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      • KCI등재

        황구침법(黃丘鍼法)을 이용한 고혈압 환자의 혈압강하 효과에 대한 증례보고

        한창현 ( Chang Hyun Han ),황치원 ( Chi Won Hwang ),신미숙 ( Min Suk Shin ),신선화 ( Seon Hwa Shin ),최선미 ( Sun Mi Choi ) 대한경락경혈학회 2006 Korean Journal of Acupuncture Vol.23 No.3

        Objectives: The aim of the study was to investigate the antihypertensive effect of Hwang-gu Acupuncture in hypertensive patients. Methods: We measured the blood pressure of the patients who were admitted in the Oriental Medical Clinic of Brother from 25th November 2005 to 27th March 2006. We included the patients only in case of the systolic blood pressure was over 140mmHg or diastolic blood pressure was over 90mmHg, Twenty two patients were treated by Hwang-gu Acupuncture. In order to evaluate the effect of the Hwang-gu Acupuncture, the blood pressure was measured before and after Acupuncture procedure total 4 times, 10times. Results: There were a significant decrease in the systolic blood pressure and significant decrease in the diastolic blood pressure by Hwang-gu Acupuncture 4 times. The effect of Hwang-gu Acupuncture by measurement time on blood pressure were follows: In a systolic blood pressure was gradually deceased significantly from 1st to 4th but diastolic blood pressure was significantly decreased after 2nd and 4th only. Conclusions: These results suggest that Hwang-gu Acupuncture is effective in decreasing the systolic and diastolic blood pressure.

      • SCOPUSSCIEKCI등재

        한국인 6-17세 아동의 성장과 발육에 관한 준종단적 연구 : PART Ⅲ : GROWTH CHANGE OF CRANIOFACIAL HARD TISSUE 제 3 세부 과제 : 두개 및 안면 경조직의 성장변화

        황충주,길재경,임선아 대한치과교정학회 1996 대한치과교정학회지 Vol.26 No.5

        교정 환자들은 성장과 발육을 하는 개체이므로 교정치료의 시기 선택은 가장 어렵고 중요한 요소이며, 측모두부방사선 사진의 개발에 따라 안면 성장의 양상과 연령증가에 따른 성장 변화량은 성장 예측 등의 교정적 분야에 유용하게 이용되어 왔다. 이에 6세에서 17세까지의 한국인 남여 아동 각 연령군에서의 두개 안면부의 경조직 계측치 평균과 신장, 체중과의 연관성을 파악하고자 하였다. 교정치료를 받은적이 없고, 성장과 발육에 장애가 없는 6세에서 17세까지의 소년 409명, 소녀437명을 연구대상으로 만 3년간 두부방사선 사진을 체득하여 경조직 분석을 Burstone의 COGS논문에 기초하여 두개저, 상악골과 하악골, 수직 계측, 수평 계측, 상하악 기저골 관꼐 및 치성 계측의 6개 부분으로 나누어 성장과 의 관계 및 키와 몸무게와의 관계를 연구한 바 다음과 같은 결론을 얻었다. 결 론 1. 두개저 계측에서 n-Ar(FH), N-Ba(FH)의 최대 성장 증가량은 남녀 모두 체중과 신장의 최대 증가량을 나타내는 연령과 일치한다. 그 외의 항목은 일정 증가 양상을 보이고 있으나 큰 증가를 보이지 않고 있어 두개저의 성장은 초기에 거의 완성됨을 알 수 있었다. 2. Gonial angle은 남녀 모두에서 성장과 함께 점차 감소하였다. 3. ANS-Me(L)보다 N-ANS(L)가 더 많은 성장량을 보이며 안면 형태에 많은 영향을 줌을 알 수 있었다. 4. N-A-Pog은 연령증가와 더불어 감소하며 이는 하악골의 성장이 상악골의 성장량보다 빠르고 많았다. 5. 상하악 기저골 관계에서 Y-axis의 길이는 증가하지만 각도는 일정하게 유지되어 하악골은 두개저에 대한 일정방향으로 성장하였다. 6. 영구치 맹출과 더불어 Interincisal angle은 감소하였다. Orthodontic patients are individuals that grow and develop ; therefore selection of the proper time for orthodontic treatment is considered to be one of most difficult and yet difficult factor. Since the development of cephalometric X-ray, amount and pattern of craniofacial growth change with aging could be predicted and be came useful in the process of orthodontic treatment. The relationship between the mean values of cephalometric measurements and body height and weight was studied among the groups(boys and girls) of Korean children from the ages 6-years to 17-years. 409 boys and 437 girls with no abnormality in growth and development and no history of orthodontic treatment from the ages of 6 years to 17 years were chosen as subjects : Cephaloment X-ray were taken for 3 years and hard tissue analysis based on Burstone`s COGs, which was devided into measurements of 6 parts(Cranial base, Maxillar and Mandible, Dental measurements).The relationship between craniofacial growth and height & weight was studied. The following conclusions were obtained; 1. The maximum growth in the measurements of cranial base, N-Ar(FH), N-Ba(FH) corresponded with the age with the maximum increase in body height & weight in both boys and girls. 2. Gonial angle gradually decreased with aging in both boys and girls. 3. N-ANS(L) showed greater amount of growth than ANS-Ne(L), and this had greater influence on facial profile. 4. N-A-Pog0 decreased with aging, and mandibular growth exceeded maxillary growth in amount and rate. 5. Length of Y-axis increased, but Y-axis to FH plane remained constant. This show that mandible grows at a constant angulation to cranial base. 6. As permanent teeth erupt, interincisal angle decreased.

      • SCOPUSSCIEKCI등재

        악교정 수술시 교합평면의 차이에 따른 술후 경조직의 안정성에 관한 연구

        황충주,임선아,문정련 대한치과교정학회 1999 대한치과교정학회지 Vol.29 No.2

        악안면 부조화를 치료하여 적절한 기능적, 심미적 형태를 얻고자 하는 악교정 수술에 있어 서는 정확한 진단과 치료계획의 수립이 필수적이다. 특히 심한 상 하악의 복합적인 문제를 가지고 있는 경우에 시행되는 양악 수술에서 상악골과 하악골이 삼차원적인 공간에서 동시에 재배치되는데. 상악골의 재배치에 따라 하악골은 전후 좌우 위치가 결정되면서 새로운 교합평면이 만들어진다. 따라서 교합평면은 양악수술에서 중요한 기준이 되어 상악골의 새로운 위치를 결정하게되므로 진단 및 치료계획 수립시에 최적의 기능적, 심미적 결과와 수술 후 안정성을 얻을 수 있게 계획되어져야 한다. 본 연구에서는 양악 수술을 시행받은 골격성 제 III급 부정교합 환자 48명(남자25명 여자23명, 평균 연령 21.5세)을 대상으로 하여 교합평면으 설정에 사용되어지는 몇 가지 진단 기준중, 많이 사용되어지고 있는 Delaire의 구조적, 구성적 분석에 의한 각 개인의 이상적인 교합평면으로 수술되었을 때 경조직의 술후 안정성에 대해서 평가하고자 이상적인 교합평면에 부합되게 수술이 시행된 군(A군-24명)과 이 평면에서 벗어난 군(B군-24명)으로 나누어, 수술 직전(T1)과 수술 직후(T2-평균 4.3일), 수술8개월 이상 경과 후(T3-평균 1년3개월)에 두군의 측모 두부 방사선 사진을 비교하여 다음과 같은 결론을 내렸다. 1. A군과 B군 모두 수술에 의하여 ANS의 수직적 위치보다 PNS의 수직적 위치가 감소되었다. 즉 상하악 복합체가 후상방으로 회전되었다. 2. T3에 T2와 유의차를 보이는 값은 두군 모두에서 수직 계측항목에서 HRP-Me(p<0.01), 각도 계측항목에선 Articular angle(p<0.01), Gonial angle(p<0.01), Mn. plane angle(p<0.05)이 유의차를 보였다. 두 군 모두에서 HRP-Me이 감소하면서 하악평면각은 증가 하였다. 3. A군 B군사이에서 술후 경조직의 안정성에는 유의성 있는 차이가 없었다. 4. 수술에 의한 B와 Pog의 수평 이동량은 수술후 B와 Pog의 수평재발량과 그리고 PNS의 수직 재발량과 통계적으로 유의성 있는 높은 역상관관계를 보였고, 하악평면각의 수술에 의한 변화량과 gonial angle의 술후 변화량과도 통계적으로 유의성 있는 높은 역상관관계를 보였다. In orthognathic surgery to obtain proper functional and esthetic form after skeletal discrepancy treatment, precise diagnosis and treatment plane are essential. Especially in two jaw surgeries that have serious upper and lower jaw problems, maxilla and mandible are arranged in three dimensions. Based on the maxillary rearrangement, mandibular sagittal and transverse positions are determined, and thus new occlusal plane is established. The object of this study is to evaluate the stability of the individual ideal occlusal plane based on the architectural and structural craniofacial analysis of Delaires. The subjects of this study were 48 patients who underwent two jaw surgeries, and they were equally divided into two groups. A and B. A group was operated with ideal occlusal plane and B group was not.Two groups were compared at the preoperative, immediate postoperative (average 4.3days), and long-term postoperative (average 1.3years) lateral cephalometric radiographs. The following results were obtained: 1. ANS was lower than that of PNS for both A and B after the surgery. That is. maxilla and mandible are rotated in posterior and superior direction. 2. Significances were found between T2 and T3 for both A and B are HRP-Me at vertical measurements, articular angle(p<0.01), gonial angle(p<0.01), and Mn. plane angle(p<0.05) at angular measurement. Mn. plane angle is increased at HRP-Me is decreased for both A and B. 3. There is no significance in skeletal stability after the surgery between group A and B. 4. Horizontal movements of B and Pog by surgery have statistically significant inverse correlations with horizontal relapse of B and Pog. and vertical relapse of PNS. as well as Mn. plane angle, and gonial angle after the surgery.

      • KCI등재

        상아질의 경도, 위치 및 잔존 상아질 후경이 상아질에 대한 부위별 미세 전단결합강도에 미치는 영향 : EFFECTS OF DENTINAL HARDNESS, POSITION, AND REMAINING DENTIN THICKNESS

        황선성,임미경,이용근 大韓齒科保存學會 1998 Restorative Dentistry & Endodontics Vol.23 No.1

        The aim of this study was to measure the regional mictr-shear bond strength of dentin bonding sgents to dentin, and to investigate the relationship between the micro-shear bond strength and two dentinal characteristics ; Vickers hardness and remaining dentin thickness. Twenty-four freshly extracted, noncarious human molars were selected for this study. The materials tested in this study consisted of two commercially available dentin bonding agents(MAC-BOND, ONE-STEP) and two restorative light-cured composite resins (AELITEFIL, Z100). The occlusal of side surface of tooth crown was sectioned to expose dentin, and the exposed surface was finally polished with # 600 sandpaper, Four groups of application methods were used combining the filling materials and the dentin bonding agents. The composite resin-attached tooth specimens were embeded in a cold cure acrylic resin. and were obtained from each tooth. The cut spectimens were divided into three groups depending on the position of the dentin bonding wurface. The micro-shear bond strength. remaining dentin thickness, and dentinal hardness were measured. Experimental results were then statestically analyzed with ANOVA, t-test, Scheffe test. and regression analysis. From this experiment, the following results were obtained : 1. In the case of occlusal surface bonding, the pooled micro-shear bond strength of ONSTAELIT group (16.62 MPa) was singificantly higher than that of MACB-AELIT group (9.91 MPa) (p<0.05). However, there was no significant difference in the mictr-shear bond strength depending on the centin positon (p>0.05). 2. In the case of side surface bonding of crown, the pooled micro-shear bond strength of four different bonding groups was not significantly different among each other (p>0.05). However, in three of the test groups (ONST-AELIT, MACB-Z100, ONST-Z100), the micro-sheer bond strength to the lower 1/3(Ⅲ) position was sugnuficantly lower than that to middle 1/3(Ⅱ) position of surface (p<0.05). 3. In the ONST-AELIT bonding group, the pooled micro-shear bond strength to the occlusal surface was significantly lower than that to the side surface of crown (p<0.05). 4. There was no significant correlation between the micro-shear bond strength and dentin hardness / remaining dentin thickness (p>0.05).

      • KCI등재
      • 점액성췌장 낭종 1예

        황석주,김영운,오성광,김대영,임선재,박승욱,이두용,이헌영 충남대학교 의과대학 지역사회의학연구소 1995 충남의대잡지 Vol.22 No.2

        Pancreatic cystadenoma is very rare, slow growing tumor and generally preoperative differential diagnosis may be difficult. A 43-year-old female was admitted to our hospital with the complaint of abdominal discomfort in the epigastrium for about preceeding 5 years. Ultrasonography and Computed tomography were performed. When endoscopic retrograde cholangio-pancreatogram was performed, displacement of distal pancreatic duct by huge mass was noted and injected dye was drained irregulary into the cavity of mass. Distal pancreatectomy was performed with splenectomy. The mass size of distal pancreas was 7X4cm, and the cyst contained with yellowish thick mucoid fluid. Diagnosis was confirmed the mutinous cystadenoma of the pancreas on histologic examination.

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