화학적 요부 교감신경절 차단에서 한 분절 차단과 두 분절 차단의 비교

김종일,이규종,이상곤,민병우,반종석,문철준 대한마취과학회 2001 Korean Journal of Anesthesiology Vol.41 No.4

Chemical Lumbar Sympathetic Block: Comparison of One- Versus Two-needle Techniques Chul-Jun Mun, M.D., Kyu-Jong Lee, M.D., Sang-Gon Lee, M.D., Jong-Il Kim, M.D.^* Jong-Suk Ban, M.D., and Byung-Woo Min, M.D. Department of Anesthesiology, Fatima Hospital, Daegu, Korea ^*Kim Jong Il Pain Clinic, Daegu, Korea Background: It was frequently noticed in the course of performing a two-needle sympathectomy, that satisfactory spread of contrast solution could be produced by injection through only one of the needles. This led to a closer examination of the merits of single-needle technique. Methods: Forty patients were randomized into two groups. Patients in the single-needle group (n = 20) were injected at the second or third lumbar sympathetic ganglia, while patients in the two-needle group (n = 20) were injected at the second and thired lumbar sympathetic ganglia. Lumbar sympathetic blocks were performed using 3 ml of alcohol and the spread of injectate was verified with C-arm fluoroscopy. The indicators of a successful sympathetic block are increasing skin temperature, decreasing pain, and anhidrosis in the distal extremity. Results: The duration of anhidrosis was 12.2 ?? 2.6 months (mean ?? SD) in the single-needle group versus 13.6 ?? 3.6 months (mean << SD) in the two-needle group. Conclusions: As these results were not significantly different from those obtained in patients having considered to be effective for a neurolytic ;i,bar sympathectomy. (korean J Anesthesiol 2001; 41: 439~443)

자가 산부식 프라이머의 적용시간이 상아질의 미세인장 결합강도에 미치는 영향

조영곤,이영곤,김종욱,박병철,김종진,최희영,진철희,유상훈 大韓齒科保存學會 2004 Restorative Dentistry & Endodontics Vol.29 No.5

This study evaluated the influence of application time of self-etching primers on microtensile bond strength (μTBS) to dentin using three self-etching primer adhesive systems. Dentin surfaces were exposed from forty-eight human molars. They were conditioned with three self-etching primers (Clearfil SE Bond [SE], Unifil Bond [UF], Tyrian SPE + One Step Plus [TY]) and different primining times (10s, 20s, 30s and 40s). Composite resins were bonded to dentin surfaces and specimens were made. μTBS was tested and statistically compared using by one-way ANOVA and Tukey's Test. The results of this study presented that priming time for 10s in SE and UF groups and for 30s and 40s in TY group was highly decreased μTBS to dentin.

Ropivacaine 을 이용한 경막의 마취시 Clonidine 병용의 효과

김종일,조영훈,이상곤,민병우,이지향,반종석 대한마취과학회 2001 Korean Journal of Anesthesiology Vol.41 No.4

Effects of Clonidine Added to Ropivacaine in Epidural Anesthesia Young-Hoon Cho, M.D., Ji-Hyang Lee, M.D., Sang-Gon Lee, M.D., Jong-Il Kim, M.D.^*, Jong-Suk Ban, M.D., and Byung-Woo Min, M.D. Department of Anesthesiology, Daegu Fatima Hospital, Daegu, Korea ^*Kim Jong Il Pain clinic, Daegu, Korea Background: Clonidine has been regarded as an adequate supplementary anesthetic during epidural anesthesia and has been used with local anesthetics such as bupivacaine or lidocaine to support the effects of these anesthetics. The authors would examine whether clonidine is an adequate supplementary anesthetic when it is used with ropivacaine during epidural ane-sthesia. Methods: Thirty-two healthy patients undergoing a hip or lower limb surgery were diveded into two groups. In group 1, 0.5% ropivacaine 15 ml was administered. In group 2, 0.5% ropivacaine 15 ml combined with clonidine 150 ㎍ was administered. Onset, duration and maximal height of sensory block were assessed. Sedation score, blood pressure and heart rate were measured. Results: Duration of sensory block of group 2 was significantly longer than that of group 1. Sedation score of group 2 was significantly higher than that of group 1. Blood pressure of group 2 was sig-nificantly lower thatn that of group 1 at 50 min, 70 min and 90 min after epidural injection. No significant differences were observed in onset of sensory block and heart rate between the two groups. Conclusions: The addition of clonidine to ropivacaine during epidural anesthesia prolonged duration of sensory block and produced useful sedation. It caused relatively stable hemodynamic changes. These results suggest that clonidine is an adequate supplementary anesthetic when it is used with ropivacaine during epidural anesthesia. (Korean J Anesthesiol 2001; 41: 428~433)

하지 수술을 위한 경막외 마취시 Ropivacaine 과 Bupivacaine 의 비교

이상곤,민병우,반종석,문철준 대한마취과학회 2001 Korean Journal of Anesthesiology Vol.41 No.4

Comparison of Epidural Ropivacaine and Bupivacaine in Patients Undergoing Lower Extremity Surgery Chul-Jun Mun, M.D., Sang-Gon Lee, M.D., Jong-Suk Ban, M.D. and Byung-Woo Min, M.D. Department of Anesthesiology, Fatima Hospital, Daegu, Korea Background: Ropivacaine is an amide local anesthetic structurally related to bupivacaine. A ran-domized, double-blind study was performed to compare the clinical effectiveness of ropivacaine and bupivacaine in patients undergoing lower-extremity surgery. Methods: Forty-nine patients (ASA Ⅰ-Ⅱ) were randomized to receive 15 ml of 0.5% ropivacaine or bupivacaine. Twenty patients received 15 ml of ropivacaine and 20 patients received 15 ml of bupiva-caine at the L3,4 or L4,5 interspace. Parameters measured were the onset time, duration and spread of sensory block, the onset time, duration and degree of motor block, the quality of anesthesia and the heart rate and blood pressure profile during the block onset. Results: Demographic characteristics were similar among the groups. Seven patients were excluded from the study due to technical failure of the block, two patients were excluded due to insufficient data. The onset and duration of analgesia at T10 dermatome (mean ?? SD) was 18.9 ?? 7.0 minutes and 187.5 ?? 34.6 minutes respectively for ropivacaine, and was 15.2 ?? 8.8 minutes and 187.8 ?? 40.0 minutes respectively for bupivacaine. Maximum block height (mean ?? SD) was T6.5 ?? 2.0 for ropivacaine and T6.4 ?? 2.0 for bupivacaine. The incidence of complete motor block (Bromage scale 3) was low in the ropivacaine group, being 3/20 for ropivacaine and 12.20 for bupivacaine. Conclusions: The sensory blockade profile of ropivacaine, administered epidurally, is similar to that obtained with an equal dose of bupivacaine. However motor blockade with ropivacaine is less intense, less frequent, and of shorter duration than with bupivacaine. (Korean J Anesthesiol 2001; 41: 434~438)

악관절 내장증 환자의 수술후 두통의 변화

허종기,김기영,박광호,김형곤 大韓顎顔面成形再建外科學會 1998 Maxillofacial Plastic Reconstructive Surgery Vol.20 No.1

위장관을 침범한 Henoch-Soho¨nlein purpura 1예

이승곤,김채규,서종옥,이호영,이호준,정회상,박유환,정춘해 조선의대 1996 The Medical Journal of Chosun University Vol.21 No.2

참깨 斑點細菌病 病原細菌 Pseudomonas sesami에 관한 硏究

김종완,김진곤 대구대학교 기초과학연구소 1986 基礎科學硏究 Vol.3 No.-

Incidences of bacterial leaf spot in plant of sesame (sesamum indicum L.) were widely observed at sesame production fields in Gyeongsan area of Gyeongbug province in 1983. To investigate the morphological and physiological characteristics of the causal bacterium, some isolates were obtained from the diseased plants of sesame. On the basis of the bacteriological and biochemical tests of the isolates, the causal bacterium was identified to be Pseudomonas sesami. From the results of present study, the bacterium is considered to be classified into a independent species, Pseudomonas sesami, which is listed in Addendum I of Berger's manual 8th edition.

벤젠연소반응에서 팔라듐이 담지된 촉매 지지체의 세공크기 영향

서곤,김종호,정상귀,송요순 전남대학교 촉매연구소 2001 觸媒硏究 論文集 Vol.22 No.-

VOC를 저온에서 연소시켜 제거하는 촉매는 활성이 우수하도록 귀금속을 다공성 지지체에 담지시켜 제조한다. 지지체의 세공이 크면 물질전달의 제한이 적으나 표면적이 작다. 반면, 가는 세공이 많이 발달되면 표면적은 크지만 반응물의 물질전달제한으로 연소반응이 느려질 수 있다. 따라서 저온에서 VOC를 연소시키면서도 물질전달 저항이 적도록 세공이 커야한다.

熱刺戟 電流法에 依한 MOS酸化層內 移動性 陽이온의 擧動에 關한 考察

金種聲,崔世崑,姜星模 嶺南大學校 工業技術硏究所 1988 연구보고 Vol.16 No.1

TSIC(Thermally stimulated ionic current) method, based on the repeated measurements with various heating rates, has been used to investigate the kinetic behavior of mobile ions in the SiO₂layers of an Al-SiO₂-Si system. Experimental results have shown two current peaks at the temperature ranges of 80℃-120℃(A peak) and 400℃-450℃(B peak) respectively, which are caused by the release of Na+ ions and K+ ions trapped at the Al-SiO₂ interface and the Si-SiO₂ interface respectively, in a MOS structure. From the results, activation energies (E), attempt-to-escape frequencies (S) and the initial number of trapped ions(n。)are evaluated for each group by the various heating rate method. According to the values of E.S and n。, it is found that deeper traps are distributed in the Si-SiO₂ interface and that K+ions are trapped in deeper trap than Na+ ions. It is also found that the magnitude of the current peaks is increased while the tempratures showing those peaks are decreased, as the gate voltage is increased.

법랑질 형성 부전증에 관한 증례 보고

박종하,김재곤,백병주,허선,이영수 大韓小兒齒科學會 1998 大韓小兒齒科學會誌 Vol.25 No.3

본병원 소아치과에 내원한 유치와 영구치 모두에 법량질 형성 부전증을 가지고 있는 환자에 대해 교합면의 마모를 방지하여 교합고경을 유지하기 위해 유구치부 stainless steel crown 및 맹출 중인 제 1대구치에 sealant, 전치아에 걸쳐서 주기적인 불소도포를 이용해 치료하여 양호한 결과를 얻었다. Amelogenesis imperfcta is a group of hereditary defects of enamel unassociated with any other generalized defects. The prevalence of this condition has been estimated to range from l in 14.000 to l in 16.000. depending on the population sudied. It may be differentiated into three general types: hypoplastic, hypocalcified. and hypomaturation. depending on the clinical presentation of defects and the likely stage of enamel formation that is primarily affected. The dentin and root are usually normal. but the enamel may lack the normal prismatic structure, being laminated throughout its thickness or at the periphery, with the result that these teeth are more resistant to decay. This case is that of an six-year-old girl brought to the pediatric dentistry department by her parents for esthetic reasons and also because of slight dental sensitivity. Clinical and radiographic examinations confirmed amelogenesis imperfecta. The author has treated with the crowning of the primary molars, using prefomed NICr crowns and periodic and periodic fluoride application on whole dentition.