxyapatite paste and fluoride gel were helpful to remineralize and inhibit deminerlization on stripped enamel.

한국 성인에서 색도플러 초음파를 이용한 척추동맥 혈류량의 정상치

홍현숙,차장규,박성진,조준희,박재성,김대호,이혜경,안현철 대한초음파의학회 2003 ULTRASONOGRAPHY Vol.22 No.3

구리 지역에서 조사한 고혈압의 인지도, 치료률 및 관리률

홍철호,김순길,홍택원,이제,신진호,이재웅,김경수,김정현,임헌길,이방헌 대한간질학회 2003 대한간질학회지 Vol.9 No.1

치간 삭제 후 불소 및 수산화인회석 도포 시 법랑질 표면의 함량 및 결정구조 변화에 관한 연구

김상철,홍현실,황영철 대한치과교정학회 2008 대한치과교정학회지 Vol.38 No.6

본 연구의 목적은 치간삭제 후 불소 및 수산화인회석 페이스트의 치면 도포에 대한 법랑질 표면의 결정구조 및 재광화를 평가하고자 하였다. 치간삭제 후 1.23% 인산화 불소 및 10% 수산화인회석 페이스트를 치면에 도포한 후 법랑질 표면의 결정구조 변화를 주사전자현미경으로 관찰하고, 법랑질 표면의 칼슘, 인, 불소 함량 등의 변화를 energy dispersive X-ray spectroscopy (ESD)로 분석하였다. 실험결과 10% 수산화인회석 페이스트 도포한 군에서 칼슘 함량이 증가하였고 (p < 0.01), 치간 삭제 후 거칠었던 법랑질 표면이 매끄럽고 부드러워졌으며 법랑질 결정구조가 작고 치밀해짐을 관찰할 수 있었다. 이상의 결과는 치간삭제 후 불소 및 수산화인회석 도포가 치면 결정구조 및 재광화에 유리하다는 것을 의미한다. The aim of this study was to evaluate the remineralization of interdentally stripped teeth after fluoride gel or hydroxyapatite paste application. Methods: After interdental stripping, 1.23% fluoride gel or 10% hydroxyapatite paste was applied three times a day, with a duration of four minutes, for a week. Scanning electron microscopy (SEM) and energy dispersive X-ray spectroscopy (EDS) were used to compare the change of surface contents and crystal structures before and after the application of fluoride gel or hydroxyapatite paste. Results: EDS analysis indicated that calcium contents were increased after 10% HAp paste application on stripped enamel (p < 0.01). SEM view showed that enamel surfaces in groups of 1.23% APF gel or 10% HAp paste application were smoother than those of control group, which was regarded as filling of the pore structure. And pores between crystal structures in groups treated with 1.23% APF gel or 10% HAp paste were smaller than those of control group. Conclusions: Application of APF or HAp on stripped enamel could positively influence on the surface contents or crystal structure.

Canine juvenile cellulites의 진단과 치료 증례

황철용,유종현,강형석,윤화영,한홍율 한국임상수의학회 2002 한국임상수의학회지 Vol.19 No.4

Canine Juvenile cellulitis was diagnosed in 2 puppies hospitalized in Veterinary Medical Teaching Hospital of Seoul National University. Characterized dermatological problems were presents of scale, crust, purlent exudation and alopecia limited on their face. On cytologic examinations of direct impression smears for the lesions, numerous neutrophils and macrophagies were observed. No bacteria and fungus were noted. Treatments with administration of predinisolone and antibiotic orally combined with topical shampoo treatment had good results for the two puppies.

자연정화공법에 의한 하수처리장에서 최적 여재 선정

서동철,이홍재,조주식,박현건,김형갑,허종수 한국환경농학회 2003 한국환경농학회지 Vol.22 No.1

농어촌 등에서 소규모로 발생하는 하수를 환경친화적이고 높은 하수처리효율을 유지하면서 하수처리장의 장기간 사용을 위한 최적의 여재를 선정하기 위하며 자연정화공법을 이용한 소형하수처리장치를 호기성조 및 혐기성조로 구분하여 시공한 다음, 하수처리량 및 여재 입경별 수처리 효율을 조사하였고, 호기성조와 혐기성조에서 여재 입경별 하수의 투수속도를 조사한 결과는 다음과 같다. 호기성조 처리수 및 방류수중의 pH 및 EC는 여제입경에 따라서 별 차이가 없었고, 용존산소는 호기성조를 동과한 호기성조 처리수의 용존산소는 큰 폭으로 증가하였으나 혐기성조를 통과한 방류수의 용존산소는 호기성조 처리수에 비해 약간 감소하여 여재입경 및 하수처리량에 따라서 별 차이가 없이 약 2.4~5.1 mg/L정도이었다. BOD,000 및 탁도 처리율은 여재 대(4~10 mm)를 사용했을 경우에도 호기성조 처리수에서 BOD 처리율은 약 91%이상, COD 처리율은 73%이상, 탁도 처리율은 83%이상이었으며, 이들 처리율은 여재입경이 작을수록 증가하였고 모든 조건에서 방류수중의 BOD 처리율은 98%이상, COD 처리율은 91%이상, 탁도 처리율은 98%이상이었다. 여재입경별 총 질소 및 총 인 처리율은 여재입경이 작을수록 약간 증가하였고, 모든 조건에서 방류수중의 총 질소 처리율은 약 45~59%, 총 인 처리율은 약 80~96% 정도이었다. 하수 처리율 및 투수속도를 고려해 볼 때 하수처리장 호기성조의 최적입경은 2~4 mm정도 혐기성조의 최적입경은 0.1~4 mm정도가 적절한 젓으로 사료되었다. 따라서 이러한 조건을 자연정화공법을 이용한 하수처리장에 적용하면 높은 하수처리효율을 유지하면서 하수처리장의 공극폐쇄현상이 일어나지 않아 장기간 운전할 수 있을 것으로 판단된다. An investigation was carried out to evaluate the effects of pebble size on the small-scale sewage treatment apparatus by natural purification method that consisted of aerobic and anaerobic plot pH and EC in both plots varied minimally regardless of pebble size. DO in aerobic plot increased as the pebble size decreased. That in the anaerobic plot was slightly less in comparison with that of the aerobic plot, but varied minimally, 2.4~5.1 mg/L regardless of pebble size. Under all experimental conditions, removals of BOD, COD and turbidity in anaerobic plot were more than 98, 91 and respectively. Removals of T-N and T-P increased as pebble size decreased. Under all experimental conditions, removals of T-N and T-P in anaerobic plot were about 45~59 and 80~96%, respectively. Judging from the above results, it should be considered that the optimum pebble size and pebble permeability in both plot was 2~4 mm and 0.1~4 mm, respectively.

자기공명영상을 이용한 만성 족관절통의 원인 분석

김현철,이경태,유재원,이상홍,선재명 조선대학교 부설 의학연구소 2000 The Medical Journal of Chosun University Vol.25 No.1

Purpose : Chronic ankle pain is one of the most popular problems with orthopedic clinicians, but it has complex etiologic factors in diagnosis. Recently, magnetic resornance imaging has used as common diagnostic modality in ligaments and tendon problems of ankle sprain. The purpose of this article is to determine the appearances and frequency of chronic ankle sprain by MRI, and to determine the value of MRI as a diagnostic tool. Materials and Methods : We have analysed MRI findings of 84 chronic sprained ankles over 6 months duration from September 1995 to January 1997. All cases had been past history of ankle injury. Among them, sports players ie, soccer, basket ball, competitive runner and ballet dancer are 51 cases( 60.7% ). Average age of patients is 27.06( 13 to 54 ) years old and sex ratio is 23:5. For the confirmative diagnosis, We adopted variable methods, ie, ultrasonogram, bone scan, CT scan, arthroscopic examination and surgical intervention. Results : The Etiologic factors of chronic ankle sprain by MRI includes 39 Lateral ankle instability due to Anterior Talofibular and Calcaneofibular ligamentous tear, 18 Peroneal tendon insufficiency ie, synovitis, longitudinal tear, subluxation and abnormal tendon insertion, 15 Osteochondral fracture of talus or tibia, 10 Anterior Impingement syndrome due to anterior bony spur, 9 Deltoid tear, 6 Os subfibulare, 4 Distal tibiofibular ligament abnormality, 3 Os subtibiale, 2 Ankle synovitis, 2 Intraarticular loose body. Conclusion : MRI study employed in hazy chronic ankle sprain is useful diagnostic modality. But, Diagnostic result using MRI was not correlated the clinical prognosis, and proper physical examination is important in the point of technical aspect to get the exact dissecting angle of MRI.

비글견에서 복강 기관의 초음파상

김명철,변홍섭,박명호,강부현 충남대학교 수의과대학 동물의과학연구소 1996 動物醫科學硏究誌 Vol.4 No.-

Two Beagle dogs were examined by ultrasonography to get detailed informations about the normal size and texture of abdominal organs. Ultrasonographic examination of liver, gallbladder, stomach, duodenum, spleen, kidney and urinary bladder was performed on the abdomen in dorsal recumbency. The ultrasonographic values in this study can be used as reference for the diagnosis of changes in abdominal organs of Beagle dog.

상행 대동맥을 이환한 대동맥 벽내출혈과 대동맥 박리의 임상적 비교

김현숙,송재관,강덕현,김준,이철환,홍명기,김재중,박성욱,박승정 대한순환기학회 2000 Korean Circulation Journal Vol.30 No.4