점진적 Distraction Technique을 이용한 상악골의 전방이동

박영욱,차봉근,김지혁 대한악안면성형재건외과학회 2000 Maxillofacial Plastic Reconstructive Surgery Vol.22 No.6

Several surgical and/or orthodontic procedures have been used in maxillary protraction. Currently procedures with the use of distraction osteogenesis have been studied by many investigators and applied to various clinical situations and this procedure is rapidly becoming an alternative technique to treat craniofacial growth disturbances and dysplasias. So we performed distraction osteogenesis for 12-year old young patient with maxillary hypoplasia, and 7-year old young patient with severe maxillary deficiency due to unilateral cleft lip & palate. First we performed incomplete Le Fort I osteotomy(pterygomaxillary dysjunction and no maxillary downfracturing) and then tried to protract the maxilla by way of extraoral device, Delaire type face mask. During the follow-up period of 12 months and 13 months respectively, we could attain the successful results by analysis of lateral cephalometrics in facial profiles. So we suggest that this maxillary distraction technique is one of the excellent therapeutic choices in the treatment of growing children with maxillary deficiency.

노인 게이트볼 동호회와 Goffman의 상호작용 의례

박선영(Park, Seon-Young),임수원(Lim, Soo-Woen),이혁기(Lee, Hyuck-Gi) 한국사회체육학회 2015 한국사회체육학회지 Vol.0 No.62

The purpose of this research is to investigate ritual order and the self-image of elderly gate ball club which is based on the interaction ritual point of view suggested in depth by Goffman. The case study, was adopted to research it. 10 study participants have been selected in the “K gate ball club” who were living in D-city using the purposeful sampling which is one of the nonprobability sampling methods. Collection of research was carried out through partícipant observátion, interview and related data collection. Analysis of text have carried into effect with the collected data. Here are some of the details. First, The ritual order that appears to the elderly gate ball club can be understood as physical order, structural order and emotional order. First of all, physical order in the club is shown to the fee payment and possessing equipment. A structural order appears to order of the flag bearer, order of athletic performance by their own ability and the position in the game. Emotional order was separated by long-term resources related to former job before a retirement and mutual respect for each other. This official or implicit ritual order was being reproduced through mutual respect among the club members. Second, The complex self image of the club member reformed by this can be followed as self image of ‘learning’ : I can do it., self image of ‘the youth’ : I am still young., ‘self-reliant’ image : I am a self-reliant person., and self image of ‘independence’.

인터넷 이용 환경, 개인적 스트레스와 대처양식, 가정환경, 부모양육태도가 문제적 인터넷 사용 청소년군에 미치는 영향

조인희(In Hee Cho),김순재(Soon Jae Kim),장은영(Eun young Jang),정건(Gun Jung),서동혁(Dong Hyuck Suh) 대한사회정신의학회 2002 사회정신의학 Vol.7 No.2

연구목적: 최근 수년사이 인터넷 이용인구의 폭발적인 증가와 더불어 인터넷의 문제적 사용과 연관된 개인의 기능영역, 가정생활, 사회적 영역에서의 문제가 점차 증대되고 있다. 이에 인터넷 사용에 영향을 미칠 수 있는 다음의 세가지 요인, 즉 인터넷 사용 장소 (환경적 요인), 개인의 스트레스와 대처양식(개인적 요인), 가족의 분위기와 부모양육태도(가정 요인)가 문제적 인터넷 사용에 미치는 영향을 평가하고 이를 통하여 적절한 치료적 개입을 찾고자 하였다. 대상 및 방법: 남녀 고등학생 795명을 대상으로 먼저 인터넷 사용장소에 따른 인터넷 사용실태 설문조사를 시행하여 사용 장소에 따라 인터넷의 문제적 사용의 정도 및 성향의 차이를 비교 분석하였다. 두번째로 Young의 인터넷 중독척도를 사용하여 대상군을 중독 군과 비중독군으로 구분한 뒤 스트레스 척도, 대처양식 척도, 가정환경척도 중 관계영역척도, 부모양육행동척도를 실시하여 이러한 변인들이 인터넷 중독에 미치는 영향을 평가하였다. 결 과: 집에서 인터넷을 사용하는 군이 PC방을 이용하는 군보다 유의하게 높은 중독점수를 보였으며 인터넷을 시작한 시기는 더 늦은데 반해서 사용빈도나 사용시간이 유의하게 더 높았고 사용조절에서도 더 많은 어려움을 보였다. 중독수준에 따른 각 요인들의 비교분석결과 중독군 남학생에서 스트레스 점수가 유의하게 높았으며 대처양식에서 중독군이 비중독군에 비해 행동적극적 대처와 회피적 대처가 유의하게 높았다. 가정환경척도에서 중독군의 가족간 결합력, 표현력점수는 유의하게 낮고 갈등점수는 유의하게 높았으며 부모양육행동에서 중독군이 아버지의 합리적 설명과 애정은 적고, 부모 모두의 비일관성, 과잉기대, 과잉간섭, 학대와 방치하는 양육행동이 유의하게 더 높았다. 결 론: 본 연구 결과 PC방보다는 집에서 인터넷을 사용하는 청소년들이 인터넷의 문제적 사용으로 이행될 수 있는 빈도나 사용행태 에서의 문제점들이 더 많이 드러나는 바 부모들의 적절한 감독과 관심이 요구되며 중독군에서 일상에서 지각되는 개인의 스트 레스는 높으나 대처양식에서는 부정적, 회피적 전략을 많이 사용하며 가정환경이나 부모양육태도에서도 부정적이고 비지지적 환경을 일관되게 보고하고 있음을 볼 수 있다. 그러므로 청소년의 문제적 인터넷 사용 자체를 문제시하고 금지하기 이전에 개인의 스트레스 요인을 살피고 부모, 가족이 지지적 환경을 제공하도록 돕는 것이 인터넷 사용상의 문제에 대한 포괄적이고 일차예방적 효과를 가질 것으로 기대된다. Objectives:This study was intended to investigate the influences of the place for internet use, perceived stress, copying style, family support, parenting behavior on maladaptation in the adolescents with problematic internet use. Methods:The subjects of this study were 795 high school students in Incheon. They completed self-report questionnaires containing Questionnaires designed by authors, Young’s Internet Addiction Scales, Scales for the Perceived Stress, Copying Style, relationship sub-scales of Family Environment Scale and Parenting Behavior Inventory. Results: 1) Compared with the PC bang users, personal computer users at home had significantly higher mean addiction scores, spent more time for internet use, and had more difficulty with self-control. 2) Addictors, especially male addictors had significantly higher stress scores than non-addictors. 3) Addictors had significantly higher behavioral coping scores and avoidant coping scores than non-addictors. 4) Addictors had significantly higher family conflict scores, lower family cohessiveness scores and lower family expression scores than non-addictors. 5) Addictors experienced significantly less affection and reasoning from their father than non addictors. In addition, addictiors perceived significantly more physical abuse, intrusiveness, over-expectation, neglect, inconstancy from both parents than non addictors. Conclusion:Compared with the PC bang users, personal computer user had higher risk for problematic internet use. So they need more parent monitoring and help. Addictors had more daily stress, but used avoidant strategy to cope their stress and experienced less supportive family environment and negative parenting behavior than non-addictors. We recommend that parents pay attention to their adolescent’s stress factors and make effort to give the supportive environment and positive parenting behaviors.

骨軟化症에 대한 東西醫學的 文獻考察

박종혁,황영근,정지천 동국대학교 한의학연구소 1999 東國韓醫學硏究所論文集 Vol.8 No.1

고령화와 육체적 활동의 감소로 증가 추세에 있는 骨軟化症의 臨床治療에 도움을 얻고자 歷代醫書와 中醫書, 中醫雜誌를 중심으로 症狀, 病因, 病理, 治法, 治方 등을 東西醫學的으로고찰하였다. 骨軟化症은 골의 석회화 장애로 골밀도가 감소되는 대사성 골질환으로, 東洋醫學에서는 骨??, 骨枯 등의 骨疾患에서 유사한 症狀이 나타나며, 病因은 주로 腎虛로서 서양의학의 신장 질환으로 인한 燐의 재흡수 불량, Vit-D 대사 이상과 유사하다. 症狀으로는 腰痛, 骨痛症, 다발성 골절, 동요성 보행 등이 나타난다. 治法은 補腎을 爲主로 하여 健脾益腎, 滋養氣血, 强壯筋骨 등이 있고, 治方은 六味地黃湯을 위주로 하여, 虎潛丸, 濟生腎氣丸, 大補陰丸 등이 활용되고 있으며, 藥物은 熟地黃, 虎脛骨, 胡挑肉, 紫河車, 社沖, 鹿角膠, 鹿茸 등의 補腎之劑가 주로 사용되고 있다. Osteomalacia is syndrome of divers etiology, characterized pathophysiologically by a failure of normal mineralization of bone and epiphyseal cartilage, This study was performed to investigate causes of disease, pathogenic mechanisms, symptoms, therapies and precriptions through the successive medical literatures, recent chinese medical literatures and chinese medical journals. It is similar to atrophic debility of bones, bone leaning, bone exhaustion, rheum atism involving the bone, osteodynia and cold and heat of bone etc. of oriental medicine. The most principal cause of this is deficiency of kidney, similar to hypo phosphatemia caused by increased renal clearance and deficiency of vitamin D. and the rest are senility, deficiency of spleen, deficiency of qi and deficiency of blood. There are nourishing the kidney and spleen, nourishing the qi and blood, warming and passing the muscle and mac, passing an articulation an invigorating the muscle and bone, in principal therapy. And in medical herbs are rehmanniae radix preparat, corni fructus, discoreae rhizoma, cuscutae semen, tigridis os, juglandis semen. hominis placenta, drynariae rhizoma, eucommiae cortex, cynomorii herba. corvi cornus colla, cervi pantotrichum cornu, moutan cortex, polygoni multiflori radix, angelicae gigantis radix, achyranthis bidentatae radix, cibotii rhizoma, hirudo, eupolyphaga, spatholobi caulis, salviae miltiorrhizae radix, draconis resina. curcumae longae rhizoma. In care there are a sun-bath, exercise, high protein diet and taking vitamin D. And they reduce smoking, coffee, drinking etc.

골 신연술을 시행받은 가토의 경골 성장골단판에서 골성장 지표와 길이 성장률과의 관계

이순혁,한승엽,변영수 고려대학교 의과대학 1997 고려대 의대 잡지 Vol.34 No.1

The rate of longitudinal bone growth in the physeal plate is modulated by the size of pool of proliferative chondrocyte, the rate of cell division of proliferative chondrocyte. the height of terminal hypertrophic chondrocyte and matrix production in the transverse septa. The parameters such as growth plate thickness and the rate of cell division by proliferating chondrocytes have been indentified as useful indices of longitudinal bone growth rate. Recently the height and volume of hypertrophics have been reported to be one of the decisive factors in modulating the longitudinal growth rate. Fracture. osteotomy or limb lengthening have been known to affect the longitudinal growth rate and, it can be assumed. they could change the relationship betweengrowth rate andparameters. The purposes of this study were to clarify the relationship betweenparameters and longitudinal bone growth in osteotomized and lengthened limbs and t o compare the relationship between the different groups which showed changed growth rate affected by the amount of lengthening. Sixteen eight weeks old New Zealand white rabbitswere allocated into four groups; Group Ⅰ was osteotomized and stabilized by external fixater but without lengthening, Group Ⅱ was lengthened 20% of total tibia1 length at a rate of 0.8mm/day with external fixater. Group Ⅲ was lengthened 30% at a rate of 0.8mm/day and Group Ⅳ was lengthened 40% t o 50% a t a rate of 3. Pmm/day. Left tibia was used for that procedure and right tibia was left as a control. In the proximal & distalphyses of both tibia, following measure ments were performed. The longitudinal growth rates were determined by tetracychine labeling and indirect light fluoroscence microscopy. The physeal thickness was histomorphologically measured and the proliferative rate of chondrocytes in physeal plate was assessed by immunohistochemical staining using anti-bromcdeoxyuridine monoclonal antibody. The results obtained were as follows ; 1) The physeal thickness and the number of proliferating chondrocytes had linearcorrelation with longitudinal growth rate in the physis of the lengthened or osteotomized tibia of rabbits. ) The relationship of the physeal thickness and the number of proliferating chondro cytes with longitudinal growth rate had highercorrelation coefficiency and different slope of regression in the proximalphysis of lengthened or osteotomized tibia of rabbits compared to that in the distal physis of lengthenedorosteotomizedtibia ofrabbits. 3) The relative contribution of the physeal thickness orthe number of proliferating chondrocytes tothe longitudinal growth rates varied following the varied amount or rate oflengtheninginthe physis of lengthened orosteotomizedtibia of rabbits. As a conclusion, physeal thickness and the number of proliferating chondrocytes are considered to be significant parameters of longitudinal growth ratein the osteotomized orlengthened limb, but they may contribute to longitudinal growth rate differently according to the location, ageand local condition of the physis.

악안면성형수술을 받은 환자에 있어서 수술 결과를 증진시킬 수 있는 화장법

김지혁,김성민,박영욱 大韓顎顔面成形再建外科學會 2001 Maxillofacial Plastic Reconstructive Surgery Vol.23 No.6

The importance of desire that human want to beautify their face and body has been increased as the cultural and social economy has been developing. Human being has made every efforts to satisfy this desire, currently plastic surgery by which one could highlight one's characteristics or hide one's weak points has been generalized, also the surgical technique has been developed steadily to keep trace with the social demand. But those kinds of surgery have a few problems yet; one is that we cannot predict the postoperative appearances exactly, the other, unavoidable facial scars might be produced. Since make-up technique and cosmetics have also been developed with social development, make-up art that could create one's own charming points and lessen one's weak points to some degree is developed and also modified to lead to create 'corrective make-up' for facial contour, which becomes currently popularized. Conclusively, we try to consider a specialized make-up technique for the patients taken maxillofacial plastic surgery to improve the postoperative results with literature review.

관상동맥 스텐트 내 재협착의 발생에 미치는 임상적 관동맥 조영술적 요인들

윤혁준,김기식,박형섭,이영수,현대우,한성욱,허승호,김윤년,김권배,박남희,원경숙 대한순환기학회 2003 Korean Circulation Journal Vol.33 No.12

換氣窓이 설치된 中庭形 아트리움의 여름철 熱環境에 관한 測定硏究

김영철,신기식,박상동,최무혁 대한건축학회 2004 대한건축학회논문집 Vol.20 No.6

The atrium in a building is a popular design skill due to its aesthetic, open appearance. It is relatively inexpensive to build and maintain atrium, and also we can expect energy saving effect. But its indoor space is thermally different from typical space because of its tall and large shape with top light. The upper part of atrium has the thermal problem of overheating during summer season. As one of the measures to solve this problem, the ventilation windows near the top light can be used. In this study, the vertical temperatures in the atrium were measured and analysed to understand the thermal environment in the atrium and the effect of ventilation window to reduce the overheating at the upper part of atrium. The ventilation windows were proved to have the effect to lower the temperature of the upper part of atrium as 3.8℃ at the condition of outdoor air temperature of 28℃.

조산의 역학적 연구 : 조선대학교병원 최근 6년간의 조산아 예후분석 Prognostic Evaluation of Preterm infants in chosun University Hospital from 1992 to 1997

김영호,최상준,송창훈,한세준,정혁,박상기,박종 조선의대 1998 The Medical Journal of Chosun University Vol.23 No.1

한국인 모발과 내부장기조직간 Cd, Hg, Pb 및 Zn함량의 상호관련성

유영찬,이상기,양자열,김기욱,이수연,정규혁 한국환경독성학회 2002 환경독성보건학회지 Vol.17 No.1

In order to study the relationships between trace element concentrations of hair and internal organs, autopsy samples of hair, liver, kidney cortex, kidney medulla, heart, lung, spleen, cerebrum, testis and bone from 162 Korean subjects were analyzed for Cd, Hg, Pb and Zn by inductively coupled plasma atomic emission spectrometry. High significant positive correlations were found between the Cd concentration in hair and bone and Pb in hair and lung. Hair Hg levels were highly significantly correlated with organ Hg levels in the liver, kidney cortex, kidney medulla, heart, lung, spleen, cerebrum, testis and bone. And hair Zn levels were highly significantly correlated with organ Zn levels in the kidney cortex, kidney medulla, spleen, testis and bone.