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하악 자연치열에 대합되는 상악 임플란트 전악 수복 증례
김인주,박종희,박주미,송광엽,안승근,서재민,Kim, In-Ju,Park, Jong-Hee,Park, Ju-Mi,Song, Kwang-Yeob,Ahn, Seung-Geun,Seo, Jae-Min 대한치과보철학회 2015 대한치과보철학회지 Vol.53 No.1
치주질환에 의해 수평적, 수직적 골흡수를 보이는 환자에게 전악 임플란트 고정성 보철수복 치료를 계획한 경우에는 저작 기능, 심미, 발음 등을 고려한 임플란트 식립이 필요하다. 이를 위해 철저한 임상적, 방사선학적 진단이 필요하며 광범위한 골이식과 연조직 이식술이 요구되기도 한다. 아직까지도 골이식한 상악에 대한 적절한 임플란트 식립 개수, 하부구조물 분할 여부 및 상부 구조물의 유지 방법 등에 대한 명확한 지침이 마련되어 있지 않기 때문에 진단과정에서 이를 고려한 검사가 요구된다. 본 증례에서는 치주질환 병력이 있는 환자에서 상, 하악 다수 치아 발거 및 치주 치료 후, 골이식 및 연조직 이식을 동반한 다수 임플란트 식립과 하악 자연 치열에 대합되는 상악 임플란트 전악 보철수복을 통하여 기능적, 심미적으로 만족할 만한 결과를 얻었기에 이를 보고하고자 한다. When an implant-supported maxillary full-arch fixed prosthesis is planned for patients with the horizontal and vertical bone resorption induced by periodontal disease, it is necessary to consider the masticatory function, esthetics and phonetics when placing implants. For this reason, thorough clinical and radiological diagnosis is necessary. Extensive bone and soft tissue grafting may be required as well. Since there is no clear guideline for proper number of implants, segment or splinting of substructure and method of retaining prosthesis, these should be considered during diagnostic process. This clinical report describes a patient who has experienced several tooth extractions and periodontal treatment due to severe periodontitis on maxilla and mandible. With bone and soft tissue graft before dental implant placement, the patient have satisfactory result in esthetic and functional aspect with the implant-supported maxillary full-arch fixed prosthesis opposing mandibular natural dentition.
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정상 성인 무증상 흡연자 , 당뇨병 환자에서 99mTc-DTPA 폐제거율의 측정
김인주,김성장,김용기,김윤성,이민기,박순규 ( In Ju Kim,Seong Jang Kim,Yong Ki Kim,Yun Seong Kim,Min Ki Lee,Soon Kew Park ) 대한핵의학회 1998 핵의학 분자영상 Vol.32 No.3
Purpose: We measured pulmonary epithelial permeability by Tc-DTPA radioaerosol clearance in patients with diabetes and correlated with the presence of microangiopathy to understand the pathophysiology of pulmonary microangiopathy and evaluate Tc-DTPA radioaerosol clearance as a diagnostic test to assess pulmonary microangiopathy. Materials and Methods: We performed ' Tc-DTPA radioaerosol scan in 10 normal subjects, 10 asym-ptomatic smokers, 20 diabetic patients without history of smoking (10 with microangiopathy, 10 without microangiopathy). Tc-DTPA clearance half-time (T1/2) was calculated, then compared with the result of chest radiography and pulmonary function test. Results: Chest radiography and pulmonary function test were normal in all subjects. There were no significant difference of clinical or laboratory characteristics between these groups except age. The diabetic patients with micraangiopathy were significantly older (p<0.05). The T1/2of normal subjects and asyrnptomatic smokers were significantly different (65.2+23.7min vs 39.6+9.8min, p<0.05). For diabetic patients with microangiopathy, the T, was 90 5+46.5min and significantly delayed when compared with those of normals and asymptomatic smokers (p<0.05). However, the T1/2of diabetic patients without microangiopathy, 70.0+12.7 min, was not significantly different from those of normals or asyrnptomatic smokers (p>0.05). No significant correlation was found between the T1/2and spirometric parameters including DLcc>, FVC, FEV>, FEV(/FVC (%) and FEF)5-75g in all subjects, and between the T1/2 and duration of diabetes in diabetic patients. Conclusion: Eventhough the influence of age cant be excluded, delayed Tc-DTPA clearance half-time (T1/2)in diabetic patients with microangiopathy indicates decreased pulmonary cspillary permeability as one of the pathophysiologic results of pulmonary microangiopaththy. Further studies are needed in larger number of age matched control and diabetic patients to evaluate the diagnostic efficacy. (Korean J Nucl Med 1998;32:266-75)
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건강의 새로운 화두, 대사증후군- 대사증후군을 진단하는 기준들
김인주,Kim, In-Ju 사단법인 한국당뇨협회 2005 당뇨 Vol.188 No.-
대사증후군이란 비만, 당대사이상, 고혈압 및 이상지질혈증과 같은 다양한 대사이상이 한 개인에게 중복되어 나타나는 상태를 지칭하는 것이다. 그러므로 대사증후군도 생활 습관병 중의 하나라고 생각할 수 있다. 대사증후군을 막을 수 있는 가장 경제적이면서도 효육적인 방법으로는 적절한 운동과 식사요법이라는 건강한 생활습관을 유지하여 적정한 체중을 유지하는 기초적인 건강수칙을 실천하는 것이 무엇보다 중요하다.
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김인주(In Ju Kim) 대한핵의학회 2001 핵의학 분자영상 Vol.35 No.4
Breast cancer accounts for the higher proportion of cancer related deaths among women, and the incidence of this malignant disease is still increasing. The commonly used screening method is mammography. However, mammography has the drawback of low specificity in differentiating malignant and benign breast diseases. To overcome this low specificity of mammography, scintimammography using various radiopharmaceuticals such as Thallium-201, Tc-99m MIBI, Tc-99m tetrofosmin and Tc-99m MDP was introduced and now actively under the investigation. Several studies have shown that high sensitivity and specificity in detection of primary breast cancer and axillary lymph node metastases using these radiopharmaceuticals. Scintimammography may play important roles in the diagnosis of primary breast cancer, evaluation of the patients with high risk, determining axillary lymph node metastasis, evaluation of the response to chemotherapy, determining the extent of disease, and surveillance of local recurrence. In the future, we should investigate the prognostic role of scintimammography after treatment of breast cancer patients and cost-effectiveness of scintimammography in the detection of primary breast cancer. (Korean J Nucl Me4 2001'35:213-223)
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Al5052와 DP590 이종금속 점 저항 용접특성 분석
김인주(In-Ju Kim),김지선(Ji-Sun Kim) 한국산학기술학회 2014 한국산학기술학회 학술대회 Vol.- No.-
본 논문에서는 알루미늄(Al5052)과 고강도강(DP590)의 점 저항 용접부의 특성을 파악하기 위해서 인버터 저항 용접프로세스를 이용하여 실험을 수행하였으며, 단면 형상 분석 및 기계적 특성 분석을 수행하여 인버터 저항용접의 적정 용접조건을 선정하였다. ISO 18278-2 용접조건을 이용하여 기본 용접 실험을 수행하였으며, 전류의 변화에 따라 점 저항 용접부의 특성을 분석하여 일반적인 인버터 저항용접을 사용하였을 경우에 대해 전류범위를 10.5kA~12.5kA로 결정하였다. 금속간화합물(IMC)측정을 위해 용접가능 범위내 3가지 용접조건을 선택하여 전류가 금속간화합물의 생성에 미치는 영향을 분석하였다. 또한, 용접부의 온도이력을 측정하여 다단펄스를 이용할 경우 용융온도의 감소 효과가 있음을 확인하였다.
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김인주(In Ju Kim),정상립(Sang Lip Chung) 대한피부과학회 1983 大韓皮膚科學會誌 Vol.21 No.5
Clofazimine (Lamprene or B668) is a phenazine congener that is used in leprosy, and the patients treated with the drug may develop red discoloration, dark brown pigmentation and ichthyotic skin. The authors observed 181 leprosy patients who had developecl discoloration, pigmentation and ichthyotic skin during clofazimine therapy, as well as disappearance of the pigmentation after stop of it. The results are summarized as follows: 1) Reddish discoloration was most frequently observed 2 weeks after beginning treatment in 66 patients (50. 4%), which showed earlier in the higher dosage grow up, 2) Dark brown pigmentation was iviost frequently observed 4 weeks after beginning treatment in 64 patients (48. 9%), which showed earlier in the higher dosage group. R) For histopathological evaluation of pigmentation, various ataining rnethods were used. On unstained frozen sections, yellow brown crystals were scattered in the dermis of both discolored and pigmented skin, and in H R E stain pigments, melanin were niarkedly increased in the epidermal basal layer and a, faint yellow brown. ghost was seen in dermis of pigmented skin. With fat stains using oil-red-0 and Sudan III, reddish amorphous materials were scattered in and around the cytoplasm of the macrophages c>f the pigmented skin. 4) Ichthyotic skin was observed in 97 patients, and most frequently 2 and R months after beginning treatment in 26 patients (26. 8%), but it was never observec1 in 34 of all patients in spite of a continuous intake of the drug for more than a. year. -countinue-
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