한의진단명과 진단요건의 표준화 연구 II (표준화 실례) : 2차년도 연구결과 중간 보고

양기상,최선미,최승훈,안규석,박경모,박종현,김성우,신승호,정우열,전병훈,고현,김정범,신상우,김성훈,김동희,권영규,엄현섭,장혜옥 한국한의학연구원 1996 한국한의학연구원논문집 Vol.2 No.1

The diagnostic requirements were suggested and explained regarding the systems of differentiation of symptoms and signs in the second year study of standardization and unification of the terms and conditions used for diagnosis in oriental medicine. The systems were as follows; - differential diagnosis according to condition of body fluid, differentiation of syndromes according to the state of qi and blood, differential diagnosis according to relative excessiveness or deficiency of yin and yang(氣血陰陽津液辨證) - differentiation of diseases according to pathological changes of the viscera and their interrelation - analyzing and differentiating of febrile diseases in accordance with the theory of the six channels(傷寒辨證) The individual diagnosis pattern was arranged by the diagnostic requirements in the following order : another name(異名), notion of diagnosis pattern, index of differentiation of symptoms and signs(辨證指標), the main point of diagnosis, analysis of diagnosis pattern(證候分析), discrimination of diagnosis pattern(證候鑑別), a way of curing a diseases(治法), prescription(處方), herb in common use(常用藥物), diseases appearing the diagnosis pattern(常見疾病), documents(文獻調査). This study was carried out on the basis of the Chinese documents and references.

忠北地方의 朝鮮 上流住宅 樣式 관한 硏究(1)

全相國,李達勳 大田大學校 産業技術硏究所 1995 산업기술연구소 論文集 Vol.6 No.2

The traditional houses which exist in our country can be divided into three types (lower, middle and upper class houses). Along them, the upper class houses of Choson dynasy were composed of An-chae and Hang-rang-chae, Sarang-chae, Byol-dang, and Sa-dang in Choson dynasty. This study focuses on the An-chae, the central p8art of the house, and try to discover the specific regional features of its construction type and analyze these various peculiarities focused on 10 houses 6which can be found in Chung-Buk local province. The results of this study are followings : 1. The shape of An-chae plane : It has almost ㄱletter shape plane symmetrized Anbang and Kyenrenbang each other on central of Daechung (a king of floor). 2. The type of bracket structure : The bracket structure of An-chae could be found that the type of Yangbong was jointed inner and outer of its building among Min-do-li types. 3. The form of the frame : The An-chae has the higher pillar type. 4. The form of the king post : The An-chae has the trapezoid king post and Dongjaju king post. 5. The form of the roof : An-chae has triangular shape roof or a combination of trapezoid and triangular shape roof covered with roof tile (Kiwa).

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.

두부 위치 변화에 따른 파노라마 방사선사진상의 치축각도의 왜곡

전현상,최갑림,임성훈,김광원 대한치과교정학회 2008 대한치과교정학회지 Vol.38 No.4

본 연구는 파노라마 방사선사진에서 두부 위치 변화에 따라 인접 치아장축 사이에 이루는 각도가 어떻게 변화되는 지 알아보기 위해 시행하였다. 정상교합자의 모델을 기초로 하여 3차원 solid 모델을 구성하고 이를 신속 조형모델(rapid prototyping, RP)로 제작하였다. 다음 9가지 두부위치들을 5주 동안 일주일 간격으로 재위치시키고 촬영하였다: ideal head position, 5^(o), 10^(o) up, 5^(o), 10^(o) down, 5^(o), 10^(o) right up, and 5o,^(o) 10^(o) right rotation. 파노라마 방사선사진 촬영은 디지털 방사선 촬영기(Planmeca ProMax)를 이용하였고 모니터상에서 직접 인접 치아장축을 표시하고 그 사이 각도를 계측하였다. 그 결과 이상적인 두부 위치와 다양한 두부 위치 변화에 따라 촬영한 파노라마 방사선사진 사이에 인접 치아장축 사이의 각도가 대부분 유의한 차이를 보였다. 수평축(X축)을 중심으로 고개를 든 경우, 각 치아 들의 장축이 교합평면을 향하여 수렴하는 경향을 보였고 고개를 숙인 경우에는 치근단측을 향하여 수렴하는 경향을 보였으며, 이는 특히 전치부에서 가장 큰 차이를 보였다. 전후방축(Y축)을 중심으로 좌우측으로 고개를 기울인 경우, 교합평면이 올라간 쪽의 치아장축은 치근단측을 향하여 수렴하는 경향을 보였고 교합평면이 내려간 쪽은 교합평면을 향하여 수렴하는 경향을 보였다. 수직축(Z축)을 중심으로 고개를 좌우로 회전시킬 때, 고개를 돌린 쪽의 측절치와 견치는 치근단측을 향하여 수렴하고 반대측의 측절치와 견치는 교합평면을 향하여 수렴하였다. 이상의 결과들로 볼 때 파노라마 방사선사진 촬영 시 두부의 위치 변화에 따라 치근 평행도가 달라지기 때문에 환자를 올바르게 위치시키는것이 중요하며, 교정 환자에서 파노라마 방사선사진을 이용하여 치근 평행도를 평가할 때 교합평면의 경사(전후방,좌우측방)나 악궁의 비대칭 등이 반드시 고려되어야 할 것이다. Objective: The purpose of this study was to evaluate the effect of head position changes on the root parallelism between adjacent teeth on panoramic radiographs. Methods: A model with normal occlusion was constructed in the SolidWorks program, then RP (rapid protyping) model was fabricated. The model was repeatedly imaged and repositioned five times at each of the following nine positions: ideal head position, 5^(o), 10^(o) up, 5^(o), 10^(o) down, 5^(o), 10^(o) right up, and 5o,^(o) 10^(o) right rotation. Panoramic radiographs were taken by Planmeca ProMax and the angle between the long axes of adjacent teeth was directly measured in the monitor. Results: Axes of adjacent teeth tended to converge toward the occlusal plane when the head tilted up and converged in the opposite direction to the occlusal plane when the head tilted down. Anterior teeth showed the most notable differences. When one side of the head tilted up 5o and 10o along the anteroposterior axis (Y axis), tooth axes of the same side tended to converge toward the occlusal plane and tooth axes of the opposite side tended to converge in the opposite direction to the occlusal plane. When the head rotated to one side along the vertical axis (Z axis), the canine and lateral incisor of the same side converged in the opposite direction to the occlusal plane and the canine and lateral incisor of the other side converged toward the occlusal plane. Conclusions: When assessing the root parallelism on panoramic radiographs, the occlusal plane cant (anteroposterior or lateral) or asymmetry of the dental arch should be considered because these can cause distortion of tooth axes on panoramic radiographs.

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.

汗出의 病因病機에 對한 文獻的 小考

田炳薰,陸相元,李光揆 대한동의병리학회 1996 동의생리병리학회지 Vol.10 No.2

땀이란 人體內에서 體溫을 調節하고 老廢物을 排泄하는 등의 중요한 生理作用을 한다고 알려져있다. 韓醫學에서는 津液의 一種이라하여 汗出에 대한 警覺心을 强調하기도 하였으며 發汗法에 대한 重要性과 이것으로 因한 後遺症을 警告하기도 하였다. 이에 筆者는 正常的인 新陳代謝로서의 땀이 生理機能失調로 인한 非正常的인 땀이나 汗蒸 혹 찜질방 등의 人爲的인 發汗으로 인한 땀과는 本質的으로 差異點이 있을 것으로 思料되어 땀에 대한 여러 가지 文獻을 整理하여 발표하고자 한다. It is known sweat plays important roles in temperature regulation and secretion as phtsical action. In oriental medicine, it is regarded as a kind of dody fluids, and the importance and the side effects of excessive eprspiration were emphasized. The objective of this study is to investigate literature and introduce the results because there will be the difference between the usual sweat for metastasis and the extraordinary sweats by failure of physical funciton, sauna and other artificial perspiration. The results of this study are summarized as follows: 1. Swteat is a kind of body fluid and the sweat for physical is considered to be made up of water component and made by the weakness of defensive energy of lung. 2. The function of activity of gi by triple heater brings about the thin and clear fluid and the fluid is made by the opening and closing function of defensive energy. 3. The disorder of opening and closing function comes about sponataneous perspiration and night sweats, spontaneous perspiration is divided into disharmony between Ying and Wei, insufficiency of both the spleen and the lung of gi and so on, and night sweats is divided into deficiency of the heart blood and deficiency of Yin brings about interior heat-syndrome. 4. Swear is named variously. 1) By the time and feeling : spontaneous perspiration, night sweats. 2) By the perts of body : perspiration on the forehead, chest, nose, groin, hand and foot and so forth. 3) By the color : yellow, red, green sweat. 4) By the condition : perspiration after shivering, hot and cold sweats and so on.

압입유동특성 평가를 위한 진변형률 정의에 관한 고찰

전은채,백민경,김성훈,박주승,권동일 대한금속재료학회 2004 대한금속·재료학회지 Vol.42 No.12

Continuous indentation test is getting more used to derive indentation flow curve. The overall deriving algorithm is relatively well-established, the details of the algorithm are, however, still argued. One of the arguments is the definition of true strain which constitutes the indentation flow curve. In this study, work-hardening exponent was adopted for determining what definition is appropriate to obtain accurate indentation flow curve since work-hardening exponent is affected by only the definition of true strain not by other constants. The effect of calibrating contact depth was eliminated using finite element analysis. Finally, the definition based on tangent function was determined to be proper for deriving the indentation flow curve. (Received September 8, 2004)

흑두로 제조한 청국에서 분리된 Bacillus subtillus BB-1으로부터 혈전용해효소 유전자 크로닝 및 특성규명

이영훈,이성호,전주미,김홍출,조용운,박기훈,최영주,갈상완 Plant molecular biology and biotechnology research 2005 Plant molecular biology and biotechnology research Vol.2005 No.

A bacterium producing five fibrinolytic isozymes was isolated from black bean chung kuk. The bacterium was identified as Bacillus subtilis BB-1 by 16s rDNA sequence homology search. A gene out of five fibrinolytic genes in the Bacillus subtilis BB-1 was cloned by shot-gun method. A Cla ⅠDNA fragment of B. subtilis BB-1 chromosome was cloned in to pBluescript ⅡSK(-) and showed the fibrinolytic activity to bacterial cells. The Cla ⅠDNA fragment was sequenced and the sequences did not show homology with gene for protease or fibrinolytic enzyme genes in other organisms. The Cla ⅠDNA fragment was reduced to 2,142 bp by activity-guided PCR cloning method. The optimum pH and temperature of the enzyme were 5.0 and 35℃, respectively. Substrate specificity of the fibrinolytic enzyme was detected in skim milk, casein, gelatin and blood agar plates. The activity of the enzyme was not detected with these substrates. Taken together, this enzyme is a new fibrinolytic enzyme and may be used to prevent thrombosis and arteriosclerosis.

에어젯트 노즐의 설계 제량에 대한 연구

정성일,정석윤,김경훈,전흥신 경희대학교 산학협력기술연구원 1996 산학협력기술연구논문집 Vol.2 No.-

Air-jet looms represent a major step in the development of shuttleless weaving because of their ability to weave a wide range of yarns at high speeds. Air-jet weaving involves inserting a pre-measured length of yarn through the wrap shed by means of compressed air. The analysis of air flow characteristic of the main nozzle and acceleration tube is necessary to loom performance. We examined the effect of the main nozzle with different acceleration tube as well as diameter. And also, we compared to the performance of straight type tube and laval type tube.

제한된 적응증의 대퇴골 간부 골절에 사용된 역행적 골수정 삽입술

김성중,오창욱,인주철,김희수,전인호,경희수,박일형,김경훈 대한골절학회 2003 대한골절학회지 Vol.16 No.1

목 적 : 전향적 골수강내 고정술로는 치료가 힘들었던 대퇴골 간부 골절에 대해 역행적 골수강내 고정술을 시행한 후 그 결과를 분석하였다. 연구 대상 및 방법 : 대퇴골 간부 골절로 진단 후 슬관절에서 역행적으로 비확공성 골수강내 금속정(Unreamed femoral nail, Synthes R)으로 치료한 환자 중 최소 1년 이상 추시(평균; 21개월, 범위; 13개월-28개월)가 가능하였던 21명 24례의 환자를 대상으로 임상적, 방사선학적 평가를 시행하였다. 남자가 16명, 여자가 5명이었으며, 수술시 평균 연령은 41세(18-76세)이었다. Winquist-Hansen의 분류상 제1형이 10례, 제2형이 5례, 제3형이 3례, 제4행이 6례 이었으며, 전 례에서 동반된 골절 손상이 있었으며, 적용된 적응층에 따르면 동측 경골 골절이 8명, 동측 근위 대퇴골 골절)경부 및 전자부 골절) 5명, 동측 골반부 및 비구 골절 4명, 양측 대퇴골 골절 3명, 동측 슬관절 손상이 1명이었다. 방사선 소견상 골유합 시기 및 불유합, 부정유합 등을 평가하였고, 임상적 평가는 슬관절의 동통을 포함한 Neer 등에 의한 방법을 이용하였다. 결 과 : 대부분(87.5%)에서 일차적인 골유합을 얻을 수 있었으며, 평균 골유합 기간은 15.8주(범위; 12-20주)이었다. 추가적인 술식이 요구된 지연유합 또는 불유합은 3례가 있었으며, 그 외 ㎝ 이상의 단축이나 10도 이상의 부정유합 술 후 슬관절 감염 또는 불안정성이 발생한 경우는 없었다. 슬관절의 운동 평가에서 Neer score는 평균 86.9점으로, 모든 례에서 양호한 결과를 나타내었다. 평균 슬관절 운동영역은 120.2도 이었고, 3례에서 경미한 슬관절 동통을 나타냈다. 결 론 : 역행성 골수정은 동측 하지의 동반된 골절이나 다발성 골절이 있는 환자에서 대퇴골 간부 골절에 대하여 제한적으로 이용될 수 있는 유용한 방법으로 사료된다. Purpose : This is a retrospective study to analyze the results after retrograde intramedullary(IM) nailing in femoral shaft fractures with limited indications. Materials and Methods : Twenty-four femoral shaft fractures(21 patients) were operated with unreamed IM nail(Unreamed femoral nail, SynthesR) in a retrograde method and were followed for more than 1 years. There were 16 men and 5 women, and the mean age at index operation was 41 years (range 18-76 years). In Winquist-Hansen classifications, there were 10 of type Ⅰ, five of type Ⅱ, three of type Ⅲ, and ix of type Ⅳ. All the patients had associated fractures or injuries, and there were eight ipsilateral tibia fractures, five ipsilateral proximal femoral fractures(including neck and trochanter), four ipsilateral pelvic or acetabular fracture, three bilateral femoral fractures, and one ipsilateral knee injury according to the used indication, and clinical evaluation with Neer's criteria was done. Results : Most fracture(87.5%) were primarily united cases, and the mean time for union was 15.8% weeks(range 12-20 weeks). Three cases of delayed union or nonunion were developed, but a shortening over 1㎝ or malunion over 10 degrees angular deformity were not found. Evaluating the knee functions, the Neer score wes 86.9 in average and all the cases were above satisfactory grade. The average range of knee motion was 120.2 degrees, and the mild knee pain was developed in three cases. Conclusion : The retrograde IM nailing can be a useful option for femoral shaft fracture with limited indications, including ipsilateral fractures of other areas or multiple fractures.