하악골에 발생된 Low grade 골육종:증례보고

조현이,정종철,김호성,최재욱,성대경,서지훈,김성범,이계혁 大韓顎顔面成形再建外科學會 2000 Maxillofacial Plastic Reconstructive Surgery Vol.22 No.1

Osteosarcoma is a primary malignant tumor arising most often in the long bone, but rare in jaw bone. Especially osteogenic sarcoma of the mandible is a rare tumor, comprising less than 0.5% of all head and neck tumors. Osteosarcoma occurs cheifly in young persons, and presenting very survival rates. Histopathologically this tumor can be classified three types, osteoblastic, fibroblastic, chondroblastic and classified from low grade to high grade by anaplasia or mitosis of the tumor cells. Sometimes, the exact diagnosis of osteosarcoma is difficult especially in low grade osteosarcoma, even if clinical or radiographical findings suggest to osteosarcoma. So suspcious to malignant bone tumor in clinical or radiological findings, biopsy should be taked from deep portion and multiple area, and sharing the patient history and radiographs with pathologist will assist in the development of the diagnosis. We report a case of low grade osteosarcoma on the mandible initially difficulty in accurate diagnosis. The patient visited our hospital for routine dental treatment but radiographic findings displayed ill-defined radiolucency with osteoid formation on the mandible. Final diagnosis was difficulty in initial biopsy but subsequent biopsy taked from deep portion presented infiltrative growth and mitosis of the tumor cell in some area with small osteoid bone formation, so we could reach final diagnosis as low grade sarcoma. We treated this patient with bloc resection of the mandible and immediate reconstruction with iliac corticocancellous block.

중국에서의 정치ㆍ경제발전에 따른 공무원 제도개혁

曺利鉉,李栢薰 건국대학교 사회정책연구소 1998 사회과학연구 Vol.9 No.-

지방정부의 시민조사(Citizen Survey)활용에 대한 논의

조이현 韓國外國語大學校 附設 公共政策硏究所 1997 公共政策硏究 Vol.14 No.2

파노라마방사선사진 지수와 임플란트 실패와의 관계에 관한 연구

조현정,이원진,허민석,안창현,이진구,이삼선,최순철 大韓口腔顎顔面 放射線學會 2004 Imaging Science in Dentistry Vol.34 No.1

Purpose : Several panoramic indices have been suggested to assess bone quality from the morphology and width of mandibular cortex on panoramic radiography. The purpose of this study was to compare dental implant failure group with control group in panoramic mandibular index (PMI), mandibular cortical index (MCI), and gonion index (GI) and to determine the effect of these panoramic indices on dental implant failure. Materials and Methods : A case-control study was designed. Test group (n = 42) consisted of the patients who had their implants extracted because of peri-implantitis. Control group (n = 139) consisted of the patients who retained their implants over one year without any pathologic changes and had been followed up periodically. They had dental implants installed in their mandibles without bone augmentation surgery from 1991 to 2001. The following measures were collected for each patients: 1) PMI, MCI, and GI were measured twice at one-week interval on preoperative panoramic views; and 2) age, sex, implant length, implant type, installed location, occluding dentition state, and complication were investigated from the chart record. Results : The PMI showed moderate level of repeatability. The intra-observer agreement of MCI and GI were good. There was statistically significant difference in PMI between two groups. There were significant different patterns of distribution of MCI and GI between two groups. Among the panoramic indices, PMI and MCI showed significant correlation with dental implant failure. Conclusion : Panoramic indices can be used as reference data in estimating bone quality of edentulous patients who are to have implants installed in their mandibles.

최대 등척성 수축시 표면근전도에서 근 수축 개시점 결정을 위한 기법들의 신뢰도

정이정,조상현,이정훈,이상헌 한국전문물리치료학회 2003 한국전문물리치료학회지 Vol.10 No.1

The purpose of this study was to compare the relative accuracy of a range of computer-based analysis with respect to EMG onset determined visually by an experienced examiner. Ten healthy students (6 male, 4 female) were recruited and three times randomly selected trials of isometric contraction of wrist flexion and extension were evaluated using four technique. These methods were compared which varied in terms of EMG processing, threshold value and the number of samples for which the mean must exceed the defined threshold, and beyond 7% of maximum amplitude. To identify determination of onset time, ICCs(Intraclass Correlation Coefficients) was used and inter-rater and intra-rater reliability ranged good in visually derived onset values. The results of this study present that in wrist flexion and extension, the reliability of the inter and intra-examiner muscle contraction onset times through visual analysis showed beyond .971 with ICCs. The reliability of the muscle contraction onset time decision through visual reading, tested with computer analysis, showed a relationship of all the selected analysis methods with ICCs .859 and .871. The objective computer-based analysis comparing with visual reading at the same time is the effective and qualitative data analysis method, considering the specificity of each study method.

혈액종양 환자의 중심정맥 카테터에 대한 헤파린 관류와 생리식염수 관류의 효과 비교

문초희,연보라,김현진,은방희,배영이 병원간호사회 2006 임상간호연구 Vol.11 No.2

Purpose: The purpose of this study was to compare the efficacy of heparin flushing and normal saline flushing in maintaining patency of central venous catheters(CVCs), and to investigate relative risk factors of CVCs' occlusion. Method: A total of 159 patients who had been inserted with CVCs were included in the department of hemato-oncology of S hospital. The heparin group consisted of 74 patients with 10u/ml diluted heparin flushing from 23 November 2004 to 15 January 2005, and the normal saline group consisted of 85 patients with 0.9% normal saline flushing from 19 January to 31 March of 2005. Result: The heparin group was significantly different from the normal saline group in CVCs' occlusion. The normal saline group offered a much longer survival duration of CVCs' patency than the heparin group. Potential bleeding signs (PT, aPTT) had no significant differences. In multivariate analysis, 0.9% normal saline (hazard ratio 0.50), chemo port (hazard ratio 3.38), and no administration of TPN (hazard ratio 0.25) were the significant factors for occlusion of CVCs. Conclusion: For maintaining the patency of CVCs, 0.9% normal saline flushing are expected to be effective in reducing drug incompatibilities, lessening the bleeding tendency and improving cost effectiveness .

우수여자 유도선수들의 연간 트레이닝과 디트레이닝에 따른 무산소성 역치의 변화

홍관이,정정진,김학렬,김기진,조현철,손태열,노성규 龍仁大學校 體育科學硏究所 1992 體育科學硏究論叢 Vol.2 No.1

The seasonal variance for estimate of exercise intensity, energy expenditure, maximal oxygen uptake and anaerobic threshold of elite women judo players(Group Ⅰ:4,Group Ⅱ: 4) was measured during 3,5,7,9,10month. The results of this study is as follows. 1. Exercise intensity by %HRmax during seasonal training was shown range of 56.45-73.62, 65.56-82.15, 80.03-86.62, 62.06-68.83%HRmax, respectiveley, from 3 to 9month in the warm up, additional exercise, main exercise and cooling down. 2. Energy expenditure per min during seasonal training was shown range of 4.09-7.96, 5.41-8.66, 8.95-9.90 and 5.05-6.41Kcal/min, respectiveley, from 3 to 9month in the warn up, additional exercise, main exercise, main exercsie and cooling down. 3. Changes of maximal oxygen uptake(VO₂max)during seasonal training and detraining not significant difference between both group, and in the seasonal variance. However, maximal heart rate during detraining expressed significant difference(p<0.05) between both group. 4. Anaerobic threshold levels during seasonal training and detraining not significant difference between both group, and in the seasonal variance. However, AT-VE(1/min) and AT- work time(min) of group Ⅱ expressed significant difference(p<0.01) in the seasonal variance.

明礬石의 利用에 關한 硏究 : 玉埋山産 明礬石으로 加里ㆍammonia 混合肥料의 工業的製造方法 The industrial manufacturing method of potashammonia mixtuse fertilizrr from alunite mined at Mt. Ok Mae

金崧平,趙哲衡,金二炫 朝鮮大學校 工科大學 1974 論文集 Vol.3 No.-

It was found that almost all amount of K₂SO₄in uncalcined alunite was extracted in the forms of K₂SO₄(NH₄)₂SO₄mixture in proper concentration (7∼8mol) of ammonia water. This process was attempted to extract the potash ammonia ferlitizer fron the uncalcined mt. ok mae alunite ore under appopriate raction temperature and react-on time. The indastrial manufactuing methods of the potsh-ammonia mixtnre fertilizer are as follows; (1) The appliable reaction temperatare by the experimental data, was 230∼240℃ (2) The optimum time applied to the reaction was 3 to 4 hoars.

피로를 유발하는 등속성 수축시와 회복기 혈중젖산 및 외측광근의 EMG Power Specturm 변화

정정진,조현철,김기진,윤성원,오수일,홍관이,손태열 龍仁大學校 體育科學硏究所 1991 體育科學硏究論叢 Vol.1 No.1

To examine the change of blood lactate concentration, EMG power spectrum, and Torque during fatiguing isokinetic contraction and recovery phrase, 6 sprinters performed maximal isokinetic knee extension at angular velocity of 3.14 rad.sec??(180°sec??) to 75% decreasing point (25%PT) using CybexⅡ system. In exercise phase, there was significant correlation between the decrement of peak EMG and median frequency and that of torque, and decrement of torque was greater than that of EMG . In recovery phase, EMG was restituded as normal value rapidly in a minute, but torque was restituded more slowly, and blood lactate concentration increased gradually from 50%PT to 3 minute after recovery. As a result of this study, it is suggested that muscle fatique due to decreasing of metabolic substrate and accumulation of metabolic products in peripheral site of muscle, and that inhibitory factors act neuromuscular junction in the end of exercise from rapid restitution of EMG in recovery phase.

자전거 에르고미터운동시 유ㆍ무산소성 역치수준의 근전도 변화

김기진,조현철,홍관이,정정진,손태열 龍仁大學校 體育科學硏究所 1991 體育科學硏究論叢 Vol.1 No.1

The aim of present study is investigate the change of IEMG and PEMG in the aerobic, anaerobic threshold by ventilation an blood locate concentration. Subjects of this study is adult sedentary men of age 32.18±4.28yrs. Subjects performed an incremental test on the bicycle ergometer from an initial work load of 0.5KP(60 rpm) to exhaustion by 3-min steps of 0.5KP. The results of this study was as follows: 1. The levels of relative exercises load in the ventilation, lactate, PEMG and IEMG by aerobic threshold were appeared 39.88±15.62%, 39.66±13.05%, 34.31±13.74% and 36.69±13.05%, respectively. It was not significant difference between variables. 2. The levels of relative exercise load in the ventilation, lactate, PEMG and IEMG by aerobic threshold were appeared 70.02±7.72%, 65.69±8.82%, 64.61±8.65% and 69.64±9.76%, respectively. It was not significant difference between variables. In this results above, It is considered that analysis methods by non-linear increase point of PEMG and IEMG related to both respiratory gas variables, blood lactate accumulation type and muscle function, muscle fiber recruitment type for determination of aerobic and anaerobic threshold.