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외과적 정출술을 통한 치은 하방 치경부 파절선이 있는 상악 전치부의 심미 보철 치료
이소진,김유진,박영범,조규성,정문규 大韓齒科補綴學會 2012 대한치과보철학회지 Vol.50 No.3
Surgical extrusion, immediate extrusion following tooth luxation, is a method to preserve one's natural tooth and achieve esthetic restoration without additional periodontal surgery when subgingival dental caries or crown fracture occurs. A 16-year-old male was referred to the clinic from the department of operative dentistry for the esthetic restoration of maxillary left lateral incisor. Due to the crown to root fracture, the tooth was endodontically treated with a buccal crown length of 4 mm. When the palatal flap was elevated, the mesiopalatal cervical fracture area was situated 3 - 4 mm subgingivally. Crown lengthening was achieved through surgical extrusion. After 3 months of clinical observation and provisional restoration, the maxillary left central incisor was restored with all ceramic crown and obtained a satisfactory clinical result. 치은연 하방에 치아 우식증이나 치아 파절이 발생했을 때, 치아를 탈구시켜 즉시 정출시키는 외과적 정출술을 이용한 치관 연장술은 자연치를 보존하고 추가적인 치주적 수술 없이 단기간에 심미적인 보철 치료를 가능하게 한다. 본 환자는 16세 남환으로 본원 보존과로부터 상악 좌측 중절치의 심미 수복을 위해 본원 보철과로 의뢰되었다. 상악 좌측 중절치는 근관치료가 되어 있었으며 치관-치근 파절로 인해 협측 치관 길이는 4 mm였으며 구개측 판막을 열었을 때 근심 구개측 치경부 파절 범위는 치은 하방 3 - 4 mm에 위치하였다. 외과적 정출술을 통한 치관연장술을 시행하였으며 경과 관찰 및 임시 치아의 단계를 거쳐 3개월 후에 전부 도재관으로 수복하여 만족할 만한 임상 결과를 얻을 수 있었다.
최범권,김의수 서울대학교 스포츠과학연구소 2007 스포츠과학리뷰 Vol.1 No.1
Recently with conversion of the paradigm about adapted physical education together increased attention and necessity was given to physical activity of the children with disabilities. In this research were presented three major concept to physical activity of the children with disabilities-necessity of physical activity, physical activity class, effective instructional strategy and consideration. Although it certainly is true that physical activity of the children with disabilities can enhance physical fitness, which, in turn, can positively influence one's life. Most children with disabilities have experienced and continue to experience success in physical activity experience. This information will assist the teacher in structuring an appropriate physical activity environment that optimizes learning, possible to consider the possibilities and meaning of the physical activity to the children with disabilities. Also provide information that directly relates to effectively instructing learners with disability. Familiarity with these excellent resources helps in optimizing the learning of children with disabilities.
공황장애에서 Paroxetine 단기약물치료가 심리적 상태에 미치는 영향
이소영,김지혜,김율리,강은호,이동수,유범희 大韓神經精神醫學會 2004 신경정신의학 Vol.43 No.3
Objectives : This study was designed to evaluate clinical effect of paroxetine treatment and to explore psychological Pre-dictors of treatment response. Methods : Patients (n=26) who met DSM-IV criteria for panic disorder with or without agoraphobia were treated by Pa-roxetine for 12 weeks. We assessed symptom improvement using Clinical Global Impression (CGI), and clinical characteristics using Anxiety Sen&itivity Index (ASI), Anxious Thoughts and Tendencies (AT & T), Agoraphobic Cognition Questionnaire (ACQ), Body Sensation Questionnaire (BSQ), Beck Anxiety Inventory (BAI), and Beck Depression Inventory (BDI). T-test, correlation analysis, and stepwise multiple regression analysis were performed. Results : Panic patients showed significant improvement in seventy of illness and each clinical characteristic after 12 weeks of paroxetine treatment. There were significant correlations among severity of illness, anxiety, and depression, and subjective seventy was related with catastrophic thoughts. The more catastrophic thoughts and the higher sensitivity of body sensation, Patients had the worse symptom improvement they shorved. Multiple regression analysis showed that catastrophic thought related to agoraphobia was the best predictor of symptom improvement (22%). Conclusion : This study suggests that short-term treatment of paroxetine is effective in panic disorder with or without ago-raphobia, and that catastrophic thought could be a predictor of poor treatment response. Thus cognitive intervention on Catastro-phic thoughts may play an important role in symptom improvement in panic disorder.
최소현,감상범,조숙행 대한생물치료정신의학회 2000 생물치료정신의학 Vol.6 No.1
연구목적 : 여성 정신분열병 환자에서 월경전기의 증상변화 여부와 그 변화양상을 알아보고자 본 연구를시행하였다. 방법 : DSM-lV 진단기준에 부합되며 규칙적인 월경주기와 월경기간을 보인 여성 정신분열병 환자 30명을 대상으로 한 번의 월경주기 동안 연구가 시행되었다. 매일평가서(Daily Rating Form)는 대상자들이 매일 작성 하였고 BPRS는 각 월경기(월경전기, 월경기, 월경후기)에 한차례씩 평가되었다. 연구기간동안 매일평가서를 올바르고 완전하게 작성한 24명에 대한 자료분석이 시행되었다. 결과 : 전체대상군의 총BPRS 평균정수는 세 월경기 간에 유의한 차이가 있었는데, 월경전기가 가장 높고 월경후기가 가장 낮았다. 그러나 증상군별로 볼 때 정신병적 증상군에 대한 전체대상군의 BPRS 평균점수가 각 월경기 사이에 유의한 차이가 없는 반면 불안-우울군과 위축-지연군에 대해서는 각 월경기 간에 유의한 차이가 있었다. 매일평가서 상에서 30% 변화기준을 적용하여 월경전기에 악화되었다고 판정되는 항목들 중 우울한 기분, 불안초조와 예민, 적개심과 공격성, 활동성지연등의 정서와 행동증상 항목이 높은 빈도를 보였다. 또한 복통, 유방통, 두통의 신체증상 항목도 월경전기에 악화되는 소견을 보였다. 결국 월경전기에 BPRS 상에서 정신병적 증상의 변화는 거의 나타나지 않는 반면 매일평가서와 BPRS 모두에서 이 시기에 정서 및 행동증상의 변화는 두드러졌다. 결론 : 본 연구의 소견들은 여성 정신분열병 환자에서 월경전기 증상의 악화가 정신병적 증상 그 자체의악화라기 보다는 정서적, 행동적, 신체적 증상들을 특징으로 하는 특정 증상군이 이 시기에 중첩되는 것에 기인할 수도 있음을 시사해 준다.
김호수,정희범,김소연,박영석,원종덕 청주대학교 산업과학연구소 2016 産業科學硏究 Vol.34 No.1
The shear capacity is evaluated for the structural safety security of integrated gang form system for outer insulation. Therefore, this study presents the composition types of outer insulation system and evaluates the shear capacity for the several design cases. Through the results, we find out the influencing factors that affect the shear capacity.
Kim, Woong Ji,Kim, So Ri,Choe, Yeong Hun,Lee, Ka Young,Park, Seoung Ju,Lee, Heung Bum,Chung, Myoung Ja,Jin, Gong Yong,Lee, Yong Chul The Korean Academy of Medical Sciences 2008 JOURNAL OF KOREAN MEDICAL SCIENCE Vol.23 No.6
<P>Clear cell tumor of the lung is a rare and very unusual benign pulmonary tumor. As clear cell tumor of the lung contains abundant cytoplasmic glycogen, this tumor is called 'sugar tumor'. We report a case of sugar tumor in a 64-yr-old man presenting as a round pulmonary nodule. On dynamic computed tomography (CT) scans, the solitary pulmonary nodule showed early wash-in enhancement with an early washout pattern like a lung malignancy. The patient underwent wedge resection for the tumor. Pathologic examination, including immunohistochemical studies, revealed that the nodule was a benign clear cell tumor, so-called 'sugar tumor'. Because only a small number of cases have been reported previously, clinical aspects, radiological characteristics on dynamic contrast-enhanced CT, and differential diagnosis of the tumor are not well established. Herein we present a clear cell tumor of the lung and discuss the clinical, radiological, and pathological features of the tumor.</P>