Periapical multilocular osteoporotic bone marrow defect

Jung, Yun-Hoa,Cho, Bong-Hae,Nah, Kyung-Soo 대한구강악안면방사선학회 2005 Imaging Science in Dentistry Vol.35 No.4

A case of osteoporotic bone marrow defect, which appeared as a well-defined multilocular radiolucency overlapping the roots of mandibular right second molar, was reported. On periapical radiograph, a daughter cyst-like radiolucency was seen at the anterior margin of the lesion making it difficult to rule out odontogenic keratocyst.

저체중 또는 과체중 청소년에서 캠프 프로그램을 이용한 영양 교육효과에 관한 연구

성미경,승정자,류화춘,박재년,박동연,최미경,조경옥,최선혜,이윤신,김유경,이은주 대한지역사회영양학회 2003 대한지역사회영양학회지 Vol.8 No.4

This study was performed to evaluate the effectiveness of a nutrition education program developed for nutritionally imbalanced adolescents. A summer nutrition camp was held for 23 overweight and 16 underweight subjects. Its effectiveness with regard to was evaluated at the end of the camp and 6 months later. Nutrition knowledge, nutritional attitude, food behavior, nutrient intake, exercise habit and ideal body figures desired by the subjects. The results showed significantly higher nutrition knowledge scores at the end of the camp as compared to those obtained prior to the camp program, and these scores were maintained for at least six months. Nutrition attitude scores also improved after the education program, and these improved scores also lasted for 6 months. However, the food behavior scores measured 6 months after the education program were not significantly different from those obtained prior to the camp. Also, the exercise habit, the ideal body figures and the body figures desired by the subjects remained unchanged. When nutrient intakes of subjects were assessed before the program and 6 months later, the mean daily vitamin C intake was significantly increased after the education program. Also, the intake of iron from plant food sources increased in the overweight subjects, while less iron from animal source were consumed by the underweight subjects. Both groups tended to consume more vegetables and fruits 6 months after the education program which may have contribute to the higher vitamin C and plant-based iron intakes. These results indicate that a 4-day nutrition education camp program sustained changes in nutrition knowledge and nutrition attitude for 6 months. The increased intake of vegetables and fruits was also achieved through this education program. However, changes in dietary behavior in adolescents may require repeated education.

발도르프 학교의 교사교육

정윤경 교육철학회 2002 교육사 교육철학 Vol.27 No.-

This article aims at exploring Waldorf teacher training. It seems that Waldorf teacher training is a crucial element for success of Waldorf school today. Waldorf schools devote the education integrating thinking, feeling and doing capacities of children. They, therefore, require a teacher as an artist. The main features of Waldorf teacher training, which may affect Korean teacher training, are as follows. First, Waldorf teachers follow a continuing path of self-education. The fact that each school teachers is committed to teach the entire curriculum and teach different grade each year for 8 years is both stimulating and demanding. Through a continuing inner awakening and self-development, they nourish the enthusiasm for teaching. Second, Waldorf teacher training course integrate artistic and partial activity through the curriculum as a method of educating the whole child. Third, Waldorf teacher training is closely related to waldorf school.

Cone Beam형 전산화단층영상을 이용한 상악대구치 발치 후 상악동 함기화 평가

정연화,나경수,조봉혜 대한구강악안면방사선학회 2009 Imaging Science in Dentistry Vol.39 No.3

Purpose : The purpose of this study was to examine the inferior expansion of the maxillary sinus floor following maxillary molar extraction. Materials and Methods : Cone beam computed tomographic images of 59 subjects were used to evaluate the height difference of the maxillary sinus floor between extraction sites and contralateral dentate sites. The height of the maxillary sinus floor was defined as the vertical distance to the Frankfort plane from the level of the anterior nasal spine to the most inferior point of the sinus floor. We examined the difference in sinus pneumatization according to the number of missing teeth and the vertical relationship of the molar roots to the sinus floor. Results : The inferior expansion of the maxillary sinus floor was 1.20±1.86 mm on the maxillary first molar and 1.90±2.42 mm on the maxillary second molar. Increased expansion was observed in cases where two proximate molars were extracted. There was no significant difference in sinus pneumatization following extraction according to the vertical relationship of the molar roots to the sinus floor. Conclusion : The results of this study confirm that sinus pneumatization occurs following maxillary molar extraction. In situations where pneumatization can affect treatment after molar extraction, three-dimensional radiography should be considered. (Korean J Oral Maxillofac Radiol 2009; 39 : 109-13)

프리캐스트용 고성능 콘크리트의 내구특성 검토

정영화,윤경구,용석응,김형균 강원대학교 부설 석재복합신소재 제품연구센터 1999 석재연 논문집 Vol.4 No.-

포장용 콘크리트는 열악한 환경조건에 의해 손상을 받지 않을 정도의 충분한 내구성을 가지고 있어야 한다. 포장 콘크리트는 실질적으로 겨울철에 제설제로 인한 동해를 받는 열악한 환경에 놓이기 때문에 동결-융해에 대한 손실을 쉽게 받을 수 있다. 이 연구에서는 폴리프로필렌 섬유를 혼입한 포장 콘크리트의 내구특성을 검토하여 현장적용가능성을 검토하기 위하여 섬유종류, 섬유혼입율, 콘크리트 배합종류를 주요 실험변수로 하여 실내시험을 수행하였다. 이를 위하여 먼저 폴리프로필렌 섬유보강 콘크리트의 압축강도시험을 통하여 강도특성을 분석하고 박 저항성 시험을 통하여 내구특성을 분석하였다. 박리저항성 시험은 국내에서 제설제로 사용하고 있는 4%의 염화칼슘을 콘크리트시편 표면에 유지시켜 동결-융해 사이클을 진행시켜 매5사이클마다 겉보기 등급과 무게변화를 측정하였다. 그 결과, 압축강도는 섬유 혼입율이 증가할수록 증가하였으며, 망사형 섬유보다는 단사형 섬유가 강도증진에 효과적임을 확인할 수 있었다. 박리저항성은 섬유의 혼입율이 증가할수록 모든 배합에서 우수한 것으로 나타났다. 무게 변화는 모든 배합에서 단사형 섬유와 망사형 섬유 모두 혼입율이 증가할수록 무게 손실량이 섬유를 혼입하지 않은 시험편에 비해 1.85∼27.5%로 감소하는 것으로 나타나 박리저항성 증진에 효과적임을 확인할 수 있었다. 폴리프로필렌 섬유보강 콘크리트의 강도특성의 내구특성을 분석한 결과 고속도로 배합인 경우 단사형 섬유와 망사형 섬유 모두 혼입율 0.10%에서 강도와 내구성 증진효과가 가장 우수한 것으로 나타났다. 강도특성과 내구특성을 분석한 결과, 내구특성이 보통 콘크리트보다 내구특성이 우수하여 현장적용이 가능한 것으로 나타났다. Pavement concrete subjected to severe environmental condition may be vulnerable to frost attack practically where de-icing chemicals are used. This study focused on the investigation of durability characteristics of pavement concrete incorporating polypropylene fibers and application feasibility of these into the pavements of local roads and highway. A series of labortory tests were performed with main experimental variable such as fiber types, fiber contents and type of concrete mix. The test of compressive strength was executed as primary tests, before the durability tests such as a scaling resistance were performed. De-icing salt resistance test was progressed by recycling freeze and thaw in the presence of a 4% calcium chloride solution. The deteriorated surfaces were rated by visual inspection and the loss weight were measured at every 5 cycles. The compressive strength of polypropylene fiber reinforced concrete increased as the fiber contents increased. The loss of weight decreased by 1.85∼27.5% compared to those of plain concrete as the fiber contents increased in the all kind of concrete mix. Thus de-icing salt scaling resistance of polypropylene fiber reinforced concrete increased as the fiber contents increased in the all concrete mix. From the results of strength and durability of polypropylene fiber reinforced concrete, it was concluded that they may be applied to the pavement of local roads and highway due to their excellent durability characteristics superior to those of plain concrete.

콘크리트 포장의 플라이애쉬 재활용 방안연구

정영화,최성용,윤경구,용석응,김태경 강원대학교 석재복합신소재제품연구센터 1998 석재연 논문집 Vol.3 No.-

한국 대부분의 고속도로는 콘크리트로 포장되고 있으며, 플라이애쉬를 포장용 콘크리트에서 재활용하면 콘크리트의 성능을 향상시킴과 동시에 경제적 이익과 환경보호에 큰 기여를 할 것이다. 본 연구에서는 플라이애쉬를 포장 콘크리트에 재활용하고자, 플라이애쉬 치환율, 물-시멘트비, 굵은골재 최대치수를 주요실험 변수로 하여 이들이 플라이애쉬를 혼입한 포장용 콘크리트의 역학적 특성에 미치는 영향을 살피기 위해서 실험하여 통계처리 분석하였다. 이러한 분석결과를 바탕으로 포장 콘크리트의 적정배합을 제시하였으며 결과는 다음과 같다. 플라이애쉬를 혼입한 포장콘크리트의 휨강도에 영향을 미치는 인자는 플라이애쉬 치환율이 가장 큰 것으로 나타났으며, 다음으로 굵은골재 최대치수와 물-시멘트비 순으로 영향을 미친다. 또한, 플라이애쉬 치환율과 굵은골재 최대치수의 상관관계가 가장 큰 것을 알 수 있었다. 목표압축강도를 목표 휨강도의 6배로 선택하여 적정구간을 결정하였으나, 적정배합구간이 목표압축강도에 의해서 결정되었다. 이는 플라이애쉬의 작은 수화물이 공극을 효과적으로 채움으로써 휨강도의 증진에 크게 기여하기 때문으로 판단된다. 고속도로 포장에 적용할 수 있는 32mm의 굵은골재 최대치수와 45%의 물-시멘트비를 사용하는 목표 휨강도 45kg/㎠의 적정배합에서는 5.0%까지 플라이애쉬를 치환 가능하고, 50kg/㎠의 적정배합에서는 2.5%까지 치환 가능하다. 공항 포장에 적용할 수 있는 40mm의 굵은골재 최대치수와 37%의 물-시멘트비를 사용하는 목표 휨강도 45kg/㎠의 적정배합에서는 4.5%까지 플라이애쉬를 치환 가능하고, 50kg/㎠의 적정배합에서는 2.0%까지 치환 가능하다. The most of highway in Korea have been paved by concrete since last ten years. The recycling of fly ash in pavement concrete may result in economics, the improvement of concrete quality and the reservation of environment. This paper focused on the series of experiment and statistics analysis with experimental variables such as fly ash substitute ratio, water-cement ratio and maximum size of coarse aggregate in order to investigate the feasibility of recycling of fly ash in pavement concrete, to see the strength characteristics and t propose the optimum mix design based on previous results. The results of experiments and analysis were follows; The fly ash substitute ratio affected most seriously to the flexural strength of concrete among main variables, followed by maximum size of coarse aggregate and water-cement ratio. The interaction between fly ash substitute ratio and coarse aggregate size was the biggest. The optimum mix design was determined by target compressive, which was selected as 6 times of flexural strength. This indicated that the small hydrate of fly ash in concrete filled in effectively and resulted in the enhancement of flexural strength. the optimum mix design for highway pavement concrete with 32mm of maximum size of coarse aggregate and 45% of W/C can incorporate up to 5.0% and 2.5% of fly-ash at 45 kg/cm² and 50 kg/cm² of target flexural strength, respectively. The optimum mix design for airport pavement concrete with 40mm of maximum size of coarse aggregate and 37% of W/C can incorporate up to 4.5% and 2.0% of fly ash at 45 kg/cm² and 50 kg/cm² of target flexural strength, respectively.

소의 늑골에서 탈회정도와 노출시간에 따른 프랙탈 차원의 변화

정연화,나경수,조봉혜 대한구강악안면방사선학회 2006 Imaging Science in Dentistry Vol.36 No.2

Purpose : We evaluated the fractal dimension changes on bovine rib radiographs according to the decalcification degree and the exposure time in the bovine rib. Materials and Methods : Twenty 5 mm thick cross-sectional blocks from bovine rib bone were progressively decalcified in 30 mL 0.1 N hydrochloric acid for 5, 30, and 90 minutes. They were radiographed at three exposure time settings (0.22, 0.36, 0.43 mAs) before and after each decalcification stage. We selected 100×100 pixel-sized regions of interests (ROIs) on trabecular bone and calculated fractal dimensions by box-counting method. Results : Repeated measures ANOVA showed that fractal dimensions gradually decreased after acid-induced demineralization and with more exposure (P<0.001). Conclusion : The fact that fractal dimensions decrease after decalcification might support the hypothesis that patients with osteoporosis have decreased radiographic fractal dimension in trabecular bone in comparison to normal subjects.

동맥경화에 의한 하지 허혈증 환자에서 Subintimal Angioplasty의 효과 : 단기 추적 결과를중심으로

윤상섭,허윤정,최승혜,박종경,이성,송경섭 대한혈관외과학회 2003 Vascular Specialist International Vol.19 No.2

상악 정중 과잉치의 위치와 병발증간의 관계

정연화,나경수,조봉혜 대한구강악안면방사선학회 2008 Imaging Science in Dentistry Vol.38 No.2

Purpose : The purpose of this study was to evaluate the relationship between the position of mesiodens and its complications. Materials and Methods: The subjects for this study consisted of 172 patients with mesiodens. Panoramic radiographs and cross-sectional tomography were taken of all of the subjects. Their clinical records and radiographs were analyzed in order to study the direction and vertical and sagittal position of mesiodens, as well as complications caused by mesiodens. Results : The number of mesiodens was one in 112 cases (65.1%) and two in 60 cases (34.9%). Complications were found in 121 mesiodentes (52.2%), with being median diastema the most frequent. The incidence of complications was high in erupted mesiodens (75.0%), in horizontal mesiodens (89.8%) and in mesiodens located within the arch (75.7%), but was low in mesiodens impacted above apex (29.8%), in normal position (34.4%) and in palatally positioned mesiodens (46.5%). Conclusion : It was suggested that the frequency of complications was different according to the vertical position, the direction of the crown and the sagittal position.

비만을 동반한 위암 환자에서 두 병을 같이 수술 치료한 경험(증례)

최경현,윤기영,문형환,신연명,서경원,안수미,송윤미,석정희,정경연,이은하 고신대학교의과대학 2008 고신대학교 의과대학 학술지 Vol.23 No.3

Obesity is growing problem in Korea. We had a case of bariatric surgery during gastric cancer operation. Patient was 29 year old Korean lady with early gastric cancer located in the lesser curvature side of the middle 1/3 of the stomach. Her body weight was 89 kg, height 163 cm, and thus body mass index was 33.5 kg/m2. Preoperative blood pressure was 130/90 mmHg, hemoglobin 12.9 g/dL, total lymphocyte count 3,280/mL, serum albumin 4.3 g/dL, CEA 1.1 ng/mL, CA 19-9 9.1 ng/mL, and alpha fetoprotein 2 ng/mL. Another associated disease was right thyroid follicular neoplasm. The chest X-ray was normal. After IM injection of 2,500 units of heparin 30 minutes before the induction of general anesthesia, she received curative subtotal gastrectomy and Roux en Y gastrojejunostomy when a malabsorption loop of 120 cm jejunum was incorporated between the Treitz ligament and the end to side jejuno-jejunostmy site at May 29th 2006. Her postoperative course was uneventful except a minor wound seroma and the elevations of serum amylase(up to 4 folds) and lipase(up to 2 folds). She lost her body weight 9 kg in 5th, 21 kg in 7th, and 27 kg in 10th postoperative months to became 61.5 kg. On follow up exams in July 2008, she gained 4 kg to overcome her weakness and fatigue. From the above result, the incorporation of a malabsorption loop during reconstruction phase of gastric cancer operation was a good option for obese gastric cancer patients especially in cases of early gastric cancer.