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      • KCI등재

        안면비대칭 3차원 CT 분석

        윤숙자,임회정,강병철,황현식 대한구강악안면방사선학회 2007 Imaging Science in Dentistry Vol.36 No.1

        Purpose : This study aimed to identify the range of normal facial asymmetry using three-dimensional CT and to develop a simple method of diagnosis of facial asymmetry. Materials and Methods : Twenty eight adults with normal occlusion (16 males and 12 females; mean age 24 years and I month) were selected, whose faces were assessed to be symmetric by an orthodontist. Three-dimensional reconstructions were obtained utilizing spiral CT scans and an oral and maxillofacial radiologist, evaluated nineteen anatomic landmarks in three-dimensional coordinates. Facial asymmetry index of each landmark was caluculated. Results : The range of normal facial asymmetry of each landmark was identified using mean and standard deviation of facial asymmetry index. Conclusions : The range of normal facial asymmetry identified in this study may be used as a diagnostic standard for facial asymmetry analysis. (Korean J Oral Maxillofac Radiol 2007; 37: 45-51)

      • KCI등재
      • 급성 ST 분절 상승 심근경색증의 표준진료지침 설계

        권선옥,김우식,오명기,나종천,이홍기,조욱현,최석구 인제대학교 2006 仁濟醫學 Vol.27 No.-

        The use of critical pathways for a variety of clinical conditions has grown rapidly in recent years, particularly pathways for patients with acute myocardial infarction. We intend to determine the impact of a clinical pathway on ST-elevation myocardial infarction (STEMI) and to evaluate the efficacy and safety of facilitated percutaneous coronary intervention (PCI) compared with primary PCI. Low risk STEMI patients (ST elevation >0.1mV in more than 2 limb leads or ST elevation >0.2mV in contiguous precordial lead, chest pain lasting more than 30 min without response to nitroglycerin) will be included. All patients will be also treated medically according to critical pathway. STEMI is one of the common diseases in emergency medicine and so it is necessary to establish realistic treatment guidelines. The use of critical pathways will improve the quality of care.

      • KCI등재후보

        고정식 교정 환자에서 전동치솔 효과에 관한 연구

        박창헌,황현식,이기헌,홍석진 대한치과교정학회 2004 대한치과교정학회지 Vol.34 No.4

        고정식 교정장치를 부착한 경우 장치주위의 치태 축적 가능성이 증가되고 이로 인해 치은염, 법랑질 탈회 등의 부작용이 초래 될 수 있는 바 치태 제거를 위한 효과적인 치솔질이 필요하다. 본 연구는 교정환자에서 일반적으로 사용되고 있는 치솔에 비하여 전동치솔이 구강위생에 도움이 되는지 알아보기 위하여 시행되었다. 고정식 장치에 의한 교정치료 예정인 환자 34명을 본 연구의 대상으로 하여 고정식 교정장치 부착 전에 치태지수, 치은염지수, 치은출혈지수를 측정하였다. 장치 부착 4주 후에 각 지수를 측정한 다음, 연구대상을 치솔의 종류에 따라 전동치솔군과 수동치솔군으로 임의 구분하여 수동치솔 또는 전동치솔을 사용하도록 구강위생교육을 각각 시행하였다. 이때 전동치솔의 경우 본체는 Braun Oral-B D9511을 브러쉬 헤드는 Braun Oral-B Ortho OD 15-1을 사용하게 하였으며, 수동치솔의 경우는 Butler G.U.M 124를 사용하게 하였다. 구강위생교육 4주 및 8주 후에 각 지수를 측정한 다음 시간 경과에 따른 전동치솔군과 수동치솔군의 구강위생 상태를 비교 분석하여 다음과 같은 결과를 얻었다. 1. 고정식 교정장치 부착 4주 후 치태지수, 치은염지수, 치은출혈지수 모두 증가 양상을 나타내었다. 2. 구강위생교육 후 치태지수, 치은염지수, 치은출혈지수 모두 감소 양상을 나타내었다. 3. 치은염지수, 치은출혈지수의 경우 감소양상이 수동치솔과 전동치솔군 간의 유의한 차이를 보이지 않았다. 4. 치태지수의 경우 수동치솔에 비해 전동치솔군에서 감소효과가 유의하게 크게 나타났다. 이상의 연구 결과는 고정식 교정장치로 치료받는 환자에서 전동치솔이 구강위생에 도움이 됨을 시사하였다. Patients with fixed orthodontic appliances frequently have increased levels of plaque accumulation leading to the possibility of gingivitis or enamel decalcification. Although many methods may be helpful in reducing dental plaque formation, the optimal mechanical removal of plaque is the most important factor during orthodontic treatment. The purpose of this study was to evaluate the efficacy of an electric toothbrush (with a specially designed orthodontic brush head) compared to a manual toothbrush in controlling plaque and gingivitis for patients with fixed orthodontic appliances. Oral hygiene status was measured in thirty-four patients using a plaque index, a gingival index and a bleeding index, before and four weeks after the attachment of fixed orthodontic appliances. Patients were randomly divided into two groups: electric and manual toothbrush groups. Oral hygiene instruction was given according to the type of toothbrush used. The Braun Oral-B D9511 with Braun Oral-B Ortho OD 15-1 brush head was used as the electric toothbrush while the Butler G.U.M. 124 was given as the manual toothbrush. After four and eight weeks, oral hygiene status was measured again. Through a comparison between the electric and the manual toothbrush groups, the following results were obtained. 1. All oral hygiene indices showed an increasing tendency after four weeks of fixed orthodontic appliance. 2. All indices presented a decreasing tendency four and eight weeks after oral hygiene instruction. 3. In case of the gingival index and bleeding index, the decreasing tendency did not show a statistically significant difference between the electric and the manual toothbrush groups. 4. The decreasing tendency of plaque index presented a statistically significant difference between the two groups, showing that the electric toothbrush was more effective in terms of oral hygiene. These findings suggest that an electric toothbrush is useful to orthodontic patients with fixed appliances.

      • 고정식 교정 환자에서 전동치솔 효과에 관한 연구

        박창헌,이기헌,황현식,홍석진 전남대학교 치의학연구소 2002 구강과학 Vol.14 No.4

        Patients with fixed orthodontic appliances frequently have increased levels of plaque accumulation leading to the possibility of gingivitis or enamel decalcification. Although many methods may be helpful in reducing dental plaque formation, optimal mechanical removal of plaque is tile most important factor during orthodontic treatment. The porpose of this study was to evaluate the efficacy of'an electric toothbrush, with a specially designed orthodontic brush head. compared with a manual toothbrush in controlling plaque and gingivitis for patients with fixed orthodontic appliances. Oral hygiene status was measured in thirty four patients, using a plaquc index, a gingival index and a bleeding index. before and four weeks after attachment of fixed orthodontic appliances. Patients were randomly divided into two groups, the electric and the manual toothbrush groups. Oral hygiene instruction was given according to the type of toothbrush used. The Braun Oral-B D9511 with Braun Oral-B Ortho OD 15-1 brush head was used as the electric toothbrush while the Butler G.U. M 124 was given as the manual toothbrush. After 4 weeks and 8 weeks, oral hygiene status was measured again. Through the comparison berween the electric and the manual toothbrush grpups. following results were obtained. 1. All oral hygiene indices showed increasing tendency after 4weeks of fixed orthodontic appliances. 2. All indices presented decreasing tendency four and eight weeks after oral hygiene instruction. 3. In case of gingival index and bleeding index. decreasing tendency did not show a statistically significant difference between the electric and the manual toothbrush groups. 4. The decreasing tendency of plaque index presented statistically significant difference between the two groups. showing that the electric toothbrush was more effective in terms of oral hygiene. These findings suggest that an electric toothbrush is useful to the orthodontic patients with fixed appliances.

      • 브라켓 부착시 실런트 레진이 법랑질 탈회에 미치는 영향

        윤영아,이기헌,황현식,홍석진 전남대학교 치의학연구소 2002 구강과학 Vol.14 No.1

        The purpose of this study was to evaluate the effects of a sealant resin on enamel demineralization in orthodontic bracket bonding. The forty eight extracted sound bovine teeth was subdivided into four groups and treated with Phase Ⅱ^(r) on the surface. Group 1 was not treated, Group 2 was acid etched with 37% phosphoric acid for 30 seconds, Group 3 was sealant applied after acid etching and Group 4 was resin paste applied after acid etching and sealant application. Each group was demineralized in artificial caries solution. Demineralized enamel depth was measured using by confocal laser scanning microscopy. The results were as follows. 1. The mean demineralized enamel depth was Group 1 (47.4㎛), Group 2 (61.8㎛), Group 3 (13.9㎛), Group 4 (8.2㎛). 2. The demineralized enamel depth was increased in Group 2 than Group 1 (p<0.05). 3. The demineralized enamel depth was reduced in Group 3 than Group1 and Group 2 with statistically significant differences (p<0.05). 4. Group 4 was very little demineralized. The results of the present study indicate that sealant application is useful for reducting enamel demineralization in orthodontic bracket bonding.

      • 백서에서 치아이동 후 보정기간 동안 교합이 치주조직 섬유의 재형성에 미치는 영향

        정권희,이기헌,황현식,이석형 전남대학교 치의학연구소 2002 구강과학 Vol.14 No.2

        The purpose of this study was to evaluate the effect of occlusion on the mechanical strength of periodontal fibers during retention periods after experimental tooth movement. In the Sprague-Dawley male rats weighing 200 g or more. The intraoral elastics was inserted into the interproximal space of upper the first and second molars. After 4th day of teeth movement, the left mandibular first, second, and third molars were extracted for differentiating the occlusal side from the non-occlusal side in the experimental groups. The intraoral elastics was removed and then light cured resin was placed in the interproximal space between the bilateral upper first and second molars following undercut was made for retention. From the day beginning retention, 7 rats were sacrified at 0, 4, 8, 12, 16, 20 days respectively. For evaluating of degree on the mechanical strength of periodontal tissue, maximal shear load of the bilateral upper first molars were measured by use of Instron Universal Testing Machine. The results of this study were obtained as follows: 1. In the occlusal side from no retention group to 4-day, 8-day, 12-day, 16-day, and retention 20-day group as time was going maximal shear load was increased and there was statistically difference from retention 12-day group(p<0.05). 2. In the non-occlusal side from no retention group to 4-day, 8-day, 12-day, 16-day, and retention 20-day group as time was going maximal shear load was increased slightly but there was no statistically difference(p>0.05). 3. The result compared with maximal shear load between occlusal and non-occlusal side showed no statistically difference until retention 8-daygroup(p>0.05), and showed statistically difference from retention 12-day to 20-day group(p<0.05). These results show that the occlusion had an effect on mechanical strength of the periodontal fibers during retention periods after experimental tooth movement; therefore, it is suggested that consideration of occlusion is required for the type and length of retention at the time of retention planning.

      • SCIESCOPUSKCI등재
      • KCI등재후보

        A case of metastatic cholangiocarcinoma in a ferret

        Kyu-Shik Jeong, Ho-Suk Lee, Kyung-Ku Kang, Chang-Woo Min, Ah-Young Kim, Eun-Mi Lee, Eun-Joo Lee, Myeong-Mi Lee, Sang-Hyeob Kim, Soo-Eun Sung 충북대학교 동물의학연구소 2013 Journal of Biomedical and Translational Research Vol.14 No.2

        Cholangiocarcinoma is a relatively rare neoplasm in animals and humans. A four-year-old, neutered male ferret presented with depression, anorexia, cachexia, diarrhea, and icterus. Necropsy findings included ascites, multiple white nodules on the surface of the liver, stomach, and duodenum, gross enlargement of the bile duct and right atrium, hemorrhage of the gastric and duodenal mucosa, and icterus of the mesenteric fat. Infiltrative well-differentiated neoplastic biliary epithelial cells forming ducts and acini with a prominent collagenous stroma were observed on microscopic examination of neoplastic lesions within the liver, mesentery, and the serosa of the stomach and duodenum. This is a report on a rare case of obstructive jaundice due to cholangiocarcinoma in a ferret.

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