재발한 희돌기 교세포종에 대한 BCNU-CDDP 연속정주 화학요법

윤상민,이창훈,이승훈,송재욱,김종현 대한신경외과학회 1996 Journal of Korean neurosurgical society Vol.25 No.3

Eight patients with recurrent oligodendroglioma were treated with 1.3-bis(2-chloroethyl) nitrosourea(BCNU) and CDDP continuous infusion chemotherapy. They were 5 with benign oligodendrogliomas and 3 with anaplastic oligodendrogliomas. All the recurrent tumors had been treated with surgery and radiotherapy. Four patients had already received chemotherapy with ACNU. Seven of them showed response to continuous infusion chemotherapy. The time from the response to progression was 15 to 67 weeks. No severe complication of the chemotherapy was found. In conclusion, BCNU-CDDP continuous infusion chemotherapy is an effective treatment modality in recurrent oligodendrogliomas.

부하순환 하에서 제V급 복합레진 수복물의 미세변연누출에 대한 재접착제의 효과에 관한 연구

윤연희,김영재,김정욱,장기택,이상훈,김종철,한세현 大韓小兒齒科學會 2004 大韓小兒齒科學會誌 Vol.31 No.3

저점도의 레진을 복합레진 수복물 위에 도포하는 것은 미세누출방지와 변연 완전성(integrity) 유지를 위한 한 방법이다. 하지만 장기간 관찰하면, 수복물은 저작압에 의한 영향을 받게 되는데, 저점도의 레진으로 수복물 변연부를 재접착(rebonding)하였을 때 저작압에 의한 응력에 견디면서 계속하여 수복물에 긍정적인 영향을 주는지에 대한 연구는 미흡한 실정이다. 본 연구는 부하순환(load cycling) 하에서 제Ⅴ급 수복물의 미세변연누출에 대한 재접착제 (rebonding agent)의 효과를 알아보고자 하였다. 40개의 건전한 소구치의 협면에 제Ⅴ급 와동을 형성하고 제조사의 지시대로 광중합복합레진으로 수복하였다. 20개씩 무작위로 나누어 표면전색을 하지 않는 Ⅰ군과 표면을 산부식 후 재접착한 Ⅱ군으로 설정하였다. 열순환 후 각 군에서 10개씩의 하위군 (A군=No load cycling군, B군=Load cycling군)으로 나누어 이중 B군의 시편에 1 Hz의 속도로 수직력이 4-100까지 100,000회의 부하순환을 가하였다. methylene blue용액에 침윤시켜 변연의 미세누출릉도를 평가하여 다음과 같은 결과를 얻었다. 1. 교합변연에서는 재접착과 무관하게 유의한 차이가 없었다(ⅠA-ⅡA군, ⅠB-ⅡB군) (p>0.05). 2. 치은변연의 경우는 부하순환을 하지 않은 군의 경우 재접착을 한 군(ⅡA군)이 재접착을 하지 않은 군 (ⅠA군)에 비해 더 적은 미세누출결과를 보였다(p<0.05). 3. 치은 변연에서 부하순환을 시행한 군의 경우에는 재접착을 한 군(ⅡB군)과 재접착을 하지 않은 군 (ⅠB군)과 유의차가 없는 비슷한 미세누출의 결과를 보였다(p>0.05). One clinical technique recommended f3r improving marginal integrity is "rebonding" or application of unfilled resins to the surface of composite restoration. But continuously the restorations are affected with occlusal load. There is room for doubt that the rebonding agent has the positive effect on microleakage in spite of the stress generated by the occlusal load. This study determined the effect of rebonding on microleakage of Class Ⅴ resin composite restorations under load cycling. Class Ⅴ cavities were prepared on the buccal surface of 40 sound extracted premolars and restored with a hybrid light-cured resin composite according to manufacturers' directions. They wert randomly divided into two groups consisting of 20 samples a control(group Ⅰ), without surface sealing, and the other group (group Ⅱ) in which margins were etched and rebonded. After thermocycling, each of groups was divided into subgroups (group A, B), and load cycling(total 100,000 cycles with 4-100N load at a rate of 1 Hz) were applied on the group B. Assessment of microleakage utilized methylene blue dye penetration. The following results were obtained : 1. In the occlusal region, no significant difference was noted in the scores regardless of whether or not the rebonding agent was used (group ⅠA-ⅡA, ⅠB-ⅡB) (p>0.05). 2. In the cervical region, the control group with rebonding (group ⅡA) showed the better result than the group without rebonding (group ⅠA) (p<0.05). 3. In the cervical region, the rebonded group with load cycling(group ⅡB) showed similar results to the groupf·ithout rebonding(group ⅠB) and no significant difference was noted(p>0.05).

후두와 종양에서의 무언증 : 증례 보고 A Case Report

성연상,강재규,도종웅,김기욱,김상진 최신의학사 1991 最新醫學 Vol.34 No.1

소뇌에 발생한 Nocardiosis : 증례 보고 Case Report

성연상,김상진,박순필,강재규,도종웅 대한신경외과학회 1989 Journal of Korean neurosurgical society Vol.18 No.6

The authors report a extemely rare case of primary cerebellar nocardial abscess. Cerebral nocardiosis is rare disease and often fatal, and often fatal, and commonly spreaded from nocardiosis of lung or skin. Total excision of abscess and medication with sulfonamide is the treatment of choice. The patient was treated by continuous external dirainage with intermittent irrigation of abscess cavity by sulfonamide and given with sulfonamide for 10 months.

성인에서 국소성 간질 분류(ILAE 1989 기준)의 임상 적용시의 문제점

한재홍,김장성,오윤민 대한신경과학회 1999 대한신경과학회지 Vol.17 No.5

장간막의 염증성 근섬유모세포종 - 1예 보고 -

임성직,김교영,박재훈,김윤화,박용구,이주희,양문호 대한병리학회 1999 Journal of Pathology and Translational Medicine Vol.33 No.9

척수로 전이된 후두엽 다형성 교아세포종 : 증례보고 A Case Report

윤상민,송재욱,이창훈,조경자,김종현,이승훈 대한신경외과학회 1996 Journal of Korean neurosurgical society Vol.25 No.3

The tendency of glioblastoma to metastasize to the cerebrospinal fluid(CSF) is well documented, reaching approximately 20% in autopsy series. Nevertheless, clinical symptoms from spinal seeding seem to be infrequent or are at least rarely diagnosed. The authors report a case of 41-year old female patient with a cerebral glioblastoma multiform who developed paraplegia due to a pathologically confirmed spinal matastasis.

지역복지를 위한 공공과 민간의 역할 분담 및 연계체계 고찰 : 지역사회복지협의체를 중심으로

윤재성,한인철 원광대학교 대학원 2008 論文集 Vol.40 No.-

As well known, social welfare systems consist of public and private welfare sectors. Programs and agencies of public welfare sector are funded and operated by central and local government, and programs and agencies of private welfare sector are funded and operated by nonpublic entities, for instance, voluntary and proprietary for profit agencies and private businesses. Recently Korean government made community welfare councils in order to corporate with private social welfare agencies and institutions. Members of community welfare councils consist of leaders of private sector of local community and high officials of local government. This means leaders of community social welfare both private and public sectors cooperate each other in decision-making as well as planning of social welfare in local level. This study is intended to find out the problems of community welfare councils system, and propose several alternatives for improving them. For the purpose, articles, data and materials about community welfare councils were analysed and arranged. In this study, several rational alternatives for improving community welfare councils were proposed as follows; First, the establishment of the duties and active plans of the independent subjects for the local welfare systems should be arranged, suitable for social and economical changes. Second, the local government should adopt a more open policy to form a network to recover trust from the local society. To form both public and private trust in the local society, the process of discussion between the independent subjects should let the local government accept the private and civil society as a companion and recognize them as a partner who establishes the welfare system of the local society together. Third, the central government is an axis, responsible for public welfare with the local government, which should reconsider the inequality of the finance-independence between the local self-governments and seek for effort in increasing the welfare finances to overcome the weakness of it. Fourth, in the field of private welfare, the establishment of a private-resource network centering around the society welfare council, a procedure of arrangement and assesment of a welfare plan in close connection with the social public welfare system, and an effort to set up a task scientifically and professionally for the future focusing on the local welfare needs is seriously required. Fifth, the participation and monitering of the local civil society group should be institutionalized and the endeavor to systematically expand has to be made. Lastly, it is necessary to establish a democratic decision-making structure between civil and governmental groups in the decision-making process, in order to achieve the original purpose of the local social welfare council. A democratic decision-making structure will enable the cooperative governance of the public and the government.

군집분석법에 의한 안면비대칭의 분류

윤일선,황현식,이기헌,성재현 전남대학교 치의학연구소 2001 구강과학 Vol.13 No.4

The purpose of this study was to classify the facial asymmetry by cluster analysis using the variables of the posteroanterior cephalogram, and to find out the characteristics of each group. The posteroanterior cephalogram and frontal facial photograph of one hundred orthodontic patients were used. Cluster analysis was executed using the measurements which indicated the degree of facial asymmetry. The resultant groups were compared each other according to the measurements to find out the characteristics of each group. Through the statistical analysis, following results were obtained. 1. Facial asymmetry was classified into five groups, A, B, C, D, and E, on the basis of menton deviation, apical base midline discrepancy and vertical difference of distance between right and left antegonions. 2. The degree of Menton deviation was severe in the group A, moderate in the group C and D, and mild in the group B and E. 3. Apical base midline discrepancy showed high value in the group A and C. 4. Antegonion was superiorly positioned on the same side of menton deviation in the group A and D, whereas it was superiorly positioned on the opposite side of menton deviation in the group B. 5. All measurements except the curvature of mandibular inferior border showed high value in the group A whereas very low in the group E. 6. While the characteristics of the group D were similar with those of the group A, the degree of difference was less in the group D. The group B showed unique characteristics as many measurements showed negative value. The above results suggest that facial asymmetry can be simply classified by cluster analysis on the basis of menton deviation, apical base midiine discrepancy and the vertical positional difference of antegonion between right and left sides.

심첨부 비후 심근증에서 심근 내 미세 관상동맥의 혈류 예비력 평가 : 경흉부 도플러 심초음파를 이용한 연구 Study Using Transthoracic Doppler Echocardiography

윤호중,박철수,신재원,임상현,조은주,정해억,전희경,오용석,정욱성,김재형,최규보,홍순조 대한순환기학회 2004 Korean Circulation Journal Vol.34 No.3