유구치 기성 금관의 변연 적합도에 관한 연구

우주형,장철호,김정욱,장기택,김종철 대한소아치과학회 2007 大韓小兒齒科學會誌 Vol.34 No.1

본 연구의 목적은 발거된 기성 금관 수복 유구치를 대상으로 변연 적합도를 관찰 분석하는 것이다. 서울대학교 치과 병원 소아치과에서 수거한 3M사의 기성 금관 수복 유구치를 대상으로 하였다 상악 제 1유구치 42개, 상악 제 2유구치 25개, 하악 제 1유구치 37개, 하악 제 2유구치 28개를 대상으로 기성 금관의 변연에 따라 치근 절단한 후 단면을 Fine Pix S602 디지털 카메라로 촬영한 후 Kappa image base program을 이용해 두각 부위 및 임의로 20 부분의 변연 간격과 전체 기성 금관 면적 중 변연 간격의 면적이 이루는 비율을 측정하여 다음과 같은 결과를 얻었다. 1. 평균 변연 간격은 상악 제 2유구치, 하악 제 1유구치, 하악 제 2유구치, 상악 제1 유구치 순으로 높았다 (P<0.05). 2. 평균 변연 간격 면적의 비율은 치아의 종류에 관계없이 약 20%를 상회하는 값을 보였다. 3. 상악 제 1,2유구치에서는 근심면의 변연 간격이 가장 컸고, 하악 제 1유구치에서는 원심 설면, 하악 제 2유구치에서는 협면에서 변연 간격이 가장 큰 값을 보였다. Stainless steel crowns are invaluable restorative material for the treatment of badly broken down primary teeth in pediatric dentistry. But it is difficult to fit margin because selection of size is not easy and they are not adjusted for Korean children. The purpose of this study was to examine and analyze the marginal adaptation of stainless steel crown of posterior primary tooth. Marginal surface was taken by Fine Pix S602 digital camera and measurements of crown were recorded at 20 points that were randomly selected for marginal gap evaluation by Kappa image base program. 1. Mean marginal gap were large upper 2nd primary molar, lower 1st primary molar, lower 2nd primary molar, upper 1st primary molar in order(p<0.05). 2. Mean marginal surface dimension ratio was more than 20% irrespective of tooth. 3. Largest amount of marginal gap was shown at mesial surface in upper 1st, 2nd primary molar and distolingual surface in lower 1st primary molar, buccal surface in lower 2nd primary molar.

Shrinkage Estimation of Parameters in a Linear Model

禹正秀,金東郁 嶺南大學校附設 基礎科學硏究所 1984 基礎科學硏究 Vol.4 No.-

In this paper we shall propose shrinkage estimator in a linear model. We shall find the condition that can be used in seeking the situations in which proposed estimator is superior to the least square estimator.

골격성 Ⅲ급 부정교합자의 전치부 수직피개도에 영향을 미치는 요소 - 개교군과 피개군간의 비교

정정화,남형진,강상욱,손우성 부산대학교 병원 암연구소 2009 부산대병원학술지 Vol.- No.25

항정신병약물을 처음으로 사용하는 초발 정신증 환자에서 나타나는 체중 및 대사성 지표의 변화 : 후향적 연구

김우진,심주철,공보금,강제욱,문정준,김정은,김민걸,박민경,김성진,김현정,정도운 대한생물치료정신의학회 2011 생물치료정신의학 Vol.17 No.2

Objectives:This study was to identify weight & metabolic changes in first-episode psychotic patients with antipsychotics use and investigate the differences of weight & metabolic changes between first-episode psychotic patients and controls with antipsychotics use. Method:In this retrospective study, twenty eight first-episode psychotic patients and twenty eight controls with schizophrenia, schizoaffective or bipolar disorder defined by DSM-IV criteria were included. Information about demographic and clinical characteristics of the subjects was gathered from the medical records. Also body weight, sBP, dBP, fasting glucose, lipid profile and WBC count were evaluated before and after antipsychotics use. Rogistic regression was conducted to assess factors associated with weight gain. Results:First-episode psychotic patients showed more weight and BMI changes than controls after antipsychotics use, and these changes continue over 12 months. On the other hand, there were no significant factors associated with weight gain. Conclusion:The results of present study suggest that antispychotics is one of the major causes inducing weight gain of psychotic patients and antipsychotics-induced weight gain is more vulnerable to drug-naive first-episode psychotic patients.

정상 체중인 성인 남성에서 지방과다와 심혈관질환의 위험요인간의 관련성

권우성,김준수,채진욱,이근미,정승필,문용 영남대학교 의과대학 2003 Yeungnam University Journal of Medicine Vol.20 No.1

정상체중을 가진 성인 남성에서 지방과다(adiposity)와 심혈관계 질환의 위험요인과의 관련성을 알아보고자 하였다. 2001년 1월 3일부터 12월 31일까지 영남대 학교의료원에서 종합검진을 받은 만 28∼69세 성인 남성 129명을 대상으로 연령, 신체계측, 혈압, 공복 혈당, 혈청 지질대사치와 체성분 검사를 실시하였다. 체질량지수(BMI)가 18.5∼23 kg/㎡(76명)인 정상체중군과 23∼25 kg/㎡(53명)인 과체중군으로 분류하고, 체비방률, 체지방량과 위험인자들(수축기혈압, 이완기혈압, 공복시 혈당, 중성지방, 저밀도지단백, 고밀도지단백)의 상관관계를 분석하고, 정상체중군을 지방과다에 따라 3군으로 나누고, 각 군과 과체중군에서 심혈과 질환의 위험인자를 평가하였다. 정상체중의 제1군을 기준으로 제2, 3군과 과체중군의 위험인자 존재에 대한 비차비(odds ratio)를 조사하였다. 정상체중군에서 지방과다 변수들(adiposity variables: 체지방량, 체지방률)과 수축기 및 이완기 혈압, 저밀도지단백, 중성지방에서 유의한 상관관계가 있었다. (P<0.01). 나이를 보정하고 난 뒤 제1군을 기준으로 제3군(체지방율: 3.7, 체지방양: 4.7)과 과체중군(체지방율: 6.6, 체지방양 11.5)에서 위험인자에 대해 더 높은 비차비를 가졌다. 지방이 많은 정상체중의 성인남성은 적은 지방을 가진 성인 남성보다 심혈관 질환에서 더 높은 유병 위험도를 가졌다. 지방 측정은 정상체중군에서 심혈관계 질환의 위험인자외에 추가적인 정보를 제공할 수 있었다. Background: Most of all studies about the relation between the health risk and obesity are based on the European and American data. The purpose of this study is to examine the relation between adiposity and factors for cardio vacular disease (CVD) in normal weight individuals. Materials and Methods: Normal weight subjects with a body mass index (BMI) between 18.5 and 23 kg/㎡(76 subjects) and overweight subjects with a BMI between 23 and 25 kg/㎡ (53 subjects) were retained for this study. Normal weight subjects were divided into three group of each adiposity variable, then three group and the overweight group were evaluated for the presence of CVD risk factors and analyze the correlation coefficients between adiposity variables and risk factors controlled for age in normal weight, overweight groups. Using logistic regression analysis, the odds ratio (OR) for the prevalence of risk factors for each group of adiposity variables and the overweight group was estimated relative to the first group in normal weight subjects. Results: Systolic BP, diastolic BP, LDL cholestrol, HDL cholesterol, triglycerides in normal weight subjects were significantly correlated with all adiposity variables (P<0.01). Third group (3.7 for %fat and 4.7 for fat mass) of adiposity variables in the normal weight group and the overweight group (6.6 for %fat and 11.5 for fat mass) tended to have higher ORs compared to first group for risk factor variables. Conclusion: Normal weight subjects with elevated adiposity had higher prevalence of risk factors than normal weights subjects with less adiposity. Measuring of adiposity added additional information of cardiovascular disease risk factors in normal weight subjects.

척수종양의 임상적 관찰

송재욱,김수한,우정현 全南大醫大 1987 전남의대학술지 Vol.24 No.1

음전하를 띤 Microsphere 에 의한 정전기적 반발력이 정밀여과에서 투과 플럭스에 미치는 영향 고찰

박정민,최성욱,방시원,함승주,김중현,김우식 한국화학공학회 2001 Korean Chemical Engineering Research(HWAHAK KONGHA Vol.39 No.6

본 연구에서는 일정 압력하에서 음전하를 띤 microspheres의 정전기적 반발력에 따른 투과 플럭스의 변화에 관하여 고찰하였다. Microsphere의 정전기적 반발력에 관한 영향을 관찰하기 위해 표면전하 밀도(N_c: 0.45, 5.94, 10.25)가 각각 다른 poly(Styrene/Methacrylic acid) microspheres를 제조하였다. 교반속도는 300, 400, 600 rpm, 이온강도는 0.1, 0.01, 0.001로 변화시켜 실험하였다. 투과 플럭스는 표면전하밀도, 교반속도, 이온강도에 큰 영향을 받음을 알 수 있었으며, 투과 플럭스는 표면전하밀도가 클수록, 교반속도가 증가할수록, 이온강도가 작을수록 증가함을 알 수 있었다. 교반속도가 크면 막표면의 농도분극층의 두께가 얇아지기 때문에 투과 플럭스는 증가한다. 이온강도가 작을수록, 표면전하밀도(surface charge density)가 클수록 투과 플럭스가 커지는 원인은 microspheres의 정전기적 이중 층의 두께가 두꺼워짐에 따라 입자 사이의 거리가 멀어져 공극률(porosity)이 커지기 때문이다. 정상상태 플럭스 자료로부터 비 저항 정의식을 이용하여 케이크층의 공극률을 구할 수 있었다. 전하를 나타내지 않는 polystyrene microspheres의 입자크기가 480㎚일 때 농도분극 층의 이론적인 공극률은 0.211이었고, microspheres의 표면이 methacrylic acid로 완전히 개질된 것은 비 저항정의식에 의해 3.04로 계산되었다. 또한 microspheres들간의 정전기적 상호작용력이 작아지면 농도분극층의 공극률도 줄어드는 것을 알 수 있었다. The effect of the surface charge density(N_c: 0.45, 5.94, 9.14 and 10.25) and the stirrer speed(300, 400 and 600 rpm) on the variation of permeate flux was investigated in a stirred cell filled with negatively charged microspheres under constant pressure. It was found that the permeate flux depended on the surface charge density, the ionic strength and the stirrer speed. High permeate flux was obtained in the condition of high surface charge density, low ionic strength and high stirrer speed due to the force of electrostatic interaction between microspheres. The porosity of a cake layer was calculated from the steady-state flux data. It was found that the reduction of porosity was due to a decrease in repulsive interaction between microspheres.

폐경 후 여성에서 체성분과 골밀도와의 관계

채진욱,김일희,권우성,이근미,정승필,문용 영남대학교 의과대학 2003 Yeungnam University Journal of Medicine Vol.20 No.1

Background: Body weight is an important factor that influence the bone density in postmenopausal women except estrogen dificiency. However, different results are reported about the relationship between body composition and bone density in the postmenopausal women. We have studied the relationship between age, body weight, body mass index (BMI), waist hip ratio (WHR), muscle mass, fat mass, fat free mass and bone density. Materials and Methods: We have studied 127 persons of postmenopausal women who visited university medical center and examined the inbody 3.0 and Dual Energy X-ray Absorptiometry (DEXA) from Jan, 2001 to Jun, 2002. they didn't have any disease and didn't received homone therapy, osteoprosis therapy or other medication that influence the bone density. Results: The numbers of study subjects is total 127 persons. Mean age is 56.9±5.14, mean weight is 59.3±8.7 kg, mean BMI is 25.37±3.16 (kg/㎡), mean fat mass is 20.02±5.05 kg, mean muscle mass is 37.49±4.50 kg, mean fat free mass is 39.80±4.70, mean BMD is 0.828±0.148 (g/㎠). In the result of linear regression analysis, age, height, weight, muscle mass, fat free mass, fat mass, BMI are significant determinants of BMD. In stepwise multiple regression analysis, age is the most significant determinant of BMD and besides age, fat mass is the most significant determinant of BMD among body composition. Conclusion: In postmenopausal women, age, height, weight, BMI, muscle mass, fat free mass, fat mass are significant determinants of BMD and besides age, fat free mass is the most significant determinant of BMD among the body composition. So, diet and exercise that increase fat free mass will contribute to bone density increment.

경북 최초의 신장이식 1례

이중현,김용섭,이정호,이창우,김상욱,이문섭,오민구,하달봉,이경섭 동국대학교 의학연구소 2000 東國醫學 Vol.7 No.-

신장이식은 환자의 삶의 질을 높이고 거의 정상적인 사회생활을 가능하게 함으로써 말기신부전 환자의 3가지 신대체 요법(혈액투석, 복막투석, 신장이식) 중에 가장 효과적이고 각광받는 치료법이라 할 수 있다. 최근 들어 의료기술과 의학의 발달로 신장이식의 성공률은 과거에 비해 비약적으로 높아지고 있으며 국내에서도 점차 신장이식수술을 받는 환자가 증가하고 있으나 서울이나 다른 대도시에 비해 의료환경이 열악한 중소도시나 지방의 병원에서는 아직도 시행하지 못하고 있는 형편이다. 이에 저자들은 경북 최초로 자체 의료진에 의해 고혈압과 말기 신부전으로 동국대 포항병원에서 혈액투석을 받고 있던 32세의 남자환자에게 부인으로부터 신장을 제공받아 신장이식을 성공적으로 시행하였기에 문헌고찰과 함께 보고하고자 한다. Kidney transplantation is the preferred treatment modality for many patients with end-stage renal disease (ESRD), because it offers improved quality of life over both hemodialysis and peritoneal dialysis. Patients who do well after transplantation generally report improvement in vitality and freedom to return to the style of life that they experienced before their progression to ESRD. Recently, the success rate of kidney transplantation is greatly being increased as the surgical technique and immunosuppressive drugs are developed. Kidney transplantation is also popular in Korea which has good result. But, until now the general hospitals which are located at small city can't try the kidney transplantation because they don't have proper facilities and experts. We firstly experienced a case of kidney transplantation in a 32 years old man with hypertension and chronic renal failure at KyoungBuk province. So we report this case with references.

표면 처리방법에 따른 복합레진의 미세누출에 관한 실험적 연구

이창우,김정욱,이상훈 大韓小兒齒科學會 1998 大韓小兒齒科學會誌 Vol.25 No.1

Adhesion of composite resin to tooth structure has been of tremendous signgicance in clinical dentistry. Due to the lack of adhesion between composite restorative resins and enamel and dentin, microleakage occurs at the tooth/restoration interface. This may lead to discoloration, secondary caries, marginal breakdown, postoperative sensitivity, and even pulpal pathology. According to extensive wse of composite resin, every effort on i,proving bonding strength and reducing microleakage between a tooth and composite resin has been continued. This study was conducted to determine the difference in microleakage in enamel and dentin treated with air-abrasion, acid etching and combination when restored with composite resin. Class V cavities were prepared on 30 premolars. The specimens were divided into following groups. group 1:air-abrasion+Scotchbond Multi-purpose group 4:air-abrasion+ All-Bond 2 group 2:acid stching+Scotchbond Multi-purpose group 5:acid etching + All-Bond 2 group 3:combination+Scotchbond Multi-purpose group 6:combination + All-Bond 2 #combination:air-abrasion + acid etching The specimens were filled with Z-100 after application of Scotchbond Multi-purpose and All-Bond 2. Thermocycling was conducted by alternately dipping the specimens in 5℃ and 55℃ water for 30 seconds 500 times. 1% methylene blue was applied and the specimens were left for 24 hours at 37℃. After washing out the dye, the tooth was sectioned buccolingually aling the axis. The sectioned surface was observed with stereoscope for dye penetration. The author has measured the microleakage in teeth prepared with air-abrasion, acid ethching and combiantion to study the difference in microleakage following different methods of tooth surface treatment and has come to following results. 1. In comparing microleakage between groups, group 1 and 4 showed statistically significant difference from group 2, 3, 5, and 6(p<0.05). There was no significant difference among group 2, 3, 5, 6(p>0.05) nor between group 1 and 4 (p>0.05). 2. In comparing micreleakage among tooth surface treatment methods. Air-abrasion group showed significantly more microleakage than acid etching group and combinationa(air-abrasion + acid etching) group(p<0.05). Combination(acid etching+air-abrasion)group tended to show lesser microleakage than acid etching froup, but this was not statistically significant(p>0.05). 3. In comparing microleakage between bonding agents, there was no siatistically significant difference between Scotchbond Multi-purpose and All-Bond 2(p>0.05).