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      • 측모두부방사선사진과 측면얼굴사진 중첩 시 적합도에 관한 연구

        박지영,이기헌,황현식,이종석 전남대학교 치의학연구소 2003 구강과학 Vol.15 No.3

        The purpose of this study was to compare the geometric displacement between the lateral cephalometric radiograph and photograph. For the present study, 52 subjects with Angle Class I occlusion and no severe skeletal discrepancy were selected. The Head Posture Aligner and the standardized camera set up were adopted to obtain photographs and radiographs in a standardized manner. Six metal markers were placed on the subject's right side face representing Glabella (G), Zygoma (Zy), Philtrum (Ph), Soft tissue Gonion (Go'), Soft tissue Pogonion (Pog'), Soft tissue Menton (Me') before taking the lateral cephalometric radiograph and photograph. The 14 linear, 28 angular, and 5 area differences were measured after superimposition of the radiograph and photograph using nose and upper lip as a reference on the Image Analyzer. The paired t-test and the percentage of differences were used to compare the geometric displacement of metal markers between the lateral cephalometric radiograph and photograph. Through the statistical analysis, the following results were obtained. 1. When the linear measurements were compared between the lateral photograph and radiograph, the measurements related to Zy and Go' except Zy-Me' and Go'-Ph showed significant differences on both images. 2. On the angular comparison, the overall measurements except Me'-Ph-Pog', Ph-Pog'-Me', Ph-Me'-Pog', G-Me'-Ph, Me'-G-Ph. Ph-Go'-Pog', Go'-Zy-Me' and G-Go'-Me' showed significant differences on both images and especially the measurements related to Zy showed greater difference. 3. In area measurements, the overall measurements except G-Zy-Go' showed enlargement of the radiograph. 4. On the superimposition of the radiograph and photograph, the measurements related to the profile tended to be well matched. However, Zy on the lateral radiograph tended to be displaced downward and backward more than Zy on the photograph. Furthermore Go' on the lateral radiograph tended to be displaced upward and backward more than Go' on the photograph. The results suggested that the precise superimposition between the lateral cephalometric radiograph and photograph was not feasible due to differences in enlargement.

      • 고량강의 항염증 작용에 대한 연구

        박히준,이제현,김수영,심범상,구헌종,강전모,최일환,이재동,김남재,이지숙,임사비나 EAST-WEST MEDICAL RESEARCH INSTITUTE KYUNG HEE UNI 2005 東西醫學硏究所 論文集 Vol.2005 No.-

        Objective : The use of herbal therapy is becoming an increasingly attractive approach for the treatment of various inflammatory disorders. The Alpiniae officinari Rhizoma is popular in Aisa as a traditional herbal medicine. Alpiniae officinari Rhizoma is a species of the ginger family(Zingiberacease). Method : This study was performed to investigate the anti-inflammatory effect of Alpiniae officinari Rhizoma extract by the methods of "carrageenan induced paw edema" and "Lipopolysaccharide-induced inflammatory mediators in mouse macrophage RAW 264.7 cells". Result : We suggest that Alpiniae officinari Rhizoma extract decreased paw volume induced by plantar injection of carrageenan. Also Alpiniae officinari Rhizoma extract inhibited nitric oxide, prostaglandin E₂production and induced nitric oxide synthase, cyclooxygenase-2 protein expression in Mouse macrophage RAW 264.7 cells stimulated with lipopolysaccharide. Conclusion : This study shows that Alpiniae officinari Rhizoma extract seems to have anti-inflammatory effect by inhibition of nitric oxide, prostaglandin E_(2) production and nitric oxide synthase, cyclooxygenase-2 protein expression.

      • KCI등재

        Chloral hydrate/Hydroxyzine과 Midazolam/Meperidine의 경우 투여 진정효과에 관한 비교 연구

        김용헌,김지연,박기태 大韓小兒齒科學會 2005 大韓小兒齒科學會誌 Vol.32 No.2

        본 연구의 목적은 소아 환자의 치과 진료를 위한 진정요법 시 chloral hydrate와 hydroxyzine의 경구 투여와 midazolam과 meperidine의 경구 투여간의 임상적인 진정효과 및 합병증 발생 여부를 비교하는 것이다. 삼성서울병원 소아치과를 내원한 환아 중 ASA I또는 Ⅱ에 해당하는4세 미만의 아동 15명을 대상으로 하여 한 달여 간격으로 두 차례에 걸친 진정요법을 시행하였다. 2회의 진정요법 중 1회는 chloral hydrate (60mg/kg)/hydroxyzine(25mg)을 경구 투여하고 나머지 1회는midazolam(1mg/kg)/meperidine(1mg/kg)을 경구 투여하였으며 투여 순서는 무작위로 정하였다. 두 차례 모두 N₂O-O₂, 흡입진정을 병용하였다. 각 치료과정에 따른 진정효과는 Houpt Scale(수면, 움직임, 울음, 전반적인 행동 지수)로 측정하였고 pulse oximeter를 이용하여 저산소증의 유무를 비교, 평가하고 약물 투여 후 구토의 여부를 함께 평가하여 다음과 같은 결과를 얻었다. Chloral hydrate와 hydroxyzine을 경구 투여한 군이 midazolam과 meperidine을 경구 투여한 군보다 전반적인 행동 지수에서 통계학적으로 유의하게 우수한 결과를 보였으며 어느 군에서도 저산소증은 보이지 않았다. 본 연구에서는 chloral hydrate와 hydroxyzine의 경구 투여가 midazolam과 meperidine의 경구 투여보다 우수한 진정효과를 보이는 것으로 판단된다. The purpose of this study was to compare the efficacy and complications of two oral sedative regimens, chloral hydrate(60mg/kg)/hydroxyzine(25mg) versus midazolam(1mg/kg)/meperidine(1mg/kg) for the sedation of pediatric dental patients. Fifteen patients(mean age 36.2months, range 24-47months), ASA Class I or II, who needed at least two restorative dental procedures were selected in this double-blind, randomized study. All subjects were randomly assigned to receive either chloral hydrate/hydroxyzine or midazolam/meperidine and 50% N₂O/0₂ was administered at each appointment. Behavior assessment(sleep, movement, crying, overall behavior) was made using Houpt Sedation Rating Scale and physiologic parameters(pulse rate, oxygen saturation) were monitored using pulse oximeter. The incidence of hypoxia(SpO2 90% or less, at least 10s duration) and vomiting was recorded. Patients sedated with chloral hydrate/hydroxyzine showed significantly better overall behavior score than patients sedated with midazolam/meperidine. There was no clinically significant difference in the incidence of hypoxia and vomiting. It was concluded that oral administration of chloral hydrate/hydroxyzine is more effective than midazolam/meperidine for the sedation of pediatric dental patients.

      • 치과용 금합금의 표면처리에 따른 교정용 브라켓의 전단결합강도 변화

        민지현,황현식,이기헌,박병주 전남대학교 치과대학 2000 전남치대논문집 Vol.12 No.1

        A bracket bonding to the dental gold alloy shows a lower bond strength than the natural teeth, and this can be a possible source of subsequent bond failure. This study aims to evaluate the effect of various gold alloy surface treatment techniques on shear bond strength between the orthodontic adhesives and the gold alloy and to find ways of increasing the bond strength. Two hundred and forty specimens made of the dental gold alloy were divided into twelve groups based on the combination of surface treatment methods(non-surface treatment, sandblasted, sandblasted plus tin-plated, and sandblasted plus intermediate adhesive) and adhesive systems(Ortho-one, Panavia 21, Superbond C&B). The specimens with brackets bonded were placed in distilled water at 37℃ for 24 hours and shear bond strength was measured by a universal testing machine. The results were as follows: 1. All surface-treated groups showed a significantly higher shear bond strength than non-surface-treated groups. 2. The sandblasted plus tin-plated group showed a significantly higher shear bond strength than the sandblasted group only when Panavia 21 was involved. 3. The sandblasted plus intermediate adhesive group showed a significantly higher shear bond strength than sandblasted group regardless of the type of adhesive used. 4. Of the three resin adhesive types, the Superbond C&B showed the highest bond strength, followed by Panavia 21 and Ortho-one. These findings suggest that a combination of sandblasting and intermediate resin treatment is desirable in order to enhance bracket bond strength regardless of adhesive types.

      • KCI등재
      • 저자계측정을 위한 종형 Hall 소자의 교류구동 원리

        송명희,김정헌,박용우,류지구 경북대학교 센서기술연구소 1998 센서技術學術大會論文集 Vol.9 No.1

        In this paper, the vertical Hall device which is sensitive to the magnetic fields parallel to the surface of the chip, is fabricated and characterized. The Hall voltage was ±0.2[mV] in the range of ±100[Gauss]. The current-related Magnetic sensitivity(S_(H)) was about 55[V/AT]. With an increased I_(sup), the offset voltage was also increased. Alternating Current(AC) driving system was used to process the amplification of Hall voltage and the reduction of offset and noise by the AC driving of the vertical Hall device. When the AC driving system was operated, the output of the Hall voltage was ±74.0 [mV] in the low magnetic field ranges of ±100 [Gauss], The magnetic fields resolution was 0.74[mV/Gauss].

      • KCI등재후보

        11β-수산화효소 결핍에 의한 선천성 부신증식증 1예

        류옥현,류혜진,박수연,권순범,박상수,김희영,이계원,서지아,오정헌,김신곤,김난희,최경묵,백세현,최동섭 대한내분비학회 2004 Endocrinology and metabolism Vol.19 No.1

        저자들은 국내에서 처음으로 음핵 비대와 지속적인 질출혈을 주소로 내원한 19세 여성에서 고혈압이 동반되지 않으면서 11 -수산화효소 결핍으로 인한 선천성부신증식증을 경험하였기에 문헌 고찰과 함께 이를 보고하는 바이다. Congenital adrenal hyperplasia refers to a group of autosomal recessive disorders that is defective in the synthesis of cortisol. The enzymes most often affected are 21-hydroxylase and 11 - hydroxylase. The low levels of cortisol stimulate the pituitary gland to release ACTH. Chronic elevation of the ACTH level causes bilateral adrenal hyperplasia and a secondary increase in androgen formation. We examined a 19 year-old woman presented with clitoral hypertrophy and vaginal spotting. The subjects basal level of serum cortisol was low, but the serum levels of ACTH, 17a-hydroxyprogesterone, deoxy-corticosterone were elevated. The urinary excretions of 17-ketosteroids and 17-hydroxycorticosteroids were also increased. The karyotyping study and transrectal ultrasonography showed normal findings. The patient underwent clitoris reduction surgery and received hydrocortisone. To the best of our knowledge, this is the first case of 11 -hydroxylase deficiency in Korea (J Kor Soc Endocrinol 19:58∼63, 2004).

      • 만성 C형 간염 환자에서 페그인터페론 알파2a와 리바비린 병합 치료중 발생한 벨마비 1예

        김일환,장제혁,유충헌,최규남,고정해,김윤정,서광원,김지현,박성재,박은택,이연재,이상혁,설상영 인제대학교 2008 仁濟醫學 Vol.29 No.-

        페그인터페론과 리바비린 병합요법은 만성 C형 간염의 일차 치료법이다. 저자들은 만성 C형 간염 환자에서 페그인터페론 과 리바비린 병합 요법 중에 발생한 벨마비 1예를 경험하였기에 문헌고찰과 함께 보고하는 바이다. 환자는 5년 전부터 만성 C형 간염을 앓아온 48세 남자이며, PEG-IFN α-2a 135μgm 피하주사 주1회와 하루 1200㎎의 리바비린을 투여하였다. 치료시작 후 9개월째 환자는 오른쪽 안면의 근력약화를 호소하였으며 벨마비로 진단되었다. 페그인터페론과 리바비린 병합요법을 지속하면서 관찰하였다. 환자의 벨마비는 페그인터페론 치료를 중단하지 않았음에도 3개월후 증상이 회복되고 이후 벨마비 재발 없이 현재 경과관찰 중이다. 만성 C형 간염에서 페그인터페론과 리바비린 병합 요법시 벨마비의 발생 가능성을 염두에 두어야 하겠다. A Case of Bell's Palsy Associated with Combination Therapy of Pegylated Interferon Alfa-2a (PEG-IFN) and Ribavirin for Chronic Hepatitis C Virus Infection Pegylated interferon alfa(PEG-IFN α) and ribavirin therapy is the first line treatment for chronic hepatitis C. Mild complications of the therapy are common, but more serious complications are rare. We report here a case of Bell's palsy that occurred in a patient with chronic hepatitis C virus infection during combination therapy of PEG-IFN α-2a and ribavirin. The patient was 49-year-old man with chronic hepatitis C (genotype 1b) for 8 years. He had compensated liver cirrhosis with splenomegaly. Therapy with PEG-IFN α- 2a 135mcg/week and ribavirin 1200mg/day was initiated. After 9 months of the therapy, the patient showed a loss of muscular tone on the right side of his face. A diagnosis of Bell's palsy was made. The Bell's palsy resolved over 3 months despite continuation of the combination therapy.

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