심한 부식 환자의 디지털 치관연장술 가이드를 이용한 전악 수복 증례

박윤재,홍성진,백장현,배아란,김형섭,Park, Yunjae,Hong, Seoung-Jin,Paek, Janghyun,Pae, Ahran,Kim, Hyeong-Seob 대한치과보철학회 2019 대한치과보철학회지 Vol.57 No.3

In the oral cavity, the teeth undergo wear and corrosion throughout their lives. Progressive and constant tooth wear is a natural phenomenon of aging, but wear and corrosion due to specific factors are pathological factors. It can cause pathological damage of the occlusal surface, aesthetic problems, dimensional loss and jaw joint disorders. This case is a 26-year-old female patient with general tooth abrasion and erosion on the entire dentition. Diagnostic wax-up was fabricated based on the information including digital facial analysis, physiological stabilization, and evaluation of anterior crown length. Through the digital analysis, the necessary guides for crown lengthening were prepared and the mastication function and esthetics were evaluated by using temporary crowns. Definitive prosthesis was fabricated with the zirconia restorations. The results were satisfactory when they were observed 3 months of follow-up. 구강이라는 특수한 환경 속에서 치아는 평생을 거쳐 마모, 부식 등을 겪게 된다. 점진적이며 일정한 치아의 마모는 노화의 자연스러운 현상이나, 특정 요소에 의한 마모나 부식 등은 병적인 요소이며 교합면의 병리적 손상과 이에 따른 교합 부조화, 심미적 문제, 턱관절 장애 등을 야기할 수 있다. 본 증례는 26세의 젊은 여성 환자로 전반적인 치아의 마모와 부식이 동반된 상태였다. 디지털 안모 분석, 생리적 안정위, 전치부 치관 길이 평가 등을 통해 진단 납형을 제작하였다. 디지털 분석을 통해 치관연장술에 필요한 가이드를 제작하여 수술을 진행하였고 임시 보철물을 통하여 저작 기능 및 심미성을 회복하였다. 지르코니아 최종 보철로 수복하여 심미적, 기능적으로 만족할만한 결과를 얻었으므로 이 증례를 보고하고자 한다.

항공산업의 습숙효과 분석에 대한 연구

박윤재,Park, Yun-Jae 항공산업연구소 1980 항공산업연구 Vol.2 No.-

배기 유도장치(EID) 기술이 환경 개선에 미치는 영향

박윤재(PARK YOON-JAE),홍금표(HONG KEUMPYU) 한국환경정책학회 2023 한국환경정책학회 학술대회논문집 Vol.2023 No.2

[서평] 의학사, 한국사를 습격하다-『호열자, 조선을 습격하다-몸과 의학의 한국사』(신동원, 역사비평가.2004)

박윤재(Park Yun-Jea) 역사비평사 2005 역사비평 Vol.- No.70

식민지시기 한의학의 양약 수용과 대응

박윤재(Park, Yun-Jae) 의료역사연구회 2020 의료사회사연구 Vol.6 No.1

식민지배가 시작되면서 의료계는 서양의학 위주로 재편되었다. 한의학은 도태되지 않기 위해 변화해야 했다. 양약을 한약과 함께 구비하는 것은 가장 편리한 변화 모색이었다. 양약은 한약의 활용방법을 변화시켰다. 1930년대에 이르면 한약국방을 제정하자는 제안이 나왔다. 문제는 한약국방의 제정으로 나아가기 위해서 양약과 병존이나 활용방식의 수용을 넘어서는 변화가 필요하다는데 있었다. 한약에 대한 화학적 이해였다. 나아가 한약국방은 응용을 위한 토대였다. 신약 개발은 구체적인 예였다. 한약국방의 제정은 양약 수용을 통한 한약 변화의 궁극적 귀결 중 하나였다. 한의학의 전통을 강화하자는 주장 역시 일관되게 지속되고 있었다. 한약이 장점을 가지고 있고 한국인, 나아가 동양인의 체질에 적합하다는 주장이 제기되었다. 한약이 분석의 대상이 되기 힘들 정도로 난해하거나, 극단적으로는 불가해하다는 주장도 나왔다. 가장 적극적인 주장은 한약과 한의학의 독자성을 강조하며 한약 고유의 원리를 확인하고 활용하자는 것이었다. 음양론, 나아가 음양오행론은 한약의 독자성과 우월성을 가능하게 한 토대였다. 한약이 고유 원리와 활용방법을 가지고 있다면, 양약의 수용도 제한적으로 이루어질 필요가 있었다. 제한적 수용의 대상은 제도였다. During the colonial era, the Japanese colonial government deployed medical policy biased toward Western medicine. Western medicine served as a medium of change or showed directions for change of herbal medicine. By the 1930s, suggestions were made to establish hanyakgukbang(漢藥局方) to set criteria for use of herbal medicine. There was a need to understand chemical aspects of herbal medicine to establish hanyakgukbang. Specifically, ingredients of herbal medicine needed to be analyzed. Going through analysis, herbal medicine was expounded into various ingredients including water(水分), ash(灰分), and extracts. A scientific, that is, chemical analysis of herbal medicine could lead to a discovery of effects of herbal medicine comparable to western medicine. However, not all doctors of Korean traditional medicine advocated these changes and their directions. In 1930s Korean traditional medicine boosted confidence of herbal medicine, which in turns, led to criticism over western medical science, as well as western medicine. Criticism over western medicine was directed in a way that criticized ignorance of principle of herbal medicine. The conclusion of criticism was to demand understanding of Korean traditional medicine. The theory of yin, yang, and five elements of the universe, were deemed at the center of Korean traditional medicine. It was a demand that knowledge of Korean traditional medicine should underlie use of herbal medicine. If herbal medicine indeed had unique principles and uses, adoption of western medicine needed to be done limitedly.

때를 밀자 ―식민지시기 목욕 문화의 형성과 때에 대한 인식

박윤재(Park Yunjae) 역사비평사 2021 역사비평 Vol.- No.134

To foreigners that came to Korea with the opening of the ports, Korean people were dirty and smelled bad; they were unclean. Once people realized uncleanliness, they had to pursue cleanliness. And they needed place to wash the body. Hence the bathhouse. Proponents of the enlightenment party―who radically undertook modern reform of the Korean society ―paid attention to the importance of bathhouse. To them, bath was a means of achieving cleanliness and hygiene. Furthermore, it was an instrument for civilization, for modernization. Emphasis on cleanliness and hygiene was made in form of advocating establishment of public bathhouses. Price for public bathhouse had to be low, and thus, many organizations needed to join hands in the endeavor to share cost burden. In some cases, establishment of public bathhouse was proposed as one of missions of youth associations. Since the ancient times, scrubbing off dead skin was a cultural practice of Korean people. With the arrival of modern era, Korean people began to take on this task earnestly. The problem was that Japanese colonization added the sense of inferiority―that Korean people were less clean than Japanese people―to the act of scrubbing off dead skin, which was in realm of cleanliness and hygiene before. Some of the Koreans resisted discrimination from Japanese people, but some took it for granted, saying that unclean people deserved to receive hatred and insult. For them, Koreans were under the ruling of Japan because they were unclean. And dead skin represented uncleanliness. Then, scrubbing off dead skin was an act of overcoming discrimination against Korean people. The logic was that by scrubbing off dead skin, Korean people would be reevaluated as a clean people in the world, a people who can achieve independence eventually.

교사-유아 애착안정성과 유아의 자기조절력이 또래유능성에 미치는 영향

박윤재 ( Park Yun-jae ) 동국대학교 교육연구소 2021 교육연구 Vol.6 No.1

본 연구에서는 교사-유아 애착안정성과 유아의 자기조절력이 유아의 또래유능성에 미치는 영향을 규명하고자 하였다. 연구대상은 만 3-5세 유아-교사 190쌍이었다. 수집된 자료는 SPSS 20.0 프로그램을 활용하여 빈도분석, 기술통계분석, 상관분석, 위계적 회귀분석이 이루어졌다. 연구결과로는 첫째, 주요 연구변인 간의 정적 상관관계가 각각 유의하였다. 둘째, 교사-유아 애착안정성과 유아의 자기조절력이 유아의 또래유능성에 유의한 영향을 미치는 것으로 나타났다. 유아의 또래유능성에 대한 상대적 영향력은 유아의 자기조절력이 교사-유아 애착안정성에 비해 큰 것으로 예측되었다. 본 연구결과는 결론적으로 유아의 또래유능성을 효율적으로 발달시키기 위해서는 유아의 자기조절력을 발달시키는 데 교사와 부모의 노력이 필요하다는 점을 시사한다. The purpose of this study was to examine the effect of teachers-young children attachment security and children's self-regulation on their peer competence. The subject of this study were 190 young children- and their teachers in kindergartens and preschools located in Seoul city. The collected data were analyzed using SPSS/WIN 20.0 to calculate descriptive statistics and T-test, one-way analysis of variance, correlation analysis and hierarchical multiple regression analysis. The results of the study were as follows. First, there were significant positive correlations between teachers-children attachment security, children's Self-regulation and the children peer competence. Second, there were significant effects of teachers-young children attachment security and children's self-regulation on the young children's peer competence.

한국 근현대의료사의 연구동향과 전망(2010-2019): 사회사적 관점의 부상과 민족주의적 이분법의 약화

박윤재(PARK Yunjae) 대한의사학회 2020 의사학(醫史學) Vol.29 No.2

방역에서 강제와 협조의 조화? - 식민지 시기를 중심으로

박윤재(Park Yunjae) 역사비평사 2020 역사비평 Vol.- No.131

During the colonial period, damage from infectious disease was substantial. Infectious disease was an obstacle to stable ruling of the colony. Police force was at the center of prevention against infectious disease, and as such, it was violent and oppressive. Since disease prevention required forceful measures, a certain extent of coercion was unavoidable, and even effective. A good example is preventive efforts against the plague that took place in the Manchuria in 1910 through 1911. Despite the absence of vaccine or treatment against the plague, not a single person was infected. Problem was that coercion alone was insufficient for efficient prevention of disease. In the 1920s, Korean people resisted preventive measures taken by the colonial government against the cholera, and they sought alternative measures. Specifically, they attempted to establish a Korean hospital that is run by Korean people and applies Korean-style treatment. At the place, both western and Korean traditional medicine could be dispensed depending on a patient’s condition or request. In prevention of infectious disease, Korean traditional medicine was useful in seeking cooperation from the Korean. Choosing either coercion or autonomy is undesirable in making efforts for disease prevention. What is important is to identify an adequate approach depending on specific circumstances. However, it is hard to find a perfect measure that takes into account all factors, and thus, the second-best measure needs to be sought. And one of the ways to do so is to obtain understanding of the society.

백인제의 근대 인식과 실천

박윤재(Park Yun-Jae) 의료역사연구회 2018 의료사회사연구 Vol.2 No.1

1916년 경성의학전문학교에 입학한 백인제는 4년 동안 서양의학에 대한 체계적인 교육을 받았다. 수술로 상징되는 서양의학은 백인제에게 과학이고 문명이고, 수용해야할 대상이었다. 백인제는 강연을 통해 한의학을 비판했고, 비과학적인 한국인을 계몽하고자 했다. 그는 경의전의 일본인 교수와 공동으로 수혈이나 구루병(佝僂 病)에 대한 연구를 진행하였다. 백인제는 일본에 동화된 근대를 지지할 수 있었다. 하지만 아니었다. 삼일운동에 참여한 점에서 알 수 있듯이 백인제는 한일 간에 존재하는 차별을 인식하고 있었다. 백인제가 근무했던 경의전 에도 차별은 존재했다. 전체 교원 중 한국인은 10% 남짓에 불과했다. 백인제는 한국인을 유태인에 비유했다. 일본식 근대에 대한 거리두기는 백인제가 일제의 친일 협조에 저항할 수 있는 힘이었다. 해방 후 백인제는 흥사단, 한국민주당에 가입하는 등 적극적인 정치사회 활동을 전개하였다. 동시에 수선사라는 출판사를 창립하였는데, 자신이 식민지시기부터 가지고 있던 자유주의를 실천하기 위해서였다. 백인제는 전체주 의에 대해 극단적으로 비판적인 태도를 취하고 있었고, 그 대안으로 자유주의를 지향하였다. 자유주의는 흥사단의 기본 이념이기도 했다. 분단이 가속화되는 가운데 백인 제는 남한 단독 선거에 출마하였다. 그에게 1948년 총선 거는 국가와 민족을 분열시키는 선거가 아니었다. 국제적 승인 아래 진행되는 자유선거였다. 백인제는 반공에 기초한 대한민국 국가체제에 동의했다. 의료적인 측면에서 좌파가 의료국영화를 주장한데 대응하여, 백인제는 자신이 설립한 백병원을 재단법인으로 전환시켰다. 문화적 실력 축적이 목표였다는 점에서 재단법인 설립은 식민지시기 이래 백인제가 추구한 문화적 실력양성운동의 연장 선에 있었다. In 1916, Paik Inje matriculated at Keijo Medical School, and received systematic education on Western medicine for four years. At the time, Western medicine, represented by surgery, was seen as embodiment of science, civilization, and something to be adopted. Paik Inje criticized Oriental medicine in his lectures, and tried to enlighten Koreans with their unscientific minds. As a man who agreed with the idea of Western modernization, he might have seen Japan positively. He conducted research on blood transfusion and rickets jointly with a Japanese professor at the school. He could have advocated modernization of Korea in a way that assimilated the country with Japan. But he did not. Paik Inje was clearly aware of discrimination between Koreans and Japanese, as manifested by his participation in the March First Independence Movement. Discrimination against Koreans could also be found at Keijo Medical School where he worked. Among school faculty, Koreans represented only about 10%. Paik Inje compared Koreans to Jews. Keeping distance from Japanese-style modernization gave him power to resist cooperation with Japanese. After liberation, he engaged in political movements actively by joining the Young Korean Academy called Heungsadan and the Korea Democratic Party. Further he founded a publishing company, Suseonsa, to promote his ideas of liberalism that he had developed since the colonial period. He took extremely critical views on totalitarianism, and proposed liberalism as an alternative, which was also a founding principle of Heungsadan. As the chasm between the two Koreas widened, he ran for office in an election held by South Korea alone. To him, the general election in 1948 was not one that meant to divide the country and its people. It was a free election held with a consent from the international society. Paik Inje agreed with a national system based on anti-communism. In terms of medical stance, in response to the left wing’s advocacy for nationalization of medical service, Paik Inje turned Paik Hospital─which he founded─into a foundation. It was an extension of movements to nurture Korean people’s cultural capabilities and strength that he had pursued since the colonial period, since the purpose of the foundation was to promote the same.