중장년 성인교정환자의 구강상태 및 치료양태에 관한 연구

이현정(Hyeon-Jung Lee),김진영(Jin-Young Kim),조진형(Jin-Hyoung Cho),황현식(Hyeon-Shik Hwang) 대한치과의사협회 2010 대한치과의사협회지 Vol.48 No.5

Orthodontic treatment for middle-aged patients has become more commonplace with various reasons including improved socioeconomic status. Understanding of oral status and treatment modalities of middle-aged patients is mandatory for accurate diagnosis and proper treatment planning. This study investigated 100 consecutive patients aged 40s and 50s and 100 aged 20s who had been examined and diagnosed at the Department of Orthodontics, Chonnam National University Dental Hospital. The results were obtained as follows; 1. Gender distribution showed female outnumbered male patients in young-aged adult patients, but middle-aged patients showed similar male and female distribution. 2. The major concern seeking orthodontic treatment was esthetics not only in young-aged but also in middle-aged adult patients, and a number of middle-aged patients were concerned about oral health as well. 3. Considerable number of middle-aged patients were referred by other dental specialties while young-aged adult patients were more self-motivated for orthodontic treatment. 4. Middle-aged adult patients had more missing teeth and periodontal disease than young-aged adults. 5. The most frequently-observed problem was dental spacing in middle-aged patients while dental crowding in young-aged adult patients. Middle-aged patients showed higher prevalence of deep overbite and overjet while most of young-aged adults presented opposite direction of problem in overbite and overjet. 6. Limited orthodontic treatment was required rather than comprehensive treatment in middle-aged patients, and the most common tooth moving area was anterior part of dentition in case of limited treatment. Need of interdisciplinary therapy with other dental specialties was more common in middle-aged patients. 7. Intervention of specific technique such as invisible TP, passive bracketing, passive wire bonding, and lingual orthodontics was more required in middle-aged patients. Considering that middle-aged patients have different characteristics than young-aged adults, the results of the present study suggest that different treatment modalities are required in middle-aged orthodontic patients in order to manage them properly and efficiently.

촉매습식산화공정을 이용한 난분해성 염색폐수처리에 관한 연구

조정식,김영석 광주대학교 1998 産業技術硏究 Vol.10 No.-

CuSO4 촉매를 이용한 습식산화법에 의하여 고농도로 여러 종류의 유기화합물을 함유하는 생물학적 난분해성 염색폐수를 처리하는 실험을 수행하여 다음과 같은 결과를 얻을 수 있었다. 반응온도 220℃와 압력 100atm의 조건하에서 30분정도 반응시킴에 의하여 80% 이상의 TOC제거효율을 얻을 수 있었다. 촉매습식산화공정에서 온도는 중요한 조작변수임을 확인할 수 있었으며, 본 연구와 같이 CuSO_4 촉매를 이용한 습식산화법에 있어서는 반응온도가 220℃를 넘어서면 TOC제거효율에 그다지 큰 영향을 미치지는 못하였다. 반응속도식은 두단계의 1차반응식으로 잘 표현될 수 있음을 알 수 있었으며, 각 단계에서의속도상수는 온도와 촉매첨가량에 크게 영향을 받음을 알 수 있었다. 속도상수의 온도의존성을 Arrhenius식으로 표현한 결과 활성화에너지가 첫단계에서는 46.6kJ/mol, 둘째 단계에서는 19.1kJ/mol임을 알 수 있었다. 본 연구와 같은 촉매습식산화공정에서 촉매투여량을 고려한 총괄 반응속도 모델은 다음 식으로 나타낼 수 있었으며, 촉매투여량 의존 차수 m은 첫단계에서는 0.518, 둘째 단계에서는 0.370임을 알 수 있었다. In(C/C_0)=k_3W^mEXP(-ΔE/RT) Catalytic(CuSO4) wet-air oxidation(WAO) of refractive dye wastewater containing high concentration of various organic compounds was investigated. Experimental results indicated that over 80% reduction of Total Organic Carbon(TOC) concentration of the wastewater can be achieved in 30min of WAO treatment operating at 220℃ and 100atm. Temperature was observed to be an important control variable of the catalytic WAO treatment process. But at a temperature above 220℃, the TOC removal enhancement of the present catalytic(CuSO4) WAO process became less important. The catalytic WAO treatment was found to be represented reasonably well by two-stage, first-order kinetics. The reaction rate coefficients for both stages of reaction were observed to be highly temperature and catalyst dosage dependent. As the result of representation of the Arrhenius equation on the temperature dependent rate coefficients, it was found that the activated energy in first stage was 46.6kJ/mol and in secondt stage 19.1kJ/mol. The overall rate kinetic model for the present catalytic WAO process could be represented as In(C/C_0)=k_3W^mEXP(-ΔE/RT) The order of catalyst dosage dependence(m) in first stage was 0.518 and in secondt stage 0.370.

전기도금을 이용한 스테인레스 스틸 선재의 직경 증가에 관한 실험적 연구

조진형,성영은,이기헌,황현식 대한치과교정학회 2003 대한치과교정학회지 Vol.33 No.2

본 연구는 전기도금을 이용하여 교정용 선재의 직경을 증가시킨 후 그 물성 변화를 알아봄으로써 이의 임상적 적용 가능성을 알아보고자 시행되었다. 0.016 인치 스테인레스 스틸 교정용 선재에 전기도금을 위한 적절한 전처리를 시행한 후, 황상 니켈 100g/L, 염화니켈 60g/L, 붕산 30g/L, 염화나트륨 50g/L의 조성을 가지는 전해액을 제조하여 1.7V의 전압과 25∼29℃의 온도 3.1∼3.3pH의 조건 하에서 직경을 0.002 인치 증가시켜 0.018 인치 직경의 선재로 만들었다. 전기도금 과정 중 1분 단위로 직경을 측정하여 시간에 따른 직경 증가율을 구하였고, 도금 후 서로 다른 세 지점의 직경을 계측하여 균일성을 평가하였으며, 도금 금속의 정성분석을 위하여 X-선 회절감사를 시행하였다. 도금층의 밀착성 증진을 위해 400℃의 전기로에서 10분간 열처리를 시행한 후 도금 전후와 열처리 전후의 물성 변화를 알아보기 위하여 3점 굴곡 실험을 시행하여 다음과 같은 결과를 얻었다. 1. 전반적인 하중-변형을 곡선을 보면 0.016 인치 군과 0.018 인치 군 사이에 도금 처리한 군이 존재하였으며 열처리한 경우가 0.018 인치 군에 더욱 가까워지는 양상을 보였다. 2. 도금에 의해 직경은 0.002 인치 증가시킨 군이 기존의 0.016 인치 군에 비하여 강성과 항복상도, 극한강도 모두 증가하는 경향을 보였으며 이 중 강성과 극한 강도는 통계적인 유의한 차이를 보였다. 3. 0.016 인치에서 도금에 의해 직경을 0.002 인치 증가시킨 준이 기존의 0.018 인치 군보다 강성과 항복강도 극한강도 모두에서 낮게 나타났으며 통계적 유의차를 보았다. 4. 도금 후 열처리를 시행한 군이 시행하지 않은 군보다 강성, 항복강도, 극한강도 모두 높은 경향을 보였으며, 극한강도에서 유의한 차이를 나타내었다. 5. 전기도금 후 서로 다른 세 지점의 직경차이는 0.1∼0.3%로 균일하게 나타났으며 통계적으로도 유의차가 존재하지 않았다. The purpose of this study was to evaluate the possibile clinical application of electroplating to increase diameter of an orthodontic wire, through examining the change of physical properties. The diameter of stainless steel orthodontic wire was increased from 0.016 inch to 0.018 inch by electroplating in a bath of nickel sulfate 100g/L, nickel chloride 60g/L, boric acid 30g/L, and sodium chloride 50g/L, under the conditions of 1.7V, 25∼29℃, and 3.1∼3.3pH. During the electroplating, the rate of diameter increase was measured every minute. To investigate uniformity, the diameter was performed to analyze the nature of the electroplated metal. Following heat treatment to improve adhesion between the wire and electroplated metal, a three-point bending test was conducted to compare stiffness, yield strength, and ultimate strength among four wire groups; 0.016 inch, electroplated 016, electroplated and heat-treated 016, and 0.018 inch wires. Through the comparison of each wire group, following results were obtained. 1. In the load-deflection graph, the curve of the electroplated group was places between that of the 0.016 inch group and the 0.018 inch group, and the curve was closer to the 0.018 inch group by heat treatment. 2. In the electroplated and heat-treated 016 wire group, the values of stiffness, yield strength and ultimate strength showed higher tendency than in the original 0.016 inch group. Stiffness and ultimate strength showed statistically significant differences between two groups. 3. Stiffness, yield strength, and ultimate strength of electroplated wire presented lower values than those of 0.018 inch wire group. 4. Stiffness, yield strength, and ultimate strength of electroplated and heat-treated wire showed higher tendency than those of electroplated wire group, and ultimate strength showed statistically significant difference between two groups. 5. After electroplating, the difference in diameter between the three locations was within 0.1∼0.3% variation, and showed no statistical significance.

유도 라만 산란 분광기의 제작과 C_6H_6과 C_6D_6의 유도 라만 스펙트럼 측정

허영덕,조영식 단국대학교 2000 論文集 Vol.35 No.-

In this study, we constructed a nonlinear Raman Laser spectrometer and analyzed the potential applicability of this apparatus by experimenting the stimulated Raman specrtoscopy which is one of the nonlinear Raman spectroscopy. For the case of stimulated Raman scattering, the interaction between a strong pump laser and a molecule leads to an energy exchange between pump beam and Stokes or anti-Stokes beams which may result in a strong, directional output of the Raman beams. Stimulated Raman spectra of C_6H_6 and C_6D_6 are obtained. For the case of C_6H_6, stimulate Raman scaterring generate eight beams from Rayleigh beam (ν_0) in the center to the 4th Stokes beam(ν_0 + 3ν_2), where ν_2 is the ring breathing mode of benzene of 992cm^-1. The line intensity of first Stokes beam is about 30∼40% of pump beam. Therefore, the resulting Stokes efficiency including second and third Stokes is about 40∼50% of pump beam. Similar results are obtained for C_6D_6. Finally, we found taht the Raman cross section of ν_2 mode of C_6D_6 is larger than that of C_6H_6.

흉부자상에 의한 심실중격결손 및 승모판 부전증 치험 1예

김범식,조순걸,곽영태,조규석,박주철,유세영 慶熙大學校 1985 論文集 Vol.14 No.-

A 34-year-old man was stabbed with knife in the left fourth intercostal space. He was admitted to Kyung Hee University Hospital Emergency room with Cardiac tamponade state. Through a left anterior thoracotomy, a tense hemopercardium was released. A 2㎝ wound of right ventricle was sutured with 3-0 prolein. Seven month after the injury he was readmitted for cardiac catheterization. Cardiac catheterization confirmed the presence of an interventricular septal defect in the membranous septum with left ventricle to right ventricle shunt. A laceration of the septal leflet of mitral valve was also demonstrated. The pulmonary blood flow as 1.22 times the systemic flow. A longitudinal incision was made on the right atrium on the cardiopulmonary bypass. An 1×0.5㎝ interventricular septal defect was found in the membranous septum. In order to achieve and adequate repair interventricular spetal defect and mitral insufficency. The ventricular septal defect was repaired 3-0 prolein plegeted suture with interrupted. Artifical atrial septal defect was made and the septal leflet defect(1.5㎝) was reattached with 3-0 prolein plegeted suture interrupted. The partient had and uneventful post operative recovery and was discharged the Hospital on the 24day post operative day.

층상 구조의 염기성 초산 아연과 알킬술폰이 삽입된 화합물의 합성과 구조

허영덕,조영식 단국대학교 1998 論文集 Vol.32 No.-

Layered basic zine acetate, Zn(OH)_3(CH_3COO)·2H_2O was synthesized. Zn_2(OH)_3(C_nH_2n+1SO_3)·2H_2O (n = 6, 8, 10, 12) compounds have been synthesized via anionic exchange reaction of alkyl sulfonates into the layered basic zinc acetate. Using X-ray diffraction data and the alkyl sulfonate size, the geometric orientation of the intercalated alkyl sulfonate was determined. The intercalated alkyl sulfonate is arranged with its molecular chain perpendicular to zinc hydroxide layer with monolayer type.

교정용 선재의 직경 증가를 위한 전기도금법과 무전해도금법의 비교연구

김재남,조진형,성영은,이기헌,황현식 대한치과교정학회 2006 대한치과교정학회지 Vol.36 No.2

본 연구는 교정용 선재의 직경을 증가시키기 위한 방법으로 무전해도금법의 이용 가능성 여부를 전기도금법과의 비교를 통해 알아보고자 시행되었다. 0.016 인치 스테인레스 스틸 교정용 선재에 도금을 위한 전처리를 시행한 후, 시중에 판매되는 무전해니켈도금액(Hessonic-Gr, 신풍금속, 한국)을 사용하여 90℃ 온도에서 0.018 인치 직경이 될 때까지 도금을 시행하였다. 무전해도금 과정 중 시간에 따른 직경증가율을 구하는 한편, 도금 후 세 지점의 직경을 계측하여 균일성을 평가하였다. 도금 금속의 정성분석을 위하여 X-선 회절분석을 시행하는 한편, 물성검사를 시행한 후 전기도금한 경우와 각각 비교 분석하였다. 연구결과 무전해도금한 군이 전기도금을 시행한 군보다 강성, 항복강도, 극한강도 모두 높은 경향을 보였으며 강성과 극한강도에서 통계적으로 유의한 차이를 나타내었다 (p < 0.05). 또한 무전해도금한 군의 직경증가율은 0.00461 ± 0.00003mm/5min (0.00092mm/min)로, 전기도금한 군의 직경증가율 0.00821 ± 0.00015mm/min와 차이를 보였다. 도금 후 세 지점의 직경을 계측하여 균일성을 평가한 결과, 두가지 도금법 모두에서 균일한 양상을 보였다. 이상의 결과로 무전해도금법을 통해 직경이 증가된 선재가 전기도금법에 의해 직경이 증가된 선재보다 기존의 선재와 가까운 물성을 보임을 알 수 있었으며, 이의 임상적 적용을 위해서는 도금시간의 감소가 필요함을 알 수 있었다. The purpose of this study was to evaluate electroless plating as a method of increasing the diameter of an orthodontic wire in comparison with eletroplating. After pretreatment plating of the 0.016 inch stainless steel orthodontic wire, electroless plating was performed at 90℃ until the diameter of the wire was increased to 0.018 inch. During the process of electroless plating, the diameter of the wire was measured every 5 minutes to examine the increasing ratio of the wire's diameter per time unit. And to examine the uniformity, the diameter at 3 points on the electroless-plated orthodontic wire was measured. An X-ray diffraction test for analyzing the nature of the plated metal and a 3-point bending test for analyzing the physical property were performed. The electroless-plated wire group showed a increased tendency for stiffness, yield strength, and ultimate strength than the electroplated wire group. And there was a statistically significant difference between the two groups for stiffness and ultimate strength. In the electroless-plated wire group, the increasing ratio of the diameter was 0.00461 ± 0.00003 mm/5 min (0.00092 mm/min). In the electroplated wire group, ti was 0.00821 ± 0.00015 mm/min. The results of the uniformity test showed a tendency for uniformity in both the plating methods. The results of this study suggest that electroless plating of the wire is closer to the ready-made wire than electroplating wire in terms of the physical property. However, the length of plating time needs further consideration for the clinical application of electroless plating.

관상동맥 질환에서 CD14 유전자형에 따른 세균 및 Heat Shock Protein에 대한 반응의 차이

한주용,최수연,조현주,김화평,강현재,구본권,김남중,김효수,손대원,오병희,박영배,최윤식 대한감염학회 2007 감염과 화학요법 Vol.39 No.1

Background : CD14 is the receptor for lipopolysaccharides and heat shock protein (HSP), which has been suggested being associated with increased risk of coronary artery disease (CAD). We investigated whether the response to infectious agents or HSP is different according to CD14 polymorphism in Koreans. Materials and Methods : Antibody titers to Helicobacter pylori, Chlamydia pneumoniae, and human HSP60 (hHSP60) were measured in 48 patients with stable CAD and in 41 healthy controls by ELISA. CD14 genotype was determined by PCR and high-sensitivity C-reactive protein (hs-CRP) was measured. Results : Seropositivity to C. pneumoniae and H. pylori, and antibody titer to hHSP60 were not significantly associated with the presence of CAD. CD14 genotype distribution was 31 TT (35%), 43 CT (48%), and 15 CC (17%). To compare the response to the infectious organism and hHSP60, we divided study population into 3 groups; CAD patients with non-TT genotype (group I, n=30), CAD patients with TT genotype (group II, n=18), and normal controls (group III, n=41). Seropositivity to C. pneumoniae and H. pylori, and antibody titer to hHSP60 were not significantly different among 3 groups. Though hs-CRP level was significantly different among 3 groups, post-Hoc analysis showed that hs-CRP level was not significantly different between group I and group II (group I: 1.6[1.1-3.5] mg/L and group II: 0.35[0.1-2.0] mg/L). Conclusions : This study suggests that the inflammatory responses to infectious organisms and HSP do not differ according to the CD14 genotype in Koreans. 목적 : 만성적인 세균 감염이나 자가 면역 반응이 동맥경화와 연관되어 있다는 주장이 제기되어 왔다. CD14은 lipopolysaccharides (LPS)와 heat shock protein(HSP)의 수용체로 C(-260)→T 다형성이 관상동맥 질환의 위험과 관련되어 있다고 제안되어 왔다. 본 연구에서는 한국인에서 CD14 다형성에 따른 LPS와 HSP에 대한 반응성을 염증표지자를 측정하여 살펴보고자 하였다. 재료 및 방법 : 안정형 관상동맥 환자 48명과 정상 대조군 41명을 대상으로 Chlamydia pneumoniae, Helicobacter pylori 항체 및 인체 HSP60 (hHSP60) 항체 역가를 enzyme-linked immunosorbent assay (ELISA) 방법으로 측정하였다. CD14 유전자형은 중합효소연쇄반응을 이용하여 결정하였고 hs-CRP를 측정하였다. 결과 : C. pneumonias 및 H. pylori 항체 양성 여부 및 항체 역가, 그리고 hHSP60에 대한 항체 역가는 안정형 관상동맥 질환의 유무와 유의한 상관관계는 없었다. CD14 유전자형의 분포는 TT 30명(39%), CT 31명(40%), 그리고 CC 16명(21%)이었다. 관상동맥 질환 군에서 TT 유전자형은 38%, 대조군에서는 32%로 TT 유전자형과 관상동맥 질환의 유무와는 유의한 상관관계가 발견되지 않았다(P>0.05). CD14 유전자형에 따라 C. pneumonias와 H.pylori 감염 및 hHSP60에 따른 반응에 차이가 있는지 여 부를 알아보기 위해, 관상동맥 질환 군을 다시 TT 유전자형 군과 non-TT 유전자형 군으로 나누어, 전체적으로 세군에서 항체 양성률과 역가를 비교하였다(I군: CD14 TT 유전자형을 가진 안정형 관상동맥 환자, II군: CD14 TT 유전자형을 가진 안정형 관상동맥 환자, III군: 정상 대조군). 세 군에서 C. pneumonias와 H. pylori 항체 양성률 및 hHSP60 항체 역가에는 유의한 차이가 없었다. 세 군사이에 hs-CRP 값에 유의한 차이가 있었지만, post-Hoc분석에서 II군의 hs-CRP 값이 I군에 비해 유의하게 높지는 않았다(0.35 [0.1-2.0] mg/L in group II vs. 1.6 [1.1-3.5]mg/L in group I, P>0.05). 결론 : 본 연구는 한국인에서 CD14 유전자형에 따라 LPS나 HSP에 대한 반응이 유의하게 다르지 않음을 시사한다.

동물원에서 사육중인 Japanese Macaque (Macaca fuscata)에서 Zoletil 마취에 관한 연구

이재일,이수진,홍성혁,신남식,김덕환,박창식,전무형,조종민,김영석,김명철 충남대학교 형질전환복제돼지연구센터 2004 논문집 Vol. No.8

To evaluate the effects of Zoletil (tiletamine-zolazepam) that have been widely used for the chemical restraint and anesthesia of primates, on physiologic alteration, blood gas analysis and anesthetic duration in the Japanese macaque(Macaca fuscata), this study was carried out. Zoleril was administered by intramuscular injection, Evaluation of temperature, heart rate, respiration rate and blood gas analysis were performed before administration ancl at 1,10, 20, 30, 40, 50 and 60 min after administration, and induction and maintenance time was recorded. There was no significant difference in heart rate, PCO₂PO₂after Zolcril administration and temperature, respration rate, pH were significant difference compared with those of before administration, The induction time was 2.5±l.Omin and maintenance time was 86±23.2min. It was considered that Zoletil could he usefully used for the sedation and immobilization of Japanese macaque reared in zoological garden.

교정용 미니 임플랜트 고정원과 SWA en masse sliding retraction 시 전치부 치축 조절 요인에 관한 유한요소해석

정혜심,성상진,문윤식,조영수,임승민 대한치과교정학회 2006 대한치과교정학회지 Vol.36 No.5

교정용 미니 임플랜트 고정원을 이용한 교정 치료가 보편화되며, SWA와 이를 이용한 en masse sliding retraction은 임상에서 흔히 사용하는 치료법이 되었다. 그러나 고정원을 성공적으로 보존하려는 노력에 비해, 발치 공간 폐쇄 시 전치부 치축 조절에 관여하는 요인에 대한 보고는 아직까지 부족한 실정이다. 본 연구에서는 제1소구치를 제거한 상악 치아와 치주 인대 그리고 치조골에 대한 3차원 유한요소 기준모델을 제작하였고, 제1대구치와 제2소구치 사이 주호선 10 mm 상방에 식립된 교정용 미니 임플랜트를 고정원으로 사용할 경우, 측절치-견치 사이의 견인 훅의 높이를 변화시키며 후상방 견인력을 가하거나, 주호선에 보상 만곡을 부여하는 것이 전치부 치축 조절에 어떤 영향을 미치는지 시뮬레이션 하였다. 또한 전치부 치축이 설측 경사된 모델을 같은 실험 조건으로 시뮬레이션 하여 발치 공간 폐쇄 시 설측 경사된 전치부 치축을 유지하거나 개선할 수 있는 요인을 검토하였고, 다음과 같은 연구 결과를 얻었다. 2 mm 높이의 견인 훅에 대하여 후상방으로 견인력을 가할 경우 발생하는 함입력으로 인하여 전치부 설측 경사가 더 감소되지는 않았다. 견인 훅의 높이가 5 mm인 경우 후상방 견인력을 가하면, 측절치의 치관 순측 및 치근 설측 이동이 일어나고, 견치의 비조절성 후방 경사 이동이 심화되었다. 4 mm의 보상 만곡은 측절치의 치관 순측 및 치근 설측 이동을 일으키고, 견치의 비조절성 후방 경사 이동을 감소시켰다. 또한 전치부가 설측 경사된 모델을 기준모델과 같은 실험 조건으로 시뮬레이션 한 경우 치근면의 응력 분포와 25000배 확대된 그래프 상에서의 치아 이동 양상은 매우 유사하였다. 이상의 결과는 미니 임플랜트-SWA sliding 생역학을 구사 시 견인 훅의 위치와 와이어 상의 보상 만곡의 유무에 의해 전치부의 치축 조절이 달라지며 실제 임상에서 가이드라인으로 활용될 수 있을 것이다. Objective: With development of the skeletal anchorage system, orthodontic mini-implant (OMI) assisted en masse sliding retraction has become part of general orthodontic treatment. But compared to the emphasis on successful anchorage preparation, the control of anterior teeth axis has not been emphasized enough. Methods: A 3-D finite element Base model of maxillary dental arch and a Lingual tipping model with lingually inclined anterior teeth were constructed. To evaluate factors influencing the axis of anterior teeth when OMI was used as anchorage, models were simulated with 2 mm or 5 mm retraction hooks and/or by the addition of 4 mm of compensating curve (CC) on the main archwire. The stress distribution on the roots and a 25000 times enlarged axis graph were evaluated. Results: Intrusive component of retraction force directed postero-superiorly from the 2 mm height hook did not reduce the lingual tipping of anterior teeth. When hook height was increased to 5 mm, lateral incisor showed crown-labial and root-lingual torque and uncontrolled tipping of the canine was increased. 4 mm of CC added to the main archwire also induced crown-labial and root-lingual torque of the lateral incisor but uncontrolled tipping of the canine was decreased. Lingual tipping model showed very similar results compared with the Base model. Conclusion: The results of this study showed that height of the hook and compensating curve on the main archwire can influence the axis of anterior teeth. These data can be used as guidelines for clinical application.