의도적 재식술을 이용한 치관-치근 파절된 미성숙영구치의 치험례

류정아,최형준,이제호,최병재,손흥규 大韓小兒齒科學會 2004 大韓小兒齒科學會誌 Vol.31 No.2

본 증례에서는 치아외상으로 치관-치근 파절된 미성숙 영구치의 치료에 대해 서술하고자 한다. 7세 환아의 상악 좌측 중절치의 치아 파절선이 치은연하로 치아장축을 따라 치아전체의 1/2까지 연장되어 있었다. 수직적 치관-치근 파설된 치아에서 그 예후는 불량하며 발치가 일반적인 처치이나 성장기 아동에서 상악중절치의 발치는 치조골 흡수, 심미적 문제, 발음문제 등 여러 합병증을 초래한다. 치은연하로 치관-치근 파절된 치아의 치료 방법으로 치은연상만 수복하는 방법과 치은판막을 형성하여 수복하여 주는 방법, 교정력을 이용하여 정출시키는 방법과 수술로써 발치하여 정출시키는 방법 등이 있다. 본 증례에서는 치아를 의도적으로 발치한 후 접착용 레진 시스템을 분리된 치아 파절편을 부착한 후 재식하였다. 1년 동안 관찰한 결과 현재 특이한 임상적 증상은 없으며 심미적으로도 만족할 만하다. 접착용 레진 시스템의 개발과 함께 본 술식은 외상을 많이 받는 혼합 치열기 아동에서 치관-치근 파절된 미성숙 영구치의 한 치료법으로 고려할 수 있다고 생각되어 이에 보고 하는 바이다. This case report describes an uncommon treatment method for crown-root fractured incisor with immature root. A 7-year-old girl was referred for treatment of crown-root fractured maxillary central incisor. The fracture line extended to 1/2 of the total tooth length with incomplete root formation. The prognosis of crown-root fracture is usually poor and extraction is usually undertaken. But, in the mixed dentition, extraction of maxillary permanent incisor results in many complications, such as resorption of alveolar bone, poor esthetics, pronunciation and mastication. Conservative therapy in the permanent dentition comprises of few treatment modalities ; supragingival restoration, gingivectomy, orthodontic extraction of apical fragment, surgical extrusion of apical fragment with or without rotational replantation. However, in this case, these indications are not applicable, so intentional replantation with adhesive resin system is the treatment of choice. The tooth was followed-up for 12 months. Currently, there are no symptoms. Since this modality adopts the respective advantages of both intentional replantation and adhesive treatment, it might be the treatment of choice in cases of vertical crown-root fracture.

안내염과 대장암이 동반된 재발성 간농양

전승정,김태헌,류민선,오다연,송명은,이신아,류재인,김혜인,문일환,유권 이화여자대학교 의과학연구소 2011 EMJ (Ewha medical journal) Vol.34 No.2

The causes of pyogenic liver abscess has been known as biliary tract disease or intrabadominal infection but the large proportions of the patients has no apparent underlying disorders. Recently colonic mucosal lesions were reported in patients with cryptogenic liver abscess and it has been suggested that colonic mucosal break may play a role in developing liver abscess in otherwise healthy patients. We experienced a patient of severe recurrent liver abscess complicated with endophthalmitis only 3 months after successful treatment of initial cryptogenic liver abscess and a polypoid colon cancer was discovered by chance. It seems prudent to proceed colonoscopic examination in patients with cryptogenic liver abscess especially when it is recurrent.

기저질환이 없는 사람에서 발생한 Campylobacter fetus에 의한 재발성 심내막염 1예

전재범,정진원,김성혜,송문희,오형철,안성기,최상호,김남중,김양수,우준희,류지소 대한감염학회 2004 감염과 화학요법 Vol.36 No.6

C. fetus 심내막염은 드물게 발생하는 질환으로 주로 면역능이 저하된 환자에서 발병하고 대동맥판을 침범하는 경우가 많으며 적절한 치료가 되지 않을 경우 치사율이 높다. 저자들은 기저질환이 없던 69세 남자에서 C. fetus 심내막염을 경험하였기에 문헌고찰과 함께 보고하는 바이다. 환자는 발열로 내원하여 시행한 혈액배양 검사상 C. fetus가 동정되었고 경식도 초음파 검사상 삼첨판에 증식증이 발견되어 심내막염 진단하에 ceftriaxone에 이어 meropenem으로 총 4주간 항생제를 투여받고 호전되었다가 한달 후 다시 재발하였고 판막부전 소견 진행하여 삼첨판 치환술을 시행받고 전신상태 호전되어 퇴원하였다. Campylobacter fetus is a rare cause of endocarditis. To date, only about 30 cases of C. fetus endocarditis have been reported mainly in the elderly with chronic underlying illnesses. Most cases showed tendency to involve aortic valve. This report describes a case of native tricuspid valve infective endocarditis in a 69-year-old man without any underlying disease. Despite adequate antibiotic therapy for 4-weeks, endocarditis recurred and leading to surgical valve replacement.

성인원외폐렴의 원인미생물에대한 전향적 다기관 연구 : 성인원외폐렴의 원인으로 세균의 역할을 중심으로

우준희,강재명,김양수,신완식,류진홍,최정현,김양리,정희진,어수택,박춘식,정문현,정기석,이찬주,류지소 대한감염학회 2001 감염 Vol.33 No.1

Background : Communite-acquired peumonia (CAP) is one of the leading causes of mortality and morbidity. Despite progress in diagnostic techniques and treatments, management of pneumonia remains challenging, because the precise etiology remains uncertain in as many as 49% of cases. The limitaions of identifying etiologic agents make it necessary to use empiric antibiotics in almost all patients, and furthermore emergence of antibiotic-resistant organisms pose difficulties to the selection of an empiric antibiotic regimen. For the optimal choice of empirical antibiotics, we should know the frequency of etiologic agents and antimicrobial resistance rates in the community. Methods : A prospective multicenter study of community-acquired pneumonia in Korea was carried out between May 1997 and April 2000. The microbiologic diagnosis was based on the results of sputum culture, blood culture and pleural culture. Results : Five hundred eighty eight cases of community-acquired peumonia in 562 patients admitted to the hospitals. The mean age was 59.9 with male predominance (58.3%), and 370 (63%) had underlyin gillness. The etiologic agents were identified in 38.3%, and the list of individual agents, in decreasing order, was Streprococcus pneumoniae (21.7%), Klebsiella pneumoniae (14.8%) Pseudomonas aeruginosa (9.8%), Staphylococcus aureus (9.5%), viridans group streptococci (5.7%), Enterobacter cloacae (4.2%), Hemophillus Influenza (3.8%), The rates of admission to the intensive care unit was 10.4%. The motality was 7.1%. Susceptible rates of S. pneumoniae to penicillin was 36.6% and showed multidrug resistant. Forty percents of S. aureus were methicillin-resistant S. aureus. K. penumoniae were susceptible to cephalosporin and quinolone. Conclusion : In Korea, S.pneumoniae is the most important agent causing community-acquired pneumonia. Susceptible rates of S. pneumoniae to penicillin was 36.6% and showed multidrug resistant. Gram negative bacteria such as K. pneumoniae, P. aeruginosa showed high incidence when compared with that of other countries. Most of them had underlying diseases including bronchiectasis and chronic obstructive pulmonary diseases. (Korean J Infect Dis 33:1∼7, 2001)

가토 외고정 모델을 이용한 치밀체형 세라믹스의 골결합능 평가

이재협,이동호,이재학,공현식,안영준,류현승,서준혁,홍국선,김환,장봉순,이춘기 대한정형외과연구학회 2003 대한정형외과연구학회지 Vol.6 No.2

한의과대학 부속 한방병원 한방응급실 내원환자에 대한 임상적 분석

소형진,류재환,김영철,이범준 WHO COLLABORATING CENTRE FOR TRADITIONAL MEDICINE 2007 東西醫學硏究所 論文集 Vol.2007 No.-

Objectives : By recording basic data of patients visiting the emergency room of the oriental medicine center, we can understand their characteristics and gain better insight about them. Methods : We performed a retrospective study of 2,674 patients who visited the emergency room of Kyunghee Oriental Medical Center, from June 1, 2006 to May 31, 2007. Results : 1. Of 2,674 total patients, the male to female ratio was 0.94:1 and the 6th decade of life was the peak age group. 2. The majorit of patients visited our emergency room between 06:00 and 24:00(midnight). 3. Most patients visited on a Saturday or Sunday. 4. By monthly distribution, the patients incrcased slightly during June, July, August and October. 5. The majority of patients visited the emergency room within 24 hours of onset. 6. The patients were categorized as follows : neurological diseases 71.15%, musculoskeletal diseases 16.02%, internal medical discase 9.04% psychiatric and related disease 3.79%. 7. The average transit time waS about 1 hour 30 minutes. 8. Admission rate was 48% and the rate of admission to the intensive care unit (ICU) was 5% of total visiting patients. Conclusion : Assuming that this research will continue adding patien's data continuously, this work will help us to understand the features of patients who visiting the emergency room of the oriental medical center.

解放供託金의 法的 性質과 權利行使 方法에 관한 硏究

朴相晧,全秉翼,柳在喆 東義大學校 法政硏究所 1998 공공정책연구 Vol.14 No.-

Factitious Fever로 밝혀진 불명열 1예

김백남,강재명,배인규,김양수,우준희,류지소 대한감염학회 2000 감염 Vol.32 No.5

함입된 상악 중절치의 외과적 재위치 후 예후

민성진,최형준,류정아,김성오,이제호,최병재,손흥규 대한소아치과학회 2006 大韓小兒齒科學會誌 Vol.33 No.3

SBA-15에 담지된 전이 금속 촉매상에서 p-Xylene의 불균일 액상 산화반응

김영호,손용배,류재춘,양현수,전기원,박상언 한국공업화학회 2004 공업화학 Vol.15 No.1

화학적으로 개조된 SBA-15 실리카 위에 활성 전이 금속 종들(Co, Mn, Ni, Fe, or Cu)이 담지된 불균일 촉매를 제조하였다. 제도된 촉매상에서 p-xylene의 불균일 액상 산화반응이 손쉬운 촉매 분리를 위한 불균일 공정의 개발 가능성을 검토하기 위하여 수행되었다. SBA-15 위에 결합된 Co 종(Co-SBA-15)은 다른 전이 금속 종들보다 대응하는 방향족 카르복실산으로의 산화 반응에 가장 효과적인 것으로 나타냈다. 더 나아가 Co-SBA-15 촉매상에서 반응시간(0.5~9 h), 반응온도(130~190 ℃), 전압(10~25 atm) 및 산소 분압(1~9 atm)과 같은 반응 변수의 영향을 연구하였다. 높은 전환율에서 고체 생성물인 terephthalic acid의 형성은 매우 낮고 그때 활성점 위에서 고체 생성물의 쌓임으로 인해 촉매가 쉽게 비활성화 되었을지라도, p-toluic acid로는 고려할만한 선택성이 관찰되었다. p-Toluic acid 및 terephthalic acid를 향한 중간 산화 생성물들의 선택성을 기초로 추정된 반응 경로는 균일 Co/Mn 촉매 반응계에서와 비교하여 거의 같다. 이것은 Co-SBA-15 촉매가 균일 촉매적 행동을 하는 불균일 촉매이고 고체 생성물을 생성하지 않는 탄화수소들의 액상 산화반응을 위하여 잘 적용될 수 있을 것임을 시사한다. Active transition metal species (Co, Mn, Ni, Fe, or Cu) supported on a chemically modified SBA015 silica were prepared as heterogeneous catalysts. The heterogeneous liquid phase oxidation of p-xylene on the prepared catalysts was carried out to investigate the possibility of the development of heterogeneous process for easier catalyst separation.The Co species bound on the SBA-15(Co-SBA-15) was found to be the most effective for the oxidation to corresponding aromatic carboxylic acids than the other transition metal species. In addition, the effects of reaction variables such as reaction time(0.5∼9h), reaction temperature (130∼190℃), total pressure (10∼25 atm) and the partial pressure of oxygen (1-9 atm) were studied on the Co-SBA-15 catalyst. At high levels of conversion, the considerable catalytic activities to p-toluic acid were observed, even though formation of terephthalic acid, an solid product, was very low and then the catalyst was easily deactivated due to build--up of solid products on active sites. The proposed reaction network based on the selectivities of intermediate oxidation products for p-toluic and terephthalic acid was similar to that on the homogeneous Co-Mn catalytic reaction system. This indicates that the Co-SBA-15 catalyst is a heterogeneous catalyst which can behave like a homogeneous catalyst and may be well applied to the liquid phase oridation of hydrocarbons without formation of solid products.