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엇갈린 교합에서 implant와 magnetic attachment를 이용한 국소의치 증례
이유진,이성복,이석원,박수정,안수진,Lee, Yu Jin,Lee, Richard sungbok,Lee, Suk Won,Park, Su Jung,Ahn, Su Jin 대한치과보철학회 2017 대한치과보철학회지 Vol.55 No.1
부분 무치악 환자에서 구강 기능의 회복을 위한 보철 계획을 수립할 때, 잔존하는 치아에 따라 다양한 치료 방법을 선택할 수 있다. 특히 대합이 상실된 소수의 잔존치가 불안정한 교합을 야기하는 엇갈린 교합의 경우, 대합 되는 위치에 임플란트를 식립함으로써 교합지지를 회복할 수 있다. 이 증례에서는 발치 후 엇갈린 교합이 된 환자에서 의치의 하중을 견딜 수 있도록 상악 잔존치에 대응하는 하악 무치악 부위에 임플란트를 식립하고 자석유지장치(magnetic attachment)를 연결하는 국소의치를 제작하였다. 또한 상악 전치의 돌출과 하악 입술 지지도가 부족한 것을 개선하고 싶어한 환자의 요구사항에 따라 상악 전치부 보철적 수복 및 하악 의치를 통해 심미적 안모를 회복하였다. 5개월 정기검진 결과, 환자는 저작 기능 및 심미적인 면에서 만족하였고 의치의 안정성 또한 잘 유지되고 있기에 이를 보고하고자 한다. When attempting to restore the oral function of a partially edentulous patient, there are a number of prosthetic treatment options available, depending on the structure of remaining teeth. For example, when only one set of maxillary and mandibular teeth are diagonally in place across from each other, it is difficult to gain stable occlusion. In this case, implants can be put in place at the corresponding edentulous area to achieve balance. By doing so, a stable occlusion can be achieved. For this case report, a patient with crossed occlusion after extraction was treated with maxillary RDP (removable dental prosthesis) and mandibular implant-supported RDP (removable dental prosthesis). Moreover, an implant fixture was placed under the posterior molar of the distal extension base diagonally across from the remaining maxillary teeth. Then, magnetic attachment was implemented. According to the patient who received the treatment, the result was functionally and aesthetically satisfactory.
수소제조를 위한 다공성 FeCrAl 금속 합금 Foam의 NiO 촉매 담지 및 미세구조 분석
이유진,안건형,박만호,이창우,최상현,정주용,조성종,이근재,안효진,Lee, Yu-Jin,An, Geon-Hyoung,Park, Man-Ho,Lee, Chang-Woo,Choi, Sang-Hyun,Jung, Ju-Yong,Jo, Sung-Jong,Lee, Kun-Jae,Ahn, Hyo-Jin 한국재료학회 2014 한국재료학회지 Vol.24 No.8
NiO catalysts were successfully coated onto FeCrAl metal alloy foam as a catalyst support via a dip-coating method. To demonstrate the optimum amount of NiO catalyst on the FeCrAl metal alloy foam, the molar concentration of the Ni precursor in a coating solution was controlled, with five different amounts of 0.4 M, 0.6 M, 0.8 M, 1.0 M, and 1.2 M for a dip-coating process. The structural, morphological, and chemical bonding properties of the NiO-catalyst-coated FeCrAl metal alloy foam samples were assessed by means of field-emission scanning electron microscopy(FESEM), scanning electron microscopy-energy dispersive spectroscopy(SEM-EDS), X-ray diffraction(XRD), and X-ray photoelectron spectroscopy(XPS). In particular, when the FeCrAl metal alloy foam samples were coated using a coating solution with a 0.8 M Ni precursor, well-dispersed NiO catalysts on the FeCrAl metal alloy foam compared to the other samples were confirmed. Also, the XPS results exhibited the chemical bonding states of the NiO phases and the FeCrAl metal alloy foam. The results showed that a dip-coating method is one of best ways to coat well-dispersed NiO catalysts onto FeCrAl metal alloy foam.
REM 수면 의존성 폐쇄성 수면무호흡증 환자의 임상적 특성과 수면 변인에 관한 연구
이유진,이순정,강동진,Lee, Yu-Jin,Lee, Soon-Jeong,Kang, Dong-Jin 대한수면의학회 2008 수면·정신생리 Vol.15 No.2
배 경:수면은 크게 비렘수면(non-REM sleep)과 렘수면(REM sleep)으로 나눌 수 있으며 렘수면 중에는 근력의 소실로 상기도 확장 근육의 긴장도가 저하되고 상기도 저항은 증가하여 무호흡증이 발생하거나 악화될 수 있다. 폐쇄성 수면무호흡증 자체에 대해서는 이미 많은 부분이 알려져 왔으나 렘수면에만 특이적으로 나타나는 렘수면 의존성 폐쇄성 수면무호흡증(REM-dependent OSA)은 그 중요성이 간과되어 왔다. 본 연구에서는 REM-dependent OSA 환자들의 임상 특성과 수면 변인을 살펴보고자 하였다. 방 법:2004년 3월부터 2007년 2월까지 시립은평병원 수면검사실을 방문하여 경도나 중등도의 폐쇄성 수면무호흡증으로 진단받은(5<AHI<30) 56명의 환자(평균연령:$53.7{\pm}16.7$, 남성:42명)를 대상으로 하였다. REM-dependent OSA(AHIREM/AHINREM${\ge}$2) 환자군과 No REM-dependent OSA(AHIREM/AHINREM<2) 환자군의 임상적 특성과 수면 관련변인을 비교하였다. 통계분석은 Statistica 6.0 프로그램을 사용하였으며, 유의수준은 p<0.05로 하였다. 결 과:대상군 56명 중 21명(37.5%)가 REM-dependent OSA으로 진단되었다. 두 군사이의 연령, 성별, BMI (Body Mass Index)는 유의한 차이를 보이지 않았다. 성별, 연령, BMI, PLMI를 통제한 후, 수면 관련 변인 중 REMdependent OSA 환자군에서 AHI(Apnea Hypopnea Index), ODI(Oxygen Desaturation Index)가 유의하게 낮았다($12.1{\pm}6.4$ vs. $35.9{\pm}24.7$, p=0.010; $6.0{\pm}5.3$ vs. $24.0{\pm}20.4$, p=0.006, respectively, ANCOVA). REMdependent OSA 환자군에서유의하게 높은 2단계 수면이 관찰되었다($58.5{\pm}10.3$ vs. $51.2{\pm}13.2$, p=0.031, ANCOVA). REM-dependent OSA군으로 대상군을 한정하였을 때, 성별, 연령, BMI, PLMI를 통제한 후, 렘수면중 AHI는 전체 수면중 AHI, 비렘수면중 AHI, ODI와 유의미한 양의 상관관계를 보였다(r=0.720, p=0.001;r=750, p=0.001;r=0.749, p=0.001, partial correlation, respectively). 결 론 :본 연구에서는 폐쇄성 수면무호흡증 환자 중 37.5%를 REM-dependent OSA 환자로 진단할 수 있었다. REM-dependent OSA 환자는 더 경한 정도의 수면 무호흡증을 보이는 경향이 있었으며, 2단계 수면 분율의 증가 같은 수면구조의 변화와 연관되어 있었다. 또한, 렘수면중의 무호흡은 산소포화도 저하와 연관되어 있었다. Introduction: REM sleep which shows characteristic muscle atonia and increased resistance of upper respiratory track is known to be vulnerable to sleep apnea. Previous studies reported that REM sleep-dependent (or related) obstructive sleep apnea syndrome (REM-dependent OSA) could be one of sleep disordered breathing. The present study aimed to investigate clinical findings and polysomnographic variables of REM-dependent OSA. Methods: Fifty-six patients diagnosed with mild to moderate obstructive sleep apnea by overnight polysomnography (5<AHI:Apnea-Hypopnea Index<30) were included (average age of $53.7{\pm}16.7$ years, 42 males). REM-dependent OSA was defined as AHI-REM/AHI-NREM ratio>2. We compared clinical and polysomnographic findings between REM-dependent OSA and No REM-dependent OSA patients. Results: Among 56 patients, 37.5% (n=21, average age of $52.3{\pm}19.7$ years, 14 males) met the REM-dependent OSA criteria. There were no significant differences in age, sex and body mass index between two groups. After controlling for age, sex, body mass index and periodic leg movements index, REM-dependent OSA patients showed significantly lower AHI, lower number of oxygen desaturation events and higher stage 2 sleep proportion compared to No REM-dependent OSA patients (p=0.010, p=0.006, p=0.031, respectively). After controlling for age, sex, body mass index and periodic legs movements index, AHI-REM was positively correlated with the number of oxygen desaturation events in REM-dependent OSA group (p=0.002). Conclusion: Current results suggested that 37.5% of patients with mild to moderate severity of obstructive sleep apnea could be classified into REM-dependent OSA. REM-dependent OSA was more common in mild severity of OSA, equally prevalent in both sexes and accompanied with sleep architecture changes, i.e. increased proportion of stage 2. In addition, apneic events during REM sleep in REM-dependent OSA were related to oxygen desaturation.
일차성 불면증 환자에서의 주간 졸림증과 연관된 수면변인에 대한 연구
이유진,이진성,손창호,이은혜,문필성,정도언,Lee, Yu-Jin,Lee, Jin-Sung,Sohn, Chang-Ho,Lee, Eun-Hye,Moon, Pil-Sung,Jeong, Do-Un 대한수면의학회 2005 수면·정신생리 Vol.12 No.2
목 적:본 연구에서는 일차성 불면증으로 진단받은 환자들과 대조군 사이의 주간 졸림증 정도를 비교하고 불면증 환자에서의 주간 졸림증과 야간 수면다원검사에서 산출한 수면 변인 사이의 상관관계를 평가해 보고자 하였다. 방 법:서울대학교병원 수면 클리닉에서 일차성 불면증으로 진단받은 환자 87명과 88명의 대조군을 대상으로 하였다. 한국판 엡워스 졸림증 척도로 두 군의 주관적인 주간 졸림증을 평가하여 비교하였고 불면증 환자군에서 야간수면다원검사상의 수면변인과 엡워스 졸림증 척도 사이의 상관관계를 평가하였다. 결 과:불면증 환자군(남자 43명, 여자 44명; 평균연령 $50.7{\pm}11.9$)의 엡워스 졸림증 척도가 대조군(남자 43명, 여자 45명; 평균연령 $52.0{\pm}14.0$)에 비해 유의하게 낮았다. 연령을 통제하였을 때, 불면증 환자군의 엡워스 졸림증척도 점수는 수면변인 중 총 수면시간(total sleep time, min), 수면 효율(sleep efficiency%), 2단계 수면 분율(stage 2 sleep time%)과 유의한 음의 상관관계를 보였다(각각 r=-0.232, p=0.034; r=-0.215, p=0.049; r=-0.349, p=0.001). 또한, 수면 중 각성 횟수(number of awakenings), 수면 중 2분 이상 각성한 횟수(number of awakenings>2 mins), 수면 중 각성시간(wake after sleep onset, min)과는 유의한 양의 상관관계를 보였다(각각 r=0.412, p=0.000; r=0.473, p=0.000; r=0.367, p=0.001). 불면증 환자군의 엡워스 졸림증 척도는 수면 잠복기(sleep latency, min), 1단계 수면 분율(stage 1 sleep time%), 서파 수면분율(slow wave sleep time%), 렘수면 분율(REM sleep time%)과 유의한 상관관계를 보이지 않았다. 결 론:본 연구에서 불면증 환자는 대조군에 비해 주간 졸림증 정도가 더 낮았으며, 불면증 환자의 주간 졸림증은 수면의 양적 질적 저하와 연관되어 있었다. Objectives: The purpose of this study was to assess the difference of subjective daytime sleepiness level between primary insomnia patients and healthy control subjects. We also investigated the relationship between subjective daytime sleepiness level and variables of nocturnal polysomnograghic sleep architecture of insomnia patients. Method: Total subjects were 87 patients with primary insomnia diagnosed with polysomnography and 88 normal controls. The daytime sleepiness level in each group was measured by Korean version of Epworth Sleepiness Scale (ESS). The correlations of ESS score and nocturnal polysomnographic variables were calculated in the patient group. Results: Patients with insomnia had the lower ESS scores than the control group. In patients group, the ESS score showed significant negative correlations with total sleep time, sleep efficiency%, and stage 2 sleep time%. The ESS score also showed significant positive correlations with number of awakenings, number of awakenings more than 2 minutes, and wake after sleep onset time. Conclusions: Insomnia patients showed lower level of subjective daytime sleepiness that may indicate their higher alertness comparing to control subjects. Daytime sleepiness of patients with insomnia was associated with polysomnographic variables including total sleep time, sleep efficiency%, stage 2 sleep time% and disrupted continuity of nocturnal sleep.
백중환이 유효했던 연수 경색 후 발생한 중추성 통증 환자 1례
이유진,박호정,김근영,조기호,문상관,정우상,권승원,진철,Lee, Yu Jin,Park, Hojung,Kim, Geun Young,Cho, Ki-Ho,Mun, Sang-Kwan,Jung, Woo-Sang,Kwon, Seungwon,Jin, Chul 대한한방내과학회 2021 大韓韓方內科學會誌 Vol.42 No.5
Objective: This study addressed a case of central post-stroke pain described as right arm painful with coldness and left lateral medullary infarction. Methods: A patient, 71 years old female with medullary infarction, was treated with a Korean herbal medication (BackJun-pill). The improvement of symptoms was evaluated using the Numeral Rating Scale and reports of coldness and pain in the affected areas. We also measured the body temperature difference between the left and right arms using digital infrared thermographic imaging (DITI). Results: After six weeks of treatment with Korean medicine, the patient's pain and sensation of coldness decreased. Conclusions: This clinical case study suggests that BackJun-pill may be effective for alleviating pain and coldness due to central post-stroke pain.
Electrochemical capacitor를 위한 Ru 나노입자가 담지 된 다공성 탄소 나노섬유의 제조
이유진,안건형,안효진,Lee, Yu-Jin,An, Geon-Hyoung,Ahn, Hyo-Jin 한국재료학회 2014 한국재료학회지 Vol.24 No.1
Well-distributed ruthenium (Ru) nanoparticles decorated on porous carbon nanofibers (CNFs) were synthesized using an electrospinning method and a reduction method for use in high-performance elctrochemical capacitors. The formation mechanisms including structural, morphological, and chemical bonding properties are demonstrated by means of field emission scanning electron microscopy (FESEM), transmission electron microscopy (TEM), X-ray diffraction (XRD), and X-ray photoelectron spectroscopy (XPS). To investigate the optimum amount of the Ru nanoparticles decorated on the porous CNFs, we controlled three different weight ratios (0 wt%, 20 wt%, and 40 wt%) of the Ru nanoparticles on the porous CNFs. For the case of 20 wt% Ru nanoparticles decorated on the porous CNFs, TEM results indicate that the Ru nanoparticles with ~2-4 nm size are uniformly distributed on the porous CNFs. In addition, 40 wt% Ru nanoparticles decorated on the porous CNFs exhibit agglomerated Ru nanoparticles, which causes low performance of electrodes in electrochemical capacitors. Thus, proper distribution of 20 wt% Ru nanoparticles decorated on the porous CNFs presents superior specific capacitance (~280.5 F/g at 10 mV/s) as compared to the 40 wt% Ru nanoparticles decorated on the porous CNFs and the only porous CNFs. This enhancement can be attributed to the synergistic effects of well-distributed Ru nanoparticles and porous CNF supports having high surface area.
홧병클리닉을 방문한 환자들의 임상 증상과 MMPI 상의 성격 특징에 대한 연구
이유진,백경원,김하경,연규월,임원정,Lee, Yu-Jin,Baek, Kyung-Won,Kim, Ha-Kyung,Yun, Kyu-Wol,Lim, Weon-Jeong 한국정신신체의학회 2008 정신신체의학 Vol.16 No.2
연구목적 : 본 연구는 홧병 클리닉을 방문한 환자를 대상으로 임상증상과 MMPI상의 성격특성을 조사해 보고자 하였다. 방법 : 2005년 12월부터 2006년 7월(7개월간)까지 이대 동대문 병원 내 가슴앓이 홧병 클리닉에 내원한 31명의 여성 환자($45.4{\pm}8.4$세)를 대상으로 호소하는 증상에 대해 반구조화된 면담을 실시하였고 신체적 검사를 시행하였다. 광고를 통해 모집된 31명의 여성 대조군($42.9{\pm}8.0$세)을 포함한 전체 대상군에게 MMPI를 완성하도록 하였다. 결과 : 홧병 클리닉 환자들이 호소한 주 증상은 31명 모두 가슴 답답함 혹은 통증을 호소하였으며, 소화기계 증상은 총 19명(61.3%)에서 있었다. 호흡기계 증상은 13명(41.9%)에서 관찰할 수 있었으며, 수면 장애는 12명 (38.7%)에서 있었다. 불안, 우울감 같은 정신과적 증상은 12명(38.7%)이 호소하였다. 8명(27.6%)의 환자에서 시행한 검사상 소화기계 질환이 진단되었다. 나이와 교육수준을 통제했을 때, 홧병 환자군에서 MMPI 소항목 척도 중 Hs(Hypochondriasis), D(Depression), Hy(Hysteria), Pt(Psychasthenia) 점수가 유의하게 높았다(p=0.001, p=0.049, p=0.000 and p=0.029, ANCOVA, respectively). 결론 : 본 연구에서 홧병 클리닉을 방문한 환자들은 다양한 신체 질환을 호소하였고, 27.6%의 환자에서 실제 신체질환이 진단되었다. 또한, 홧병클리닉 환자들의 성격 특징은 건강염려적이고, 우울하며, 스트레스에 미숙하고, 불안하였다. Objectives : The current study aimed at assessing clinical symptoms and personality characteristics on MMPI of patients in Hwa-Byung clinic. Methods : Thirty-one female patients($45.4{\pm}8.4$ years old) who visited to the Hwa-Byung Clinic in Ewha womans Dongdaemoon hospital were recruited. Semistructured interviews and laboratory tests for symptoms were performed for the patients group. Patients group and control group($42.9{\pm}8.0$ years old) completed MMPI. Results : All patients had symptoms of chest tightness or chest pain. 19(61.3%) out of 31 patients had gastrointestinal complaints. There were respiratory symptoms in 13(41.9%) patients. 12 patients(38.7%) suffered from difficulties in their sleep. 12 patients(38.7%) had psychiatric symptoms including anxiety or depressed mood. 8 patients(27.6%) were diagnosed as gastrointestinal diseases by the laboratory test. After controlling age and education, scores of Hs, D, Hy, Pt on MMPI in patients group were significantly higher than control group (p=0.001, p=0.049, p=0.000, and p=0.029, ANCOVA, respectively). Conclusion : In the current study, patients who have visited Hwa-Byung clinic showed various somatic symptoms including chest tightness, gastrointestinal symptoms, complaints in respiratory system and psychiatric symptoms. Based on laboratory tests, considerable proportion of patients was diagnosed as physical illnesses. Additionally, patients in Hwa-Byung clinic have a tendency to be more hypochondriatic, depressed, hysteric and anxious.
테마가 있는 닭요리-더워지는 날씨! 여름대비 닭 요리!
이유진,Lee, Yu-Jin 한국계육협회 2008 월간 닭고기 Vol.156 No.-
날씨가 여름을 향해 가고 있다. 매년 이맘때쯤이면 복날 이라 해서 이런저런 여름 보양 음식들을 먹고는 한다. 여름 보양식 하면 떠오르는 요리는 무엇일까? 바로 '삼계탕' 이 가장 먼저 떠오를 것이다. 매년 삼계탕만을 먹었다면 올해는 다른 닭고기 음식을 먹어보자. 날도 더운데 끓는 솥에 서서 삼계탕을 만들다 먹기도 전에 지칠지 모르니 주변에서 쉽게 찾을 수 있는 닭고기 보양음식을 만나보자.
NiO 촉매의 분산성 및 안정성 향상을 위하여 FeCrAl 합금 폼 위에 성장된 Al<sub>2</sub>O<sub>3</sub> Inter-Layer 효과
이유진,구본율,백성호,박만호,안효진,Lee, Yu-Jin,Koo, Bon-Ryul,Baek, Seong-Ho,Park, Man-Ho,Ahn, Hyo-Jin 한국재료학회 2015 한국재료학회지 Vol.25 No.8
NiO catalysts/$Al_2O_3$/FeCrAl alloy foam for hydrogen production was prepared using atomic layer deposition (ALD) and subsequent dip-coating methods. FeCrAl alloy foam and $Al_2O_3$ inter-layer were used as catalyst supports. To improve the dispersion and stability of NiO catalysts, an $Al_2O_3$ inter-layer was introduced and their thickness was systematically controlled to 0, 20, 50 and 80 nm using an ALD technique. The structural, chemical bonding and morphological properties (including dispersion) of the NiO catalysts/$Al_2O_3$/FeCrAl alloy foam were characterized by X-ray diffraction, X-ray photoelectron spectroscopy, field-emission scanning electron microscopy and scanning electron microscopy-energy dispersive spectroscopy. In particular, to evaluate the stability of the NiO catalysts grown on $Al_2O_3$/FeCrAl alloy foam, chronoamperometry tests were performed and then the ingredient amounts of electrolytes were analyzed via inductively coupled plasma spectrometer. We found that the introduction of $Al_2O_3$ inter-layer improved the dispersion and stability of the NiO catalysts on the supports. Thus, when an $Al_2O_3$ inter-layer with a 80 nm thickness was grown between the FeCrAl alloy foam and the NiO catalysts, it indicated improved dispersion and stability of the NiO catalysts compared to the other samples. The performance improvement can be explained by optimum thickness of $Al_2O_3$ inter-layer resulting from the role of a passivation layer.
섬망 환자에서 Quetiapine과 Haloperidol의 치료 효과 비교 : 전향적, 무작위 연구
이유진,정한용,이소영,김신겸,박준호,Lee, Yu-Jin,Jung, Han-Yong,Lee, Soyoung Irene,Kim, Shin Gyeom,Park, Joon Ho 대한생물정신의학회 2009 생물정신의학 Vol.16 No.1
Objectives : The purpose of this study is to examine the efficacy and side effects of quetiapine and haloperidol for the treatment of symptoms of delirium. Methods : One hundred and seven patients with delirium were recruited and randomly assigned to receive a flexible-dose regimen of quetiapine or haloperidol over 7days and seventy-seven patients completed the study(quetiapine group N=40, haloperidol group N=37). The severity of delirium was assessed by using Memorial Delirium Assessment Scale(MDAS) scores, the psychiatric and behavioral symptoms were assessed by Neurobehavioral Rating Scale(NRS) scores, and the cognitive status was measured by Mini-mental state examination Korean version(MMSE-K) scores. The side effects were measured by Drug Induced Extrapyramidal Symptoms Scale(DIEPSS) scores. Results : MDAS scores significantly improved in both treatment groups. NRS scores also significantly improved in both treatment group, but the group-by-time effect approached significance, likely caused by the greater decrease in scores of the quetiapine group. MMSE-K scores significantly improved only in the quetiapine group. Side effects associated with treatment were not significant in either treatment groups. Conclusion : This study suggests that quetiapine is as efficacious as haloperidol in the treatment of delirium. In particular, quetiapine seems to improve psychiatric and behavioral problems of delirium and was more effective than haloperidol in cognitive improvement.