Provisional implant의 임상적 적용례

안선희,안경미,이경원,장보영,안미라,손동석 大韓顎顔面成形再建外科學會 2003 Maxillofacial Plastic Reconstructive Surgery Vol.25 No.1

It has been reported that for implatns to become osseointegrated, they must heal in the absence of functional loads for 4 to 6 months. The provisional implants were designed to support provisional restorations and to allow for load-free osseointegration of definitive implants, while the was provided with immediate esthetic and function. In addition, the provisional implant protects graft site. Also the provisional implant provides anchorage for orthodontic treatment and reconstructs vertical dimension in edentulous condyle fracture to practice functional therapy. The provisional implant system is a sound and economical method to achieve patient's immediate masticatory and esthetic function. Three cases are presented to document and illustrate the clinical application.

장애아동들의 지역학교내 통합교육에 대한 초·중·고등학교 교사들의 태도 비교 연구

안성우,김미경 한국특수아동학회 2001 특수아동교육연구 Vol.3 No.-

본 연구는 통합교육에 대한 초ㆍ중ㆍ고등학교의 교사들의 태도에 대해 조사하였다. 우리나라에서도 1994년에 개정된 특수교육진흥법 제15조에 의해 통합교육을 장애 아동 교육 정책으로 삼고 있다. 이 새로운 정책은 장애 아동들을 일반 학교에 받을 것인 지 아닌 지 교사들이 더 이상 결정할 수 없게 하였고 일반 학교에서 장애 아동들을 교육하는 것이 선택 사항이 아니게 되었다. 이 정책은 장애 아동들의 교육 뿐만이 아니라 일반 아동들의 교육에도 영향을 미치게 되었다. 그러나 많은 학자들은 이러한 정책의 실행 성공 여부는 교육적 지원 외에도 교사들의 통합교육에 대한 태도에 달려 있다고 지적하고 있다. 따라서 교사들의 태도를 조사하는 것은 통합교육의 성공을 위한 준비 노력으로서 상당히 의의가 있다. 본 연구에서는 초등 교사와 중등 교사들의 태도를 비교하는 것을 또 다른 목적으로 하고 있다. 이는 초등학교와 중고등학교의 교육 현실이 상이한 점 때문으로 태도는 개인이 속한 환경의 영향을 받기 때문이다. 그런데 기존의 선행 연구들은 특수교사와 일반 교사간에는 많은 연구들이 수행되어 있으나 학교급간에는 많은 연구가 수행되어 있지 않다. 따라서 학교급별 교사들의 통합교육에 대한 태도를 조사하는 것은 상당히 의의가 있다. 또 본 연구에서는 교사들의 인구통계학적 변인들이 통합교육에 대한 교사들의 태도에 미치는 영향을 알아 보려고 시도하였다. 그러나 교사들의 특수교육에 대한 지식 정도가 통합교육에 대한 태도에 미치는 영향을 통제하기 위해 교사들이 방학중 특수교육 관련 연수를 이수한 직후에 태도 조사를 실시하였다. 본 연구의 결과는 교사들이 장애 아동들의 통합교육에 대해 전반적으로는 긍정적인 태도를 갖고 있는 것으로 나타났다. 그러나 학교급간에 통합교육의 효과에 대해 상이한 태도를 갖고 있었다. 초등학교 교사들이 더 호의적이었고 중고등학교 교사들이 덜 호의적이었다. 이는 중고등학교의 교육 현실을 반영하는 것이라고 생각되어진다.또 교육적 효과의 하위 영역에서는 교사들이 통합교육이 긍정적인 영향을 미칠 것이라고 생각하는 영역도 있고 아동들의 교육에 부정적인 영향을 미칠 것이라고 생각하는 영역도 있다. 교사들은 아동들의 교과 학습면을 가장 우려하고 있었다. 교사들이 우려하는 점들을 해소할 수 있는 방향으로 교육 정책이 입안되고 실행될 수 있도록 노력하여야 할 것이다. This study investigated teachers' attitudes as measured by responses of teachers from three different levels of school toward integration of children with disabilities. In 1994 a new policy which emphasized the rights of all children to an education in community based regular schools and the consequent expectation that teachers and no choice about whether they would accept children with disabilities into their classrooms had been introduced in this country. This policy has changed teaching environments in community based regular school. In this study, it was found that teachers expressed positive attitudes toward the integration of children disabilities into their classroom. It was also found that the attitudes toward mainstreaming students with disabilities of teachers in elementary schools are more positive than the attitudes of teachers working in either middle school or high school, and that teachers did not view that mainstreaming help non handicapped children in academic area. They viewed that mainstreaming might have a negative effect on an academic achievement of non handicapped students in general. However, it was pointed out that the availability of ancillary staff was seen as a major factor in the more positive attitudes toward the policy.

비만을 동반한 위암 환자에서 두 병을 같이 수술 치료한 경험(증례)

최경현,윤기영,문형환,신연명,서경원,안수미,송윤미,석정희,정경연,이은하 고신대학교의과대학 2008 고신대학교 의과대학 학술지 Vol.23 No.3

Obesity is growing problem in Korea. We had a case of bariatric surgery during gastric cancer operation. Patient was 29 year old Korean lady with early gastric cancer located in the lesser curvature side of the middle 1/3 of the stomach. Her body weight was 89 kg, height 163 cm, and thus body mass index was 33.5 kg/m2. Preoperative blood pressure was 130/90 mmHg, hemoglobin 12.9 g/dL, total lymphocyte count 3,280/mL, serum albumin 4.3 g/dL, CEA 1.1 ng/mL, CA 19-9 9.1 ng/mL, and alpha fetoprotein 2 ng/mL. Another associated disease was right thyroid follicular neoplasm. The chest X-ray was normal. After IM injection of 2,500 units of heparin 30 minutes before the induction of general anesthesia, she received curative subtotal gastrectomy and Roux en Y gastrojejunostomy when a malabsorption loop of 120 cm jejunum was incorporated between the Treitz ligament and the end to side jejuno-jejunostmy site at May 29th 2006. Her postoperative course was uneventful except a minor wound seroma and the elevations of serum amylase(up to 4 folds) and lipase(up to 2 folds). She lost her body weight 9 kg in 5th, 21 kg in 7th, and 27 kg in 10th postoperative months to became 61.5 kg. On follow up exams in July 2008, she gained 4 kg to overcome her weakness and fatigue. From the above result, the incorporation of a malabsorption loop during reconstruction phase of gastric cancer operation was a good option for obese gastric cancer patients especially in cases of early gastric cancer.

입원 환자 영양검색 전산 프로그램 개발

안수미,윤기영,신연명,최경현,임근승,장문경,송윤미,공은희 고신대학교의과대학 2008 고신대학교 의과대학 학술지 Vol.23 No.2

Background : About 30% of patients in the hospital are under nourishment. A large portion of people are undernourished when they are admitted to the hospital and in the majority of these, undernutrition develops further while in hospital. Patient-Generated subjective global assessment(PG-SGA), a method of nutritional assessment based on clinical judgment, has been widely used to assess the nutritional status of adults for both clinical and research purposes. Modified PG-SGA can be used as a nutrition screening tool, and a comprehensive nutrition assessment is desirable for those who are malnourished. The purpose of this study is to develop a simple, reliable and valid nutrition screening program(NSP). Methods : We applied the nutrition screening program(NSP) to adult inpatients who are at risk of malnutrition using the Modified Patient-Generated subjective global assessment(PG-SGA) and objective assessment(electrical medical record data). Results : Therefore simple and beneficial NSP is developed for patients with severe malnutrition. Using NSP. nutritional information of the severe malnutrition patient should be shared with the physicians and they should be taken care of by clinical dietitians to improve their nutritional status. Conclusion : The Modified PG-SGA and nutrition screening tool are simple, reliable and valid nutrition screening program(NSP).

억양의 의사소통적 기능에 대한 연구 : 일어문 시기의 아동을 대상으로 in Children with Single Word Sentences

안미리,김태경 한국음성과학회 2004 음성과학 Vol.11 No.2

This study examined the use of intonation in children with single word sentences and investigated the communicative functions of pitch range and pitch direction. Two children aged 13months were observed in interaction with their mothers for 10 months. The vocalizations were coded separately for communicative function and for prosodic feature. Results show that level tones are used most frequently, and pitch range is higher for request than declaration or answer and lower for answer than request or declaration. And trends in prosodic contours were observed in request, declaration, and answer respectively. For one child, rising tones were frequently associated with request whereas rising-falling tone with declaration. For the other child, rising-level tones were more frequently associated with request whereas falling-level appeared more often in conjunction with declaration. These trends appeared more distinct in proportion as they grow in months. This result indicate that the way to express communicative functions transfer gradually from differentiating pitch range to diversify pitch direction.

忍冬덩굴의 揷木繁殖에 관한 硏究

沈慶久,安永熙,柳美先 成均館大學校 科學技術硏究所 1983 論文集 Vol.34 No.2

The honeysuckles constitute a sturdy group of semievergreen vines, some which can be grown in everywhere of the native mountains. As a group, they are not susceptible to serve disease troubles, which are easily grown and will usually produce a wealth of foliage, flower and fruit with very little care. They are perenial and deciduous climbing plants with strong vines, and flowered from June to September that are considerd as a good ornamental plants for Landscaping. Plants of honeysuckle are ordinarily able to be rooted from softwood or hardwood cuttings, the cutting itself being about 4-5cm long. This study was carried out to determine the effectiveness. of various rate of IBA and NAA treatment on rooting of honeysuckles (Lonicera japonica, Lonicera japonica var. aureoreticulata, Lonicera sempervirens) in the mist room and closed moist chamber. And the results obtained were as follows. Treatment of IBA and NAA increase! in the rooting percentage, rootlet number and length of root on the rooting of honeysuckle cuttings. The rooting percentage of honeysuckle cuttings with IBA 2000pprn 10 sec dip are higher than other rooting hormone treatment. IBA showed more promoting .effect than NAA treatment on the rooting of leafy softwood cuttings. Rooting percentage and number of root tended to have the hightest root system in the closed moist chamber than the mist room.

등칡(Aristolochia manshuriensis)의 繁殖에 관한 硏究

沈慶久,安永熙,柳美先,劉鍾勳 成均館大學校 科學技術硏究所 1985 論文集 Vol.36 No.1

Aristolochia manshuriensis KOM. distributed in the northern parts of Kangweon Province centering Mt. Seorag in Korea is a vigorous and climbing vine. It has been used widely as one of ingredients of chinese medicine. The unusual flowers by virtue of their shape and hue are beautiful, flowered in May and matured in October. The large leaves are coarse in texture, and have been used as arbor, trellis, pergola, and pillar. Therefore, it is now considered as an excellent ornamental plants for Landscape. The objectives of this study were investigation of the suitable propagation methods, comparison of the influence of bed temperature for hardwood cuttings, and determination of the effectiveness of various rooting promotion treatments. The results obtained were as follows. The germination rate 53% when the period of stratification was 70 days. The rooting percentage, rootlet number, and length of root male plants are generally better than those of female plants. The female and male plants cuttings tended to have the largest root system in the 20℃-bed temperature. The female plants treated with 20℃, IBA 1000ppm and 25℃ IBA 1000ppm. The male plants treated with 20℃, IBA 500ppm rooted well.

노박덩굴(Celastrus orbiculatus)의 繁殖에 관한 硏究

沈慶久,安永熙,柳美先,劉鍾勳 成均館大學校 科學技術硏究所 1984 論文集 Vol.35 No.2

Bittersweet(Celastrus orbiculatus) grown widely in the mountains of Korea is perennial, deciduous and climbing plant. They have strong vines, flower from May to June and mature in October. The red coloured fruits are beautiful, use as the cut-flower materials, and also as the food of birds. This is now considered worthwhile to exploit as an outstanding landscape plant. The objectives of this study were investigation of the suitable propagation methods, reaffirmation of the utility of mist room for softwood cuttings, influence of bed temperature for hardwood cuttings, and determination of the effectiveness of various rooting promotion treatments. The results obtained were summarized as follows. The germination rate was 70% when the period of stratification was 50 days. In softwood cuttings, the rooting percentage and rootlet number tended to be greater in closed moist chamber than those in mist rooms. The rooting percentage, rootlet number and length of root in the 25℃-bed temperature were higher than those in the bed of 20℃ or 30℃ in hardwood cuttings. Cuttings treated with IBA 1000ppm rooted better than those received other hormone treatments in hardwood and softwood cuttings.

말티즈개의 구강에서 발생한 골육종

정윤경, 조현예, 이상섭, 김미희, 이계리, 변현섭, 장동우, 안병우 충북대학교 동물의학연구소 2007 Journal of Biomedical and Translational Research Vol.8 No.1

본문참고

정상인에서 전기 및 자기 자극을 이용한 설 근육의 전기생리학적 평가

조은미,류종현,안성환,조경원,임건한,김진호,김후원 朝鮮大學校 附設 醫學硏究所 2006 The Medical Journal of Chosun University Vol.31 No.1

Background: Abnormality of lingual muscles is clinically common. But its exact clinical assessment is quite difficult. Evaluation of motor power of the lingual muscles and their neural pathway is limited because of anatomical inaccessibility and individual variation of subjective symptoms. Transcranial magnetic stimulation (TMS) of the human motor cortex is a non-invasive tool to assess the functional integrity of the fast conducting central motor pathways and electrical stimulation of lingual nerve is a conventional method of peripheral nerve conduction. Therefore both study will be helpful to understanding of pathophysiology of lingual abnormality. Until now there is no such report in Korea. This study was conducted to acquire the easier method and normal control values of Korean subjects. Method: We recorded the motor responses from the lingual muscles of 32 healthy subjects (22 men, 10 women) by focal cortical TMS with a circular coil. Motor potentials were recorded by means of surface electrodes applied on the both side of the tongue, following TMS several centimeters lateral from the vertex and parietooccipital cortex and peripheral electrical stimulation of the 12th cranial nerve at the lateral 1/3 point of the line between the midline and angle of mandible. Results: During moderate motor activation, majority of maximal motor response were obtained 4-6cm lateral to the vertex with similar latencies. And the responses from magnetic stimulation of the intracranial segment of hypoglossal nerve were discarded because of difficulty to obtain and unsatisfactory reproducibility. The latency of motor evoked potentials in right cortical stimulation was 10.08 ± 1.17 msec and in left stimulation 10.04 ± 1.32 msec. The amplitudes in right 2.15 ± 1.02, left 2.09 ± 1.11 mV. The latencies electric hypoglossal nerve stimulation were 2.42 ± 0.34 in right, 2.49 ± 0.35 msec in left side. The amplitudes were 2.90 ± 2.37 in right, 2.43 ± 1.86 mV in left side. Central conduction times as calculated by subtracting the response latencies obtained by magnetic and electric stimulation are right 7.65 ± 1.19, left 7.55 ± 1.35 msec. There was no significant difference between man and woman, Conclusion: The method may be efficient, noninvasive, painless, and easy reproduced. With more extensive application to various neurological disorders, it comes close to being an ideal clinical conduction study technique for this cranial nerve.