소아나 협조가 힘든 환자에서 봉합사 제거가 쉬운 봉합법

남수봉,오흥찬,강철욱,최수종,배용찬 부산대학교 병원 암연구소 2009 부산대병원학술지 Vol.- No.25

상악골 전벽골 겸손에 대한 재건술에 있어서 동결건조 콜라겐 매식과 소강판고정술의 임상적 유용성

오승환,장관식,조병호,민승기,이동근,김수남 대한악안면성형재건외과학회 2000 Maxillofacial Plastic Reconstructive Surgery Vol.22 No.6

Maxilla is located in midfacial area and has intimate relationship with adjacent anatomical structure such as nasal cavity, orbit, oral cavity, and zygoma. Skeletal defects of maxillary antral wall may be developed by various postoperative causes for comminuted maxillary fractures, tumors of head and neck area or cystic lesions of maxillary sinuses. If these bony defects are left untreated state, this results in several postoperative complications such as soft tissue impingement into bony defects or dysfunction of sinus mucosa. Hence, these defects should be pertinently treated as possible. The main purpose of such surgery is to preservation of normal physiologic function of maxillary sinus. In the past, a variety of materials have been used to reconstruct defects of the maxillary antral wall. Alloplastic materials are popular today because of availability without an additional operation and their ease of use. With favorable results and review of related literatures, we report the availability of lyophilized collagen implantation and microplate fixation as the reconstructive surgical methods on the defects of maxillary anterior wall resulted from various reasons.

배드민턴 드롭샷 동작의 운동학적 분석

오정환,최수남,정익수 한국운동역학회 2005 한국운동역학회지 Vol.15 No.1

C. H. OH, S. N. CHOI, I. S. JEONG. Kinematic Analysis of the Badminton Drop-shot Motion. Korean Journal of Sport Biomechartics, Vol. 15, No. 1, pp. 221-235, 2005. The purpose of this study was to analyse badminton players' drop-shots, in order to make players understand the principles of drop-shot motion in badminton. Three dimensional analysis was used to measure movements such as the time required per section, the change of center of gravity, joint angle and speed, and joint speed. The results of this study revealed as follows: (1) top players are faster than amateurs in the total time required per section; (2) top players moved more in the x-axis and z-axis, while amateurs moved more in the y-axis; (3) the inclination of amateurs was greater than that of top players in all phases; (4) amateurs showed larger angle on the shoulder joints than top players in the first phase, while top players showed larger angle on the shoulder joint than amateurs in the second and third phase. Amateurs' angle was larger on angle joint in the first phase than top players' ones, while top players' angle was larger in the third phase than amateurs; (5) the speed of racket head of top players was faster than that of amateurs; and the velocity of the center of gravity of amateurs was greater than that of the top players. The findings of this study were that gravity decreases during impact and then the velocity increases to perform the follow-through and making the swing fast by increasing the speed of the racket head is most important.

치과용 심미 수복 재료들의 색상 연구를 통한 새로운 치과용 색체계의 제안

오윤정,박수정,김동준,조현구,황윤찬,오원만,황인남 대한치과보존학회 2007 Restorative Dentistry & Endodontics Vol.32 No.1

본 연구는 새로운 치과용 색체계 개발을 목적으로 현재 치과에서 사용되고 있는 Vita shade를 사용하는 9 제조사의 12종의 광중합형 복합레진과 1종의 치과용 도재의 색상을 diffuse/8° 수광 방식을 사용하는 분광색체계 (MiniScan XE plus, Model 4000S, Hunter Lab, USA)를 이용해 D65 표준광과 10도 관찰자 시야 하에서 CIE L^(*)a^(*)b^(*) 값을 측정하고 색상 범위를 분석하였다. 분석한 정보를 color sorting system을 응용한 CNU Cons Dental Color Chart의 색상 표현 방식인 T###에 치과용 수복 재료들의 범위를 적용하여 다음의 결과를 얻었다. 측정된 L^(*)a^(*)b^(*)값의 분포를 분석해 보면 L^(*)값은 80.40과 52.70 사이에, a^(*)값은 10.60과-3.60 사이에, 그리고 b^(*)값은 28.40과 2.21 사이에 분포한다. L^(*)값의 평균값은 67.40, 중앙값은 67.30이며, a^(*)값은 2.89와 2.91, b^(*)값은 14.30 과 13.90 이다. 이러한 분석을 토대로 CNU Cons Dental Color Chart의 T###의 첫 번째 숫자에 해당하는 L^(*)값의 각 숫자간의 차이는 2.0으로, 그리고 2번째 숫자인 a^(*)값의 각 숫자간의 차이는 1, 그리고 세 번째 숫자인 b^(*)값의 각 숫자간의 차이는 2로 정하였다. T555에 해당하는 L^(*)값의 범위는 66.0이상, 68.0미만으로, a^(*)값의 범위는 3이상 4미만으로, b^(*)값의 범위는 14이상 16미만으로 결정하였다. The purpose of this study is to develope new dental color-space system. Twelve kinds of dental composites and one kind of dental porcelain were used in this study. Disk samples (15 ㎜ in diameter, 4 ㎜ in thickness) of used materials were made and sample’s CIE L^(*)a^(*)b^(*) value was measured by Spectrocolorimeter (MiniScan XE plus, Model 4000S, diffuse/8° viewing mode, 14.3 ㎜ Port diameters, Hunter Lab. USA). The range of measured color distribution was analyzed. All the data were applied in the form of T### which is expression unit in CNU Cons Dental Color Chart. The value of L^(*) lies between 80.40 and 52.70. The value of a^(*) are between 10.60 and 3.60 and b^(*) are between 28.40 and 2.21. The average value of L^(*) is 67.40, and median value is 67.30. The value of a^(*) are 2.89 and 2.91 respectively. And for the b^(*), 14.30 and 13.90 were obtained. The data were converted to T### that is the unit count system in CNU-Cons Dental Color Chart. The value of L^(*) is converted in the first digit of the numbering system. Each unit is 2.0 measured values. The second digit is the value of a^(*) and is converted new number by 1.0 measured value. For the third digit b^(*) is replaced and it is 2.0 measured unit apart. T555 was set to the value of L^(*) ranging from 66.0 to 68.0, value of a^(*) ranging from 3 to 4 and b^(*) value ranging from 14 to 16.

한국어 판 구조화 임상면담도구 개발 : 신뢰도 연구

한오수,안준호,송선희,조맹제,김장규,배재남,조성진,정범수,서동우,함봉진,이동우,박종익,홍진표 대한신경정신의학회 2000 신경정신의학 Vol.39 No.2

연구목적: 정신장애의 정확한 진단과 평가는 임상에서뿐만 아니라 신뢰성 있는 연구를 위해서도 매우 중요하다. Structured Clinical Interview for DSM-IV(SCID)는 임상전문가들이 사용하는 진단도구로서, 비교적 짧은 시간에 정확한 진단을 내릴 수 있다. 본 연구는 한국어판SCID를 개발하고 그 신뢰도를 평가하기 위해 수행되었다. 방법: 국문학자가 포함된 번역위원회를 통하여 연구용판 SCID를 번역한 후, 정신과 의사 2인과 임상심리학자 1인에게 한국어판SCID 실시방법을 교육시킨 뒤 한국어판SCID를 이용한 면담의 평가자간 신뢰도 (interrater reliability)를 검증하였다. 면담 대상은 1999년 2월에서 3월까지 2개 병원 정신과에 치료중인 환자 90명(남:41명, 여:29명)이었다. 결과: 현재 장애(current disorder) 평가에서 주요 우울장애, 기분부전장애, 정신분열병, 알코올 남용 및 의존, 기타 물질 남용 또는 의존, 여러 불안장애들 및 섭식장애 등과 같은 대부분 장애의 kappa값은 .70이상으로 매우 높았다. 그 이외의 양극성 장애, 망상장애, 광장공포증, 감별 불능 신체화 장애 및 건강염려증의 kappa값도 .69에서 .40사이로 수용할 수 있는 정도였다. 평생 장애(lifetime disorder)에서는 양극성 장애(k=.69)와 감별 불능 신체화장애(k=.59)를 제외한 다른 모든 장애의 kappa값이 .70이상이었다. K-SCID 면담시 Ⅰ축 질환에 대하여 흔하게 다중 진단이 내려졌으며, 평균 진단 수는 1.5∼1.7개로 나타났다. 결론: 한국어판 SCID는 신뢰도가 높은 진단도구로 생각되며, 향후 정신질환의 정확한 진단과 임상연구에 유용하게 사용될 수 있다. Objectives: Accurate diagnosis and assessment for psychiatric disorders is crucial for research, as well as for clinical practice. Structured Clinical Interview for DSM-Ⅳ(SCID-RV) is a less time-consumimg and more accurate structured diagnostic interview form. It can be used by clinical professions and is known for a reliable diagnostic tool. Present study was conducted to develop Korean version of SCID-RV and to test the inter-rater reliability. Methods: The authors have translated original SCID-RV into Korean, and revised in parallel with sociocultural background of Korea. Ninety patients from two psychiatric hospitals, both outpatient and inpatient, were interviewed and rated independently by three raters. Results: The kappa coefficients for most of illnesses, such as major depressive disorder, dysthymia, schizophrenia, alcohol abuse and dependency, anxiety disorder and eating disorder were excellent(>0.70) in the evaluation of current disorders. And the kappa coefficients for bipolar disorder, delusional disorder, agoraphobia, undifferentiated somatoform disorder, and hypochondriasis were acceptable(>0.40) in the evaluation of current disorders. In the evalua-tion of lifetime disorders, the concordant rates of all the diagnoses except bipolar disorder and undifferentiated somatoform disorder were excellent. Lack of hierarchy in DSM-Ⅳ allows for multiple Axis I diagnoses. Mean numbers of Axis I diagnoses per subject assigned by the three raters were 1.5-1.7. Conclusions: Our findings confirm that SCID-RV yields highly reliable diagnoses. SCID-RV is recommended for accurate diagnosis in clinical practice and research on psychiatric disorders.

복합레진 색상의 측정 기기에 따른 차이

박수정,노은영,조현구,황윤찬,오원만,황인남 大韓齒科保存學會 2009 Restorative Dentistry & Endodontics Vol.34 No.3

본 연구에서는 동일한 수광 방식을 사용하는 2종의 이동형과 고정형 spectrophotometer인 MiniScan XE plus (Model 4000S, Hunter Lab, USA)와 CM-3500d (Minolta, Japan), 그리고 다른 수광 방식을 사용하는 miniature VIS reflection spectrometer인 Specbos 2100(JETI Technische Instrumente GmbH, Germany)를 이용하여 직경 15 mm, 두께 4 mm의 디스크로 제작한 광중합 복합레진의 색상을 측정하였다. Spcebos 2100은 분광 특성을 측정하는 기기이지만 주문에 의해 제조사에서 측색이 가능한 형태로 제공하였다. 3종의 측색 기기를 사용한 측색 결과를 분석한 결과, 동일한 수광 방식, 광원 및 관찰자 각도를 적용한 2종의 기기 간에도 동일 색상에서 2.4-7.8까지의 색차(ΔE^(*))를 보였으나, L^(*),a^(*), b^(*) 값은 기기 간에 높은 상관관계를 보였다. 서로 다른 수광 방식을 사용하는 기기 간에는 약 20정도의 큰 색차(ΔE^(*))를 보이며, 측정된 각 값 간에도 낮은 상관관계를 보였다. 이상의 결과는 반투명의 치과용 수복 재료나 치아의 측색 시 측색 기기간에도 색차가 나타날 수 있음을 시사하며, 이는 기기에 대해 측정된 색상을 절대적인 색상으로 적용하기 보다는 상대적인 측정치로 이용하는 것이 바람직하리라 사료된다. The objective of this study was to evaluate the effect of color measuring instrument by measuring the color of dental composite resins. Nine shade light cured composite resin disks were prepared (diameter : 15 mm, thickness : 4 mm). CIE L^(*)a^(*)b^(*) color scale of each disk was measured with 3 different types of spectrophotometer 〔MiniScan XE plus (Model 4000S, Hunter Lab, USA), CM-3500d (Minolta, Japan) and Specbos 2100 Miniature VIS Reflection spectrometer (Serial No: 319416, JETI Technishe VIS Instrumentic GmbH, Germany)〕. Miniscan XE Plus and CM-3500d using identical measuiing geometry with different size of viewing aperture. But Specbos 2100 using different measuring geometry. Within the limitation of this study, there were color difference (ΔE^*) from 2.4 to 7.8 between Miniscan XE Plus and CM-3500d, but L^(*), a^(*), b^(*) values showed the high correlation. However, there were great color difference(ΔE^*) in the extent of about 20 between instruments with the different measuring geometry. Therefore, color scale measured by color measuhng instrument should be used as a relative value rather than an absolute value in the field of dentistry.

순무(Brassica campestris ssp. rapa) 뿌리로부터 지질화합물의 분리 및 동정

방면호,오영준,유종수,한민우,정해곤,정태숙,최명숙,이경태,김세영,백남인 경희대학교식량자원개발연구소 2007 硏究論文集 Vol.26 No.1

순무 뿌리로부터 활성 물질을 분리 동정 하기 위하여 80% MeOH 수용액으로 추출하고 이를 여과, 감압 농축하여 MeOH추출물을 얻었다. 이를 EtOAc분획, n-BuOH분획, H_(2)O분획으로 나누었으며, EtOAc분획에 대해 silica gel column chromatography를 실시하여 3종의 지질화합물을 분리 정제하였다. ^(1)H-NMR, ^(13)C-NMR, DEPT spectrum 및 Mass spectrum등을 통하여 palmitic acid methyl ester(compound 1), linolenic acid methyl ester(compound 2), linoleic acid methyl ester(compound 3)으로 구조를 결정하였다. In order to isolate and identify the active compound from the Brassica campestris ssp rapa, the roots and the root skin were extracted with 80% aqueous MeOH, and the concentrated extract was partitioned with EtOAc, n-BuOH and H_(2)O. From the EtOAc fraction, three compounds were isolated through the repeated silica gel column chromatographies. From the result of spectral data including NMR and MS, the chemical structures of the compound were determined as palmitic acid methyl ester (compound 1), linolenic acid methyl ester (compound 2), linoleic acid methyl ester (compound 3).

치아 순면 형태가 측색 기기를 이용한 치아 색상 측정 결과에 미치는 영향

최용진,박수정,조현구,황윤찬,오원만,박병주,황인남 대한치과보존학회 2007 Restorative Dentistry & Endodontics Vol.32 No.5

설측 복합레진 색상이 치아 순측 색상에 미치는 영향

문승희,박수정,조현구,황윤찬,오원만,황인남 大韓齒科保存學會 2009 Restorative Dentistry & Endodontics Vol.34 No.4

본 연구는 순면 잔존 치질의 두께와 후방 복합레진의 색상이 최종 수복된 치아표면의 색상에 미치는 영향을 알아보고자 시행하였다. 배경판으로 사용될 복합레진은 Filtek Supreme (3M ESPE, St. Paul, U.S,A.)의 Al, A2, A6D, Bl, B2, B3,C1, C2 C6D를 선택하였다. 배경판으로 사용될 복합레진 시편은 직경 10 mm, 두께 4.5 mm로 각 shade당 한 개씩 제작하였다. 순면 잔존 치질은 상악 중절치 치관의 순면을 제외한 나머지 부위를 아크릴릭 레진을 이용하여 매몰 후 저속의 Diamond Wheel Saw (Isomet ; Buehler Ltd, Lake Bluff, U.S.A.)를 이용하여 주수 하에 순면으로부터 2.5 mm 두께로 절단하였다. 절단된 상아질측 표면을 2000번 사포로 연마하여 2.2 mm 두께의 시편을 얻었다. 분광광도계 Spectrolino^(Ⓡ) (Serial No. 3257-18522, GretagMacbeth, Regensdorf, Switzerland)를 이용하여 치아시편을 9개의 복합레진 시편위에 접촉면에 수분이 있는 상태로 위치시켜 치아 순면색상을 측정하였다. 그 후, 치아시편의 상아질 측면을 1.0 mm까지 0.3 mm 간격으로 연마하면서 복합레진 시편위에 위치시켜 동일한 방법으로 색상을 측정하였다. 모든 시편에서 L^(*)값과 b^(*)값은 배경색에 무관하게 치아시편의 두께가 두꺼워질수록 증가하는 양상을 보였으나(p <0.05), a^(*)값은 배경색에 무관하게 두께에 따른 유의한 차이를 보이지 않았다. In this study we evaluated the influence of both the thickness of residual enamel and the color of the composite resins applied to lingual surface on the labial surface color. Background plates were made by randomly (Al, A2, A6D, Bl, B2, B3, Cl, C2, C6D) selected colors of Filtek Supreme (3M ESPE, St. Paul, U.S.A.) composite resin. Crown portion of 9 maxillary central incisors were cut off and embedded with acrylic resin except labial surface. Samples of average thickness of 2.2 mm were obtained after cutting it in a thickness of 2.5 mm from the labial surface and sandpaper polish. The shade of composite resin background was measured using Spectrophotometer (Spectrolino^(Ⓡ), GretagMacbeth, Regensdorf, Switzerland). And CIE L^(*)a^(*)b^(*) value of 2.2 mm thickness tooth samples were measured on the 9 composite resin backgrounds. And then, the cutting side of tooth samples was ground to the extent of 1.9 mm, 1.6 mm, 1.3 mm, 1.0 mm and placed on composite resin backgrounds and measured L^(*)a^(*)b^(*) values with the same method. In all samples, L^(*) value and b^(*) value seemed to have a tendency of decreasing as thickness of tooth sample becomes thinner regardless of background colors (p < 0.05). But, a^(*) value didn't show the significant differences depending on the thickness.

國民學校 兒童들의 運動傷害 調査 : focussed on 4 districts in Kangweon province 江原道內 4個地域을 中心으로

韓相俊,金龍洙,吳壽一,朴南煥,洪寬伊,兪玉在 江原大學校附設 體育科學硏究所 1983 江原大學校附設體育科學硏究所論文集 Vol.- No.8

To suggest the basic data for a precautionary measures against sports injuries and safety educaion in Elementary school boys and girls, 1,149 boys and 1,111 girls(Total 2,260 answerers) who are 4th, 5th, 6th grade of Elementary school residing 4 districts((city, farm, fishing, and mining village) in Gang-weon province were answered on the questionair which is contents, 21 numbers of questions from Oct. 3, 1982. to Nov.3, 1982. The conclusions from gained results by analyzed data are as follows: 1. The most favorite sports Boys, Baseball and soccer Girls: Running and lope jumping Especially, boys residing in city area answered that the most favorite sports is baseball, and boys residing in the other districts answered that it is soccer. 2. The time required for carry out sports. About 85% of tatal answerer carry out sports 30min. to 1 hour per day. 3. Causes of sports injuries. Taking no notice of boys and girls carelessness and insufficiency of practice on the skill is the most. The next order, foul and a dangerous place in boys and fitness difficency in girls. 4. Situation injuries. When fall down a body toward the front was the most. During mining and collision against the other body were next order. 5. Injuried places and the weather. Out-door ground was most, the weather when injuried was clear. On the other hand, over 80% of total answere injuried season were summer and fall. 6. Sports events which caused sports injuries. Boys: Mainly soccer and baseball Girls: Running and lope jumping 7. Injuried part of the body was represented following order: ①The knee ②The ankle ③Hand and the charecteristic special features of injuries were sprain and laceration in addition, its symptom was acute form of decease. 8. treatment after injuried Boys and girls care at their home but 3.9% among total answeres who were injuried, and duration of curing was and day to 30 days. 9. A trend of experience on sports injury. 84% among total answerers in boys, and 75% among total answerers in girls. Thus it shows the experience ratis are more in boys than in girls.