치근단 병소를 가진 치아의 발치 후 즉시 임플란트 식립 및 보철을 통한 심미성 회복

이재영,김지환,한동후 大韓齒科補綴學會 2012 대한치과보철학회지 Vol.50 No.3

Esthetics is important in restoring maxillary anterior area. Alveolar bone resorption and loss of interdental papilla may be minimized by immediate implantation. Previous studies showed successful results with the immediate implantation in healthy extraction socket, while many of these studies objected the immediate implantation into extraction sites with periapical lesions. Recent studies, however, reported successful results of the immediate implantation into extraction sites with periapical lesions with careful debridement of extraction sockets and general medication of antibiotics prior to implantation. A 73-year-old female visited the department of Prosthodontics in ○○ University Dental Hospital with the chief complaint of fallen post-core and crown on left maxillary incisor. Although the incisor was with vertical root fracture and periapical lesion, the immediate implantation following the extraction of tooth was planned. Thorough socket debridement, irrigation with chlorhexidine, and tetracycline soaking were followed by immediate implantation. The general medication of antibiotics (Moxicle Tab, 375 mg) was prescribed before and after the surgery. Immediate provisional restoration was delivered two days after the surgery, and the definitive metal-ceramic restoration was placed about six months later after reproducing the emergence profile from the provisional restoration. This case presents satisfying result esthetically and functionally upto two years after the placement of prosthesis with the harmonious gingival line and no loss of marginal bone. 상악 전치부는 심미적 회복이 강조되는 부위다. 발치 후 치유될 때까지 기다린다면 치조골 흡수와 치간 유두 수축을 방지할 수 없다. 일단 흡수된 조직을 재생하기 위해서는 추가적인 외과적 술식이 필요하고 치료 기간도 많이 소요된다. 발치 전 치조골과 치은 조직이 건강하다면 치주 조직을 보존 유지하기 위해 발치와 동시에 즉시 임플란트 식립을 고려할 수 있다. 특히 건전한 발치와에서의 즉시 임플란트 식립은 여러 논문에서 성공적인 결과를 보였다. 치근단 병소가 존재하는 치아의 발치 후 즉시 임플란트 식립에 대해서는 부정적인 반응을 보이는 연구가 많았으나, 최근에는 확실한 발치와의 육아조직제거와 전신적 항생제 투여 시 성공률이 높다는 결과도 보고되고 있다. 본 증례는 73세 여환으로 상악 좌측 중절치의 포스트-코어와 금속도재관이 탈락되었으며 임플란트 치료를 받고 싶다는 주소로 내원하였다. 치근단 병소와 수직적 치근 파절이 존재하였으나 치근단 병소가 있는 치아에서도 즉시 임플란트 식립의 성공사례가 여러 차례 보고되어 발치 및 즉시 임플란트 식립을 계획하였다. 발치 후 발치와 육아조직제거와 클로르헥시딘 용액 소독 및 tetracycline 용액으로 soaking을 시행한 후 임플란트를 식립하였으며 식립 전 후로 전신적 항생제를 투여하였다. 임플란트를 식립하면서 인상채득하여 2일 뒤 임시 보철물을 장착하였다. 약 6개월 뒤 치경부 형태를 재연하여 최종 인상 채득하였으며 최종 보철물을 장착하였다. 보철물 장착 후 2년까지 치은선이 인접치아와 조화를 이루고 변연골 흡수없이 심미적으로 만족할만한 결과를 얻었기에 보고하는 바이다.

무선 채널 STATE 모델 개발에 관한 연구

한재충,정창환 명지대학교 산업기술연구소 2001 産業技術硏究所論文集 Vol.20 No.-

It is crucial to analyse the wireless channel environment on developing the wireless communication system. Current wireless system, i.e., PCS or IMT-2000, was highly effected on Rayleigh fading, for using the high frequency bandwidth around 2GHz. This thesis will investigate the characteristic of Rayleigh fading channel, and develop a State model which enable to analyse the fading channel. We will develope the Finite-State Markov Model that is compensated for disadvantage of Gilbert Model and Hidden Markov Model(HMM) using now. This thesis also verify the efficiency of the developed State model using computer simulation.

사비의 교정에 있어서 내시경의 이용

박대환,김태모,이재욱,송철홍,한동길,안기영 大韓成形外科學會 1998 Archives of Plastic Surgery Vol.25 No.1

Owing to the complexity of the deviated structures and the septal deformities accompanying the external nasal deformities, the complete correction of the deviated nose is regarded as a difficult one. The approach to the nasal bone and osteotomy in classic corrective rhinoplasty is almost blind technique, where the results depends on the feeling by surgeon's hand. To overcome these drawback, endoscopic-assisted corrective rhinoplasty and septoplasty performed for 8 cases of deviated nose between January 1996 and May 1997. Average follow-up period was 10 months. All patients were evaluated by symmetrical nasal pyramid, recurrence of the bony deflection and septal deviation. The postoperative courses were satisfactory in most of cases with few complications. It appears that endoscopic control during corrective rhinoplasty and septoplasty is a big step toward obtaining better results in bony and cartilage resection with extreme precision under monitor control and magnification. This technique is not an open approach but permits one to see more of the nasal skeleton and bony septum what is causing deformity, and the immediate effect of the corrective measures used. The use of endoscope in corrective rhinoplasty will provide expanded field of vision, direct manipulation of lesions, and better aesthetic an6 functional results.

캔터키 블루그래스에 의한 잔디 조성 기술 개발

이재필,조용인,서한용,이상재,김태준,한인송,김두환 建國大學校附設農業資源開發硏究所 2001 農資源開發論集 Vol.23 No.-

Seed sowing is the major method for the establishment of cool-season grasses at the soccer fields, golf courses, etc. Germination speed of kentucky bluegrass(Poa prantensis L.: KB) is much slower than the other cool-season grasses. This study was conducted to solve the problems at the early stage of establishment with KB. The best priming conditions of KB, drying method after soaking in the water, and covering materials will be selected. To reduce irrigation frequency and quantity for seed germination, seeds of KB were exposed to the different soaking temperature(4, 20, 25, 30℃). soaking durations(3, 6, 10, 13, 19, 23 days), storage periods(3, 6, 9 days), storage humidities(30, 50, 100%), shading rate(0, 50, 100%), drying methods(dry in the air, heating, mix soaked seed with profile=1:2), and covering materials(70% shade net, fiber net). The optimum soaking temperature and duration for the seed priming of KB were 20℃ and 10 days, respectively. The optimum storage period and humidity were 3 days and 100%, respectively, Under 50% shading, germination rate was the highest. In drying method after soaking, mixture of seeds and profile(1:2) was optimum for sowing. Using the thin fiber net as covering material after sowing was good for not moving seeds and improved germination speed and rate.

포러스콘크리트의 기초물성에 미치는 시멘트페이스트의 유동성 및 진동다짐시간의 영향에 관한 실험적 연구

김무한,백용관,최영욱,강석표,김재환,이성일 忠南大學校 産業技術硏究所 2001 산업기술연구논문집 Vol.16 No.2

This study analyzed the influence of paste fluidity and vibration time for fundamental properties of porous concrete. Results of this study were shown as follows: 1) Even if target void ratio is same, void ratio and compressive strength of porous concrete is different according to w/c, paste flow and vibration time. So, In case of target void ratio, we must consider the influence of w/c, past flow and vibration time. 2) Though w/c and vibration time is same, as paste flow increase, all void ratio, continuous void ratio, and compressive strength decrease and difference between upper and lower void ratio increase. 3) Though w/c and paste flow is same, as vibration time increase, all void ratio and continuous void ratio decrease and difference between upper and lower void ratio increase. Also, compressive strength increase by 10 seconds and decease after 10 seconds. 4) As types of superplasticizer is different, all void ratio, continuous void ratio, and compressive strength is different. So, we must give consideration to paste fluidity and vibration time in order that increase of strength of porous concrete and distribution of uniform void.

물시멘트비 및 단위수량에 따른 고품질 재생잔골재를 사용한 재생콘크리트의 공학적 특성에 관한 실험적 연구

문형재,송민섭,김재환,장종호,김용로,김무한 대한건축학회 2004 대한건축학회 학술발표대회 논문집 - 계획계/구조계 Vol.24 No.1(구조계)

The purpose of this study is to investigate and analyze experimentally and positively engineering properties of recycled concrete using high quality recycled fine aggregate according to w/c ratio and unit water contents. And it is intend to present fundamental data for the mix design and the improvement of quality. The results are as follows; According to the increase of W/C ratio, the addition ratio of superplasticizer was reduced, the strength of compressive and tensile showed low and carbonation depth and chloride penetration depth showed high. And according to the increase of unit water contents, the addition ratio of superplasticizer was reduced, the strength of compressive and tensile showed low and carbonation depth and chloride penetration depth showed high.

고성능감수제 구성비율에 따른 고유동콘크리트의 유동특성에 관한 실험적 연구

김무한,최세진,김용로,김재환,이태희 忠南大學校 産業技術硏究所 2002 산업기술연구논문집 Vol.17 No.2

It is the of this study to propose the fundamental data for the establishment of the application and quality standard of the mixed type superplasticizer after investigating and comparing the fluidity of high flowing concrete according to the component ratio of superplasticizer such as naphthalene sulfonated and melamine sulfonated. The results of this study were shown as the followings: 1) The fluidity and adsorption ratio of cement-paste were improved according to the increasing of naphthalene sulfonated component ratio, and apparent viscosity of cement-paste was improved according to the increasing of melamine sulfonated component ratio. 2) In case of using the granulated blast-furnace slag, the fluidity of cement-paste was considerably good and the adsorption ratio was decreased and in case of using fly-ash, the apparent viscosity and adsorption ratio of cement-paste were improved. 3) The dispersive capacity performance of concrete can be improved by means of the increasing of naphthalene sulfonated component ratio. Also the viscosity and early strength can be improved by means of the increasing of melamine sulfonated component ratio.

보신 관광에서 감염된 수입성 Sparganosis 1예 : Intake of Thailand Snake during Trip

서환조,박명재,고경식,백영한,조유정,양현종,류경남,정형근,전정열 대한감염학회 1992 감염 Vol.24 No.1

Human sparganosois was reported more than 100 cases in Korean population. However no case reported yet in Korea as a patient was infected by sparganum from other geographical area, such as Thailand. The case we are reported here is a 38 year-old Korean male who had been suffered from mass being a small, round and soft consistance in upper portion of his right thigh. The patients stated that he had an opportunity to eat living snake in Bangkok, Thailand during trip. As therapy praziquantel (75㎎/㎏/day) was given p.o. for 14 days, but in vain to cure. Following medical treatment, surgical exicision was performed to remove a alive, soft, whitish-milky, mobile and elongated sparganum. Serlogical test by micro-ELISA for sparganum-specific antibody revealed a high serum antibody level of absorbance 0.67 (positive criterion: absorbance 0.22).

소뇌에 발생한 과립구성 육종 : 증례보고

윤승환,변진수,홍순기,김헌주,한용표,양재승,조미연 대한신경외과학회 1995 Journal of Korean neurosurgical society Vol.24 No.8

Granulocytic sarcoma, a rare extramedullary solid tumor arising from early myeloid precursors, is capable of invading the meninges or the brain parenchyma. The tumor may occur during or after the onset of systemic myelogenous leukemia. On rare occasions, the tumor may evolve before the onset of systemic myelogenous leukemia. Children are affected more often than adults, but sex is not related. Although no definite target area of the brain can be demonstrated, there may be some predilection of the tumor for the posterior fossa. The authors report a case of 4-year-old-boy with granulocytic sarcoma occuring in the posterior fossa presenting with gait disturbance and torticollis. The patient was treated by surgical removal of the tumor, thereby avoiding the potentially lethal complication of a posterior fassa mass. This rare case is reported together a review of the literature.

구리의 전기석출시 젤라틴이 물성에 미치는 영향

신석재,강현춘,안형환,강안수,김용렬,한성만,이한섭 明知大學校 産業技術硏究所 1995 産業技術硏究所論文集 Vol.14 No.-

In the electrodeposition of copper foil for preparing printed circuit boards, a little amount of gelatin as a addition agent has been used for the better characteristics of a coat of electroplating. Gelatin modifies the physical properties such as mechanical strength, matte-side roughness, ultimate tensile strength(U.T.S), and elongation of copper foil, furthermore gelatin have influence on the structure of electrodeposits and the cathode polarization. The electrolyte used was of a composition; CuSO₄·5H₂O 300g/ℓ, H₂SO₄ 100g/ℓ, NaCl 10 ppm as a brightner, and was gelatin 0-7 ppm as a addition agent. Current density was 50 A/dm², and the temperature of electrolytic bath was 50 to 52 ℃. Experiments showed that the optimum gelatin concentration was 5 ppm with the consideration of the numbers of electrodeposited nuclei. And the nuclei numbers was sharply increased under 5 ppm, but was almostly constant above 5ppm. Average matte-side roughness by Surfcorder was gradually increased with the increasing gelatine concentration up to 2 ppm, and maximum roughness was observed at 2ppm. The roughness showed gradual decrease within the concentration range of 2 to 4 ppm, and was almost constant above 4ppm . Within the gelatine concentration range of 0 to 7 ppm, as the concentration increased, UTS was increased and elongation was decreased logarithmically. Also, in comparison between UTS and elongation, gelatin was identified as an addition agent acting inversely.