응급실을 내원한 구강악안면외과 안면골 골절 환자의 변화에 대한 비교 연구

신상훈,성화식,강영훈,황대석,김용덕,김욱규,김종렬,정인교 부산대학교 병원 암연구소 2008 부산대병원학술지 Vol.- No.24

Although there have been many clinical studies about the facial trauma in the recent as well as in the past, severity and frequency of facial trauma are reported multifarious. It seemed to be because of variety of social, cultural, and environmental factors, and the view point of investigators. In this study, we investigated about the patients visiting emergency room during recent 4 years(2004-2007), and compared with retrospective study during former 10 years(1992-1996, 1999-2003) in Dept. OMS Pusan National University Hospital. We assessed the cause, type, demographic, etc, and analyzed alterations of facial bone fractures during past 3 periods. The results were as follows. The total number of patients was increased. 429 patients treated for maxillofacial fractures between January 1992 and December 1996, 466 patients treated between January 1992 and December 1996 and 764 patients treated between January 2004 and December 2007. The male-to-female ratio were 4.6:1, 3.9:1, and 4.16:1, respectively. Patient in the age groups of 10-19 years and 20-29 years increased in the latter two periods. Assaults and falls are decreased gradually, but slip down s are increased. Traffic accidents are still major cause of facial trauma. The mandibular fractures showed the highest incidence thorought three periods. Symphysis fractures of mandible was increased and condyle fractures of mandible was drecreased in the third period.

自家 및 他家授粉이 사과와 배의 結實과 品質에 미치는 影響

辛鏞億,高光出 서울大學校 農科大學 1986 서울대농학연구지 Vol.11 No.1

To find out the effect of different pollen sources on the fruit setting and the characteristics in the 'Fuji' apple and 'Okusankichi' pear cultivar, this study was carried out by making the self-and cross-pollination using 8 commercial apple and pear cultivars as pollinizers, respectively. The results are summarized as follows: 1. When self-pollinated, most of varieties examined had low setting per cent of fruits, while 'Megumi' showed an extraordinary 33.5% of high self-fruitfulness. There were a few seeds in most self-pollinated fruits, and its fruit size was small compared with cross-pollinated ones. 2. For the fruit setting per cent, no significant advantage could be attributed to anyone over another as pollinizer for 'Fuji' except 'Sekaiichi' and 'Tsugaru.' 3. The weight of fruit pollinated by 'Spur Earliblaze' was decreased as compared with another. 4. No difference of fruit quality could be found out in the cross-pollinated fruits of 'Fuji' apple. 5. In the 'Okusankichi' pollinations, no significant advantage in fruit setting could be attributed to anyone. 6. 'Tsuri' and Hosui' set significantly larger and oblong fruits than open-pollinated ones. The differences of fruit shape index (length/diameter) in each cross-pollinated fruits may be due to the ability of certain pollen to produce seed rather than metaxenia. 7. Possible effects of metaxenia such as color and fruit quality could not be found in the cross-pollinated fruits of 'Okusankichi'. 8. There was negative correlation between number of seed and fruit shape index (length/diameter) in 'Okusankichi' pear, while no consistent correlation of number of seed and fruit shape index could be found in 'Fuji' apple.

生物學的 燐除去機轉 및 內部返送率과 SRT가 除去率에 미치는 影響

신응배,이영대,최용수,이정욱 漢陽大學校 環境科學硏究所 1995 環境科學論文集 Vol.16 No.-

본 연구에서는 생물학적 인 제거공정의 혐기-호기-무산소 조건을 단일 반응조내에서 발생토록 고안하여 인제거 실험을 수행하였으며, 고안된 반응기내에서의 인 제거기전을 규명하고 제거효율을 평가하였으며 또한 내부반송율과 SRT 변화에 따른 유기물과 인제거 효율을 평가하였다. 고안된 공정의 종합적 인제거효율 평가를 통해 최적 운전조건을 평가·분석하였다. 실험 결과 유기물 제거율은 Aerobic recycle rate 100%, 200%에서 TOC 95% 이상, BOD와 COD 90% 이상으로 우수하였으며, 인은 Aerobic recycle rate 100%에서 폐수유입 지점 0.2일 때가 최적조건으로 분석·평가되었다. SRT 변화와 T-P, PO₄-P 제거율과의 관계는 SRT 10일에서 94%, 92% 이상으로 높은 제거효율을 나타내었다. In this investigation, phosphorus removal experiment was conducted in a single reactor combining anaerobic-aerobic-anoxic zone. Attempts have been made to delineate phosphorus removal mechanisms and to evaluate the removal efficiency. Also performed in this experiment are the removal characteristics of organic and phosphorus with different internal recycle ratios and varying SRT conditions. In addition, this study evaluates the best operation conditions in terms of phosphorus removal efficiency. The removal efficiencies of TOC, BOD and COD were observed to be higher than 95%, 90% and 90%, respectively with aerobic recycle ratios of 100% and 200%. If is further estimated that the optimal operational conditions for phosphorus removal are observed when the aerobic internal recycle rate is 100% with the wastewater inlet point being 0.2 from the bottom. The percent removal efficiencies are 92% for T-P and 90% for PO₄-P. In case of SRT, higher removal efficiencies are observed with the solid retention time of 10 days than with SRT's of 5 and 20 days. The removal rates observed are 94% for T-P and 92% for PO₄-P with the solid retention time of 10 days.

하악과두에 발생하는 골연골종의 진단학적 방법

신상훈,차승만,황대석,김용덕,김욱규 부산대학교 병원 암연구소 2006 부산대병원학술지 Vol.- No.20

Pulpose : Osteeochondroma is a common benign tumor of the axial skeleton, especially the distal metaphysis of the femur and the proximal metaphysis of the tibia, however, is\ occured rarely on the facial skeleton. Tumors of the mandibular condyle are various and rare. so common interest is a little and its clinical symptoms are similar to the others. therefore, early diagnosis is very difficult. In this study, we will present our cases and review the literatures. Patients and Methods: We studied 17 patients(8 males, 9 females) who were diagnosed a osteochondroma of the mandibular condyle in the department of oral and maxillofacial surgery, Pusan National University Hospital. We reviewed the medical records. Results : Patients' mean age was 30.05 years. The sexual distribution is almost same. Twelve left condyles and five right condyles were involeved. The main symptoms was noise and facial asymmetry. Conclusion : Osteeochondroma is a rare benign tumor of the mandibular condyle. The differential diagnosis is difficult. However, using CT and MRI, we diagnosed early the osteochondroma and treated properly. Thus, we presented the cases of the osteochondroma with the literature reviews.

구강내 악성흑색종에 대한 임상연구

김욱규,허진호,황대석,김용덕,신상훈,김종렬,정인교 부산대학교 병원 암연구소 2008 부산대병원학술지 Vol.- No.23

The prognosis of oral malignant melanoma is poor compared with cutaneous melanoma. It may be related to the difficulty of wide enough resection, the early hematogenous matastases, higher stage at initial diagnosis, tendency to growth vertically. In the view of histological differences between oral mucosa and skin, it is impossible use Clark’s and Breslow’s classifications for prognosis. The great problem is that there is still no consensus on the treatment due to rarity. Because data collection from case reports is considered to be the best source of information and should be pooled to anlalyze key determinants of outcome, We reported on 6 cases of primary malignant melanoma of the oral cavity which were diagnosed and treated in Pusan National University Hospital recently and reviewed the literature. Immunohistochemical study on S100 Protein, GP 100 (HMB-45) with biopsy was usable to confirm the melanoma. Neck dissection including wide excision is recommended if lymph node involvement is suspected. Additionally, adjuvant chemotherapy could be supporting therapy.

법랑아세포종의 임상병리학적 연구

성일용,류성호,신상훈,김욱규,김종렬,정인교,변기정 大韓顎顔面成形再建外科學會 2003 Maxillofacial Plastic Reconstructive Surgery Vol.25 No.1

The authors analyzed retrospectively the 60 patients with ameloblastoma who were treated at Department of Oral and Maxillofacial Surgery, Pusan National University Hospital from MArch, 1990 to December, 1995. The results obtained were as follows: There were 26 males (43.3%) and 34 females (56.7%). The peak age of patients was the third decade (41.7%). The majority of cases occurred in the mandible 93.3%, especially in the angle region (91.1%). Eighteen of 60 patients (30.0%) were associated with an impacted tooth, by impacted 3rd molar teeth (16.6%), molar (10.0%), and premolar and canine (3.4%) in order., Fifteen of 60 patients (25%) were associated with an odontogenic cyst, by dentigenous cyst(13.3%), odontogenic keratocyst(8.4%), and radicular cyst(3.3%) in order. Radiographically, there were 32 unilocular types(54.2%) with average age of 24.9±10.8 years, 14 multilocular types(23.7%) with average age of 35.7±17.7 and 13 mixed types(22.0%) with average age of 41.4±15.8. Histopathologically, there were 42 follicular types(70.0%) with average age of 33.7±15.1 years and 18 plexiform types(30.0%) with average age of 26±14.6. Conservertive treatment was performed in the 33 patients(55.0%) and their average age was 25.2±13.9 years and radical treatment in the 27 patients(45.0%) and their average age was 39.3±41.8. Overall recurrence rate was 10%. A consistent correlation between the age of the patient and the radiographic or histologic type of mandibular ameloblastoma was observed. There was a tendency for ameloblastomas of the follicular type to show a multilocular or mixed appearance and for those of the plexiform type to show a unilocular appearance.

악안면 영역에서의 유리 전완피판술 적용례분석

김욱규,송원욱,황대석,김용덕,신상훈,김종렬,정인교 부산대학교 병원 암연구소 2009 부산대병원학술지 Vol.- No.25

구강내 결손부에 적용된 연조직 재건술식들에 대한 임상적 고찰

김욱규,이승환,황대석,김용덕,신상훈,김종렬,정인교 부산대학교 병원 암연구소 2007 부산대병원학술지 Vol.- No.21

To evaluate criteria, indications, and prognosis of the various reconstructive methods on the patients with intraoral soft tissue defect who had been treated at Dept. of Oral and Maxillofacial Surgery, Pusan National University Hospital from 2003 to 2005, we have reviewed the clinical data of the patients and analysed. The results were as follows: 1. Tongue flaps have been mainly applied on anterior portion of palate and maxilla. The survival rate was high percent, but the cooperation of patient was inevitable for the success. 2. Palatal mucosa rotational flaps were available on relative large defect on palate, oroantral fistula site. The side effect was a scaring band from secondary healing on denuded donor palate site. Sometimes the band came to be a hinderance to swallowing, phonation. 3. The application of free skin graft on entire maxilla site , palate was possible. The skin from thigh, abdomen could be applicable on fixed or movable tissues. The advantages of abdominal skin were easy harvest and direct donor site closure. 4. Forearm free flap was a workhorse flap for everywhere in intraoral defects. We had used the flap on cheek, floor of mouth, tongue without any significant complications. But the application of the flap was required for long operation time, which was disadvantageous to the old, weak patients. 5. Cervical platysmal flap could be easily applicable for buccal cheek, floor of mouth after excision of the cancer lesion. the design of the flap could be made simultaneously on neck dissection, but the danger of cancer remnants on the flap always might be remained. 6. Buccal fat pad pedicled flap must have been a primary flap for repair of oroantral fistula especially on posterior maxilla. The flap survival will be expected if the considerations for above reconstructivε methods on site, size, condition of defects primarily could be made.

함수적 관계를 이용한 창의성 개발에 관한 연구 : 중학교 과정의 함수 영역을 학습함에 있어 함수적 사고를 이용한 창의적인 사고 개발에 관하여

조용욱,신수미 가톨릭대학교 자연과학연구소 2001 自然科學論文集 Vol.9 No.-

The resolutions of the NCTM show that mathematics education in the future should be focused on the problem solution. Today, the mathematics education in junior school needs the problem solving ability, but it is very difficult to achieve it. This paper deals with creativity development which use functional relation. Thus, we have a question : "what should be done to improve the student' 'problem solving ability in functional area?" First of all, in junior school, the diverse ideas and thoughts of students for functional relation should be educated, that is, the education should put forth exertions to develop the creative ability of students, and that mathematic education has to lead it. Next, most students have many questions about the functional relation and can get examples in daily life to create mathematical thought. Consequently, we can see that students' thoughts are considerably improved in junior school.

척추손상 쥐의 지방유래 줄기세포와 미노사이클린의 운동기능 회복효과

장재혁,고현윤,차영선,박형욱,신용범,손현주 부산대학교 병원 암연구소 2009 부산대병원학술지 Vol.- No.25