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김재곤,양연미,백병주,이승익 大韓小兒齒科學會 2000 大韓小兒齒科學會誌 Vol.27 No.1
Intra-& extra-hepatic duct system의 경화를 야기하는 Biliary atresia는 출생시 1:10,000의 발생빈도를 보이며, 5년 이하의 생존율을 나타내는 예후가 좋지 않은 질환이다. 담도폐쇄증의 원인은 아직 명확하지 않으나, 유전적인 요소나 발육성 원인으로 믿고 있다. 임상적 특징으로 두드러진 황달, 간비증대, 가려움증, 지방변, 황색종, 성장지연, 문맥압항진증, 출혈, 골연하증, 복수 그리고 호흡기계 감염 등을 나타낸다. 구강내 소견으로 녹색을 띄는 변색치아, 유치의 확장된 치수강과 치근관, 치아맹출지연, 법랑질 형성부전, 그리고 심한 치아 우식 등이다. 담도폐쇄증은 조기진단과 수술에 의해 사망률이 감소되고, 성장과 발달이 정상으로 돌아오며 생존율도 향상되었으나 여전히 그 원인과 치료에 대한 연구가 계속되어야 할 것이다. 이에 저자는 전북대학교 치과병원에 내원한 2명의 담도폐쇄증환아에 대해 임상, 방사선학적 특징 및 적합한 처치에 대하여 보고하고자 한다. Congenital biliary atresia with pregressive sclerosis of the intra-and extra-hepatic duct system occurs in 1:10,000 live births, and has a poor prognosis with an expected survival of less than 5 years. Etiology of biliary atresia is unclear, however, it is believed a genetic or developmental cause. The clinical characteristics include pronounced jaundice, hepatosplenomegaly, pruritus, steatorrhea, xanthomas, growth retardation, portal hypetension, bleedings, ascites and respiratory infections. Oral manifestations have seldom been reported in patients with biliary atresia, but there may be enamel hypoplasia, delayed tooth eruption, and green teeth. Early diagnosis and surgical intervention have decreased morbidity, returned growth and development to normal and improved the prognosis for survival. Authors report the clinical and radiologic characteristics, proper managements about two cases with biliary atresia.
불소적용시 법랑질과 상아질에서 불화칼슘형성의 차이에 관한 실험적 연구
김재곤,권선자,윤현두,안수현,백병주 大韓小兒齒科學會 1998 大韓小兒齒科學會誌 Vol.25 No.1
The purpose of this study was to compare the amount of calcium fluoride deposited on the enamel and dentin surface and to obtain information on the morphological change and crystallographic details of mineral deposition after 12,000ppm APF application in vitro. The bovine enamel and dentin blocks were randomly assigned to eight groups according to artificial caries lesion formation and difference of fluoride application time. The fluoride concentration and morphological characteristics on the treated enamel and dentin surface were investigated by using fluoride quantitative analysis and SEM. The powdered enamel and dentin of the intact bovine incisors were prepared for the X-ray diffraction analysis. The following results were obtained. 1. The amounts of KOH-soluble fluoride on the carious enamel and dentin surface after 24h APF application were higher than after only 5min APF application(P<0.05), but in the case of the sound enamel and dentin surface were similar after 5min and 24h application (P>0.05). The fluoride content was highly increased in the carious dentin as compared with sound dentin after APF application(P<0.05). 2. The caruous enamel surface after APF application, the demineralized enamel surface were recovered a more dense enamel surface and precipitation of crystal was observed a distintive surface layer of spherical globules of about 1 m diameter. In the case of the fluorided carious dentin surface, precipitation of calcium fluoride-like material was deposited both inside the dentinal tubules as well as in the intertubular regions. 3. The crystallographic structure of powdered enamel and dentin after 24h APF application had large crystallities of apatite and CaF2 diffraction peaks in the enamel as compared with dentin. The diffraction data collected from the 27.50-29.50(2) angular range of the powdered enamel, the (105) apatite, (225) apatite and (111) CaF2 peaks of the enamel crystallities were detected after 24h APF application.
불소함유여부에 따른 치면열구전색제의 전단결합강도에 관한 실험적 연구
백병주,김재곤,허선,권선자 大韓小兒齒科學會 1996 大韓小兒齒科學會誌 Vol.23 No.2
This study was to evaluate shear bond strength fluoride-relesing sealant and nonfluoride-relesing sealant to enamel surface of bovine tooth. 80 extracted bovine teeth were randomly assigned to four groups,and four kind of sealants including Teethmate-A(Kuraray Co.),Teethmate-F(Kuraray Co.),Helioseal(Vivadent Co.),Helioseal-F(Vivadent Co.) were bonded to exposed enamel surfaces using silicon plate. Shear bond strength was determined in an instron universal testing machine at a crosshead speed of 1mm/min.Then,the fracture surfaces of test specimens were investigated with scanning electron microscope. The obtained results were as follows; 1.The shear bond strength decreased in the following oder:Teethmate-A(18.31MPa),Teethmate-F(11.90MPa),Helioseal(11.74MPa),Helioseal-F(10.64MPa). 2.The shear bond strength of Teethmate-A showed significantly higher than that of Teethmate-F(P<0.05),but Helioseal and Helioseal-F didn't showed statistically different(P<0.05). 3.According to the SEM,Teethmate-A group showed cohesive failure,and Teethmate-A group & Helioseal group showed mixed pattern of cohesive failure and Helioseal-F group showed adhesive failure.
백병주,김재곤,주훈,양정숙 大韓小兒齒科學會 1995 大韓小兒齒科學會誌 Vol.22 No.2
Odontomas are most common benign odontogenic tumors, and have been defined as "mixed odontogenic tumor composed of epithelial and mesenchymal cells". Many authors are considered to be malformations rather than neoplasm. The etiology of odontoma is uncertain but hypothesized to involve local trauma, infection, inheritance or mutant gene interference with genetic control of tooth development. The recent classification by WHO divides odontoma into 2 groups such as complex odontoma and compound odontoma. Odontomas are usually asymptomatic and are usually discovered on routin dental radiographs. The most frequently encountered symptoms are impacted tooth and swelling. Radiographically, it appears as an irregular mass of calcified material surrounded by a radiolucent band. The possibility of an ameloblastic odontoma must be kept in mind during the differential diagnosis. Surgical excision and histopathological examination of the lesions is recommended. Following removal of the odontoma closing the incision and allowing the tooth to erupt spontaneously was considered. Hitchin suggested that spontaneous eruption may not occur if the root of the impacted tooth is completed. Failure to erupt would require a 2nd surgical exposure to place an orthodontic attachment. This report presents the result in treating patients, whose chief complaint was delayed eruption of teeth due to odontoma.
김재곤,백병주 大韓小兒齒科學會 1994 大韓小兒齒科學會誌 Vol.21 No.2
Since the introduction of pit and fissure sealants in the early 1970's, many studies have been published amply documenting the efficacy of these materials as caries-preventive agents. However, the acceptance of the technique by dentist has been questionable. This survey was investigated the attitudes toward and use of pit and fissure sealants by dentist in Chonbuk area. The results were as follows: 1. Utilization of pit and fissure sealants is very high. Only 15% of dentists never use pit and fissure sealants, whereas 85% generally use pit and fissure sealants. 2. Most dentists reported that their knowledge of pit and fissure sealants was gained through dental schools education. 3. Concern about difficult to sell' to patient, poor retention of pit and fissure sealants and unsubstantiated by research were given as the main reasons why pit and fissure sealants was not used. 4. Patient demands and various educate program were given as important factors that would lead to increase use of pit and fissure sealants.
異方性 Ba-ferrife의 磁性에 미치는 SrCO₃의 添加效果
全鶴坤,吉炳龍,李東熙 연세대학교 산업기술연구소 1982 논문집 Vol.14 No.1
The effect of SrCO₃addition on the improvement of magnetic properties of anisotropic Ba-ferrite was studied by employing the crystallographic investgation into the change of structural orientation due to the addition and subsequent treatment. From the results obtained in these experiments, the followings were concluded; Ba-farrite containing 1.3wt. % Sr, i.e. (Ba0)₁(Sro)??- 5.45 Fe₂O₃,has showed the highest improvement of magnetic properties when sintered at 1250℃ for one hour, where the measured Br,??H?? and (B·H)???were respectively 3,500G, 2,600 Oe and 3.4 MG Oe. The orientaion parameter of this composite was 0.71, and an linear relationship, q=6x10? Br+0.502, was also found between the orentation parameter q and remanence Br. The reasons for these could be attributed to the facts that; (1) this content of Sr falls into the reported optimum range (5.2-5.8) of the mloe ratio of FeOł涍/(BaO)-(SrO). The proper amount of Sr is believed to enhance the formation of a complex ferrite, (BaO)??(SrO)??-n Fe₂O₃, through the diffusional process replacing some of Ba????ions by Sr????ions in the ferrite structure. (2) The possible eutectic reaction between SrO and BaO could be occured at as low as 1250 ˚C and may result in the impoved sinterability of the compacts through the liquid-phase like sintering. ·
3D Dental-CT를 이용한 상악 매복 과잉치의 진단 : 증례보고
김재곤,김수경,양연미,백병주,김성희 大韓小兒齒科學會 2006 大韓小兒齒科學會誌 Vol.33 No.1
과잉치는 법랑기(enamel organ)가 치배형성을 지속하거나 과도한 세포증식을 함으로써 발생한다. 과잉치는 상악 전방부에서 종종 발견되며, 유치열기와 혼합치열기에서 다양한 문제를 야기한다. 과잉치는 형태에 따라서 보충치(supplemental tooth)와 흔적치(rudimental tooth)로 나눌 수 있다. 보충치는 정상 절치와 크기 및 형태가 유사하나, 흔적치는 비정삭적인 형태와 작은 크기를 갖고 있다. 보충치는 영구 측절치 부위에서 호발하며 정상 전치와 유사한 형태와 크기를 갖고 있으므로, 발치시 주의를 기울여야 한다. 본 3증례는 상악 전방부에 정상 전치 형태의 과잉치를 갖는 증례들이다. 모든 증례에서, 치근단, 교합, 파노라마 방사선 사진 등의 기존 방사선 사진 촬영 외에 3Dimensional Dental-Computed Tomography(3D Dental-CT)를 촬영하여 진단하였다. 기존 일반 방사선 사진들(conventional radiographs)과 3D Dental-CT를 비교시, 일반 방사선 사진들은 2차원적인 영상만을 제공하여 상의 해석에 있어서 술자의 주관이 개입되는 한계가 있다. 반면 3D Dental-CT는 과잉치의 정확한 위치와 형태에 대한 객관적인 정보를 제공하며, 좀 더 보존적인 수술을 시행하고, 수술 시간과 스트레스를 줄이는데 유용하다. 그러므로 일반 방사선 사진 촬영 후 과잉치의 위치가 불분명하고 인접 영구치의 손상이 의심되는 경우 3D Dental-CT를 이용한 진단이 고려된다. Supernumerary teeth are teeth which result from the continued budding of the enamel organ of the preceding tooth or from excessive proliferation of cells. They are most often found in the maxillary anterior region. And they can be responsible for a variey of irregularities in the primary and transitional dentition. There are two morphological types of supernumerary teeth: supplemental and rudimentary. Supplemental teeth have normal shape and size. In contrast, rudimental teeth have abnormal shape and smaller size. Supplemental supernumerary teeth are most common in permanent lateral incisor area. Its extration must be decided more carefully with differential diagnosis between normal teeth, because it has nomal shape and size. We reports 3 cases of the normal incisor shaped teeth in the maxillary anterior region. In all cases, we used the 3D Dental-CT as well as the conventionl plain film such as periapical, occlusal, and panoramic ridiograph. Consequently, 3D Dental-CT was valualble to figure out the exact position and morphology of supernumerary teeth, to do more conservative surgery, and to reduce surgery stress and time.
논증적 텍스트의 생산 과정에서 논증 도식의 운용 양상에 대한 분석 및 교육적 시사
민병곤 국어교육학회 2004 國語敎育學硏究 Vol.18 No.-
필자는 논증적 텍스트의 생산 과정에서 논증 도식의 운용 양상을 분석하고 그 교육적 시사점을 탐색하고자 하였다. 이를 위하여 6, 8, 10학년 학생들을 대상으로 하여 ‘교복 착용’ 문제를 논제로 하여 논증적 글쓰기 관련 자료를 수집하고 이를 분석하였다. 작문 텍스트에 사용된 논증 도식의 목록은 킨포인트너(1992)를 따랐다. 분석 결과 대부분의 텍스트에서 ‘인과, 귀납적 예시, 비교’ 도식이 사용되었고, ‘대당 관계, 설명적 예시, 유추, 권위’ 도식도 확인할 수 있었다. 이러한 논증 도식의 분포는 개인별·집단별로 차이가 있었다. 논증의 인지 패턴은 논제의 성격이나 입장과 밀접하게 관련되어 있었다. 논증적 상호 작용의 양상은 주로 전제, 추론, 표현의 적절성과 관련한 비판적 의문과 이에 대한 반응의 형태로 나타났다. 반응은 비판, 수용, 해명, 반박 등의 논증적 진행으로 전개되었고, 그 결과로 이루어진 퇴고의 과정은 어휘, 문단, 텍스트의 층위에서 다양하게 나타났다. 이상의 분석을 통하여, 필자는 논증적 글쓰기 교육에서 다양한 논제를 유형화하고 논제의 특성에 따라 운용 가능한 논증 도식과 인지적 패턴에 대한 교육이 이루어져야 한다는 점, 발달 수준에 맞게 논증 도식을 활용할 수 있도록 교육 내용을 구성해야 한다는 점, 논증적 글 쓰기 교육이 비판적 리터러시의 형성, 나아가 비판적 주체를 형성하는 방향으로 자리매김되어야 한다는 점을 강조하였다. The writer analyses the argumentation schemes, of which classification adopted form Kienpointner(1992), in the argumentative texts written by elementary and middle school students in the 6th, 8th, and 10th grade. Most schemes found in the texts are ‘causality, inductive examples, and comparison’ and some others are ‘opposition, illustrative examples, analogy, authority.’ The distribution of these schemes in the texts depends on the individuals and groups respectively. Cognitive patterns of using rgumentation schemes are supposed to be related with the issues and the standpoints the arguers adopt. Aspects of argumentative interaction are mostly critical questions and responses to them. The questions are related to the status of the premises, soundness of reasoning, and property of expression. The responses are argumentative moves like critique, acceptance, explanation, and refutation, etc. From the analysis, the writer gives following suggestions: 1) Teach argumentative schemes to students in order to support their controlling cognitive constraints. 2) The argumentative schemes given should be organized according to the developmental level of students. Teaching argumentative writing should be planned to formulate the students’ critical literacy and further more to build them as critical subjects.