추골동맥 손상을 동반한 안면과 경부의 관통성 외상 치험예

송우식,김인권,이상현,황윤정,안정용 대한악안면성형재건외과학회 2001 Maxillofacial Plastic Reconstructive Surgery Vol.23 No.5

With the exception of gun shot wound, the incidence of penetrating injury of face and neck areas nonorganic foreign bodies is relative low. But the diagnostic evaluation and therapeutic management of penetrating facial wounds need careful decision, when the anatomic proximity of the major vessels and nerve is considered. Penetrating facial trauma with concomitant vascular injury present challenging problems, the immediate complication of this vascular injury are severe bleeding, hematoma formation, shock, obstruction of airway. The vascular injury is conformed by angiography. In this reprort, a industrial tool(long tack) fired by explosive air is penetrated into face and to neck. In angiograms penetrating injury of the vertebral artery is detected. We performed the embolization of the vertebral artery with coils and manual removal of the foreign body without any complication was followed.

Staphylococcus epidermidis에 의한 자연판막 심내막염 1례

송화영,곽이경,김민,조종래,엄태현,장우익 대한감염학회 2009 감염과 화학요법 Vol.41 No.5

Although Staphylococcus epidermidis is a frequent cause of prosthetic valve endocarditis (PVE), it is regarded as a rare pathogen of native valve endocarditis (NVE). We report a case of NVE caused by methicillin-resistant S. epidermidis in a 62-year-old man. The bacterium was isolated from blood and tissue culture. The patient underwent valve replacement due to heart failure and was successfully treated by surgery and vancomycin administration for 7 weeks.

ProFile을 이용한 근관형성 시 anticurvature filing 방법의 영향

송현지,장주혜,조경모,김진우 大韓齒科保存學會 2005 Restorative Dentistry & Endodontics Vol.30 No.4

본 연구에서는 ProFile로 근관형성 시 anticurvature filing 방법의 영향을 평가하고자 하였다. 변형된 Bramante 법을 이용해 36개의 레진 블록을 치근단으로부터 8 mm부위와 근관의 최대 만곡 부위에서 절단한 후 재조립하였다. 근관형성의 동작에 따라 anticurvature Hling motion, oircurnferential filing motion, straight up-and-down motion의 3가지 실험군으로 분류한 다음 ProFile로 근관을 형성하였으며, 술 전·후의 단면을 stereomicroscope로 촬영, 저장하고 중첩하여 근관 단면의 변화와 근관의 중심 이동률을 비교 평가하였다. 모든 위치에서 단면적 변화량, 만곡 내측으로의 형성량과 중심 이동률은 세 군 간에 유의한 차이가 없었으며, 만곡 외측으로의 형성량은 치근단으로부터 8 mm 부위에서 anticurvature filing motion, oircurnferential filing motion,straight up-and-down motion의 순으로 많았으나, 근관의 최대 만곡 부위에서는 차이가 없었다. 이상의 결과에서 만곡 근관의 위험 부위에서 ProFile로 근관형성 시 anticurvature filing motion의 영향은 다른 motion과 비교해 볼 때 유의할 만한 차이가 없는 것으로 생각된다. This study investigated the effect of anticurvature filing method on preparation of the curved root canal using ProFile. Thirty six resin blocks were divided equally into three groups by instrumentation motions: anticurvature filing motion, circumferential filing motion and straight up-and-down motion. Each resin block was sectioned at 8 mm level from the apex and at the greatest curvature of the canal and reassembled in metal mold by a modified Bramante technique. All groups were instrumented with the ProFile system. At each levels, image of sectioned surface were taken using CCD camera under a stereomicroscope at ×40 magnification and stored. Distances of transportation at the inner and outer area of curvature and the centering ratio were determined and compared by statistical analysis, along with the assessment of the increase of root canal cross-sectional area. The results were as follows; 1. In all groups, there was no statistical difference in the mean increase of root canal cross-sectional area, the centering ratio, and the mean distances of transportation at the inner area of curvature at each level. 2. At 8 mm level from the apex, the mean distances of transportation at the outer area of curvature decreases in following order anticurvature filing motion, circumferential filing motion, straight up-and-down motion but, no significant difference at the greatest curvature of the canal among three groups. Effect of anticurvature filing motion using ProFile does not seem to be different from other instrumentation motions at the inner area of curvature in curved root canal.[J Kor Acad Cons Dent 30(4):327-334,2005]

Dextranase 함유 구강 세정액의 치태 제거 및 치은염 예방 효과에 관한 임상적 연구

송우성,손성희,정현주 전남대학교 치의학연구소 2001 구강과학 Vol.13 No.3

A novel glucanhydrolase (DXAMase) from a mutant of Lipomyces starkeyi (KSM 22) has been shown effective in hydrolysis of mutan, reduction of mutan formation by Streptococcus mutans and removal pre-formed sucrose-dependent adherent microbial film and DXAMase has been strongly bound to hydroxyapatitie. These in vitro properties of Lipomyces starkeyi DXAMase are desirable for its application as a dental plaque control agent. This study was performed to determine the adjunctive oral hygiene benefits and safety of dextranase (Lipomyces starkeyi KSM 22 DXAMase)-containing mouthwash when used alongside normal toothbrushing. This 6-month clinical trial was placebo-controlled double-blind design evaluating 1U/㎖ dextranase mouthwash and 0.12% chlorhexidine mouthwash. A total 39 systemically healthy subjects, who had moderate levels of plaque and gingivitis were included. At baseline, 1, 3 and 6 months, subjects were scored for plaque accumulation(Turesky modification of Quigley-Hein's plaque index), gingivitis status (Lo¨e and Silness gingival index), and tooth stain(Area and severity index system by Lang et al). Additionally, oral mucosal examinations were performed and subjects questioned for adverse symptoms. Two weeks after pre-experiment examinations and a professional prophylaxis, the subjects were provided with allocated mousewash and instructed to use 20-ml volumes for 30s twice daily after toothbrushing. All the groups showed significant increase in plaque accumulation since 1 month of experiment. During 6 month's period, the Dextranase mouthwash group showed the least increase in plaque accumulation, compared to the Chlorhexidine mouthwash and placebo groups. As for gingival inflammation, all the groups showed significant increase during 6 months of experiment. The Experimental group (Dextranase mouthwash) also showed the least increase in gingival index score, compared to the Positive control (Chlorhexidine mouthwash) as well as the Negative control (placebo) groups. Whereas the tooth stain was increased significantly in the Positive control group, compared to the baseline score and the Negative control group since 3 months of mouthrinsing. It was significantly increased after 6 months in the Experimental group, still less severe than the Positive control group. As for the oral side effect, the Experimental group showed less tongue accumulation, bad taste, compared to the Positive control group. From these results, mouthrinsing with Lipomyces starkeyi KSM 22 dextranase provided adjunctive benefits to toothbrushing, comparable to 0.12% chlorhexidine mouthwash in inhibition of plaque accumulation and gingival inflammation and local side effects were if anything less frequent and less intense than chlorhexidine, with long-term use of the mouthwash. All data had provided positive evidence for Lipomyces starkeyi KSM 22 dextranase as an antiplaque agent and suggested that further development of dextranase formulations for plaque control are warranted.

지속성 외래 복막투석 환자에서 염증 지표와 고해상도 B 모드 경동맥 초음파 소견의 연관성에 관한 연구

송현용,송영수,안철우,강신욱,최규헌,하성규,이현철,이호영,한대석 대한신장학회 2002 Kidney Research and Clinical Practice Vol.21 No.2

배 경 : 저알부민혈증 및 C-반응 단백(C-reactive protein, CRP)이 증가된 지속성 외래 복막투석 환자의 사망률이 높은 정확한 이유는 밝혀져 않다. 혈액투석 환자에서처럼 복막투석 환자에서 저알부민혈증 및 염증반응이 심혈관계 질환 위험인자 인지 알아보고자 하였다. 방 법: 비당뇨병성 말기 신부전, 지속성 외래 복막투석 환자 93명의 심혈관계 질환 위험인자들과 복막 투과 특성 및 알부민, CRP 등의 염증지표에 따라 고해상도 초음파를 이용한 경동맥내막-중간막 두께, 내막-중간막 면적, 플라크의 유무 등을 단면적으로 비교하였다. 결 과: 복막 투과 특성은 고투과막군 14명, 중간 고투과막군 38명, 중간 저투과막군 31명, 저투과막군 10명으로 각 군간의 경동맥 내막-중간막 두께, 플라크 유무 및 내막-중간막 면적의 차이는 없었다. 기존 관상동맥 질환 환자는 8예(8.6%)로 내막-중간막 두께는 관상동맥 질환이 없는 환자보다 증가되었고(0.79±0.21 vs 0.60±0.11 mm, p<0.05) 플라크 형성은 더 많이 보이나 통계적 유의성은 없었다(75.0 vs 63.5%, p>0.05). 혈청 알부민치와 경동맥 내막-중간막 면적은 역상관관계를 보였다(r=-0.27, p<0.05). 저알부민혈증 환자(혈청 알부민 <3.5 g/dL)는 정상 알부민혈증 환자보다 내막-중간막 두께가 증가되었고(0.67±0.15 vs 0.61±0.12 mm, p<0.05), 플라크도 유의하게 많았다(68.0 vs 55.8%, p<0.05). 혈청 CRP치와 경동맥 내막-중간막 면적은 양의 상관관계가 있었으며(r=0.21, p<0.05) CRP가 높은 환자(≥0.8 mg/dL, n=18)에서플라크가 많이 관찰되었으나(65.8 vs 50.0%, p<0.05) 경동맥 내막-중간막 두께 및 내막-중간막면적은 양군간에 차이가 없었다. 다변량 회귀 분석상 경동맥 내막-중간막 두께에 영향을 미치는 인자는 고령, 높은 CRP, 기존 심혈관계질환, 낮은 혈청 알부민 순이였다. 결 론 : 복막투석 환자에서 고해상도 초음파를 이용한 경동맥 내막-중간막 두께 측정은 심혈관계 질환 유무 예측의 비침습적 검사가 될 수 있고 저알부민혈증 및 높은 CRP과 같은 만성염증 지속상태가 복막투석 환자에서 죽상 동맥 경화증의 발생을 증가시킨다고 가정할 수 있다. Background : Continuous ambulatory peritoneal dialysis(CAPD) patients with low albumin(LA) and signs of inflammation reflected by increased C-reactive protein(CRP) level have an increased mortality, but the mechanism of this phenomenon is not clear yet. Methods : To answer whether LA and inflammation also enhance cardiovascular risk in CAPD patients, we performed cross sectional study measuring carotid artery intima-media thickness(IMT), calculated intima-media area(cIM area) and the presence of plaque by high-resolution B-mode ultrasonography in 93 non-diabetic CAPD patients. Results : Patients with coronary artery disease (CAD, n=8) had significantly increased IMT(0.79± 0.21 mm vs. 0.60±0.11 mm, p<0.05) and higher prevalence of carotid plaques(75.0% vs. 63.5%) compared to the non-CAD patients. Significant inverse correlation was observed between serum albumin (SA) level and cIM area(r=-0.27, p<0.05). Those patients with LA(SA <3.5 g/dL) had significantly increased IMT compared to non-LA patients(0.67±0.15 mm vs 0.61±0.12 mm, p<0.05). Prevalence of carotid plaques was also significantly higher in LA patients (68.0% vs. 55.8%, p<0.05). CRP level revealed a significant positive correlation with cIM area(r=0.21, p< 0.05). Patients with high CRP(≥0.8 mg/dL, n=18) had higher prevalence of carotid plaques (65.8% vs. 50.0%, p<0.05) compared to those patients with CRP <0.8 mg/dL, but IMT and cIMT area were not different. By multivariate logistic regression analysis, old age, high CRP, history of CAD and low SA were the independent risk factors affecting IMT. Conclusion : Our study strongly suggests that low albumin and chronic inflammatory state of CAPD patients could be associated with increasing atherosclerotic cardiovascular disease. (Korean J Nephrol 2002;21(2):285-294)

굴껍질을 사용한 규산칼슘수화물의 합성에 관한 연구

김현우,송태웅 경남대학교 신소재연구소 1996 論文集 Vol.7 No.-

인공 양식장에서 많은 양으로 발생되는 굴껍질의 화학적 및 열적 특성을 이용하여 공업용 소재의 원료로 활용함으로서 공해 문제를 해소하는 한 방편을 제공함과 동시에 현재보다 부가가치가 큰 활용방법을 제시하고자 하였다. 굴껍질은 순도가 높은 CaCO₃성분이 방해석(calcite) 결정구조를 하고 있어 석회석과 매우 유사하나 초미립 결정으로 된 조밀부분과 다공성부분이 적층되어 있어 탈탄산온도가 더 낮고 900℃로 가열할 때 수화성이 최대를 나타내었다. 굴껍질의 하소분말을 CaO원으로 사용하여 실리카와 수열반응시킬 때 섬유상의 토버모라이트가 매우 용이하게 합성되었고 이들은 광물학적 및 열적 특성이 석회성을 원료로 하여 합성한 것과 다르지 않았으며 원료의 하소조건이 합성광물의 특성에 미치는 영향도 매우 적었다. Waste oyster shell from a farm, one of the massive pollutant, was characterized and utilized in synthesis of calcium silicate hydrates as a raw marerial. Oyster shells were revealed to be composed mainly of CaCO₃of calcite having analogy to limestone. But the porous sheet structure composed of fine particles of calcite caused decarbonation to complete at lower temperature than that of limestone. Under hydrothermal condition, tobermorite, one of important calcium silicate hydrates, with typical thermal and mineralogical properties was easily synthesized from the mixture of calcined oyster shell and silica. The properties of synthesizied tobermorite seldom affected sensitively by the small changes in calcination temperature although the maximum heat of hydration was obtained from the powder calcined at 900℃.

스파이럴형 박막 공심 인덕터의 제조와 특성

오영우,김현식,송재성 경남대학교 신소재연구소 1997 論文集 Vol.8 No.-

마이크로 자기소자중 가장 간단한 형태인 스파이럴형 박막 공심 인덕터의 제작 및 특성 평가에 관해 연구하였다. 간단한 습식 식각공정으로 두께 12μm, 폭 수십 μm 정도의 코일 패턴을 제작할 수 있었으며, 양호한 미세 패턴을 얻었고, 마이크로 스트립 선로로 제작한 측정 zig로 비교적 정확한 특성을 측정할 수 있었다. 또한, 크기가 10×10mm, 선폭 300μm, 선 간격 70μm, 턴수 12인 스파이럴 코일형 공심 인덕터의 공진 주파수는 300MHz였고, 성능지수는 4 이었다. Recently the development of electronic machine industries have been miniature of size as well as increasement of driving frequency in electronic parts. In this study, we fabricated thin film inductors by using thin films manufacturing techniques such as photolithograghy and wet etching process, and the properties of these devices are measured at high frequency range of 1 MHz∼1 GHz. The accurate measuring technique by using network analyzer system having microstrip line was established. The inductors are fabricated with several ten micrometers by means of wet etching process known as easier and more economic than dry etching process. The properties of spiral-type thin film air core inductors with Wc = 300μm, dc = 70μm, number of turns = 10. and t_{cu} = 12μm were found to have Q of 4. L of 50nH at 300MHz and f_{R} of 300MHz.

오원천의 식물플랑크톤 군집에 대한 연구

주현수,김진,박종천,정원석,송현철,이용탁,이우범 國立麗水大學校 環境問題硏究所 2004 環境硏究論文集 Vol.6 No.-

We carried out a study on phytoplankton community at Owon stream, Jeollabukdo, Korea. The author have examined 83 taxa of the phytoplankton from researched area. These were composed of 5 classes, 11 orders, 21 families, 44 genera, 79 species, and 9 varieties. The composition of occurrence species were as follows: green algae are 48.2%, diatoms are 33.7%, blue green algae are 10.8% and etc(7.3%). Dominant species were Chlamydomonas angulosa, Pandorina morum, Coelastrum microporum, Scenedesmus quadricauda, Staurastrum gracile, Melosira varians, Me. italica, Synedra ulna, Sy. acus, Cocconeis placentula, and Cymbella tumida. The standing crops varied from 1,650cells/ℓ to 47,000cells/ℓ. Phytoplankton density of Owon stream were lower about 8.6 times to a 1,531 times than those of other lakes and rivers in Korea. So, to preserve the water quality in Owon stream we have to manage continuously on the nitrogen and phosphorus.

유전자 알고리즘에 의한 모발로봇의 자세/위치 제어

한성현,이우송,김윤구,김홍래,조창제 한국공작기계학회 2006 한국공작기계학회 추계학술대회논문집 Vol.2006 No.-

This paper proposed trajectory tracking control of Mobile Robot. Trajectory tracking control scheme are Real coding Genetic-Algorithm and Back-propergation Algorithm. Control scheme ability experience is proposed by simulation.

지능형 원격 네트워크 온실

문병현,송주열,이현성,손경규,엄태환,김정우,김아름 대구대학교 정보통신연구소 2004 情報通信硏究 Vol.3 No.2

The system designed in this paper, can mark the interior state of greenhouse using sensors of temperature, humidity and illumination on greenhouse interior by greenhouse system for farm village area's agriculture automation. And, the real time monitor is possible real time monitoring by camera. Also, system that can supply water using spring cooler system and humidifier. The proposed system can sustain a designed environment of the greenhouse through rentilation fan, fluorescent light and roof door control. TCP/IP is used for the remote control of state the sensors in the client program. 본 논문에서 설계된 시스템은 농촌 지역의 농업 자동화를 위한 온실 시스템으로 온실 내부에 온도, 습도, 조도 센서를 이용한 온실 내부의 상태를 표시할 수 있으며 카메라를 이용하여 실시간 관측이 가능하다. 또한 본 시스템은 지붕 개폐, 스프링 쿨러와 가습기를 이용한 수분 공급, 환풍기, 형광등 등을 통하여 온실 내부의 환경을 유지시킬 수 있다. 모든 센서를 이용한 상태와 온실 제어를 TCP/IP를 이용한 클라이언트 프로그램에서 원격으로 관리할 수 있다.