한국인 소아의 성장 발육 평가 자료 제작에 관한 연구

김영재,이신재,김정욱,장기택,이상훈,한세현,김종철 大韓小兒齒科學會 2006 大韓小兒齒科學會誌 Vol.33 No.2

성장기 환자를 다루는 소아치과 분야에서 환아의 성장과 발육에 대한 지식이 필수적이다. 하지만, 현재 사용되고 있는 소아 성장 측정 도표는 현 시대성을 반영하지 못하는 오래된 것이거나 혹은 의과적 용도에 맞추어져 있어서 소아치과 분야에 적용하기에는 연령이 극히 제한적이었다. 이에 따라 본 연구는 2004년 산업자원부 기술표준원에서 시행하고 대한인간공학회에서 주관한 2004년 제5차 한국인 인체치수조사사업보고서를 토대로 현실성있고 유용한 성장 곡선 및 성장 속도 곡선을 제작하는 과정을 소개할 목적으로 시행되었다. 자료를 처리하고 재배열하는 과정을 통하여 자료의 변이를 사분위수를 기본 골격으로 하고 1, 5, 95, 99 백분위수를 추가하여 남·여별 키·몸무게 성장 곡선을 제작하였고 이와 아울러 기하 평균에 기초한 성장 속도 곡선도 제작하여 체성 성장 관찰 도표를 완성하였다. 본 연구 결과 생성된 성장 발육 평가 자료는 성장 발육의 지표로 이용될 수 있으며, 성장 발육과 관련, 소아치과 환자·보호자와의 의사소통에 도움이 될 수 있을 것으로 생각되었다. Knowledge of growth and development is essential for pediatric dentistry treating growing patients. The data from the pediatric growth curve being used today does not reflect the growth transition of modern times, nor does it match the age range required for dental purposes. The present study, therefore, aims to introduce the process of producing a growth curve and growth rate curve based on data which represents a more accurate description of the present situation. The original data used in this study were from 5th nationwide survey. SIZE KOREA 2004 study carried out by the Technology and Standards Policy Division. Department of Technology and Standards Planning. Ministry of Commerce, Industry, and Energy. Processing and rearranging the produced data with variations divided into the three quartiles and the 1st, 5th 95th and 99th percentiles were included to produce a growth observation chart according to sex, height and weight differences. In the same way, a growth rate curve based on the geometric mean value was produced. The resulting growth charts can be used as an index for growth and development, and used for better communication between the pediatric dentist, patients or their parents.

위장관 출혈을 일으킨 공장의 형활근종 1예

김병수,장성종,부귀범,조운택,박찬국,김만우,변주남,김정용,전호종 조선대학교 2001 The Medical Journal of Chosun University Vol.26 No.1

Small bowel leiomyoma is a rare tumor which may occur wherever smooth muscle is present. The small bowel is the most common site and it makes up 20~30% of all benign small intestinal neoplasms. A spectrum of symptoms are common ranging from nausea, vomiting, abdominal pain, to massive intestinal bleeding. Bleeding is the most common symptom and is usually gross and recurrent. Occasionally it may be life threatening. But, the most serious problem is both the absence of specific clinical symptoms, and the difficulties shown in radiological diagnostics of the small bowel. If conventional diagnostic methods fail to reveal any positive findings for gastrointestinal bleeding, the diagnosis of intestinal leiomyoma should be suspected and an SMA angiography shoud be performed. The angiographic criteria of small bowel leiomyoma is very characteristic. We present a case of leiomyoma with considerable and prolonged gastrointestinal bleeding, which was diagnosed by angiography. A 61-year old woman was admitted with a history of melena over the last 10 days. An SMA angiography showed a hypervascular mass with a diameter of 3×3cm. A segmental resection was performed under the impression of the gastrointestinal bleeding due to leiomyoma of the small bowel. Microscopic examination of the lesion shows interlacing or whorl bundles of spindle shaped ces and no mitosis.

한국 어린이에서 하악 유절치와 그 계승 영구치의 선천적 결손 간의 관계

김현진,현홍근,김정욱,이상훈,김종철,한세현,장기택 大韓小兒齒科學會 2010 大韓小兒齒科學會誌 Vol.37 No.1

많은 연구에서, 유치와 그 계승 영구치의 선천적 결손 간에는 상당한 연관관계가 있는 것을 보고하였다. 그러나 하악 전치부에서, 유치의 선천적 결손에도 불구하고, 그 계승 영구치는 정상적으로 존재하는 증례가 임상적으로 종종 관찰되기도 한다. 본 연구의 목적은 한국 어린이에서 하악 유절치와 그 계승 영구치의 선천적 결손 간의 상호 연관관계를 평가하는 데에 있다. 2005년 1월 1일부터 2008년 9월 5일까지 서울대학교치과병원에 내원하여 파노라마 방사선사진을 촬영한 6세 이하의 남녀 어린이 총 14,307명을 대상으로 하악 전치부의 치아양상을 관찰하여 유치와 영구치의 선천적 결손 관계를 평가하여 다음과 같은 결과를 얻었다. 1. 하악 유절치의 결손률은 0.24%였으며, 하악 유절치가 존재 시 후속 영구치가 존재할 승산(odds)은 7163.5였으며, 유절치의 결손 시 후속 영구절치가 존재할 승산(odds) 0.79였다. 2. 하악 유절치 결손의 증례 중 후속 영구치가 모두 존재하는 경우는 44.12%였다. 유절치의 양측 결손 시 후속 영구치가 하나라도 존재할 승산(odds)은 유절치 편측 결손 시에 비하여 1.57 배였다. 3. 유절치 결손이 있을 때 유절치의 편측 결손일 승산(odds)은 여자가 남자에 비해 2.2 배였다. 또한, 유절치 결손이 있을 때 후속 영구절치가 존재할 승산(odds)은 남자가 여자의 경우에 비하여 2.22 배였다. Many studies have shown that there is a strong relationship between the congenitally missing primary teeth and their succedaneous permanent teeth. However, especially in case of lower anterior region, we can observe the existence of permanent teeth even though their precedent primary teeth were missed at times. The purpose of this study was to reveal the relationship between the congenitally missing primary lower anterior teeth and their succedaneous permanent teeth in Korean children. Total of 14,307 children, under 6 years of age, who attended the department of pediatric dentistry, Seoul National University Dental Hospital, Seoul, Korea from January 1st 2005 to September 5th 2008 were radiologically examined using the panoramic x-ray in order to analyze the relationship between the congenitally missing primary lower anterior teeth and their succedaneous permanent teeth. The results were as follows : 1. The prevalence of congenitally missing lower anterior teeth in primary dentition was 0.24%. The odds ratio of both the primary and permanent anterior teeth being present was 7163.5 and only the permanent anterior teeth being present was 0.79. 2. The percentage of all succedaneous permanent teeth being present was 44.12% in cases of missing lower primary anteriors. The odds ratio of at least one succedaneous permanent teeth being present in cases of bilateral primary anterior teeth missing was 1.57 times more common than in cases of unilateral primary teeth missing. 3. The odds ratio of primary missing teeth being unilateral was 2.2 times higher in females. Moreover, the odds ratio of succedaneous permanent teeth being present in cases of primary teeth missing was 2.22 times higher in males.

구형 나노입자의 Seed 성장을 통해 제조된 SiO₂ 광자결정층의 광특성

김명순,홍상진,오용택,이범규,신동찬 조선대학교 생산기술연구소 2004 生産技術硏究 Vol.26 No.2

We can precisely control photonic band gap of self-assembled thin film by seed growth of spherical SiO₂ nanoparticle. Monodispersed SiO₂ nanoparticle was fabricated through the sto˝ber process. The nanoparticle, which has narrowest particle size distribution, is used for nucleation seed. Particle size can be controlled between 50 nm and 1000 nm after seed growth. When the seed content exceeds 0.1 wt% in solution, no new particle is observed and thus narrow size distribution is obtained. Self-assembled thin film is prepared on glass substrate by evaporation with capillary extraction. There is linear relationship between the average particle size and photonic band gap according to the transmittance and reflectance measurement. Variation of photonic band gap is well matched with theoretical consideration of Bragg's diffraction law.

다 전략 읽기교수를 통한 초등학교 고학년 읽기학습장애아동의 설명문 이해력 향상

김의정,최혜승,권택환 국립특수교육원 2008 특수교육연구 Vol.15 No.2

본 연구의 목적은 다 전략 읽기교수가 초등학교 고학년 읽기학습장애아동의 설명문 이해력 향상에 미치는 효과를 조사하는데 있었다. 본 연구에는 전라남도 Y시에 소재한 일반초등학교 5, 6학년에 재학 중인 3명의 읽기학습장애아동이 참여하였으며, 단일대상연구 설계의 하나인 대상자간 중 다 간헐 기초선 설계(multiple probe design across participants)를 사용하여 중재의 효과를 조사 하였다. 연구결과 짧은 중재기간 내에 모든 참여자들의 설명문 읽기이해력이 기초선에 비해 상당히 향상되어 다 전략 읽기교수가 초등학교 고학년 읽기학습장애아동의 설명문 이해력 향상에 효과적인 것으로 나타났다. 또한 중재가 중단된 후에도 참여자들의 읽기 이해력 점수가 유지되었다. 끝으로 본 연구의 제한점, 향후 연구방향, 그리고 교육현장에 주는 시사점을 논의하였다. This study examined the effects of the multiple strategy instruction on the reading comprehension of expository text in upper level elementary students with reading disabilities. Participants were three 4th and 5th students with reading disabilities attending an elementary school in Y city in Jeollanamdo. A single subject, multiple probe design across participants was employed to investigate the functional relationship between the multiple strategy instruction and the reading comprehension of expository text in upper level elementary students with reading disabilities. The results of this study indicated that all participants' reading comprehension scores were significantly improved within short intervention times. Moreover, the intervention effects were maintained after the intervention were discontinued. The results and limitations of this study, directions for future research, and implications were discussed.

아저해농도(亞沮害濃度)의 항균물질이 mutans streptococci의 세포표면성질과 독력인자에 미치는 영향

김영재,한세현,이상훈,장기택,김종철 大韓小兒齒科學會 2004 大韓小兒齒科學會誌 Vol.31 No.4

아저해농도(亞沮害濃度)란 세포의 성장을 저해하는 최소 저해 농도(minimum inhibitory concentration; MIC)이하의 농도를 말하는데, 적용된 화학물질의 동력학에 따라 항균물질은 반드시 이러한 농도로 존재하는 시기를 거치게 되며, 아저해농도의 항균물질은 세포의 성장을 저해하지는 않지만 세균의 대사와 성장에 스트레스로 작용하게 되어 세포의 성질과 독력인자 발현에 영향을 줄 수 있을 것이다. 본 연구는 여러 항균물질의 최소저해농도를 결정하고 아저해농도의 항균물질이 존재 시 세포 성질과 독력 인자에 미치는 영향을 알아보고, 치아우식증의 예방에 대한 화학적 접근법의 효용성을 조사하기 위해 계획되었다. 연구대상 세균으로는 mutans그룹 streptococci 중 두 가지 대표적인 세균종인 S. mutans (S. mutans Ingbritt)와 S. sobrinus (S. sobrinus 6715-7) 를 사용하였고 화학물질 8종 (Sanguinaria extract; SG, Chlorhexidine digluconate; CHX, Fluoride; F, Propolis; PP, Hydrogen peroxide; HP, Triclosan; TC, Sodium dodecyl sulfate; SDS, Cetylpyridinium chloride; CC) 을 단계 희석하여 배지에 첨가하여 최소저해농도를 구하였으며 아저해농도의 항균물질을 배지에 첨가하여 5% CO₂존재 하에 37℃에서 배양하여 이러한 항균물질을 첨가하지 않은 배지에서 배양한 세균과 성장속도, 산생성능, 체표소수성, 수산화인회석에의 부착능, glucan생성능, 세균응집능 등을 비교 관찰하였다. 아저해농도의 항균물질은 세포의 성장과 체표소수성, 타액 처리한 수산화인회석에 대한 세균의 부착과 glucan합성에 영향을 주는 것이 관찰되었다. 또한 12시간 배양 후 S. mutans와 S. sobrinus 모두에서 대조군에 비해 통계적으로 유의하게 최종 pH가 높게 나타나 산생성능이 억제되는 것이 관찰되었다 (p<0.05). 세균을 proteinase K로 전처리한 경우 처리하지 않았을 때 보다 세균응집역가가 증가하거나 응집이 관찰되지 않았다. 본 연구의 결과에 따르면 각각의 항균물질은 아저해농도에서도 알려진 작용기전과 유사하게 세균의 성질에 영향을 주었고 이러한 농도에서도 지속적으로 세균을 억제할 수 있었다. 따라서 이러한 항균물질의 사용은 치아우식증의 효과적 예방법의 하나가 될 수 있다. Subinhibitory concentrations (sub-MICs) refer to concentrations below minimum inhibitory concentrations (MICs). The antimicrobial agents may be present at relatively high concentration, at least higher than bacterial MIC and thereafter be desorbed off a surface and function at sub-MICs, perhaps by interfering with bacterial metabolism. Consequently, the aim of this study was to determine the effects of growth, in the presence of sub-MICs of antimicrobial agents, on the cell surface properties and virulence factors of mutans streptococci and to investigate the efficacy of a chemical approach in vitro. Streptococcus mutans Ingbritt and Streptococcus sobrinus 6715-7 were used. Eight antimicrobial agents (Sanguinaria extract;SG, Chlorhexidine digluconate;CHX, Fluoride; F, Propolis;PP, Hydrogen peroxide;HP, Triclosan;TC, Sodium dodecyl sulfate;SDS, Cetylpyridinium chloride; CC) were diluted serially in broth to determine MICs and to compare the growth rate, acid production, hydrophobicity, adhesion activity to saliva coated hydroxyapatite, glucan synthesis and cellular aggregation of experiment groups (in the presence of sub-MICs) with those of control (in the absence of antimicrobial agents). Sub-MICs of antimicrobial agents affected the growth of cells, hydrophobicity, and adhesion of bacteria to saliva coated hydroxyapatite and glucan synthesis. They also resulted in a significant reduction in pH after 12 hours (p<0.05). By cells pretreated with proteinase K. either the aggregation induced by antimicrobial agents was completely inhibited or the aggregation titers were markedly increased. According to the results of the present study, each antimicrobial agent at sub-MICs could affect similar as its known action mechanism and could continually inhibit cariogenic bacteria a t such concentrations. Thus, the use of these antimicrobial agents would be one of the effective methods to prevent dental caries.

위발성 위장관 악성림프종 환자에서 항암치료의 효과

김찬규,신영록,김현정,배상병,이남수,이규택,박성규,원종호,홍대식,박희숙 순천향대학교 2006 Journal of Soonchunhyang Medical Science Vol.12 No.1

Purpose: The gastrointestinal (GI) tract is the most common site of extranodal non-Hodgkin's lymphoma (NHL), which is increasing in incidence, but there is no established optimal treatment modality. Thus, this study was investigated the clinicohistologic feature, the therapeutic modalities, and the prognosis for GI-NHL, as well as the factors affecting it. Methods: We retrospectively analyzed 45 patients who had been diagnosed as having GI-NHL and had been followed up from July 1994 to February 2005 at Soonchunhyang University Hospital. The patients were divided into groups according to the site of origin and to various other features, and the survivals of the various groups were compared. The modified Ann Arbor system and WHO classification were adopted for staging and histopathologic classification, respectively. Results: GI-NHL of the stomach, small bowel, ileocecal region, and colon occurred in 28 patients (62.2%), 5 patients (11.1%), 3 patients (6.7%), and 8 patients (17.8%), respectively, In one patient, the entire gastrointestinal tract was diffusely involved. The median age of patients was b5 years (25~78 years), and male-to-female ratio was 1:1.1. Fourteen patients were in stage Ⅰ, 24 in stage Ⅱ, 4 in stage Ⅲ, and 3 in stage Ⅳ. Surgical resection was performed in 19 patients, and combination chemotherapy was performed in 43 patients. Surgical resection only was performed in 4 patients, Chemotherapy only was performed in 26 patients. The expected overall 5 year survival of 45 patients was 39.6%, and there was a significant survival difference between the stages, but between sites of origin (p=0.842). The most important factors influencing the survival was the stage and other factors were not significant. Conclusion: The stomach was the most common site of GI-NHL. Most GI-NHL were localized Stage was the most important prognostic factor. However, Prospective randomized studies are needed to approve the therapeutic modality.

段 가공을 한 SM20C 異徑材 摩擦熔接部의 機械的 性質에 關한 硏究

김진건,강성보,민택기 충남대학교 공업교육연구소 1998 論文集 Vol.21 No.1

This study deals with mechanical properties in friction welding of SM20C steel bars and pipes which have different overhang lengths(0mm∼5mm). The experimental results m summarized as follows; In case of pipe, we can conclude that 1mm overhang is optimal condition for the products which needs the tensile and bending strength. But in case of bar, we can conclude that 0mm overhang is optimal condition for the Products which needs the tensile and bending strength.

사이토카인과 Lipopolysaccharide 자극에 의한 RAW 264.7 세포주의 nitric oxide 생성

김영덕,전창덕,이병순,이복수,박석돈,백상기,정헌택 충남대학교 생물공학연구소 1993 생물공학연구지 Vol.3 No.-

Macrophages have been implicated as a major class of effector in the host response to neoplasia. Cells of the monocyte-macrophage lineage are known to exhibit tumoricidal activity following stim-ulation by γ-interferon, tumor necrosis factor, BCG and bacterial products such as lipopoly-saccharide (LPS). While the mechanism involved remain obscure, the generation of reactive nitrogen intermediate (RNI) by activated macrophages is considered a maior participant in mediating the tumorstatic effect. But much of what is known about the induction and release of RNI has been elucidated by using freshly isolated cells from blood and other tissues of experimental animals. In this study, we used a murine macrophage cell line, RAW 264.7, and found that these cells showed above 99% positive of pan macrophage marker by immunohistochemical staining. These cells could produce nitric oxide (NO), when incubated with γ-IFN or poly I:C. Incubation of RAW 264.7 cells with γ-IFN for 48 hous in the presence of LPS agumented NO release in a dose dependent manner. Whereas, treatment of anti-TNE-α antibody or antisense TNF-α oligodeoxynucleotide inhibited the release of NO_2 by γ-IFN plus LPS activated macrophages. The production of NO was also inhibited reversibly or irreversibly by N^GMMA,NAA,arginase or DPI. Thease data suggest that RAW 264.7 cell line may be useful for the in vitro evalulation of biological response modifiers as well as the study of signal pathway of NO release by macrophages.

「장애인 등에 대한 특수교육법」에 따른 교육과정적 통합교육 실시에 대한 초등학교 특수교사와 일반교사의 인식

김의정,김애화,최혜승,권택환 이화여자대학교 교과교육연구소 2011 교과교육학연구 Vol.15 No.4

본 연구에서는 .장애인 등에 대한 특수교육법.에 따른 교육과정적 통합교육 실시에 대한 초등학교 특수교사와 일반교사의 인식을 알아보기 위하여 포커스 그룹 인터뷰를 실시하였다. 총 30명의 교사(특수교사 15명과 일반교사 15명)가 포커스 그룹 인터뷰에 참여하였고, 인터뷰는 5개의 개방형 질문에 따라 진행되었다. 인터뷰 데이터를 전사한 후 3차에 걸쳐 코딩하였으며, 이를 통해 .장애인 등에 대한 특수교육법.에서 요구하는 교육과정적 통합교육 실시에 대한 특수교사와 일반교사의 인식과 관련된 4개의 주제와 이들 주제 하에 특수교사 13개, 일반교사 16개의 범주가 도출되었다. 주요 연구 결과를 요약하면 다음과 같다. 첫째, 통합교육에 대한 특수교사와 일반교사의 견해에 차이가 있었다. 둘째, 교육과정적 통합교육을 실시하는 데 있어서의 어려움, 요구 사항 및 해결방안에는 특수교사와 일반교사 간 공통점과 차이점이 동시에 나타났다. 셋째, 교육과정적 통합교육을 위해 필요한 특수교사와 일반교사 고유의 전문성에는 두 교사 집단 간 뚜렷한 인식의 차이가 있는 것으로 나타났다. 마지막으로, 특수교사와 일반교사는 기본적인 교사로서의 사명감 및 자질을 교육 과정적 통합교육을 실시하는데 필요한 특수교사와 일반교사 공통의 전문성으로 인식하는 것으로 나타났다. In this study, focus group interviews were conducted to explore the perceptions of elementary special and general education teachers on curricular inclusion. Thirty teachers (15 special education teachers and 15 general education teachers) participated in focus group interviews; the interviews involved five open-ended questions. The interview data were transcribed, and then coded three times. Through the coding processes, four themes with thirteen sub-categories emerged for the special education teachers; sixteen sub-categories emerged for the general education teachers. The major findings of this study are summarized as follows. First, the special and general education teachers perceived inclusion differently. Second, the findings revealed both commonalities and differences between the special and general education teachers about difficulties, needs, and solutions for curricular inclusion. Third, the special and general education teachers felt that the unique expertise of both special and general education teachers is needed for successful curricular inclusion. Lastly, they felt that the commitment and qualities of teachers should be their common expertise in the implementation of curricular inclusion.