혀절제술을 시행한 환자의 보철적 수복 증례

윤지영,이시호,이지연,오남식,Yoon, Jiyoung,Lee, Siho,Lee, Jiyoen,Oh, Namsik 대한치과보철학회 2013 대한치과보철학회지 Vol.51 No.4

혀는 정확한 근신경계의 조화에 의해 저작, 연하, 발음과 같은 복잡한 기능을 수행하는 데 중요한 역할을 한다. 악성종양으로 인해 구강 내 혀를 절제해야 하는 경우에 환자는 발음 및 연하에 큰 어려움을 겪게 된다. 이러한 환자에 있어 보철적 치료 목표는 저작, 연하 및 발음을 증진시키는 것이다. 보철적 수복 방법은 수술의 종류 및 범위에 의해 결정된다. 완전 혀 절제술(Total glossectomy)을 시행한 경우에는 하악-혀장치(mandibular tongue prosthesis)를 선택하며 악-혀장치(Mandibular tongue prosthesis)는 혀 보철물로 구강저를 채우는 것이다. 이렇게 형성한 혀 보철물은 음식이 식도로 넘어가는 입구(platform)를 형성해주고 발음을 향상시키며 하방의 연약한 이식 조직을 보호하고 외형 및 심리사회적으로 우수하다는 장점을 가진다. 본 증례에서는 완전 혀 절제술(total glossectomy)를 시행한 환자를 위해 보철적으로 수복하는 임상과정을 논의하고자 한다. Malignant tumours of the oral cavity that require resection of the tongue result in severe deficiencies in speech and deglutition. In such patients, improvements in mastication, swallowing, and speech may be reasonable goals for treatment. The viability of a prosthodontic approach to treatment depends on the type and extent of surgery. In a total glossectomy, a mandibular tongue prosthesis is the treatment of choice. Mandibular tongue prosthesis occupies the space in the floor of the oral cavity. It provides the patients with a platform for directing food into the esophagus and aids in speaking. This type of prosthesis can achieve that protection of the underlying fragile tissue and improvement in appearance and psychosocial adjustment. This case report describes the technical steps involved in prosthetic rehabilitation for a glossectomy patient.

Multi Chip Package의 SRAM을 위한 웨이퍼 Burn-in 방법

윤지영,유장우,김후성,성만영,Yoon, Jee-Young,Ryu, Jang-Woo,Kim, Hoo-Sung,Sung, Man-Young 한국전기전자재료학회 2005 전기전자재료학회논문지 Vol.18 No.6

This paper presents the improved burn-in method for the reliability of SRAM in Multi Chip Package (MCP). Semiconductor reliability is commonly improved by the burn-in process. Reliability Problem is very significant in the MCP which includes over two chips in a package because the failure of one SRAM chip has a large influence on the yield and quality of the other chips such as Flash Memory, DRAM, etc. Therefore the quality of SRAM must be guaranteed. To improve the qualify of SRAM, we applied the improved wafer level burn-in process using multi cell selection method in addition to the previously used methods and it is found to be effective in detecting particular failures. Finally, with the composition of some kinds of methods, we achieved the high quality of SRAM in MCP.

다중물리 유한요소해석에 의한 SiC 단결정의 용액성장 공정 설계

윤지영,이명현,서원선,설용건,정성민,Yoon, Ji-Young,Lee, Myung-Hyun,Seo, Won-Seon,Shul, Yong-Gun,Jeong, Seong-Min 한국결정성장학회 2016 한국결정성장학회지 Vol.26 No.1

용액성장법에 의한 SiC 단결정 성장은 Si 또는 Si-금속합금의 융액으로부터 SiC를 성장시키는 방법으로서, 통상의 상부종자 용액성장법(Top Seeded Solution Growth)에서는 Si 융액을 담는 흑연도가니로부터 C가 Si 융액에 용해되고 용해된 C이 상부에 위치한 종자결정으로 이동하여 종자결정상에 SiC 형태로 재결정화하는 단계를 거쳐 SiC의 단결정을 성장시키는 과정을 거치게 된다. SiC 용액성장에 있어서는 SiC의 단결정성장을 위하여 흑연도가니의 형상, 크기, 재질 및 상대적 위치 배열 등 온도제어와 유체흐름 제어를 위해 다양한 공정변수를 선정해야한다. 본 연구에서는 용액성장공정의 설계를 위해 상용의 유한요소해석 패키지인 COMSOL Multiphysics를 이용하여 전자기장해석, 열전달해석, 유체해석에 대한 다중물리해석모델을 구축하고 이 모델을 이용하여 결정성장공정을 설계하였다. 해석결과에 기초하여 2 inch off-axis 4H-SiC 단결정을 종자결정으로 적용하여 $1700^{\circ}C$에서 상부종자 용액성장법에 의하여 SiC 단결정을 성장시켰다. 광학현미경 및 고분해능 X선회절분석을 통해 결정성을 분석한 결과 해당 성장조건에서 양호한 품질의 단결정이 성장함을 확인하였다. 이로써 본 연구에서 구축된 다중물리해석모델이 SiC의 용액성장 공정설계에 유효함을 확인하였다. A top-seeded solution growth (TSSG) is a method of growing SiC single crystal from the Si melt dissolved the carbon. In this study, multiphysics modeling was conducted using COMSOL Multiphysics, a commercialized finite element analysis package, to get analytic results about electromagnetic analysis, heat transfer and fluid flow in the Si melt. Experimental results showed good agreements with simulation data, which supports the validity of the simulation model. Based on the understanding about solution growth of SiC and our set-up, crystal growth was conducted on off-axis 4H-SiC seed crystal in the temperature range of $1600{\sim}1800^{\circ}C$. The grown layer showed good crystal quality confirmed with optical microscopy and high resolution X-ray diffraction, which also demonstrates the effectiveness of the multiphysics model to find a process condition of solution growth of SiC single crystal.

에스테르 왁스가 함유된 폴리프로필렌 방출기 제조와 복숭아순나방 교미교란 효과 검정

윤지영,김다은,임유나,이지성,양창열,김종득,Yoon, Ji Young,Kim, Da Eun,Im, Yu Na,Lee, Ji Sung,Yang, Chang Yeol,Kim, Jong-Duk 한국응용곤충학회 2015 한국응용곤충학회지 Vol.54 No.4

복숭아순나방(Grapholita molesta)은 핵과류과실에 일차 피해를 주는 해충이다. 이를 해결하기 위해 종합적병해충관리 [IPM]의 일환으로써 전세계적으로 교미교란제가 농가에 적용되고 있다. 왁스, 폴리에틸렌 튜브, 에어로졸 형태의 다양한 교미교란제가 상업화되었다. 이 연구에서는 복숭아순나방 성페로몬 방출기로써 에스테르왁스와 폴리프로필렌(PP)필름백을 구성하는 방출기를 기존의 파라핀 왁스와 폴리에틸렌(PE) 재질의 필름과 비교하여 페로몬의 방출거동을 분석했다. PE재질의 필름백은 성페로몬의 방출이 불규칙한 반면, PP필름백에서 성페로몬은 시간에 따라 일정하게 방출하는 패턴을 얻었다. 이러한 결과를 토대로 Japan 왁스_PP 필름 방출기(Japan_PP)를 제작하였고, 약 5개월 동안 복숭아과수원에 적용한 결과 98% 이상의 교미교란 효과가 검증되었다. Grapholita molesta (GM) has been considered as a major problem to apple and peach orchards. Mating disrupters have been applied to control the pest over the world as an Integrated Pest Management [IPM] tool. Various types of dispensers releasing mating disrupters have been developed with different formulation of wax, polyethylene tube and aerosol. In this study, the dispensers that were composed of ester waxes and polypropylene (PP) film were used as dispenser materials to analyze release pattern of GM pheromone compared with paraffin wax and polyethylene (PE) film. The release pattern in PP film group was consistent with time while PE film group irregular. Based on these results, Japan wax_PP film dispenser (Japan_PP) was manufactured and showed the mating disruption effect of 98% during 5months in peach orchard.

혈관미주신경실신의 새로운 기전 -삼차신경-심장반사-

윤지영,김철홍,Yoon, Ji Young,Kim, Cheul Hong 대한치과마취과학회 2012 Journal of Dental Anesthesia and Pain Medicine Vol.12 No.3

A vasovagal reaction is defined as the 'development of hypotension and bradycardia associated with the typical clinical manifestations of pallor, sweating and weakness'. The most profound degree of vasovagal reaction results in fainting or syncope. Incidence of vasovagal reactions in the local anesthetic department of a dental hospital is around 2%. The pathophysiology of the hypotension/bradycardia reflex responsible for vasovagal syncope is not completely understood. Central as well as peripheral mechanisms have been implicated in its pathogenesis: however their relative contribution is not fully elucidated. Recently, trigeminocardiac reflex, previously known as oculocardiac reflex, may serve as syncope. The management of vasovagal syncope is evolving. Non-pharmacological treatment options are a fundamental first step of all treatment pathways. In this article, we would like to review new mechanism of vasovagal syncope and hope to be of help to manage the syncopal patients.

족근관 증후군에서의 신경 전도 검사의 효용성

윤지영,이경찬,오원석,홍진헌,곽지훈,박홍기,Yoon, Ji-Young,Lee, Kyung-Chan,Oh, Won-Seok,Hong, Jin-Hun,Kwak, Ji-Hoon,Park, Hong-Ki 대한족부족관절학회 2016 대한족부족관절학회지 Vol.20 No.1

Purpose: Nerve conduction study (NCS) test is a standard diagnostic study of the tarsal tunnel syndrome. The purpose of this study was to determine the relation between the results of the NCS and postoperative clinical results. Materials and Methods: From June 2004 to July 2015, 104 patients were diagnosed with tarsal tunnel syndrome and treated surgically. Of 104 patients diagnosed through NCS preoperatively and postoperatively, 41 patients were included in this study. There were 23 male and 18 female patients with mean age of 49.2 years old and the average follow-up period was 15.5 months. NCS, pain visual analogue scale (VAS) score, and subjective satisfaction were examined preoperatively and postoperatively. Results: On the preoperative NCS, 32 patients (78.0%) were positive and 9 patients (22.0%) were negative, and 32 positive NCS patients consisted of 9 positive (28.1%), 16 improved (50.0%), and 7 negative (21.9%) postoperatively. VAS score was 7.4 preoperatively and 4.4 postoperatively. According to satisfaction, there were 8 excellent (19.5%), 21 good (51.2%), 6 fair (14.6%), and 6 poor (14.6%) patients. For 32 patients who were positive on the preoperative NCS, the postoperative VAS score was 4.87 and there were 7 excellent (21.9%), 16 good (50.0%), 4 fair (12.5%), and 5 poor (15.6%) patients. Sixteen patients were negative on the postoperative NCS, with a VAS score of 3.75, 1 excellent (6.3%), 11 good (68.8%), 2 fair (12.5%), and 2 poor (12.5%). There was no statistical correlation between the preoperative NCS and postoperative VAS score (p=0.10), between preoperative NCS and postoperative satisfaction (p=0.799), between preoperative NCS and postoperative VAS score (p=0.487), and between postoperative NCS and postoperative satisfaction (p=0.251). Conclusion: For patients diagnosed with tarsal tunnel syndrome and treated surgically, NCS showed little correlation with postoperative result.

소비자의 외식관련 음식물 쓰레기에 대한 태도 및 감소 노력에 관한 연구

윤지영,Yoon, Ji-young 한국식품조리과학회 2015 한국식품조리과학회지 Vol.31 No.6

As food waste problems become more severe, the need for reduction plans is increasing. Thus, this study aimed to discover the attitudes towards and the intentions to reduce restaurant food waste as well as the importance of and intentions to participate in reduction plans among adults customers A self-administrated questionnaire was given to 361 adults (216 men and 145 women) over 20 years old residing in Seoul and Gyeonggi province. According to the results, the respondents regarded restaurant food waste problems as serious (4.01). The biggest reason for leaving food was concern about hygiene (3.57), followed by tasting food (3.34) and portions that were too large (3.10). 57.6% responded that they try to reduce food waste when dining out. Women over 30 admitted to leaving food when dining out if the food did not taste as expected, if they had health concerns about additives such as condiments, and for body weight management. The overall average degree of awareness on the gravity of restaurant food waste problems was 4.06, indicating that respondents deeply empathized with the matter. Women showed higher alertness compared to men, and respondents in their 30s or over did more than those in their 20s. Also, respondents who try to reduce food waste when dining out had higher levels of concern than those who did not. According to the results from measuring the importance of and intention to participate in restaurant food waste reduction plans, taking away left-over food was the best option. In short, citizenship improvement campaigns should be designed for restaurants and related organizations in order to stimulate the need and effects of efforts to reduce dine-out food waste and induce aggressive participation by consumers. Diverse methods to increase actual consumer participation in food waste reduction plans that show high consumer participation intentions also needs to be developed.

사상체질음성분석기(四象體質音聲分析機)(PSSC)를 통한 한국인 성인여성(成人女性)의 체질별(體質別) 음향특성연구(音響特性硏究) - 단문(短文)을 중심으로 -

윤지영,윤우영,조성언,왕향란,전종원,김달래,유준상,Youn, Ji-Young,Yoon, Woo-Young,Cho, Sung-Eon,Wang, Hyang-Lan,Jeon, Jong-Weon,Kim, Dal-Rae,Yoo, Jun-Sang 사상체질의학회 2006 사상체질의학회지 Vol.18 No.3

1. Objectives and Methods Sasang Constitutional Medicine is the original Korean Medicine. The purpose of this study was to objectify the diagnosis of Sasang Constitution. 212 Women's sentences were analyzed into 228 factors like Pitch, APQ, Shimmer, Octave and Energy, etc. Women's sentences were classified into 3 categories: total group, under 54 years old group and over 55 years old group. 2. Results 1) In Total group Soyangin's Center feq.(3) was significantly high compared with Taeyangin and Taeumin groups. Taeumin's Pitch2 was significantly high compared with Soeumin and Taeyangin groups. Taeyangin's Pitch S.D. was significantly high compared with Soyangin group. Taeyangin's Octave6 was significantly high compared with Soeumin group. There were no significant differences among constitutional groups in APQ and Shimmer segment. On the point of Energy, Taeyangin's G Tot E(1), G# Tot E(1), G dev.(1), G# dev.(1), G Tot E(2), G# Tot E(2), G dev.(4) and G# dev.(4) were significantly high compared with other groups. Soyangin's A#S.D.(2) was significantly high compared with Taeyangin group. Taeyangin's A#S.D.(3) was significantly high compared with Taeumin group. Taeyangin's F S.D.(5), F# S.D.(5) and Max Average were significantly high compared with Soeumin group. Taeumin's Peak3 and Peak4 were significantly high compared with Taeyangin group. Taeumin's PeakValue1 was significantly high compared with Soeumin group. Taeyangin's PeakValue2 was significantly high compared with Soeumin group. Taeyangin's PeakValue3 and PeakValue5 were significantly high compared with Other groups. 2) In Under 54 years old group, there were no significant differences among constitutional groups in APQ, Shimmer and Octave segment. Taeumin's Center freq.(2) was significantly high compared with Taeyangin and Soyangin groups. Taeumin's Pitch(2) and Pitch(3) were significantly high compared with Taeyangin and Soeumin groups. Taeyangin's and Taeumin's Pitch S.D. were significantly high compared with Soyangin group. Taeyangin's and Soyangin's Octave2 were significantly high compared with Taeumin group. On the point of Energy, Taeyangin's and Soyangin's A# S.D.(2) were significantly high compared with Soeumin group. Taeyangin's and Soyangin's G# dev.(1), G# dev.(2) were significantly high compared with Taeumin group. Taeyangin's and Taeumin's F# S.D.(3) were significantly high compared with Soeumin group. Taeyangin's and Soyangin's Max Average were significantly high compared with Soeumin group. Taeumin's Peak3 was significantly high compared with Taeyangin and Soeumin groups. Taeyangin's and Taeumin's PeakValue2 were significantly high compared with Soeumin group. Taeyangin's and Soeumin's PeakValue3 were significantly high compared with Taeumin group. Taeyangin's and Soyangin's PeakValue5 were significantly high compared with Soeumin group. Taeyangin's and Soyangin's PeakValue9 were significantly high compared with Taeumin group 3) In Over 55 years old group, there were no significant differences among constitutional groups in Pitch, APQ, and Peak segment. Soeumin's F Shimmer(1) and F Shimmer(2) were significantly high compared with Taeyangin and Taeumin groups. Soeumin's G# Shimmer(1) and G# Shimmer(2) were significantly high compared with Soyangin group. Taeyangin's Octave5 and Octave6 were significantly high compared with Soeumin group. On the point of Energy, Soyangin's C S.D., F# S.D.(1), F# S.D.(2) and G dev.(2) were significantly high compared with other groups. Soyangin's F# S.D.(3) was significantly high compared with Taeumin and Soeumin groups. Taeyangin's and Taeumin's G# S.D.(2) and G# S.D.(3) were significantly high compared with Soyangin group 3. Conclusions From above result, there is the possibility of efficient standard guide for constitution diagnosis by analysis of voice

치아 발생과정에서 Smad4의 역할

윤지영,백진아,조의식,고승오,Yoon, Chi-Young,Baek, Jin-A,Cho, Eui-Sic,Ko, Seung-O 대한악안면성형재건외과학회 2013 Maxillofacial Plastic Reconstructive Surgery Vol.35 No.2

Purpose: Smad4 is a central mediator for transforming growth factor-${\beta}$/bone morphogenetic protein ($TGF-{\beta}/BMP$) signals, which are involved in regulating cranial neural crest cell formation, migration, proliferation, and fate determination. Accumulated evidences indicate that $TGF-{\beta}/BMP$ signaling plays key roles in the early tooth morphogenesis. However, their roles in the late tooth formation, such as cellular differentiation and matrix formation are not clearly understood. The objective of this study is to understand the roles of Smad4 in vivo during enamel and dentin formation through tissue-specific inactivation of Smad4. Methods: We generated and analyzed mice with dental epithelium-specific inactivation of the Smad4 gene (K14-Cre:$Smad4^{fl/fl}$) and dental mesenchyme-specific inactivation of Smad4 gene (Osr2Ires-Cre:$Smad4^{fl/fl}$). Results: In the tooth germs of K14-Cre:$Smad4^{fl/fl}$, ameloblast differentiation was not detectable in inner enamel epithelial cells, however, dentin-like structure was formed in dental mesenchymal cells. In the tooth germs of Osr2Ires-Cre:$Smad4^{fl/fl}$ mice, ameloblasts were normally differentiated from inner enamel epithelial cells. Interestingly, we found that bone-like structures, with cellular inclusion, were formed in the dentin region of Osr2Ires-Cre:$Smad4^{fl/fl}$ mice. Conclusion: Taken together, our study demonstrates that Smad4 plays a crucial role in regulating ameloblast and odontoblast differentiation, as well as in regulating epithelial-mesenchymal interactions during tooth development.

덱스메데토미딘의 임상적인 사용

윤지영,김철홍,Yoon, Ji Young,Kim, Cheul Hong 대한치과마취과학회 2013 Journal of Dental Anesthesia and Pain Medicine Vol.13 No.4

Dexmedetomidine is a potent alpha-2-adrenergic agonist, more selective than clonidine, with widespread actions on the mammalian brain. A large body of recent work supports its analgesia and sympatholytic properties. Dexmedetomidine is a useful medication with many clinical applications. The medication has shown efficacy in decreasing the need for opioids, benzodiazepines, propofol, and other sedative medications. Dexmedetomidine has been used effectively for sedation during invasive procedures and in the ICU. Short-term sedation has been shown to be safe in studies, although hypotension and bradycardia are the most significant side effects. Dexmedetomidine is emerging as an effective therapeutic agent in the management of a wide range of clinical conditions with an efficacious, safe profile.