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      • 생체분해성 망막압정을 이용한 망막고정에 대한 실험적 연구

        김용백,민병무,김창식,박근성,김승영,길숙종,조항진,이성복,노승무,송규상,강대영,조준식,양준묵,정경수,최선웅,이진호,김학용,인현빈 충남대학교 의과대학 지역사회의학연구소 1998 충남의대잡지 Vol.25 No.1

        Biodegradable retinal fixation devices obtain mechnical fixation of the retina with desirable chorioretinal scarring and with the potential for local, sustained release of antimetabolites and steroids to inhibit proliferative vitreoretinopathy. We manufactured a biodegradable retinal tack with barb that was designed in order to prevent intrusion from implantation of retinal tacks. This study was carried to evaluate the efficacy for retinal fixation and the capability for sustained release of drugs with a newly designed biodegradable retinal tack Biodegradable retinal tacks were made of polymers of glycolic acids and were designed with barbs in a shape to prevent the disinsertion. Biodegradale retinal tacks are divided into 3 parts, a conical portion that is inserted into the sclera, a cylinder portion that remains in the vitreous, and a neck portion between the pin and the cylinder. The tapered conical end was manufactured to allow easy insertion through the retina and choroid into the sclera. A cylinder portion was manufactured with a tapered angle that fixes firmly into the orifice of 19 gauge spinal needle. A neck portion, 0.4 mm in diameter, was designed to prevent disinsertion from following implantation of retinal tack. The applicator was a 19 gauge spinal needle and its orifice was prepared to 15°angle to accept the tapered cylinder portion of the retinal tack. The retinal tacks, secured in the needles, were passed through the formed vitreous and inserted into the retina, choroid, and sclera and were released by pushing the internal needle, usually within 2-3mm of the medullary ray of the posterior rabbit retina A retinal tack was placed in each of 8 pigmented rabbit eyes. Slit-lamp biomicroscopy, indirect ophthalmoscopy and fundus photography were performed periodically from 1 day to 8 weeks after surgery. Eight eyes were enucleated and studied by light microscopy at 8 weeks. Biomicroscopic evaluation of the animals revealed edemas adjacent to the retinal surfaces immediately after insertion of the biodegradable retinal tacks in all the animals. These edemas disappeared after 1 week. The first noticeable change in the size of retinal tacks was shown after 2weeks. The size of the retinal tacks gradually got smaller, decreasing to about one-half at 4 weeks and about one-third at 8 weeks. All retinal tacks remained in inserted places without any movement for an 8 week period. On light microscopy, epiretinal proliferations were seen to extend into the vitreous cavity. Cellular capsules that lined the inner aspect of the scleral defect caused by tack insertion were found. However the adjacent retina had a normal cytologic appearance and architecture in all specimens. We manufactured a biodegradable retinal tack that is designed to prevent intrusion from implantation of retinal tacks. All biodegradable retinal tacks reduce in size with time, but no retinal tacks extruded from the inserted place. The newly designed biodegradable retinal tack can be used for retinal fixation and may be used as a vehicle for the introduction of pharmacologic agents to prevent the cellular events that promote proliferative vitreoretinopathy.

      • KCI등재후보

        8년간(1992~1999) 산업안전보건연구원에 의뢰된 직업병 심의 사례 분석

        강성규,김규상,김양호,최정근,안연순,진영우,최병순,양정선,김은아,채창호,최용휴,김대성,박정선,정호근 대한산업의학회 2000 대한직업환경의학회지 Vol.12 No.2

        Objectives : Pneumoconisis and noise-induced hearing loss (NIHL) have been reported as main occupational diseases by the Special Health Examination. The Industrial Accident Compensation Insurance has reported various work-related diseases, however, these two diseases occupied almost a half of compensated cases. Therefore, it was not well known about the status of occupational diseases other than pneumoconiosis, NIHL, and cardio-cerebrovascular accident (CVA). This study was conducted to analyze claimed cases as an occupational disease, that was requested to the Korea Industrial Safety and Health Agency (KOSHA). Methods : The local office of the Korea Labor Welfare Corporation (KLWC) has asked the KOSHA for confirmation of claimed cases as an occupational disease. We analyzed 379 cases requested from KLWC, the Ministry of Labor, employers, unions and occupational health agencies from 1992 to 1999. Results : Male was 80.7 % of the requested cases. Their mean age was 42 years old and 75.5 % of them were more than 35 years old. The requested cases were increased rapidly from 25 cases in 1992 to 108 cases in 1999 and the accept rate was 50.7 %. The majority of requested cases were respiratory diseases(22.4%), cancers(18.5%), Neuropsychiatric problems(14.5%), and musculoskeletal problems(13.5%). The accept rate was high in reproductive, respiratory, musculoskeletal and digestive disorders and low in neuropsychiatric, renal and otologic problems and occupational cancers. 73.6% of them were caused by chemical agents, especially 28.5 % were by organic solvents. 67% of them were clinically confirmed at university hospitals. A half of the cases were from KyongIn area, even the request came from the whole country. Conclusions : A claim was common in workers whose age was over 35 years old and exposure history was over 10 years. The respiratory diseases and neuropsychiatric disorders were still main problems in occupational health and occupational cancers was increasing even though its accept rate was not high yet.

      • 생체분해성 고분자를 이용한 사시수술용 제형개발 및 효용성에 대한 연구

        민병무,김용백,김승영,김창식,박근성,길숙종,조항진,이성복,노승무,송규상,강대영,조준식,양준묵,정경수,최선웅,이진호,김학용,인현빈 충남대학교 의과대학 지역사회의학연구소 1998 충남의대잡지 Vol.25 No.1

        A new device, muscle clamping system was developed to facilitate exact quatifying technique A strabismus surgery, and reduce the risk of complications. The device is composed of a lower fixing body with three jaws and an upper supporting body. They are used to clip an extraocular muscle and fix it to the sclera with a single bite. Superior rectus recession on 16 rabbit eyes were performed with this new device. Conjunctival injection, muscle adhesion strength, and light microscopic findings were examined at 1, 2, 4 and 8 weeks postoperatively. The Conjunctival injection were minimal, adhesion power ranged from 420 to 600 gram gravity, which is sufficient in withstand the normal pull of human extraocular muscle. In microscopic exam, some Inflammatory cells and fibrosis were found. The new device was technically easy, fast, and accurate, so it may be useful in stabismus surgery.

      • 수면무호흡증의 다원수면기록 소견

        김용조,이선우,왕성근 대한생물치료정신의학회 1996 생물치료정신의학 Vol.2 No.2

        To identify the clinical characteristics of sleep apnea syndrome in Korean, author analyzed 24 cases of polysomnographic findings statistically, diagnosed as sleep apnea syndrome during May, 1995 to July,1996. The results were summarized as follows: 1. The mean age of subjects was 35.7 years, the distribution of age was 12 to 64 years, and male to female sex ratio was 5:1. 2. As for mean values of sleep parameters, total bed time was 429.8 minutes, waking after sleep onset was 93.4 minutes, total sleep time was 336.1 minutes and sleep efficiency was 77.7%. 3. The proportions of sleep stage 1, stage2,slow wave sleep, REM sleep, and movement time to total sleep time were 13.1%, 39.4%, 24.4%, 20.8%, and 2.2% respectively. 4. Mean AI(apnea index) was 28.7 and RD(respiration disturbance index ) was 34.3. 5. Waking after sleep onset correlated with total sleep time and sleep efficiency negatively, and with sleep stage 1 positively. Sleep efficiency correlated with sleep stage 1 negatively, and sleep stage 1 correlated with slow wave sleep negatively.

      • KCI등재후보

        돈분뇨의 토양처리시 이온 성분의 용탈 특성

        김태헌,류성필,김성수,오윤근,허철구 한국환경과학회 2003 한국환경과학회지 Vol.12 No.3

        An agricultural land application of swine slurry is one of the best management practices in Jeju island whose ground water must be protected. So as to study the effect of appling swine slurry on ground water or aquifer, incubation-leaching technique was used by assuming the incubating period of 1, 2, 4, 8, 16, or 32 days, and application rate of 3200.0㎎T-P/ℓ, 820.0㎎T-P/ℓ, and 1887.0㎎K^+/ℓ in swine slurry. The leachates were collected from the soil columns(PVC 30㎝L×5.5㎝D) packed 15㎝ in depth with Gangjeong soil series by washing with 100mL distilled water. The leached components were measured by using Ion chromatography for Cl^-, NO_3-N, F^-,Br^-, Na^+, K^+, Ca^2+, and Mg^2+, atomic absorption spectrophotometry for Fe and Mn, and UV-Vis spectrophotometry for T-N and T-P. Application of swine slurry in naked soil could influence on the ground water or aquifer by increasing nitrate-nitrogen in leachate with time, or leaching the cations present in soils in accompany with anions because of H^+ produced in nitrification. Therefore, careful consideration should be taken about what amount, when, where, and how for protecting ground water system.

      • SCOPUSSCIEKCI등재

        골격성 Ⅲ급 부정교합자에서 전진이부성형술을 동반한 하악 후퇴술 후 연조직 외형의 변화

        김근령,김성식,손우성,박수병 대한치과교정학회 2008 대한치과교정학회지 Vol.38 No.2

        본 연구는 전진이부성형술을 동반한 하악지 시상분할골절단술을 시행한 하악 전돌증을 가진 환자에서 하안면부, 특히 이부의 경조직과 연조직의 변화를 예측하는 데 있어서, 전후관계와 수직적 계측치를 통하여, 경조직의 변화에 따른 연조직의 상대적 변화량에 대해 비교, 분석하여 한국인의 골격성 III급 부정교합자의 악교정 수술시 전진이부성형술이 연조직 외형에 미치는 영향을 알아보고자 시행하였다. 교정치료와 악교정수술을 시행한 골격성 III급 부정교합자 40명을 전진이부성형술을 시행하지 않고 하악지 시상분할골절단술만 시행한 환자 20명(BSSO group, 남자 10명, 여자 10명)과 하악지 시상분할골절단술과 동시에 전진이부성형술을 시행한 환자 20명(Genio group, 남자 10명, 여자 10명)으로 분류하여 수술 직전(T1)과 수술 직후(T2), 수술 최소 6개월 후(T3)의 측모 두부 방사선계측사진을 채득하여 계측 항목의 변화량을 분석하였다. BSSO군에서는 수술 후 경조직 B점, Pogonion, Menton에 대하여 연조직 B점, Pogonion, Menton이 각각 수평적으로 0.997, 0.965, 1.022의 변화율을 보였으며, Genio군에서는 각각 0.824, 0.602, 0.887의 수평적 변화율을 보여서, Genio군에서 연조직 B점, 연조직 Pogonion의 연조직 두께의 감소량이 더 크게 나타났다. 경조직 Pogonion(Pg)의 악교정수술 전과 후의 수평적 변화에 따른 하순의 하방점(Li), 연조직 B점(B')의 변화간의 상관관계계수는 BSSO군에서는 각각 0.833, 0.922인 반면에, Genio군에서는 각각 0.775, 0.799로 BSSO군에 비해서 상관관계가 다소 작은 것으로 나타났다. 이상의 결과에서 하악지 시상분할골절단술을 시행하는 환자에서 전진이부성형술을 동반할 경우에는 골격의 변화에 대해서 연조직의 두께 변화가 다소 적게 나타나므로 수술 시에 이를 고려하여 전진이부성형술을 시행하여야 할 것이다. Purpose: The purpose of this study was to assess the hard and soft tissue changes associated with mandibular bilateral sagittal split osteotomy and genioplasty. Methods: This is a retrospective study of 40 patients who underwent either bilateral sagittal split osteotomy for mandibular setback (BSSO group, n = 20) or in combination with advancement genioplasty (Genio group, n = 20). Lateral radiographs, were taken before and immediately after surgery, and at least 6 months after surgery. Results: Comparing hard and soft tissue changes between the BSSO group and Genio group, there were significant differences in the lower incisor, soft tissue B point (B'), and soft tissue Pogonion (Pg') (P < 0.5). The mean ratio of hard and soft tissue changes for B/B', Pg/Pg', and Menton/soft tissue Menton after surgery in the BSSO group was 0.997, 0.965, and 1.022 respectively, and 0.824, 0.602, and 0.887 respectively in the genio group. Significant differences were found between the two groups. There were significant differences in lip thickness (B-B', Pg-Pg') in the Genioplasty group between pre and postsurgery, but not in the BSSO group. Pogonion to Labrale inferior and B' had a correlation coefficient of 0.833, 0.922, respectively for the BSSO group, and 0.775, 0.799 for the Genio group. Conclusions: The results indicate that there is a significant difference between bilateral sagittal split osteotomy with or without genioplasty in the lower facial esthetics values. The combination of mandibular setback and genioplasty had a smaller change in soft tissue thickness of the symphysis area after surgery than that of mandibular setback only.

      • 수중 벤젠의 광촉매 산화에 미치는 증감제의 영향

        김성지,이춘식,김성우,이동근 경상대학교 환경보전연구소 1999 環境保全硏究所報 Vol.7 No.-

        Focusing on benzene, a representative of volatile organic materials resulting from oil pollution, this paper studies the effects of photocatalytic oxidation and photo-sensitized ions, when TiO₂photocatalyst is added to photo-sensitized ions ; persulfate, sulfate, nitrate, nitrite, and chloride ion. This study found that the benzene in aqueous solution was efficiently removed through photocatalytic oxidation. In case of photocatalyst- sensitized-oxidation that the wavelength less than 330㎚ was intercepted by the use of Pyrex filter, an addition of persulfate ion, and sulfate ion showed some elevation of dissolution rate of benzene, whereas an addition of nitrite ion and chloride ion lowered the dissolution rate of benzene. The coexistence of persulfate ion and nitrate ion showed the same dissolution rate tendency as the result of photocatalytic oxidation of benzene. However, the coexistence of nitrite ion lowered the dissolution of benzene.

      • 부분적 수면박탈이 주간 졸리움, 피로감과 반응시간에 미치는 영향

        김상국,왕성근 충남대학교 의과대학 지역사회의학연구소 1998 충남의대잡지 Vol.25 No.2

        The purpose of this study was to investigate the effects of early partial sleep deprivation on daytime sleepiness, fatigue and reaction time, measured by the multiple sleep latency test(MSLT), visual analogue scale(VAS) and reaction timer. The subjects were 10 healthy young male college students aged from 19 to 25 years, who had no histories of significant medical or psychiatric illness as well as sleep related problems. Subjects undergown experiment 4 nights and days in the laboratory. The data of the first night and day were baseline. The remaining experiment in the laboratory consisted of 1 hour, 3 hours, 5 hours sleep restriction night and day. Each experiment had intervals more than 3 days to eliminate possible cumulative effects of repetitive partial sleep deprivation. Subjects applied MSLT to investigate their objective daytime sleepiness, VAS to rate subjective feeling of sleepiness and fatigue, and reaction time to investigate visuo-motor performance. MSLT data scored according to the criteria of Rechtschaffen and Kales every 30 seconds, and applied paired-t-test. Sleep restrictions result in the increment of sleepiness index, VAS score, stage 2 sleep. However, sleep latency on MSLT and reaction times were shortened. One hour sleep restriction affects sleep latency on MSLT and visual analogue scale scores mostly. The results suggested that nocturnal sleep restriction may induce daytime sleepiness and fatigue as expected, and shortened reaction time was out of our expectation.

      • 알콜의 연속투여가 수면구조와 일부 정동에 미치는 영향

        김세인,신석철,왕성근 충남대학교 의과대학 지역사회의학연구소 1993 충남의대잡지 Vol.20 No.1

        To investigate the effects of short-term administration of alcohol on the sleep patterns and subjective physiological function(some aspects of emotion), the author applied polysomnography, reaction time and visual analogue test to the volunteer male students. The subjects were 8 healthy young adults, ranging in age from 21 to 26 years, without personal past nor present histories of singificant medical, neurological, or psychiatric illness and suffering from no current major sleep disturbances or parasomnias. After one night sleep of adaptation, each subject was ingested alcohol(43% whisky 3ml/kg) for 5 successive nights and was withdrawn for 3 days, and polysomnography was recorded in the sleep laboratory. Also, reaction time was performed and visual anlogue test were applied to measure the degree of fatigability, mood, and sleepiness for 5 times a day(at 9 : 00, at noon, at 15 : 00, at 18: 00 and at 21 : 00). The results were summarized as follows. 1. Compared with the baseline, sleep latency was significantly shortened during the period of alcohol drinking, and the absolute value(minutes) of stage 3, 4 sleep and SWS, and the relative value(%) of stage 4 sleep were increased significantly in the third drinking night. 2. REM latency was significantly increased in the third and fifth drinking night, and there were no significant change in REM number, REM cycle, and REM duration. 3. There was a significant positive correlation between all the period of drinking and withdrawal nights and the baseline on WASO(waking time after sleep onset), and a significant positive correlation between the 1st, 3rd and 5th drinking night and the baseline on the absolute value(minutes) of SWS and a significant positive correlation between the 3rd and 5th DN and the baseline on the relative value(%) of SWS. 4. Compared with the baseline, feeling of fatigue was significantly severe in the 3rd and 5th drinking day and in the 1st withdrawal day, and there was no difference in the 3rd withdrawal day. 5. Compared with the baseline, mood was significantly worse in the 3rd and 5th drinking day and in the 1st withdrawal day, and there was no difference in the 3rd withdrawal day. 6. Compared with the baseline, sleepiness was significantly increased in the 3rd and 5th drinking day and in the 1st withdrawal day, and there was no diffenence in the 3rd withdrawal day.

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