구순구개열 환아에서의 치조골이식

조해성,박재홍,김광철,최성철,이긍호,최영철 대한소아치과학회 2007 大韓小兒齒科學會誌 Vol.34 No.1

치조파열 및 구개열과 같은 선천성 기형은 이환된 환자에게 기능적, 심미적으로 많은 문제점을 야기하므로 정상으로 회복시켜 주는 것은 중요한 문제이다. 장기간 방치될 경우 영양장애, 구강위생 불량, 호흡기 간염, 언어 장애, 악안면 변형, 그리고 정신적인 문제 등이 복합적으로 발생할 수 있다. 따라서 구순구개열 환자의 치료는 여러 전문 치료 분야의 복합적인 접근이 필요하다. 골이식은 구순구개열 환자에 있어 중요한 치과치료 단계이다. 치아의 맹출과 치열의 안정화를 위해 치열궁은 골격손이 없이 완전해져야 한다. 또한 치열궁의 파열이 있는 부위로는 정상적인 교정적 치아이동이 곤란하다. 따라서 구순구개열 환자에 있어 골이식은 광범위하게 적용되고 있는 외과적 술식이다. 치조골을 이식함으로써 치조열은 안정화되고, 견치 또는 절치가 이식부위로 이동할 수 있게 된다. 그리고 골 이식 후, 교정을 통해 치조열 부위의 공간을 폐쇄함으로써 보철 치료 없이 치열을 재형성할 수 있다. 골이식술에는 다양한 이식재료가 사용되었다. 자가골을 이식할 경우 장골이 가장 선호되며, 그 밖에 경골, 늑골, 두개골, 하악골을 이용하기도 한다. 그리고 골이식은 골이식 시기에 따라 일차골이식, 조기 이차골이식, 이차골이식, 만기 이차골이식으로 구분할 수 있다. 이차골이식은 혼합치열기 말경에 시행되는 것을 말하며 가장 좋은 것으로 받아들여지고 있다. 영구 견치가 맹출되기 전에 이차골이식을 시행하면 인접치아의 맹출과 보존에 도움이 된다. 본 증례에서는 치조구개파열 환자의 장골에서 골을 채취하여 골 이식을 시행한 후, 골이 채워진 이식 부위에 인접 치아가 성공적으로 이동하거나 치축이 개선되고 교정치료를 통해 치열궁 배열의 만족스러운 결과를 얻었기에 이를 보고하는 바이다 Cleft lip and palate are congenital craniofacial malformation. Reconstruction of dental arch in patient with alveolo-palatal clefts is very important, because they have many problems in functions and esthetics. Malnutrition, poor oral hygiene, respiratory infections, speech malfunctions, maxillofacial deformity, and psychological problems may be occured without proper treatment during the long period of management of the cleft lip and palate. So the treatment should be managed with a multidisciplinary approach. Bone grafting is a consequential step in the dental rehabilitation of the cleft lip and palate patient. A complete alveolar arch should be achieved of the teeth to erupt in and to form a stable dentition. And the presence of the cleft complicate the orthodontic treatment. Therefore bone grafting in patients with cleft lip and palate is a widely adopted surgical procedure. Grafted bone stabilizes the alveolar process and allows the canine or incisor to move into the graft site. After the bone grafting, orthodontic closure of the maxillary arch has become a common practice for achieving dental reconstruction without any prosthodontic treatment. Various grafting materials have been used in alveolar clefts. Iliac bone is most widely fovoured, but tibia, rib, cranial bone, mandible have also been used. And according to its time of occurrence, the bone graft may be divided into primary, early secondary, secondary, late secondary. Bone grafting is called secondary when performed later, at the end of the mixed dentition. It is the most accepted procedure and has become part of treatment of protocol. A secondary bone graft is performed preferably before the eruption of the permanent canine in order to provide adequate periodontal support for the eruption and preservation of the teeth adjacent to the cleft. In this report, we report here on a patient with unilateral cleft lip and palate, who underwent iliac bone graft. The cleft was fully obliterated by grafted bone in the region of the alveolar process. The presence of bone permitted physiologic tooth movement and the orthodontic movement of adjacent tooth into the former cleft area. Satisfactory arch alignment could be achieved in by subsequent orthodontic treatment.

학교체육과 지역사회체육의 연계실태와 실천방안

강전민,가경환,권창기,윤해철,손수범,변해심,신민철 한국스포츠리서치 2004 한국 스포츠 리서치 Vol.15 No.6

This study was formed the basis of propelling for being closely connecting between School PE(Physical Education) and Local Society Exercise for regarding the cooperation possibility depending on the actual situation. From this, it is helpful for evaluating the total understanding of the present condition form School PE and Local Society Exercise and grasping the realities concretely. To gain the above result, the subject of study is on 48 agencies among 50 agencies that include 30 elementary and middle schools, 15 government offices, 5 YMCA offices. After investigating the plan of providing physical activity program except result PE class and the connecting program with School PE and its activation, it comes to the conclusion below this. There is the period of possible time for propelling the cooperating model at School and Local Society PE which is special activity class after school, club activity class, discretional activity class and the vacation, weekends. And also there are many participating agencies that are school, local society, public sports center and community, the youth group, local autonomous entity PE post, prfessional physical association and community, city and countries Education Office and the sports-lover's group etc. So far, the connecting program is operated at 24 agencies which are 3 elementary school(30%), 5 middle school(50%), 4 high school(40%)m 7 government office(70%), 5 YMCA office(80%). As the reason of non-operating it, the first is the lack of the charger, spare time and considering teacher's advantage when time is arranged at the teacher and leader's part. The second is the falling behind facility and the lack of place and appliance for practicing. The third is the insufficient of connecting program at program part and increasingly number of students who are individual participating at the side of local society physical agency at school. The forth is the lack of finances for running at economy part and overpaying of using fee. The fifth is the lack of the activity time at the elementary school and putting first in importance the exam for university enterance at middle and high school. The sixth is the parents and principals and school committee have little understanding of the physical educating in common at recognition part. The seventh is the cooperating company's preparation is not enough and incomplete relation each other. Looking into the opinion for activating plan of connecting program which is classified into common contents, the result is presented the same reaction both of them that the professional leader arrangement is needed at teacher and leader's part. At the facility expansion and open program part is required for a various program. In the case of school at economy condition part, more cheaper than expenses for facilities is needed and also the renovation of the education system And at the recognition part, the positive attitude of school is needed. At the safety part, the solution of safety problem for responsibility is needed. At the administration part, the support for professional agency and the change of systemic role for connecting agency.

정신분열병 환자의 출생월에 관한 연구 : 성별, 정신병 가족력 및 손잡이간의 관계

서해숙,김철응,신철진 大韓神經精神醫學會 1996 신경정신의학 Vol.35 No.3

정신분열병 환자와 정상인간에 출생월의 차이가 나는가를 보기 위하여 1991년 10월 현재 경기도 용인 소재의 용인정신병원에 입원중이거나 통원 치료 중인 정신분열병 환자 1606명(남자 887명, 여자 719명)을 대상으로 직접 면담에 의해 출생월을 구하고 성별, 연령을 대조시킨 3배수의 정상 대조군과 출생월을 비교한 결과, 1) 정신분열병 환자와 정상 대조군간의 출생월의 차이는 없었다. 2) 정신분열병 환자와 대조군간 출생 계절의 차이도 없었다. 3) 정신분열병 환자의 출생 계절은 성별, 정신병의 가족력 유무, 입원 상태, 손잡이와도 차이가 없었다. 따라서 본 연구 결과는 정신분열병의 viral hypothesis의 간접적 증거로 채택되고 있는 정신분열병 환자의 출생의 계절성의 차이를 확인할 수 없었다. Objects : This study was designed to investigate whether there is any difference in the month of birth between schizophrenic patients and to controls and determine whether there is any relationship between the patient's sex, family history of psychoses, handedness, and the month of birth. Methods : We chose 1606 schizophrenic patients(887 men, 719 women) born during the period of 1941-1970. We chose an age-and sex-matched control group from the Seoul and Kyunggi area. The age range of the controls was 20-50 years. We obtained birth dates from personal interviews and checked their family history through medical records and interviews. Annett's hand preference questionnaire, writing, and ball-throwing were used to assess handedness. Results : There was no statistically significant difference in terms of month of birth between the patient group and normal control group. As for the sex difference, male patients show higher frequency of birth in March, May, July and December than controls, and female patients show higher frequency of birth in March, April, June, July and December. But categorical model response analysis did not find a statistically significant sex difference of birth rate among seasons between the patient and control group. Conclusion : The data presented did not support the epidemic model for the viral hypothesis of schizophrenia.

복 공진형 고주파 인버터의 특성해석 및 설계

김종해,이동헌,이철우,김중기,김동희,조규판 嶺南大學校 工業技術硏究所 1998 工業技術硏究所論文集 Vol.26 No.2

This paper proposes a double resonant high frequency inverter which reduces the distribution of the switching current. The analysis of the proposed circuit is generally described by using the normalized parameters. Also, the principle of the basic operation and the characteristics of driving were estimated by the switching frequency and the load parameters. And the data for the design were got by the characteristic values obtained from the characteristic estimation. At the same time the example of the design method was proposed. In addition, Comparing the theoretical waveforms to the experimental waveforms certified the operating characteristics of the proposed Inverter. It is certain that the proposed circuit will be used and expanded in the high frequency power supplies like induction heating systems.

GIS와 RS를 이용한 생태지도 작성기법에 관한 기초연구

이기철,이원화,윤해순,남춘희,김구연,김승환,서상현 한국지리정보학회 2004 한국지리정보학회지 Vol.7 No.3

본 연구는 낙동강 하구 일대의 생태계 변화와 생태 관련자료를 GIS DB로 구축하고 생태지도를 작성하였다. 생태지도 작성을 위해 1984년 11월 21일, 1997년 5월 17일에 촬영된 공간해상도 30m의 Landsat TM 위성영상과 국립지리원에서 발행된 1:25,000 수치지형도, 부산시에서 조사한 생물현황 자료를 바탕으로 DB를 구축하였다. 생태지도를 작성하기 위해, 첫째, 낙동강 하구 생태계 조사 보고서와 현재까지 진행된 생태지도에 대한 문헌 연구, 둘째, 시계열적 토지피복분류도 제작, 셋째, 동·식물상, 수질 등 생태계 항목별 BB 구축과 3단계 방식에 의한 생태계 평가, 최종적으로는 이러한 분석 결과를 바탕으로 생태계 관리를 위한 생태지도를 작성하였다. This study developed an ecological mapping technique with GIS database using the analyses of existing ecological survey reports and the change detection on the Nakdong river estuary. The data which are used to establish GIS DB include 2 Landsat TM images on Nov. 31, 1984 and May 17, 1997, 1:25, 000 topographical maps established by National Geography Institution and various ecological survey reports published by Busan metropolitan city government. The details for producing ecological map are as follows. At first, the current methods of ecomapping efforts and previous ecological surveys of Nakdong river estuary were carefully examined. Secondly, the land cover maps were created from the classified Landsat images of 1984 and 1997 for the spatiotemporal ecosystem analysis. Thirdly, the ecosystem was evaluated by using GIS ecological database based on the criteria of botany, zoology and water quality etc. Each criteria was reclassified into 3 stages which describe the overall quality of ecological condition. At last, the comprehensive ecological map was suggested as a prototype of ecosystem assesment and management tool with the discussion of further study. The findings of this study would be a milestone for preserving and managing the ecosystem.

저선량 γ선 조사가 고추의 광합성과 광 스트레스 경감에 미치는 효과

이혜연,김재성,백명화,박순철,박연일 한국환경농학회 2002 한국환경농학회지 Vol.21 No.2

고추 종자에 저선량 γ선을 조사시킨 고추 식물체의 생육과 광합성 능 및 광 스트레스 반응에 미치는 영향을 조사하였다. 저선량 4 Gy가 조사된 고추 식물체에서 광합성에 의한 산소발생이 대조구에 비해 1.5배정도 높은 것으로 나타났다. 고추 잎에 900 μmol/㎡/s의 빛의 세기로 광저해를 4시간 유도하였을 때 최대 광합성능 (Pmax)이 대조구의 경우 20%정도 감소되는 반면 4 Gy 조사구는 3% 정도의 감소를 보였다. Fv/Fm는 광저해가 진행됨에 따라 감소되는 경향을 보이며 대조구의 경우 4시간 처리시 fv/Fm 값이 50% 정도 감소되는 것을 볼 수 있었다. 반면 4 Gy조사구는 fv/Fm값이 대략 37%정도 감소되어 대조구에 비해 광 스트레스에 대해 덜 민감한 것으로 나타났다. Fo는 광저해가 진행됨에 따라 거의 변화가 없었으며 대조구나 4 Gy 조사구 사이의 차이도 거의 없는 것으로 나타났다. 광계Ⅱ의 광양자 수율인 Φ_PSⅡ과 광계Ⅱ 반응중심에 의한 여기 포획률을 나타내주는 1/Fo-1/Fm 또한 광저해가 진행됨에 따라 감소되었으며 4시간을 처리했을 경우 각각 대조구는 47%, 4 Gy 조사구는 30%의 감소를 볼 수 있었다. 비광화학적 소멸인 NPQ는 광저해가 진행됨에 따라 감소되는 경향을 보였으나 대조구와 4 Gy 조사구간에 차이는 없는 것으로 나타났다. 이러한 결과를 볼 때 종자의 종피를 투과한 저선량의 γ선이 식물의 광합성을 증대시키고 동시에 광 스트레스에 대한 저해를 감소시키는 것으로 보인다. The effect of low dose Y radiation on photosynthesis and the reduction of photoinhibition in red pepper plant was investigated. The seedling height, leaf width and leaf length of pepper were stimulated in plants grown from seeds irradiated with the tow dose of 4 Gy. The O_2 evolution in the 4 Gy irradiation group was 1.5 times greater than in the control. To investigate the effect of low dose Y radiation on response to high light stress, photoinhibition was induced in leaves of pepper by illumination of high light (900 μ㏖/㎡/s). Pmax was decreased with increasing illumination time by 20% in the control, while hardly decreased in the 4 Gy irradiation group. The photochemical yield of PSII, estimated as Fv/Fm, was decreased with increasing illumination time by 50% after 4 hours while Fo did not change. However, Fv/Fm in the 4 Gy irradiation group was decreased by 37% of inhibition, indicating that the photoinhibition was decreased by the low dose Y radiation. Changes in the effective quantum yield of PSII, Φpsu, and 1/Fo-1/Fm, a measure of the rate constant of excitation trapping by the PSII reaction center, showed similar pattern to Fv/Fm. And NPQ was decreased after photoinhibitry treatment, showing no difference between the control and the 4 Gy irradiation group. These results showed the positive effect of low dose Y radiation on the seedling growth and the reduction of photoinhibition.

억새즙액 배지를 이용한 Bacillus lentimorbus G-74 균주의 배양 최적화

강선철,서해정 한국환경농학회 2004 한국환경농학회지 Vol.23 No.1

억새즙액을 이용하여 유용한 미생물의 대량배양을 위한 새로운 배지를 개발하고자 본 연구 를 수행하였다. 억새즙액의 성분을 조사한 결과 칼륨 (37,952 ㎎/L), 질소 (14,000 ㎎/L), 인 산 (6,800 ㎎/L), 마그네슘 (5,969 ㎎/L) 칼슘 (5,910 ㎎/L) 등이 주성분을 차지하였다. 본 연 구를 위하여 먼저 식물 병원성균인 뿌리썩음병 원인균인 Rhizoctonia solaru, 잿빛곰팡이 병 을 일으키는 Botrytis cinerea에 대하여 강력한 저해 활성을 갖는 길항균 G-74를 토양으로 부터 분리하였으며, 이 균의 형태관찰과 MIDI 분석을 통하여 Bacillus lentimorbus G-74 균 주로 최종 동정하였다. 이 균의 억새즙액 배지에 대한 최적 배양조건을 조사한 결과 30%(V/V) 희석배지, 35℃ 배양온도, 5.0의 초기 배지 pH에서 가장 좋은 성장을 기록하였다. EH한 이 배지에 탄소원으로서 2.0% (W/V)의 com starch 및 질소원으로서 1.0% (W/V)의 yeast extract를 추가적으로 첨가하면 최상의 성장을 보여주었으며, 이 경우 대조구인 LB 배지보다도 균체성장이 66% 이상 증가하였다. Miscanthus purpurascens juice containing potassium (37,952 ㎎/L), nitrogen (14,000 ㎎/L), phosphorus (6,800 ㎎/L), magnesium (5,969 ㎎/L), calcium (5,910 ㎎/L), etc, was investigated to develop a novel meidum for the mass cultivation of useful microorganisms. For this research, we first isolated an antagonistic bacterium G74 from soil, which showed strong growth inhibition against two phytopthogenic fungi, Rhizoctonia solani and Botrytis anerea, and identified as Bacillus lentimorbus G74 based on the morphological characteristics and MIDI analysis. Culture conditions for G74 strain in the M. purpurascens juice medium were optimized. Dilution rate of the medium, temperature and initial pH for the optimum growth of G74 strain were 30% (V/V), 35T and 5.0, respectively. It was found that additions of 2.0% (V/V) corn starch as a carbon source and 1.0% (V/V) yeast extract as a nitrogen source in this medium increased lentimorbus G74 growth to 66% more efficient than Luria Bertani medium.

사파이어 기판에 제작한 YBa₂Cu₃O_(7-δ) 박막의 특성연구

임해용,김인선,김동호,박종철,박용기 경북대학교 센서기술연구소 1998 센서技術學術大會論文集 Vol.9 No.1

C-axis oriented YBa_(2)Cu_(3)O_(7-δ) (YBCO) thin films on R-cut sapphire substrate were grown by pulsed laser deposition. CeO_(2) film was used as a buffer layer for YBCO deposition on R-cut sapphire substrate. Crystallinity of CeO_(2) buffer layer was researched by XRD. Surface morphology and superconducting properties of YBCO thin films were characterized by SEM and four probe method. Critical temperature of YBCO thin films was ≥89 K, and critical current density was 1.5 x10^(6) A/cm^(2) if at 77 K.

접착용 레진을 이용한 유치의 직접 치수복조술에 관한 연구

조해성,최영철 大韓小兒齒科學會 2006 大韓小兒齒科學會誌 Vol.33 No.2

오랜 기간동안 다양한 약제를 통한 직접 치수복조술이 시도되어 왔다. 그 중 가장 보편적으로 사용된 약제는 수산화칼슘이다. 하지만 유치에서 수산화칼슘을 이용한 직접 치수복조술의 성공률은 생활치수절단술에 비해 낮다고 보고 되어 왔다. 수산화칼슘의 단점으로 인해 다른 치수복조제를 찾기 위한 많은 연구가 있었으며 최근 여러 연구가들은 치수복조제로 접착용 레진의 이용을 제안하였다. 그들은 노출된 치수에 접착용 레진이 적용되었을 때 임상적 증상이 없이 염증이나 치수괴사가 없다고 주장하였다. 이 연구의 목적은 유치에서 기계적으로 노출된 생활치수에 치수복조제로써 수산화칼슘과 접착용 레진을 적용하여 단 기간 동안의 예후를 비교해 보고, 또한 각각의 직접 치수복조술을 시행한 유치에 있어 생리적인 치근흡수 유무에 따른 예후의 차이를 비교해보기 위함이다. 와동형성 중 기계적으로 치수가 노출되어 생활 치수인 유치 41개를 대상으로 하였다. 그중 접착용 레진으로 치수복조제로 사용한 치아 21개를 1군으로 하였고, 수산화칼슘을 이용한 치아 20개를 2군으로 하였다. 그리고 제 1군과 2군의 치아들은 치근단방사선 소견을 통해 생리적인 치근흡수의 유무여부에 따라 다시 세분되었다. 모든 치아는 복합 레진으로 수복하였으며, 시술 4개월 후 타진반응, 냉 검사, 전기치수검사 등의 치수 생활력검사와 치근단방사선 소견으로 성공여부를 판단하였다. 결과는 다음과 같다. 1. 1군과 2군 사이의 성공률에는 유의한 차이가 없었다. 2. 각 군에서 생리적인 치근흡수가 없는 유치보다 있는 유치에서 성공률이 현저히 높았다. 3. 전치와 구치사이의 성공률에는 유의한 차이가 없었다. A direct pulp capping with different medicaments has been attempted for a long time. The most commonly used among those is the calcium hydroxide. In primary teeth, however, a success rate of direct pulp capping with calcium hydroxide has been reported to be lower than that of puplotomy. The disappointing results of calcium hydroxide have prompted the search for other capping materials. Lately, several researchers suggested an application of adhesive resin-based composite systems as a capping material. They claimed that when an exposed vital pulp is capped directly with bonding resin, the pulp tissue is free of inflammation or necrosis without clinical symptoms. The aim of this study was to compare short-term effects of the bonding resin which was applied on the mechanically exposed vital pulp tissue and those of direct pulp capping with calcium hydroxide. The second objective was to compare success rates of the primary teeth which already underwent physiologic root resorption and those of the teeth which had not undergone physiologic root resorption yet. in each capping material groups. The vital, healthy pulp of forty-one primary teeth were exposed mechanically during a cavity preparation. They were divided into two groups: Group 1(n=21) underwent capping with bonding resin, and group 2(n=20) underwent capping with calcium hydroxide. Then these two groups were subdivided into two groups in each: the teeth which show physiologic root resorption and the teeth without root resorption. All of the sample teeth were restored with composite resin. Clinical evaluations such as percussion test, ice test, EPT, were recorded and also before- and after- standard x-ray films were compared and evaluated to decide whether the case was successful or not. Evaluation was performed at least 3 months after the capping materials. The results were as follows: 1. There was no difference in success rate between group 1 and group 2. 2. Success rate of the teeth with physiologic root resorption was higher than that of the teeth without physiologic root resorption in group 1 and group 2. 3. There was no difference in success rate between anterior teeth and posterior teeth.

상태종속적 통신경로 설정체계

박해철 中央大學校經營硏究所 2002 經營學論集 Vol.29 No.1