고정식 교정환자에서 치주건강 유지에 대한 전동치솔의 효과

박성준,이기헌,황현식 대한치과교정학회 2005 대한치과교정학회지 Vol.35 No.4

고정식 교정치료 환자들은 구강내 교정장치로 인해 치태제거에 어려움이 있으며 보다 효과적인 치태제거를 위해서는 특별한 구강위생교육 및 치솔질이 필요하다. 본 연구는 고정식 교정치료 환자에서 일반적으로 사용되고 있는 교정용 수동치솔에 비해 전동치솔이 치주건강 유지에 도움이 되는지 알아보기 위하여 시행되었다. 고정식 교정장치에 의해교정치료 예정인 환자 40명을 대상으로 고정식 교정장치 부착 1개월 후 치솔의 종류에 따라 전동치솔군과 수동치솔군으로 연구대상을 임의 구분하고 각각에 맞는 구강위생교육을 시행한 후 3개월, 6개월, 9개월, 12개월 후 치태지수, 치은염지수, 치은출혈지수, 치주낭깊이, 그리고 상대적부착상실을 측정하였다. 전동치솔의 경우 교정용 브러쉬 헤드를 가진 Braun Oral-B 사의 전동치솔을, 수동치솔의 경우 Butler 사의 교정용 치솔을 사용하게 하였다. 수동치솔군의 경우 실험기간 동안 치태지수는 통계적으로 유의하게 감소한 반면 (p<0.001), 치은염지수, 치은출혈지수는 통계적 유의차를 보이지 않았고, 치주낭깊이, 부착상실은 통계적으로 유의하게 증가하였다 (p<0.01). 전동치솔군의 경우에는 치은출혈지수와 함께 치주낭깊이, 부착상실이 통계적 유의차를 보이지 않았으며, 치태지수, 치은염지수는 통계적으로 유의하게 감소하였다 (p<0.001). 한편 치태지수, 치은염지수, 치은출혈지수의 경우 변화양상에 있어 전동치솔군과 수동치솔군 간에 유의한 차이를 보이지 않은 반면, 치주낭깊이와 부착상실의 경우 전동치솔군에서는 처음 상태가 일정하게 유지된 반면, 수동치솔군에서는 치주낭깊이와 부착상실이 증가하는 양상을 나타내었으며 이러한 변화양상의 수동치솔과 전동치솔간 차이는 통계적으로 유의하였다 (p<0.05). 이상의 결과는 고정식 교정장치로 치료받는 환자에서 수동치솔보다 전동치솔이 치주건강 유지에 더 효과적임을 시사하였다. The purpose of this study was to evaluate the efficacy of an electric toothbrush, with a specially designed orthodontic brush head, compared to a manual toothbrush on the periodontal health of patients with fixed orthodontic appliances. Forty patients were randomly divided into two groups, the electric and the manual toothbrush groups, 1 month after attachment of fixed orthodontic appliances. Periodontal status was measured using a plaque indes, a gingival index, a bleeding index, a pocket depth and a relative attachment loss, at baseline and after 3 months, 6 months, 9 months, and 12 months. The Braun Oral-B Plak Control with Ortho OD 15-1 brush head was used as the electric toothbrush while the Butler G.U.M 124 was given as the manual toothbrush. In the manual toothbrush group, the gingival and bleeding indices showed no statistlcally significant differences, but the plaque index was significantly decreased (p < 0.001) and pocket depth as well as relative attachment loss were significantly increased (p < 0.01). In the electric toothbrush group, the bleeding index, pocket depth and relative attachment loss showed no statistically significant differences, but the plaque and gingival indices were significantly decreased (p < 0.001).In the case of the plaque, gingival and bleeding indices, there were no statistically significant differences between the electric and the manual toothbrush groups. On the contrary, in the case of pocket depth and relative attachment loss, there were statistically significant differences between the electric and the manual toothbrush groups: an increase in the manual toothbrush groups unlike the electric toothbrush group which kept the same state (p < 0.05). These findings suggest that an electric toothbrush is useful for orthodontic patients with fixed appliances.

블라스트와 쇼트피닝이 Al 7075-T6의 피로특성에 미치는 효과에 관한 연구

정성균,조연희,김태형,이재헌 서울産業大學校 2002 논문집 Vol.53 No.1

In this paper, the effects of blasting and shot peening on the fatigue characteristics of Aluminium 7075-T6 alloy are studied. Three types of specimens, such as normal specimen, blasted specimen and shot peened specimen were used to get the experiment results. Rotary bending fatigue test machine was used to obtain the results, The experimental results show that the fatigue life and the fatigue strength were improved by shot peening, However, the fatigue life and the fatigue strength were increase a little bit by blasting.

Frozen Shoulder에 있어서 마사지의 치료적 접근

홍성찬,김영빈,박병근,정동혁,이정윤,이동헌 圓光大學校 附設 體力科學硏究所 2003 體力科學硏究 Vol.26 No.1

Painful stiffness of the shoulder is an ill-defined clinical entity that is difficult to assess and delicate to treat. The nomenclature used is broad and includes terms such as frozen shoulder, adhesive capsulitis, focal algodystrophy, stiff shoulder, contracted shoulder, and others. Apart from its idiopathic form, the disease can be initiated by trauma, infection, tumour, radiation, systemic and local metabolic disturbances. Pathoanatomically, the common denominator is an inflammatory vascular proliferation followed by thickening, scarring, and retraction of the joint capsule. The inflammatory process often starts at the rotator interval and may extend to the subacromial space. Clinical diagnosis is based on history and physical examination. Generally the onset of pain precedes the perception of a reduced range of motion by weeks or months. In early stages of the disease, the inflammatory type of pain dominates, i.e., the patient's main complaint ist pain at night. In the later stage, range of motion gradually decreases. Patients do not often complain about reduced motion, probably because of its slow onset. The purpose of this study is to find out the effectiveness of the massage applied to the patients with Frozen Shoulder by measuring, assessing and analyzing the changes in intensity and unpleasantness of pain and range of motion(ROM) before and after massage. Surveyed from Jan. 2001 to December 2002 were 104 patients suffering from Frozen Shoulder. In the therapeutic massage program, such methods as Effleurage, Petrissage and Deep transverse friction were selected as they are among traditional massage treatments frequently used for joints with pain and restricted ROM. Effleurage and Petrissage were applied for 20 minutes in total before and after Deep Transverse Friction. After massage program, the intensity and unpleasantness of pain were measured and analyzed by means of VAS(visual analogue scale)-I and VAS-U, while ROM was measured and analyzed by using Goniometer. The major findings from this study are as follows; 1. The surveyed patients range from 28 to 75 in age, with highest numbers of 44(42.31%) registered in the fifties and next ones of 24(23.08%) in the forties. Divided by sex, 59 are women and 45 are men totalling 104 with average age of 51.4. 2. There was significant decrease in the intensity of pain and unpleasantness of pain after massage(p<.05). 3. There appeared, however, significant increase in ROM after massage(p<.05). 4. From the analysis into chronological changes in ROM before and after massage with ANOVA, it became evident that the longer the period of treatment was, the higher the ROM increases drastically, while significant difference was shown in Abduction and in External and Internal Rotation(p<.05). Summed up, it can be generally concluded that massage is an effective treatment to rid the patients with Frozen Shoulder of pains safely and promptly. This study was conducted to determine more accurate impact of massage. From the above outcomes, it was revealed that massage has proven to reduce the pains, exercising huge influence to increase ROM. It is, therefore, suggested to continue and expand the study on the cure of Frozen Shoulder and to motivate patients, orthopedists, physiatrists, physiotherapists, and sports massagists etc. to consider massage as safest and most efficient pain remedy.

신경외과 영역에서의 접착성 지혈제가 주변뇌조직에 미치는 영향에 대한 실험적 연구

장헌상,김관태,송시헌,김성호,김윤 대한신경외과학회 1991 Journal of Korean neurosurgical society Vol.20 No.10-11

In a series of 20 young rats, three cortical lesions were made in each hemisphere. Two of these lesions were filled with avitene and gelfoam, while the third was left empty as a control. The animals were killed successively on weeks 1, 2, 4 and 8 after the operation. The results were as follows : 1) Although there was no difference in the type of tissue reactions, avitene was more rapid and profound than gelfoam in the process and degree of inflammatory reaction at the same periods. 2) Avitene biodegradaded more rapidly than gelfoam. 3) The extent of fibrosis and adhesion to the surrounding brain tissues were not grossly different between these two agents but more profound histopathologically in avitene at the same periods. With these results, we could conclude that the avitene was superior to the gelfoam as the hemostatic agent in neurosurgical area.

열처리가 Teflon^(??) FEP film의 전하보존특성에미치는 영향

김성준,이현석,김지균,권정열,이헌용 명지대학교 산업기술연구소 2007 産業技術硏究所論文集 Vol.26 No.-

In this paper, we studied the method of electrets electrode which formed to accumulate negative electric charges by corona discharges. The breakdown voltage samples and damaged samples by various corona discharges have made material stabilization and improved characteristics of electric charge storage throughout the annealing processes. After the experiment made material stabilization nearly melting point by many kinds of annealing conditions, we did the corona discharge again by the charged high voltages, a discharge electrode gap, and a discharged time. As we compared it with the best condition, we confirmed that characteristics of electric charge storages were improved.

주물용 폐규사의 특성과 재활용 방안

노재성,권혁무,조헌영,홍성수 忠南大學校 地域開發硏究所 1993 地域開發論叢 Vol.5 No.-

Gilbert 증후군에서 열량 제한 시험과 Phenobarbital 자극 시험의 의의(14예)

이헌영,채경훈,정재훈,강윤세,김연수,문희석,박기오,이엄석,김선문,김석현,성재규,이병석,이강욱 충남대학교 의학연구소 2003 충남의대잡지 Vol.30 No.2

Gilbert 증후군은 인구의 7%에서까지 나타날 수 있는 매우 흔한 증후군으로서 비진행성인 양성의 만성적 경과를 치하며, 간질환의 증상과 징후가 없는 경한 비포합형 고빌리루빈혈증이 특징인 일종의 체질적인 증상으로서 혈장 빌리루빈 농도에 대한 사춘기의 영향 때문에 10대와 20대에 자주 진단이 된다. 따라서 임상적인 중요성은 미약하지만 높은 빈도가 예상되는 점에 그 중요성이 부여되어야 할 것이다. 따라서 적정한 임상적 진단법으로 기왕에 소개된 열량제한 시험과 phenobarbital 유도 시험을 시행하고 이들의 진단적 가치를 알아보기 위하여 본 연구를 시행하였다. 1990년 7월부터 1999년 4월까지 충남대학교병원에 내원하여 HBsAg, IgG anti-HBc 및 anti-HCV가 음성이고, 간 초음파 스캔에서 이상이 없으며, 혈청 AST, ALT 및 AP가 정상인 비음주자에서 경한 비포합형 고빌리루빈혈증이 있는 14예의 환자들을 대상으로 ^(99m)Tc-DISID 스캔을 시행하였으며, 기저 치 총빌리루빈 및 포합형 빌리루빈 치를 측정한 다음에 하루에 400Kcal로 48시간동안 제한한 열량 제한 시험을 시행하였고, phenobarbital을 하루 60mg씩 5일간 투여한 후에도 각각 총빌리루빈과 포합형 빌리루빈 치를 검사하여 비포합형을 구하였다. 대상 환자들은 모두 14예로서 남자가 11예(78.6%)였고 여자가 3예(21.4%)여서 3.7:1로 남자에서 많았으며, 20대가 6예(42.9%), 30대가 역시 6예(42.9%) 및 40대가 2예(14.2%)로서 2,30대가 대부분(85.8%)이었다. 열량 제한 시험 후의 총빌리루빈 치, 비포합형 및 포합형 빌리루빈 치들은 평균 각각 5.5±2.7, 4.2±2.3 및 1.3±10mg/dL 로서, 시험 전 치들인 3.0±0.8, 2.2±0.8 및 0.7±0.4mg/dL 보다 유의하게(p=0.001, p=0.001, p=0.023) 상승하였다. 포합형 빌리루빈 치도 유의하게 상승하였으나 비포합형의 상승보다는 훨씬 낮아서 주로 비포합형이 증가하였다. phenobarbital 투여 중 설사가 발생하여 중단한 1예를 제외한 13예에서 열량 제한 시험 후에 상승하였던 총, 비포합형 및 포합형 빌리루빈 치가 phenobarbital 유도 시험후에는 2.0±1.1, 1.5±0.8 및 0.5±0.4mg/dL로서 열량 제한 시험 결과보다 유의하게 낮아졌고(p=0.00, p=0.000, p=0.001), 열량 제한 시험 전의 기초치들인 3.0±0.8, 2.2±0.8 및 0.7±0.4mg.dL 보다도 더욱 낮아졌으며 유의한 차이(p=0.001, p=0.02, p=0.005)를 나타내었다. 14예에서 시행한 ^(99m)-Tc DISIDA 스캔에서 9예(64.3%)가 정상이었고, 5예(35.7%)에서는 심장 및 신장으로의 간외 섭취가 3예였고, 60분까지 소장 배출이 없는 배설 지연 예와 담낭 수축 불량 예가 각각 1예 씩 발견되었다. Phenobarbital 투여시험에서 민감도가 열량제한시험에 비해 더 높았다(92.3%와 50.0%). Gilbert 증후군에서 1일 400 Kcal로 48시간의 열량제한 시험과 1일 60mg의 phenobarbital을 5일간 투여하는 유도 시험은 편리하고 유용한 임상적인 진단법으로 이용할 수 있다고 생각된다. 그러나 열량 제한 시험에서는 증가 기준의 통일이 필요하다고 유추되며 phenobarbital 유도 시험이 민감도가 더 높은 것으로 생각된다. Gilbert's syndrome is very frequent and benign chronic process characterized by mild, intermittent, unconjugated hyperbilirubinemia without any symptom and sign of liver disease. Previously intoduced caloric restriction test and phenobarbital stimulation test as two appropriate clinical tests had been examined and their diagnostic values were reevaluated. Fourteen patients with mild, persistent, unconjugated hyperbilirubinemia were included. Subsequently caloric restriction has been applicated by 400 Kcal/day for 48 hours and phenobarbital has been prescribed by 60 mg/day for 5 days. Therafter serum levels of total and direct bilirubin were measured. Most of the patients were third and fourth decade(85.8%) and male predominant. Each basal serum levels of total, indirect and direct bilirubin were 3.0±0.8, 2.2±0.8 and 0.7±0.4 mg/dL. After caloric restriction test, each levels were increased significantly to 5.5±2.7, 4.2±2.3 and 1.3±1.0 mg/dL(p=0.001, p=0.001, p=0.023). After phenobarbital stimulation test for 13 patients had been practiced, increased levels of each bilirubin after caloric restriction test were decreased significantly to 2.0±1.0, 1.5±0.8 and 0.5±0.4 mg/dL(p=0.000, p=0.000, p=0.001) and these levels were significantly lower than basal levels(p=0.001, p=0.02, p=0.005). The sensitivities of caloric restriction test were 85.7%, 50.0%, and 71.4%, 35.7%(1.0, 1.5 mg increase of total bilirubin and 1.0, 1.5 mg/dL increase of indirect bilirubin). The sensitivities of phenobarbital stimulation test were 93.2% and 92.3% at criteria of 1.5 mg/dL increase of total bilirubin and indirect bilirubin. On the diagnosis of Gilbert syndrome, caloric restriction test and phenobarbital stimulation test are convenient and useful diagnostic tools in clinical face. And also phenobarbital stimulation test has higher sensitivity than caloric restriction test. Furthermore, standardization of bilirubin increment would be necessary in caloric restriction test.

β-NSF계와 빈졸계 계면활성제로 변성된 인조석의 물성

조현영,박성기,김진만,서정목 공주대학교 자원재활용 신소재 연구센터 1999 1차년도 센터 성과집 Vol.1999 No.-

건축용 외장재로 사용되는 인조석은 혼합수, 시멘트, 석분, 경량골재를 사용하여 만들어지는데 본 연구에서는 제조단가를 낮추고 물성을 향상시키기 위하여 β-NSF제 계면활성제와 빈졸계 계면활성제를 사용하였다. 본 연구를 통해 β-NSF제와 빈졸계 계면활성제의 최적 배합비가 1.0wt%와 0.1wt%됨을 도출하였고, 새로 개발된 인조석은 기존의 인조석에 비하여 물성이 약 20% 증가하고, 동결융해 저항성이 300% 증가하였다. 그러나, 제조가격은 기존의 제품에 비해 30% 이상 감소된다. Extrior finishing matcrials of artificial stones are manufactured with minture of water, cement, stone powder and light-weight aggregate. In this rescarch, we tried to find a way of increasing the physicl properties and decreasing the manufacturing cost of artificial stone. So we used β-NSF base surfactant and vinsol base surfactant to the artifical stone mixture instcad of light weight aggregatc. The optimum dosage of the β-NSF and the vinsol surfactants for artificial stone are found to be 1.0 wt % and 0.1 wt % of cement, respectively. The physical properties increased ca 20% and the durability for freezing &thawing of the new frtificial stone increased ca 300% while the manufacturing cost of the new artificial stone decreased as much as 30%.

고정식 교정환자에서 치주건강 유지에 대한 전동치솔의 효과

박성준,황현식,이기헌,경승현 전남대학교 치의학연구소 2003 구강과학 Vol.15 No.2

Patients with fixed orthodontic appliances frequently show ineffective plaque control caused by these orthodontic appliances. Although many methods may be helpful in reducing dental plaque formation, optimal mechanical plaque removal and oral hygiene instruction are the most important factors during orthodontic treatment. The purpose of this study was to evaluate the efficacy of an electric toothbrush, with a specially designed orthodontic brush head, compared to a manual toothbrush on periodontal health in patients with fixed orthodontic appliances. Forty patients were randomly divided into two groups, the electric and the manual toothbrush groups, 1 month after attachment of fixed orthodontic appliances. Periodontal status was measured using a plaque index, a gingival index, a bleeding index, a pocket depth and a relative attachment loss, at baseline and after 3 months, 6 months, 9 months, and 12 months. Oral hygiene instruction was given according to the type of toothbrush used. The Braun Oral-B Plak Control with Ortho OD 15-1 brush was used as the electric toothbrush while the Butler G. U. M 124 was given as the manual toothbrush. By comparing between the electric and the manual toothbrush groups, the following results were obtained: 1. In the manual toothbrush group, the gingival and bleeding indices showed no statistically significant differences. but the plaque index was significantly decreased (p<0.001) and pocket depth as well as relative attachment loss were significantly increased (p<0.01). 2. In the electric toothbrush group, the bleeding index, pocket depth and relative attachment loss showed no statistically significant differences, but the plaque and gingival indices were significantly decreased (p<0.001). 3. In the case of the plaque, gingival and bleeding indices, there were no statistically significant differences between the electric and the manual toothbrush groups. On the contrary, in the case of pocket depth and relative attachment loss, there were statistically significant differences between the electric and the manual toothbrush groups: an increase in the manual toothbrush groups unlike the electric toothbrush groups keeping the same state (p<0.05). These findings suggest that an electric toothbrush is useful to orthodontic patients with fixed appliances.

괴사후성과 비괴사후성 간경변증에서 원인별 주석교질 (^99mTc-tin colloid) 간스캔의 차이

이헌영,허승식,이강욱,정현용,김삼용,신영태,김영건,노흥규 충남대학교 의과대학 지역사회의학연구소 1992 충남의대잡지 Vol.19 No.2

The differences of the liver scintigraphic features between postnecrotic and nonpostnecrotic liver cirrhosis were studied for 69 patients. Degrees of mottling and splenomegaly were no different between two groups but shrinked form was more frequent finding in postnecrotic type(23:10), and normal shape & enlarged left lobe with shrinked right lobe were relatively dominant in non-postnecrotic group(15:6, 10:2). Grade of extrahepatic uptake of ^99mTc-tin colloid was significantly higher in Child-Pugh B & C group than A group(p<0.05), but there was no difference between postnecrotic and non-postnecrotic groups. These will be important results on the dicision for the presence of cirrhosis according to the variable causes.