측두하악장애 환자에서 과두크기와 관절융기의 후방경사에 관한연구

박원희,이영수,우순섭,심광섭 大韓顎顔面成形再建外科學會 2000 Maxillofacial Plastic Reconstructive Surgery Vol.22 No.1

The purpose of this study was to investigate the interrelationship between temporomandibular joint disorders, and the condyle size and angle of the posterior slope of the articular eminence. The subjects used in this study were 100 patients with temporomandibular joint disorders and 100 volunteers with normal temporomandibular joints. All the patients and the volunteers were subjected to take panoramic and temporomandibular radiographs for the morphologic evaluation. This films were traced, measured, and analyzed. The data were processed with SPSS/PC+package for statistical analysis. The obtained results were as follows : 1. The posterior slope of the articular eminence in the group of temporomandibular joint disorders was larger than that in the normal group (p<0.05). The mean articular eminence angle was 31.6。±6.3 in the group of temporomandibular joint disorder, and 29.9。±8.4 in the normal group. 2. There were no statistically significant differences in the discrepancies of the left and right articular eminence angular measurements between the group (p>0.05). 3. There were no statistically significant differences in the condylar ratio between the groups (p>0.05). 4. There were no statistically significant differences in the discrepancies of the left and right ramus length measurements between the groups (p>0.05). 5. The relative size of condyle to fossa in the group of temporomandibular disorders was smaller than that in the normal group(p<0.05).

위암과 식도암이 병발된 다발성 원발성 악성종양 1예

박사영,이나영,이효진,이선영,최진혁,이순남,심강섭,성순희,한운섭 梨花女子大學校 醫科大學 醫科學硏究所 1996 EMJ (Ewha medical journal) Vol.19 No.3

Multiple primary cancer means that more that two cancers occur independently in an individual. Recently, the incidence of multiple primary cancer has increased with lengthened survival, of cancer patients, development of new diagnostic technique and increased clinical evaluation. We report a patient who had adenocarcinoma of stomach combined with squamous cell carcinoma of esophagus simultaneously.

유도기술의 체급별 사용기술에 관한 연구 : 제 27회 회장기 전국유도대회를 중심으로 The 27th hoejanggi National Judo Games

박순진,김도준,김성섭,조은복 龍仁大學校 武道硏究所 2001 武道硏究所誌 Vol.12 No.1

This study is the score distribution in use of a art for 288 men excellent grade Judo platers who participated in the hoejanggi national Judo game. By analyzing the sore classified by the art and the score classified by the attack, I got the result as mentioned below. 1) Considering the result of each grade, except -66kg grade and limitless grade, in every grade there was IPPON most frequently. Jumping to the conclusion based on these facts, players conduct most game for IPPON actively and sharply. 2) In the aspect of art, except 081 grade, in every grade platers tried the Ashi waza most frequently. 3) The important art to sequence by grade follows as below. ■ -60kg grade Doechigi - Seoi nage, Kuchiki taoshi, Uchi mata, O uchi gari - Moro te gart, Sasae tsurikomi, O sae waza, Kan setsu waza ■ -66kg grade Seoi nage - Moro te gari, Uchi mata - Ko uchi gari, Osae waza - Okuri ashi harai, O uchi gari, O soto gari, Harai goshi, Doechigi ■ -73kg grade O uchi gari - Seoi nage - Harai goshi - O soto gari, Doechigi - Uchi mata - Mor te gari ■ -81kg grade Seoi nage - Uchi mata - Taniotosh, O sad waza - Moro te gari, Ko uchi , O soto gari ■ -90kg grade Harai goshi - Doechigi - Ouch gari - Moro te gari, Sukul nage, Uchi mata ■ -100kg grade Hafai goshi - Uchi mata, O uchi gari, O soto gari - Sasae tsurikomi - Ko soto gari ■ +100kg grade O sae waza - Uchimata, Ko soto gari, O uchi gari, O soto gari - Harai goshi

배양골세포 이식이 치조골재생에 미치는 영향

정순준,허익,박준봉,이만섭,권영혁 慶熙大學校 齒科大學 1995 慶熙齒大論文集 Vol.17 No.2

This study was performed to estimate the effects of cultured bone cell inoculated on porous type hydroxyaptite for the regeneration of the artificial alveolar bone defect. In this experiment 3 beagle dogs were used, and each of them were divided into right and left mandible. Every surgical intervention were performed under the general anesthesia by using with intravenous injection of Pentobarbital sodium (30mg/Kg). To reduce the gingival bleeding during surgery, operative site was injected with Lidocaine hydrochloride (1:80,000 Epinephrine) as local anesthesia. After surgery experimental animal were feeded with soft diet(Mighty dog, Frisies Co., U.S.A.) for 1 weeks to avoid irritaion to soft tissue by food. 2 months before surgery both side of mandibular 1st premolar were extracted and bone chips from mandibular body were obtained from all animals. Bone cells were cultured from bone chips obtained from mandible with Dulbecco's Modified Essential Medium contained with 10% Fetal Bovine Serum under the conventional conditions. Porous type hydroxyapatite were immerse into the high concentrated cell suspension solution, and put 4 hours for attachment the cells on the surface of hydroxyapatite. Graft material were inserted on the artificial bone defect after 3 days of culture. Before insertion of cell-inoculated graft material, scanning electronic microscopic observation were performed to confirm the attachment and spreading of cell on the hydroxyapatite surface. 3 artificial bone defects were made with bone trephine drill on Abe both side of mandible of the experimental animal. First defect was designed without insertion of graft material as negative control, second was filled with porous replaniineform hydroxyapatite inoculated with cultured bone marrow cells as expermiental site, and third was filled with graft materials only as positive control. The size of every artificial bone defect was 3 mm in diameter and 3 mm in depth. After the every surgical intervention of animals, oral hygiene program were performed with 0.1% chlorhexidine digluconate. All of the animals were sacrificed at 2, 4, 6 weeks after surgery. For obtaining histological section, tissus were fixed in 2.5% Glutaldehyde and decalcified with Planko-Rycho Solution for 72 hr. Tissue embeding was performed in paraffin and cut parallel to the surface of mandibular body. Section in Bum thickness of tissue was done and stained with Hematoxylin-Eosin. All the specimens were observed under the light microscopy. The following results were obtained. 1. In the case of control site which has no graft material, less inflammatory cell infiltration and rapid new bone forming tendency were revealed compared with experimental groups. But bone surface were observed depression pattern on defect area because of soft tissue invasion into the artificial bone defect during the experimental period. 2. In the porous hydroxyapatite only group, inflammatory cell infiltration was prominet and dense connective tissue were encapsulated around grafted materials. osteoblastic activity in the early stage after surgery was low to compared with grafted with bone cells. 3. In the case of porous hydroxyapatite inoculated with bone cell, less inflammatory cell infiltration and rapid new bone formation activity was revealed than hydroxyapatite only group. Active new bone formation were observed in the early stage of control group. 4. The origin of new bone forming was revealed not from the center of, defected area but from the surface of preexisting bony wall on every specimen. 5. In this experiment, osteoclastic cell was not found around grafted materials, and fibrovascular invasion into regions with no noticeable foreign body reaction. Conclusively, the cultured bone cell inoculated onto the porous hydroxyapatite may have an important role of regeneration of artificial bone defects of alveolar bone.

도서형피판(Island Pedicle Flap)에 대한 임상적 고찰

양순재,박종섭,박병일 大韓成形外科學會 1987 Archives of Plastic Surgery Vol.14 No.1

Following its introduction as island flap by Dunham in 1893 for the reconstruction of a cheek defect with a flap based on the anterior temporal vessels has been popularized in the field of plastic and reconstructive surgery. And investigators are continually searching for new donor area for use of it. In clinical application of the island flap, a given flap must be met certain criteria in order to given widespread acceptance. Among these are applicability in a wide range of situations, presence of indentifiable blood vessels, easy dissection, and minimal donor-site morbidity. Island pedicle flap is a very useful method of treatment for such situations in which cannot to be using a local flap because of scar tissues or irradiated tissues around the wound, and in which inapplicable to be using a free because of inadequacy of the recipient vessels. It has many distinctive advantages over the conventional local flaps. They are as follows; 1. It has good blood supply and less risk of infection, so it is be one of the safest. 2. It provides well vascularized flap with a one-stage operation. 3. It has no necessity of delay, and far fewer limitations of flap-size. 4. It improves the comfort of the patients, and allows early ambulation. And compare to free flap, advantages of the island flap are the technical ease of the transferring it, the simplest method with a single operation, short hospitalization, and lower cost. During the past 5 years (from Feb., 1982 to July, 1986) authors experienced 18 cases of island pedicle flaps. In this paper, we would like to report our cases with brief of the related references.

동해지방의 천연 Zeolite 의 건조제로서의 흡착특성

김종택,이무섭,박순권,홍상표 경북대학교 산업기술연구소 1988 産業技術硏究誌 Vol.16 No.-

Some selected natural zeolites obtained from Kyungpook coastal area were modified by HCI, NaOH and NH_4OH solutions and exposed to the atmosphere of various vapour pressure within the desiccator. Generally, silica gel exhibited as good moisture adsorbent at high humidity and as poor adsorbent at low humid atmosphere. However, moisture adsorption capacities of mordenite such as Na^+-K_111, NH_4^+-K_111, Na^+-Y_11 exceeded the silica gel at the lower moisture pressure than 16 torr. NH_4^+-MOrdenite proved itself to be best adsorbent in the closed system whose moisture pressure diminished as the time eclipsed. This system was most closely simulated to the working conditions of those commercial dryer in the package.

유리 광배근피판을 이용한 하지의 재건

이규윤,김용배,이영만,양순재,박종섭 大韓成形外科學會 1991 Archives of Plastic Surgery Vol.18 No.1

Significant soft-tissue defects in the lower extremity including the tibia and the foot are best managed with free skin-muscle of skin-grafted free muscle transfers. While free flap donor sites useful for lower exremity reconstruction include the latissimus dorsi, the rectus abdominis, the gracilis, and the scapular flaps, the latissimus dorsi seems ideal. This muscle has a reliably long vascular pedicle of wide diameter, making microsurgical anastomosis of the thoracodorsal vessels straightforward. Because it is so large, it can cover virtually and size defect. Furthermore, its flat configuration makes it especially easy to fold on itself to that it can be used to closure wounds with complex three-dimensional geometry and dead space. Although the gracilis and rectus abdominis muscles have their roles, in most cases the latissimus dorsi should serve well. We described technical considerations in each case and the advantages of free latissimus dorsi myocutaneous flap on the reconstruction of the soft tissue defect in the lower extremity.

산전초음파에서 발견된 기형의 계통별 진단 임신 주수의 차이

이병관,김선미,홍준석,심순섭,박중심,전종관,윤보현,신희철 대한산부인과초음파학회 2003 대한산부인과초음파학회지 Vol.5 No.2

Lidocaine, Thrombin, Epinephrine 의 항균효과

김진우,이동건,전혜선,김승준,김석찬,안중현,김치홍,권순석,김영균,김관형,문화식,신완식,송정섭,박성학 대한감염학회 2005 감염과 화학요법 Vol.37 No.6

목적 : 기관지내시경 검사에서 흔히 사용되는 국소마취제인 lidocaine과 내시경시 지혈목적으로 사용되는 thrombin과 epinephrine이 각종 균주에 미치는 항균효과에 대해 알아보고자 하였다. 재료 및 방법 : 균주는 가톨릭대학교 성모병원에서 2004년 3월부터 2004년 9월까지 임상검체 에서 동정된 S. aureus, S. pneumoniae, K. pneumoniae, P. aeruginosa 각각 42, 42, 42, 43주를 대상으로 하였다. Lidocaine, thrombin, epinephrine 감수성 검사는 National Committee for Clinical Laboratory Standards (NCCLS, 2002)의 기준에 따랐다. 결과 : Lidocaine은 S. aureus, S. pneumoniae, P. aeruginosa에서 MIC_(50), MIC_(90) 모두 20,000 ㎍/mL 이었다. K. pneumoniae는 각각 10,000 ㎍/mL이었다. Thrombin은 S. aureus와 P. aeruginosa에서 MIC50 500 lU/mL 과 MIC_(90) 500 IU/mL 이상이었고, K. pneumoniae에서는 MIC_(50)과 MIC_(90)이 모두 500 lU/mL이상이었으나 S. pneumoniae에서는 MIC_(50)과 MIC_(90)은 125 IU/mL이었다. Epinephrine은 K. pneumoniae, S. pneumoniae에 대한 MIC_(50), MIC_(90)가 모두 >500 ㎍/mL이었고, S. aureus와 P. aeruginosa에 대한 MIC_(50), MIC_(90)가 모두 500 ㎍/mL이었다. 결론 : 기관지 내시경 검사에서 흔히 쓰이는 lidocaine, thrombin, epinephrine 등의 약제들이 호흡기 질환의 흔한 병원균인 S. aureus, S. pneumoniae, K. pneumoniae, P. aeruginosa 균주들에 대해 항균 효과가 있을 수 있어 세균배양검사에 영향을 미칠 수 있겠다. Background : We performed this stody to find out about antimicrobial effect of lidocaine which is commonly used local anesthetic, and thrombin and epinephrine used for hemostasis during bronchoscopic procedures. Materials and Methods : The microorganisms that were cultured from specimens obtained during bronchoscopy were Staphylococcus aureus (n=42), Streptococcus pneumoniae (n=42), Klebsiella pneumoniae (n=42), and Pseudomonas aeruginosa (n=43) collected from St. Mary's Hospital, from March to Sep 2004 were used for susceptibity testing. Susceptibility to lidocaine, thrombin, and epinephrine were tested according to the National Committee for Clinical Laboratory Standards. Result : MIC_(50) and MIC_(90) of lidocaine for S. aureus, S. pneumoniae, P. aeruginosa were all 20,000 ㎍/mL and that for K. pneumoniae were 10,000 ㎍/mL. MIC_(50) and MIC_(90) of thrombin for both S. aureus and P. aeruginosa was 500 IU/mL and above 500 IU/mL, respectively; that for K. pneumoniae were all above 500 IU/mL and for S. pneumoniae they were 125 IU/mL, MIC_(50) and MIC_(90) of epinephrine for K. pneumoniae and S. pneumoniae were above 500 ㎍/mL; that for S. aureus and P. aeruginosa were 500 ㎍/mL. Conclusion : We observed possible antimicrobial effect of lidocaine, thrombin, and epinephrine in vitro against pathogens such as S. aureus, S. pneumoniae, K. pneumoniae, P. aeruginosa, which are common respiratory microorganisms. The use of these agants could affect the result of bacterial culture.

서울 월드컵공원의 고등균류 분포상

석순자 ( Soon Ja Seok ),진용주 ( Yong Ju Jin ),유기범 ( Ki Bum Yoo ),권순우 ( Soon Woo Kwon ),박인철 ( In Cheol Park ),이상엽 ( Sang Yeob Lee ),김양섭 ( Yang Sup Kim ) 한국균학회 2014 韓國菌學會誌 Vol.42 No.4

This survey was conducted in order to clarify the species diversity and distribution of mushrooms at Worldcup Park in Seoul, from May to November 2010 and 2014. In the survey, a total of 98 taxa, 98 species, 86 genera, 38 families, 12 orders, three classes, and two phyla were identified. A total of 250 specimens of Mushrooms were collected from Pyonghwa Park and 63 species, 71 genera, 36 families, 13 orders, three classes, and two phyla were identified. Coprinus atramentarius and Psathyrella candolleana were high in frequency, as ten times and nine times, respectively. In Noeul Park, 102 specimens were collected, 41 species, 42 genera, 19 families, 19 orders, two classes, and two phyla were identified. In Noeul Park mostly layed with lawn, Agrocybe semiorbicularis and Agaricus campestris were high in frequency, as ten times and nine times, respectively. There were no mushrooms in succession during three years. In Haneul Park, a total of 128 specimens of mushrooms were collected. 49 species, 57 genera, 30 families, 11 orders, three classes, and two phyla were identified. Agrocybe semiorbicularis and Phallus rugulosus were high in frequency, as four times. In Nanjicheon Park, a total of 68 specimens of mushrooms were collected. 31 species, 34 genera, 30 families, nine orders, one class, and one phylum were identified. Coprinus atramentarius and Psathyrella velutina were high in frequency, as three times. Investigation on the diversity of mushrooms at the Worldcup Park, piled up with the city``s waste, will be of the great significance in the aspect of the ecological change. All specimens examined in this work are preserved in HCCN (Herbarium Conservation Center of National Academy of Agricultural Science).