남성유방에서 발생한 침윤성 선암종 1 예 : Report of a case

정유경,문현준,전호종 조선대학교 1995 The Medical Journal of Chosun University Vol.20 No.1

Male breast cancer is rare compared to female breast cancer, about 1% or all breast cane or. The cause of male breast cancer is as poorly understood, but several etiologic factors have been suggested in the literature. Proposed risk factors include exogenous estrogen exposure, Klinefelter’s syndrome, gynecomastia and familial clustering. All of the microscopic types identified in the female breast have been encountered in males : the most common type is infiltrating duct carcinoma. Most often, it presents as a painless lump and subareolar in origin. Comparison with female breast cancer reveals no difference with regard to incidence of positive axillary lymph nodes. However there is a sightly lower survival rate for men. The stage of disease is the only parameter that significantly affects outcome. We report a case of breast cancer arising right subareolar area in a 57 year-old male. There were no familial history, Klinefelter's syndrome and microscopic evidence of gynecomastia. Histologically, this tumor was infiltrating duct carcinoma disposed in nests sometimes glands .

매복된 견치의 Tunnel을 통한 교정적 견인

전정훈,오유향,이난영,이창섭,이상호 大韓小兒齒科學會 2005 大韓小兒齒科學會誌 Vol.32 No.1

매복된 상악 견치를 위한 외과적 수술을 동반하는 교정치료는 주위조직에 손상을 주지 않고 치열궁내에 적절히 위치시켜야 한다. 이를 위해 매복된 치아의 위치에 따라 다양한 외과적, 교정적 방법이 소개되었으며, 그 방법으로 window procedure, apically positioned flap, closed eruption technique, tunnel traction 등이 있다. 깊은 골연하 매복에서 사용할 수 있는 방법으로 closed eruption technique 그리고 tunnel traction이 있는데, closed eruption technique은 점막 및 치은 하방으로 지나는 견인 와이어의 자극으로 염증 발생 가능성이 높으며 치은퇴축 및 부착 치은의 소실이 발생할 수 있다. 하지만, tunnel traction은 치아의 맹출이 터널을 통해서 유도되어 각화치은에 둘러싸인 채 치조골의 중앙으로 나오게 되므로 치은퇴축이나 치주부착의 소실 없이 적절한 각화치은을 얻을 수 있으며 매복치가 치조골의 중심부로 맹출함에 따라 생리적 맹출과 같은 효과 얻을 수 있다. 본 증례는 깊은 매복을 보이는 상악 견치를 tunnel traction을 이용한 치료를 보고한 것으로, 적절한 방향을 가지고 맹출하였으며 치은퇴축이나 부착치은의 소실이 발생하지 않았다. The impacted maxillary canine is a common problem of which all dental practitioners should be aware. The surgical orthodontic treatment of impacted canines is replaced correction position in dental arch without periodontal damage. Many treatment possibilities have been considered for this goal; window procedure, apically positioned flap, closed eruption technique and tunnel traction. Prognosis for these treatment may be very uncertain in many case(infraosseous impacted tooth). Other steps are required to achieve a satisfactory periodontal outcome. Satisfactory results could be expected if the physiologic eruption pattern is restored by tunnel traction, because permanent tooth erupts through the gingiva near the crest of the ridge so that periodontal damage is reduced. This article report that the surgical orthodontic treatment using tunnel traction is obtained proper position and reduced periodontal damage in facially impacted maxillary canines.

개에서 말기 외이염의 내과적 치료 증례

전민경,윤기영,최호정,정성목,송근호,이영원,박성준 忠南大學校 獸醫科大學 附設 動物醫科學硏究所 2008 動物醫科學硏究誌 Vol.15 No.1

A 8-year-o1d castrated male Shit-tzu dog was presented with chronic, severe and recurrent bilateral otitis externa. Clinical signs were stenosis, swelling, severe discharges from external auditory canal and pruritus of the ear. A diagnosis of the patient was made based on history, Physical examination, otoscopic examination, cytological examination and radiography. The dog was diagnosed to end-stage otitis externa and followed by treatment with systemic cyclosporine administration and topical solution. Clinical symptoms were resolved after 4 weeks cyclosporine therapy.

재근관치료를 통한 치근단 병소의 치유

전정훈,이연재,황호길 조선대학교 구강생물학연구소 2002 Oral Biology Research (Oral Biol Res) Vol.26 No.2

The cases of two patients with large periapical lesions are presents. Most of the periapical lesions formed as a result of improper endododtic treatment. Following conservative nonsurgical endododtic retreatment, there was resolution of the periapical lesion and clinical symptom. These results suggest that the sizes of a periapical lesion dose not mandate its surgical removal and even periapical lesions heal fellowing conservative nonsurgical endododtic retreatment.

초기 우식 병소에서 광원에 따른 형광효과 비교

전정훈,이난영,이창섭,이상호 大韓小兒齒科學會 2005 大韓小兒齒科學會誌 Vol.32 No.4

본 연구의 목적은 초기 우식 병소에서 광원에 따른 형광효과를 비교하는 것으로 정량 분석형 laser/light 형광법(Quantitative laser/light-induced fluorescence, QLF)을 이용하여 아르곤 레이저광, 할로겐광, 발광다이오드광(LED),플라즈마광의 형광효과를 비교하였다. 발거된 60개의 치아를 선정한 후, 인공우식용액에 노출되지 않을 부분에 nail varnish를 도포하였고 치아는 24, 48, 72시간 동안 인공우식용액에 보관되었다. 건조 후 QLF영상으로 초기 우식 부위의 광밀도 차이에 의한 탈회정도가 기록되었다. 또한 조영제를 이용하여 동일한 방법으로 실험하였고 다음과 같은 결과를 얻었다. 염료를 이용하여 같은 방법으로 실험하여 또 다른 결과를 얻었다. 1.각 군의 평균 광밀도를 볼 때, 플라즈마광이 세 군 모두에서 다른 광원들 보다 높았다.(p<0.05). 2.세 군 사이에서 평균 광밀도를 비교해 볼 때, 플라즈마광과 할로겐광이 차이를 보였다.(p<0.05). 3.조영제를 사용하였을 경우 평균 광밀도를 비교해 볼 때, 플라즈마광이 세 군 모두에서 다른 광원들보다 높았고(p<0.05), 발광다이오드광(LED)와 아르곤 레이저광을 제외한 모든 광원이 차이를 보였다(p<0.05). 4.조영제를 사용하지 않은 경우와 사용한 경우 평균 광밀돌르 비교해 볼 때, 사용한 경우에 모든 광원의 평균 광밀도 차이가 컸다. The aim of this study was to apply the quantitative light-induced fluorescence(QLF) and use of fluorescein-enhanced QLF method for quantitative assessment of early enamel demineralization in vitro, comparing effectiveness of light sources : argon laser, halogen lamp, light emitting diode (LED) and plasma arc lamp. Sixty extracted teeth were used. prepared by gentle pumicing and coating in an acid-resistant nail-varnish. except for an exposure to a demineralizing solution. Teeth were removed at regular intervals(24, 48, and 72hrs), air-dried and QLF image were taken. Mineral loss, as measured by difference of optical density. was recorded. For dye-enganced QLF a 0.075% sodium fluorescein dye was applied after QLF examination and mineral loss was recorded. The following result were obtained: 1.Comparing with mean difference of optical density. plasma arc lamp was higher than other light sources in all group(p<0.05). 2.Comparing each group with mean difference of optical density. there was significant different using plasma arc lamp and halogen lamp. 3.For use of dye-enhanced QLF. comparing with mean difference of optical density, plasma arc lamp were higher than other light sources in all group(p<0.05). 4.With this model dye-enhanced QLF compared with QLF in optical density, dye-enhanced QLF was higher than QLF in optical density. From the results presented in this paper, it was concluded that plasma light source was more effective compared with other light source for the detection and the quantification of early enamel caries.

한국형 우울장애 약물치료 알고리듬 (Ⅳ) : 우울장애의 아형 및 부작용에 따른 항우울제의 선택과 여성우울장애에서의 치료전략

전현태,이상열,김원,민경준,박원명,서정석,석정호,송해철,전덕인,홍진표,한국형 우울장애 약물치료 알고리듬 2006 연구그룹 大韓神經精神醫學會 2007 신경정신의학 Vol.46 No.6

Objectives : In 2002, the Korean Medication Algorithm Project for Major depressive Disorder (KMAP-MD) was published, but there has been a need for a guideline about detailed issues of depressive disorder. We revised KMAP-MDD andreestablished Korean Medication Algorithm Project for Depressive Disorder (KMAP-DD) in 2006. Methods : A questionnaire had been developed by the executive committee for KMAP-DD. The review committee consisted of 101 experienced psychiatrists. From the total of 22 questions in the questionnaire, 7 questions were evaluated for these subjects . We classified the expert opinions to 3 categories according to its confidence interval; first, second and third line. Results : SSRI and venlafaxine were the first line antidepressants (AD) for atypical and melancholic depression. For dysthymic disorder and minor depressive disorder, SSRI was recommended as the first line medications. Only AD medications was a preferred initial strategy for treating premenstrual dysphoric disorder, mild to moderate and severe non-psychotic postpartum depression. In severe psychotic postpartum depression, combination therapy of AD and atypical antipsychotics was the treatment of choice. SSRI was preferred when considering sedation, anticholinergic and cardiovascular adverse effects. Also, experts recommended mirtazapine against gastrointestinal adverse effects and bupropion in avoiding sexual dysfunction. Conclusion : These results suggest that clinicians have to consider both clinical situations and drug adverse effects in the choice of antidepressant medications.

청소년의 컴퓨터게임 이용실태, 부모양육방식, 개인의 정신병리

전성일,류정환,김영미,정홍경,조아라,이정호,최영민,이기철 대한소아청소년정신의학회 2000 소아청소년정신의학 Vol.11 No.1

연구목적 : 오늘날 컴퓨터게임은 청소년기의 보편적 놀이도구가 된 상황임에도 불구하고 이들이 게임에 몰두하는 이유와 개인특성에 관한 정신과적 연구는 드문 실정이다. 이러한 필요성에서 본 연구는 중학교 2년 생을 대상으로 청소년의 컴퓨터게임 사용실태를 파악하고, 연관된 개인정신병리와 부모의 양육방식과의 관계를 밝히고자 하였다. 방법 : 이 연구는 서울시 노원구에 위치한 중학 2년생 124명을 대상으로 하였다. 정신병리의 측정을 위하여 한국판 간이정신진단검사(SCL-90-R)을 사용하였고, 부모자녀 결합형태 조사(PBI)를 통하여 부모양육태도를 알아보았다. 결과 : 1) 비록 과도한 시간을 들여 컴퓨터게임을 하더라도, 컴퓨터게임과 연관된 특정 정신병리는 발견할 수 없었으며 따라서 콤퓨터게임은 청소년기에 있을 수 있는 일상적인 놀이문화이다. 또 한대 부분의 청소년은 컴퓨터게임이 문제가 되지 않는다고 인신하고 있었다. 2) 남학생은 게임빈도, 게임시간, 게임방에서 보내는 시간, 게임을 한 번 할 때 지속하는 시간 등에서 여학생에 비해 통계적으로 의미 있게 높은 수치를 보였다. 3) 청소년의 신체증상호소, 타인간의 관계에서 나타나는 불편감, 우울증, 불안증의 정신병리는 컴퓨터 오락으로 인한 부작용과 의미 있는 관계를 보였다. 4) 게임빈도와 FBI상의 어머니 과보호척도는 정적인 상관관계를 보였다. 5) 게임을 하는 이유로는 공부, 학교 생활 등의 복잡한 것을 잊고 몰두하기 위해가 가장 많았고, 가장 심리적으로 부담이 되어 피하고 싶은 것으로는 학업문제였다. 6) 청소년은 게임방을 주로 친구들과 어울리는 공간으로 사용하고 있었지만 그 기능을 다하기에는 아직 보완해야 할 점이 많다. 결론 : 게임으로 인한 부모, 교사와의 다툼, 잦은 지각/결석, 친구들과 어울리지 못하는 등의 문제가 많은 경우에는 청소년 자체의 정신별리를 의심해 보아야 하며, 게임의 빈도가 의미 있게 높은 청소년의 경우에는 둥반되는 정서상의 문제와 함께 부모양육태도도 함께 세심하게 살피는 것이 필요하다. Objects : This study was designed or studying of current Korean adolescents computer game playing habits and exploring associations with parental rearing patterns and individual psychopathology. Methods : One hundred twenty our adolescents(age 13-15) who reside in urban area completed self-report questionnaires containing Questionnaires designed by authors, Symptom Checklist-90-Revision of Korean Version(SCL-90-R) and Parental Bonding Instrument(PBI). Results : 1)Computer game playing appears to be one of the social and leisure phenomena in these days. Although Adolescents spend a lot of times on computer game, Many of them perceive not problematic. 2)Compared with females, Male play computer games more regularly, more longer, spent more times in gamebang. 3)There was positive relationship between anxiety subscale in SCL-90-R and detrimental effects of computer game. 4)There was positive relationship between game frequency and maternal overprotection. 5)The main reasons for playing are "for an avoidance of stressful life events" , academic burden was the most troublesome issues in korean adolescents. 6)Many adolescents use gamebang as a social place, but they thought that gamebang is not good places to have a good time. Conclusion : This papers shows that computer game playing is a popular social leisure activity in Korean adolescents. And, Most of korean adolescents reported that they are suffered from pressure of academic achievements. They use computer game mainly by means of relieving academic pressures. In a heavy game users who have many conflicts with parents, teacher and who has frequent truancy and social withdrawal show significant anxiety. Maternal overprotection was observed in heavy game users. Authors recommended that clinicians should be careful in examining heavy computer game behaviors. Both underlying affective states and environmental influences, including family situations should be vicariously examined. KEY WORDS : Computer game · Gamebang · Game habits · Psychopathology · Parental rearing pattern.

충수돌기에 발생한 비호지킨 림프종 1예

정유경,이미숙,김윤식,이미자,전호종 조선의대 1995 The Medical Journal of Chosun University Vol.20 No.2

엔진 구동형 니켈 티타늄 파일을 이용한 거터퍼쳐의 제거 효과

전정훈,민정범,황호길 大韓齒科保存學會 2004 Restorative Dentistry & Endodontics Vol.29 No.3

The purpose of this study was to quantify the amount of remaining gutta-percha/sealer on the walls of root canals when three types of nickel-titanium rotary instruments(Profile, ProTaper and K³) and a hand instrument (Hedstrom file) used to remove these materials. The results of this study were as follows: 1. In the total time for gutta-percha removal, Profile group was the fastest and followed by K³, Protaper, Hedstrom file group. 2. In case of the evaluation of the volume of remained gutta-percha from radiograph, K³group got the highest score and followed by Protaper, Hedstrom file, Profile group in the apical 1/3. 3. In case of the evaluation of the volume of gutta-percha remained from stereomicroscope, K³ group got the highest score and followed by Protaper, Hedstrom file, Profile group in the apical 1/3. These results showed that instrumentation using nickel-titanium rotary instrument groups was faster than that using hand instrument group. The effect of gutta-percha removal using Profile group was better than that using Protaper and K³ group in the nickel-titanium rotary instrument groups.

멸치젓의 呈味成分

李應昊,金世權,錢重均,金洙賢,金程均 釜山水産大學校 1982 釜山水産大學 硏究報告 Vol.22 No.1

멸치젓의 呈味成分에 관한 기초자료를 얻고자 생멸치와 이를 原料로 하여 제조된 멸치젓 중의 核酸關聯物質, 유리아미노산, betaine, TMAO, TMA 및 總creatinine을 分析하였다. 核酸關聯物質 중 생멸치에서는 IMP가 乾物量基準으로 2.8 μmole/g로 가장 많았으나 멸치젓에서는 hypoxanthine이 4.2 μmole/g으로 가장 많았고 , ATP는 흔적량에 불과 하였다. 멸치젓 중의 유리아미노산 중 함량이 많은 것은 leucine, isoleucine, phenylalanine, lysine, tyrosine, alanine, histidine, valine, methionine의 順이었고 glycine, proline, glutamic acid, arginine, threonine, serine 등은 함량이 적었다. 그리고 全유리아미노산은 젓갈 숙성중생원료에 비하여 약 2배로 增加 하였다. Betaine 은 생멸치 및 멸치젓 중에 各各 10.2㎎/100g, 30.0㎎/100/g였으며 이들이 엑스分室素에 대한 比率은 各各 0.6% 및 1.2%였다. TMAO 含量은 생멸치가 13.9㎎/100g, 멸치젓이 9.0㎎/100g였으며 TMA 含量은 各各 22.7㎎/100g 및 30.9㎎/100g였다. 總 creatinine 含量은 생멸치 및 멸치젓에서 各各 433.1㎎/100g, 575.8㎎/100g로서 엑스分室素에 대해 27.2% 및 22.8%였다. Omission test 結果 멸치젓의 呈味成分으로서는 유리아미노산 및 核酸關聯物質이 중요한 구실을 한다는 것을 알았다. This study was conducted to evaluate the taste compounds of fermented anchovy. The contents of such compounds as nucleotides and their related compounds, free amino acids, betaine, TMAO and total creatinine raw and fermented anchovy were analysed. The contents of IMP in raw anchovy appeared higher than other nucleotides and tended to decrease rapidly during fermentation. Therefore, in the case of fermented anchovy, hypoxanthine was abundant and IMP was very low in content. In the free amino acid composition of fresh samples abundant amino acids were leucine, isoleucine, phenylalanine, lysine, tyrosine, alanine, histidine, valine, methionine in order. Such amino acids as glycine, proline, glutamic acid, arginine, threonine and serine were poor in content. The contents of total free amino acids reached approximately about two times as compared with that of raw sample. The amount of betaine and TMA increased, while TMAO decreased during fermentation. The content of total creatinine in raw and fermented anchovy was occupied 22.8% and 27.2% of total of extractive nitrogen, respectively. As the results of omission test, the taste-active compounds of fermented anchovy are assumed to be free amino acids and nucleotides.