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      • KCI등재후보

        구내 골신장술 후 식립된 전치부 임플란트보철 치험보고

        김한석,김명래,이성근,강상원,김기환,김형섭 大韓顎顔面成形再建外科學會 2003 Maxillofacial Plastic Reconstructive Surgery Vol.25 No.1

        Objective : This is to report the effectiveness of intraoral distraction osteogenesis for alveolar augmentation in the extremely atrophied alveolar defects and to review the clinical results of the 2 cases. Subjects and Methods : Anterior segmental osteotomy was performed and the trans-oral alveolar distractors(Martin, Germany) were applied in 2 patients with the severe acquired anterior maxillary and mandibular defect. After latent period for 1 week, the osteomized alveolar segments were distracted by 1 ㎜ a day (0.5 ㎜/l turn) for 8 days in case Ⅰ and 0.6 ㎜ a day(0.3 ㎜/l turn) for 10 days in case Ⅱ. The consolidation period was about 8 weeks in each case. Thereafter, 6 titanium threaded implants(Branemark, Restore) were simultaneously installed with removal of distractor. The implants were tested clinically and radiographically. Results : Amounts of acquired alveolar bone were 8 ㎜ in case Ⅰ and 6 ㎜ in case Ⅱ respectively, with the increased width of the ridge crests and soft tissue expansion. Dental implants installated on the augmented alveolar ridges in 8 weeks after distrction were confirmed as in good osseointegration and in good function without any complications. Conclusion : Intraoral distraction osteogenesis can be a good option for alveolar ridge augmentation of the severely atrophied ridges and soft-tissue defects. However, for the better vector control of distracting segments and for anterior esthetics, customized distraction devices could be considered later.

      • 서울의 Penicillinase Producing Neisseria gonorrhoeae 발생빈도(1998)

        김재홍,김준호,반재용,이정우,황성주,정준규,정성태,강진문,조흔정,홍창의,정혜신,이한승,김이선,이봉길,이종호,선영우,한기덕,윤성필,이성훈,안종성,박석범,문승현,조항래,김형섭,류지호,황재영,박준홍,손상욱 한양대학교 의과대학 2001 한양의대 학술지 Vol.21 No.1

        In recent years, gonorrhea has been pandemic and remains one of the most common STDs in the world, especially in developing countries. For the detection of a more effective therapeutic regimen and assessing the prevalence of Penicillinase Producing Neisseria gonorrhoeae(PPNG), we have been trying to study the patients who have visited the Venereal Disease Clinic of Choong-Ku Public Health Center in Seoul since 1980 by menas of the chromogenic cephalosporin method. In 1998, 93 strians of N. genorrhoeae were isolated, among which 60(64.5%) were PPNG. The prevalence of PPNG in Seoul, which had been decreased to 39% in 1996 after a peak of 74.3% in 1993, is increased to 64.5% in 1998.

      • 한국에서 한 일간지 신문기사 검색을 통한 IMF 전과 후의 자살 양상 비교

        박상학,김경환,김학렬,김상훈,표경식,조용래 조선대학교 부설 의학연구소 2000 The Medical Journal of Chosun University Vol.25 No.1

        Objectives : Under an IMF bailout program, our country's financial situation forced people to change many things suddenly. Therefore, this study was attempted to search the aspects of changes of suicide attempts in order to find out how the financial crisis affects people's suicide attempts, the extreme repertoire for psychological change Method : November 21, 1997, the day issued the application of IMF bailout program, is the basic date for comparing the changes, on a certain newspaper(Dong-A daily newspaper). The condition was divided into two, namely before and after the basic date, and the characteristics of suicide were compared between two conditions. Results : The news of suicide increased more after than before the application of IMF situation. (before:105, after:158) Specially, for 30-50 years old, active age in community, the rate of suicide attempts reached twice than that of the others. After the IMF situation, the prominent reason of suicide was the financial crisis. For the type of suicide, the family suicide was remarkably increased after the IMF situation. Conclusion : The frequency of the news of suicide was higher after than before IMF bailout program. The major reason of suicide was the financial crisis. Considering that the social and economic crisis affects people's view of death, psychosocial interventions are necessary for their mental health.

      • KCI등재후보

        상악 골절단 및 급속구개확장(SARME)을 이용한 술전 치성보상의 해소와 악교정 치험 2례 : REPORT OF 2 CASES

        강상원,김명래,김기환,김한석,김채두 大韓顎顔面成形再建外科學會 2003 Maxillofacial Plastic Reconstructive Surgery Vol.25 No.4

        This is to review the surgically assisted rapid maxillary expansion followed by orthodontic treatment for malocclusion with maxillary narrow-arch. Two patients who presented with narrow-arch maloccluson and transverse maxillary deficiency underwent a Lefort I osteotomy extending to the zygomatico-maxillary but-trees and splitting of the midpalates. Orthopedic expansion was initiated with one complete rotation 0.8㎜ of the expansion screw on the day, and followed by two quarter-turn 0.4㎜ each day thereafter untill the arch expanded to preplanned level. Changes of the mid-incisal gap space. intermolar width. incisal inclination, TMJ symptoms and reapse tendency were examined periodically. After the surgico-orthodontic leveling and alignment. pre-planned orthognathic surgeries (maxillary & mandibular osteotomies) were rendered to correct the maxillofacial deformites. Results:Intermolar width (IMW) was increased to 13㎜ within 20 days and the gap between to cen-tral incisors was declined to5-7^。. There were neither complaints nor signs of TMJ disorders during treatment. The amount of relapse was less than 0.5㎜ in a year. Therefore, the surgically assisted rapid palatal expansion(SARME) can be a pre-orthodontic option to gain the interdental space in narrow-arch malocclusion with crowding and to reduce the labial inclination of upper incisors without extraction of premolars.

      • 한의진단명과 진단요건의 표준화 연구 III : 3차년도 연구결과 보고

        최선미,양기상,최승훈,박경모,박종현,심범상,김성우,노석선,이인선,정진홍,이진용,김달래,임형호,김윤범,박성식,송태원,김종우,이승기,최윤정,신순식 한국한의학연구원 1997 한국한의학연구원논문집 Vol.3 No.1

        The diagnostic requirements were suggested and explained regarding the systems of differentiation of symptoms and signs in the third year study of standardization and unification of the terms and conditions used for diagnosis in oriental medicine. The systems were as follows : - analyzing and differentiating of epidemic febrile disease - analyzing and differentiating in accordance with the Sasang constitution medicine based on four-type recognition - differentiation of disease according to pathological changes of Chong and Ren channels - standards for diagnosis of women's disease - standards for diagnosis of children's disease - standards for diagnosis of motor and sensor disturbance (-muscle. born, joint, etc.) - standards for diagnosis of neuropsychiatric disease - standards for diagnosis of five sense organ disease - standards for diagnosis of external disease The indivisual diagnosis pattern was arranged by the diagnostic requirements in the following order : another name, notion of diagnosis pattern, index of differentiation of symptoms and signs, the main point of diagnosis, analysis of diagnosis pattern, discrimination of diagnosis pattern, prognosis, a way of curing a disease, prescription, herbs in common use, disease appearing the diagnosis pattern, documents. The standards for diagnosis of each disease was arranged by the diagnostic requirements in the following order : another name, notion of disease, the main point of diagnosis, analyzing and differentiating of disease, analysis of disease, discrimination of disease, prognosis, a way of curing and prescription of disease, disease in western medicine appearing the disease in oriental medicine, documents.

      • KCI등재

        계약직공무원제도의 운영 실태에 대한 분석

        김상묵,강제상,김종래 한국정책학회 2003 韓國政策學會報 Vol.12 No.2

        우리 나라의 경우 계약직공무원제도는 공직사회의 전문성을 제고하고 공직 개방화에 따른 정부인적자원의 효율적 관리차원에서 1998년 도입되었다. 그 후 책임운영기관제도와 개방형 직위제도가 새로이 도입되었고, 행정서비스수요에 탄력적으로 대응하기 위하여 시간제공무원제도와 외국의 우수전문인력을 공직에 충원하기 위한 외국인공무원채용제도 등을 도입하는 등 계약직 공무원제도는 그 분야와 영역이 점차 확대되고 있는 실정이다. 이 연구의 목적은, 계약직공무원제도의 운영실태를 조사·분석하고, 이를 바탕으로 도입취지의 당위성을 확인하고 향후 인사관리정책의 방향성을 탐색하고, 계약직공무원제도의 개선을 위한 실현 가능한 정책대안을 모색하고자 한다. 특히 계약직공무원의 임용과 성과관리 방안 등 인력활용시스템의 개선에 대하여 중점적으로 고찰해보고자 한다. 먼저 면담조사를 통해 계약직공무원제도 운영실태를 파악한 후 이를 토대로 설문조사를 실시하였다. 전체 계약직 공무원 전원과, 비교집단으로 각 계약직 공무원과 유사한 위치에서 비슷한 업무를 수행하는 동일한 수의 일반직 등 비계약직 공무원을 선정하여 설문조사를 실시하였다. 이를 통해 계약직공무원제도의 운영실태를 파악한 후, 그 결과를 바탕으로 제도적·운영상 개선방안을 모색하였다. Given that the contingent employee is likely to be a familiar presence in the public service workplace of the future in Korea, this study explores the realities of contingent civil service system and discusses its institutional development. It reviews the characteristics and present situations of the contingent civil service system, analyzes its problems, and suggests the alternatives for improvement. Drawing upon survey evidence from two groups, 383 non-contingent public employees and 408 contingent public employees in the central government of Korea, our study shows that there is no difference between contingent and non-contingent public employees in the main reasons why they have entered to the government and in the factors which they have considered as more important, and that the major problems of current contingent civil service system are inappropriate performance evaluation and insufficient linkage between performance and reward, while most contingent and non-contingent public employees are agreed with the purposes of contingent civil service system. Such findings are discussed for the improvement of contingent civil service system in Korea.

      • V-groove을 이용한 광파이버 결합 특성에 관한 연구

        김상덕,임성래,이재규,김종빈 조선대학교 생산기술연구소 1996 生産技術硏究 Vol.18 No.2

        In this paper, an optical connection method for the application of subscriber loop and for the realization of FTTH(fiber to the home)is developed. Loss values of possible factors affecting connection loss are evaluated. Practical experimental values are measured for the case of factors. For connection of optical fiber, V-groove is fabricated with different widths and four types by photo-lithography method. Connection loss and refraction loss are measured by alignment to optical fiber on fabricated V-groove. It's compared with measurements by using index matching oil. With the result that measured average connection loss of 0.12dB. and average refraction loss of -45dB expected to application of subscriber optical cable loop. By designed and fabricated with different widths, this connection method can aligned and fixed optical fibers at the same time and compensated to loss values of possible factors.

      • SCOPUSKCI등재

        저칼슘식이 투여와 방사선조사가 임프란트의 골유착에 미치는 영향에 관한 실험적 연구

        김소정,황의환,이상래 대한구강악안면방사선학회 2000 Imaging Science in Dentistry Vol.30 No.1

        Purpose : To investigate osseointergration of titanium implants into the tibia of rabbits, which were fed a low calcium diet and irradiated. Materials and Methods : To prepare the experimental model, control group was fed a normal diet and experimental group was fed a low calcium diet for 4 weeks. And then, titanium implants were inserted into the tibia of each rabbit. Experimental group was subdivided into two groups; low calcium diet/non-irradiation group and low calcium dietfirradiation group. The low calcium diet/irradiation group was irradiated with a single absorbed dose of 15 Gy at the 5th postoperative day. At 12, 19, 33, 47, and 61 days after implantation (1, 2, 4, 6, and 8 weeks after irradiation), the bone formation in the bone-implant interface area was examined by light microscopy and fluorescent microscopy. Result and Conclusions : 1. In the control group, there began to form woven bone in the bone-implant interface area at 12 days after implantation. As the experimental time was going on, the amount of bone which was in contact with the implant was increased. 2. In the low calcium diet/non-irradiation group, there began to form woven bone in the bone-implant interface area at 19 days after implantation. Although the amount of bone which was in contact with the implant was increased as the experimental time was going on, the extent of increased bone was weak as compared with control group. 3. In the low calcium diet/irradiation group, there began to form woven bone incompletely in the bone-implant interface area at 19 days after implantation, but there were vascular connective tissues in the bone-implant interface area over the entire experimental period. 4. In the control group and low calcium diet/non-irradiation group, bone labeling bands were observed at 33 days after implantation, which suggests that the bone formation and remodeling was in process, but interstitial bone remodeling was not observed in the low calcium diet/irradiation group. (Kroean J Oral Maxillofac Radiol 2000; 30: 33-48)

      • Gas Chromatography를 이용한 Aspergillus niger KCCM 32005의 Myrcene 대사산물에 대한 연구

        金京禮,崔文禎,李尙駿,朴炯國,金正漢 성균관대학교 약학연구소 1991 成均藥硏論文集 Vol.3 No.1

        Abstract-After biotransformation of myrcene with Aspergillus niger KCCM 32005, its neutral metabolites were isolated from the conversion broths and analyzed by GC and GC/MS. Myrcene was converted into various terpenoids. Among them the five compounds, which were considered to be important as flavor, were identified as follows; terpinen-4-ol. α-terpineol, trans-carveol, cis-carveol, and carvone. Higher production was accomplished when the amount of myrcene was kept at lower but steady concentration by portion-wise introduction to the culture broth.

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