전침 자극에 의한 오디 괄약근 운동성 변화에 관한 연구

이성구,김명완,김홍자,서동환,이상수,김동일,유교상,주연호,민병일,김지훈 경희대학교 동서의학연구소 2001 東西醫學硏究所 論文集 Vol.2000 No.-

Background/Aims: This study was designed to evaluated the effects of electroacupuncture on the sphincter of Oddi (SO) motility in humans and to correlate the manometric findings with plasma cholecystokinin (CCK) levels. Methods: Eleven patients (M: F= 5: 6) who had various kinds of biliary disorders were enrolled. SO motility was monitored with a conventional low-compliant continuously perfused technique using ERCP (n=9) or percutaneous transhepatic cholangioscope (n=2). After baseline monitoring for phasic wave contractions of SO, electroacupuncture was applied at a specific acupoint, GB 34, in these 11 patients. A nonspecific acupoint 5 cm away from GB 34 was selected as a control. Manometric parameters of SO were also checked in 6 subjects during stimulation of the control acupoint. CCK plasma levels were measured during the time course of electroacupuncture stimulation. Result: All the manometric parameters including the basal pressure of SO, amplitude, frequency and duration of phasic wave contraction of SO were significantly decreased (p< 0.05) during electroacupuncture stimulation. The inhibition of SO contractility was accompanied by increased CCK plasma levels. After removal of electroacupuncture stimulation, restoration of amplitude and duration to basal condition were noted. A tendency towards the return of SO contractility was also observed in basal pressure and frequency. Stimulation of the control acupoint, however, did not affect the SO contractility and plasma CCK levels. Conclusions: Electroacupuncture stimulation of acupoint GB 34 showed reversible inhibition of SO contraction in humans. We speculate that the response of SO to electroacupuncture stimulation may be mediated by some neurohormonal mechanisms including CCK release. (Korean Journal of Gastrointestinal Motility 2000;6:44-41)

Complication of Intraoperative Radiation Therapy (IORT) in Gastric Cancer

김명세(Myung Se Kim),김성규(Sung Kyu Kim),송선교(Sung Kyo Song),김홍진(Hong Jin Kim),권굉보(Koing Bo Kwan),김흥대(Heung Dae Kim) 대한방사선종양학회 1992 Radiation Oncology Journal Vol.10 No.2

영남대학교 의료원 치료방사선과에서 1988년 6월 15일에 위함 환자의 수술중 방사선치료를 시작한 이래 1992년 8월 30일까지 총 58예에서 시도하여 그중 53예에서 IORT를 실시하였으며, 정기적인 추적검사에서 한명의 국소개발 환자도 보고되지 않고 있다. 출혈(3예), 장관폐쇄(3예), 폐혈증(2예), 골수기능저차(1예)를 포함한 총 9예(17%)의 합병증이 보고되었고, 이중 6예(13%)가 사망하였다. IORT(1500cGy), 외부 방사선치료 (-4500cGy)와 강한 항암제를 병합치료 하였음에도 불구하고 주등(수술과 항암제 치료)의 25.2%, 김등(수술 불가능한 환자에서 항암제 투여)의 18%, 리등(수술)의 18.5%, Kraming등(IORT 2800-3500cGy)의 35.3%에 비해 낮은 합병증을 보여 IORT가 위암의 치료에 공헌할 수 있음을 시사하였다. 그러나 비교적 높은 치사율(11.3%)은 더욱 세심한 수술수기 및 수술 후 환자의 치료가 필요하며 외부 방사선치료와 항암제치료의 적절한 시기 조절 및 치료선량의 가감이 필요할 것으로 생각된다. Local control is the important prognostic factor in cancer treatment because local control decrease the relative risk of metastatic spread and increase distant metastasis free survival. IORT is the modality which could increase local control without increasing complication, combined with curative operation. Eventhough we could achieve significant deacreased local failure by IORT and curative resection, it should not be committed as a main treatment modality without proving acceptable complications. Therapeutic Radiology Department of Yeungnam University Medical Center have tried 58 IORT from June 15, 1988 and performed 53 IORT in patients with gastric cancer. No local failure had been reported including interstinal obstrution, hemorrhage, sepsis, and bone marrow depression. These complications could be comparable to Jo's 25.2% (chemotherapy + operation), Kim's 18% (chemotherapy only in inoperable patients), because our treatment regimen is consisted of IORT (1500cGy), external irradiation (--4500cGy) and extensive chemotherapy (FAM, 5FU + MMC, BACOP). Our data encouraged us to re-inforce further IORT in stomach cancer treatment.

K-식(式) 침전관(沈澱管)에 의한 간질충란(肝蛭蟲卵) 간이검사법(簡易檢査法)에 관한 연구(硏究)

김교준,김상근,허민도,Kim, Kyo Joon,Kim, Sang Keun,Hu, Min Do 충남대학교 농업과학연구소 1982 Korean Journal of Agricultural Science Vol.9 No.2

피내반응법(皮內反應法)에 의(依)해 간질(肝蛭) 양성반응(陽性反應)으로 판정(判定)된 유우(乳牛)를 대상(對像)으로 분편검사(糞便檢査)를 실시(實施)하여 충란(蟲卵)을 확인(確認)한 후(後), 현재(現在) 사용(使用)되고 있는 간질(肝蛭) 충란검사법(蟲卵儉査法)들의 단점(短點)을 개선(改善)하기 위하여 잔재물(殘滓物)을 성력적(省力的)으로 제거(除去)하는 사(篩)의 조합법(組合法)과 K-식(式) 침전관(沈澱管)을 고안(考案)하여, 인위적(人爲的)으로 분즙(糞汁)에 충란(蟲卵)을 혼입(混入)하여 K-식(式) 침전관법(沈澱管法)에 따라 검사(檢査)한 결과(結果) 현재(現在)까지 보고(報告)된 타방법(他方法)들에 비(比)하여 조작(操作)이 간편(簡便)하고 검출율(檢出率)도 높아 이상적(理想的)인 방법(方法)으로 사료(思料)되었기에 그 개요(槪要)와 결과(結果)를 보고(報告)하는 바이다. 1. 간질충란(肝蛭蟲卵)을 여과(慮過)하고 잔재물(殘滓物)을 제거(除去)하기 사(篩)의 조합(組合)을 3단계(段階)(100mesh, 150mesh, 250mesh)로 조합(組合)하여 성력적(省力的)인 방법(方法)으로 개선(改善)하였다. 2. 3종(種)의 침전관중(沈澱管中) 제(第)III형(型)의 침전관(沈澱管)에 의(依)한 간질충란(肝蛭蟲卵) 회수율(回收率)이 가장 높았으므로 제(第)III형(型)을 K-식(式) 침전관(沈澱管)으로 지칭(指稱) 채택(採擇)하였다. 3. K-식(式) 침전관법(沈澱管法)에서 A-II, A-III, B-III, C-III형(型)의 1구(回) 경검성적(鏡檢成績)은 99~100%였으며 A-I, B-II, C-I 및 C-II형(型)은 71~91%였다. 4. A형(型)($5m{\ell}$, 5-10침전(沈澱)), B형(型)($10m{\ell}$, 10-10침전(沈澱)) 및 C형(型)($15m{\ell}$, 15-15침전(沈澱))은 각기(各其) 특징(特徵)을 가진 방법(方法)들로서 판정시간(判定時間)을 단축(短縮)하는데는 A형(型)이 가장 유용(有用)한 방법(方法)이었다. 5. K-식(式) 침전관법(沈澱管法)은 다른 검출법(檢出法)에 비(比)하여 가장 검출율(檢出率)이 높은 간편(簡便)한 방법(方法)이었으며 E. P. G가(價)도 동시(同時)에 얻을 수 있는 이상적(理想的)인 방법(方法)으로서 임상응용가치(臨床應用價値)가 매우 높은 것으로 사료(思料)되었다. These studies were carried out to investigate of detection of Fasciola egg from positive cattle faces in the intradermal reaction method by laborsaving composition of sieves and Kim's sedimental tube method. The results obtained are summerized as follows: 1. Detection method of Fasciola eggs was improved by 3 meshes(100mesh, 150mesh, 250mesh) for filtration of fecal fluid contained Fasciola eggs. 2. III type of tube in the 3 kinds of sedimental tube had the highest recovery rate of Fasciola egg. Thus, this type of tube was selected and called as Kim's sedimental tube. 3. A-II, A-III, B-III and C-III type by Kim's sedimental tube method had the recovery rates of eggs in the 1st dropping as ranged 99 to 100% and A-I, B-II, C-I and C-II as 71 to 91%. 4. All types as themselves contained the special aspects. In the these type was useful to determine the results in the urgent cases add to shorten the time of the diagnostic procedures. 5. Kim's sedimental tube method high recovery rate and convenient procedures as compared with other detection methods reported. In addition, through this method can also obatained E. P. C. value. Therefore, it is desirable that Kim's sedimental tube method be recommended by clinicians.

K-식(式) 침전관(沈澱管)에 의한 간질충란(肝蛭蟲卵) 간이검사법(簡易檢査法)

김교준,김상근,허민도,Kim, Kyo-Joon,Kim, Sang-Keun,Hu, Min-Do 대한수의학회 1983 大韓獸醫學會誌 Vol.23 No.1

The studies carried out to investigate the detection method of Fasciola eggs from positive cattle feces in the intradermal reaction method with laborsaving composition of sieves and Kim's sedimental tube method. The results obtained are summarized as follows: 1. The detection method of Fasciola eggs was improved by 3 meshes (100mesh, 150mesh, 250mesh) for filteration of fecal fluid contained Fasciola eggs. 2. Third type of tube in the 3 kinds of sedimental tube had the highest recovers rate of Fasciola eggs. Thus, this type of tube was selected and called as Kim's sedimental tube. 3. A-II, A-III, B-III and C-III type by Kim's sedimental tube method had the recovery rates of eggs in the 1st drop as ranged 99 to 100% and, A-I, B-II, C-II as 71 to 91%. 4. These Type of tubes were useful to detect Fasciola eggs and to shorten the time of the diagnostic procedures. 5. The Kim's sedimental tube method showed high recovery rates and convenient procedures as compared with other detection methods reported. In addition, the EPG value can also be obtained by this method. Therefore, it is desirable that the Kim's sedimental tube method could be recommended to clinicians.

Plugger 삽입깊이에 따른 Continuous Wave 가압법의 치근단 폐쇄효과

김현영,김성교 대한치과보존학회 2001 Restorative Dentistry & Endodontics Vol.26 No.4

본 연구는 Continuous Wave 가압법으로 근관충전시 직선 근관과 만곡 근관에서 plgger 삽입깊이에 따른 치근단폐쇄효과를 평가하고자 하였다. 최근에 발거된 62개의 단근치를 이용하였으며 방사선사진으로 판단한 근관 만곡도가 5도 이하인 직선 근관과 25±10도인 만곡 근관 각 30개와 대조군 2개를 실험재료로 사용하였다. 06 경사도의 전동 Ni-Ti 파일(ProFile Maillefer Co., Dentsply, Switzerland)를 사용하여 근관을 40번 크기까지 확대한 후, plugger 삽입깊이에 따라 치근단 3mm, 5mm 및 7mm의 3개의 군으로 나누었다. 모든 근관은 System-B 열원과 Buchanan plugger를 이용한 Continous Wave 가압법으로 충전하였으며 3일 동안 2% 메틸렌 블루 용액에 침적한 후 저속 다이아몬드 절단기(Isomet, Buehler CO., U.S.A.)를 사용하여 치근단에서부터 1mm 씩 순차적으로 횡절단하였다. 입체현미경(SZPT 40. Olympus Opitical Co., Ltd., Tokyo, Japan)하에서 상을 40배 확대하여 색소침투 유무를 확인하고 상분석 프로그램(Scion Image, Scion Crop., U.S.A.)사용하여 선 측정법과 원주 측정법으로 미세누출을 평가하여 다음과 같은 결과를 얻었다. 1. 선 측정법과 원주 측정법 공히, 치근단 3mm까지 plugger를 삽입한 군이 치근단 7mm 군에 비해 우수한 치근단 폐쇄 효과를 나타내었다(p<0.05). 2. 두 측정법 공히, 치근단 3mm까지 plugger를 삽입한 군이 치근단 5mm 군에 비해 적은 색소침투를 나타내었으나 통계적으로 유의한 차이를 나타내지는 않았다.(p>0.05). 3. 두 측정법 공히, 치근단 5mm까지 plugger를 삽입한 군이 치근단 7mm 군에 비해 적은 색소침투를 나타내었으나 통계적으로 유의한 차이를 나타내지는 않았다(p>0.05). 4. 두 측정법 모두에서, 만곡 근관에서 충전한 군이 직선근관에서 충전한 군에 비해 다소 많은 색소침투를 나타내었으나 통계적으로 유의한 차이를 나타내지는 않았다.(p>0.05)

산 처리가 상아질 접착에 미치는 영향

김영경,김성교,박진훈 大韓齒科保存學會 1993 Restorative Dentistry & Endodontics Vol.18 No.1

디지털 방사선사진술을 이용한 치아색 수복물의 방사선불투과도 비교

김효정,김성교 대한치과보존학회 2000 Restorative Dentistry & Endodontics Vol.25 No.4

The purposes of this study were to evaluate the validity of 2 kinds of digital radiography techniques in evaluating the radiopacity comparison of restorative materials and to determine the relative radiopacities of several kinds of compomer and flowable resin using these techniques. After taking radiographs of an aluminum step wedge, correlation of optical density calibration curves were evaluated between conventional radiography with transmission densitometer and CD-Dent digital radiography (storage phosphor system) and between conventional one and RVG□ digital radiography (CCD system). Compomers such as Dyract□ AP, Compoglass□, and Dyract flow□, and flowable resins such as Ultraseal XT□ plus™, Revolution™, Aeliteflo™ and Tetric-flow□ were used. Five specimens of 5mm in diameter and 2mm thick were fabricated with each material. Radiopacities of the materials were measured using the above radiographic techniques and compared. The results were as follows : 1. When the optical density calibration curves were compared, conventional radiography and both CD-Dent and RVG□ digital radiographies showed very high inverse correlations (γ= -0.95, γ= -0.98 ; p<0.05). 2. All the tested restorative materials showed levels of radiopacity the same as or greater than that of dentin (p<0.05). Radiopacities of Dyract□ AP, Compoglass□, and Tetric flow□ were greater than those of Revolution™, Aeliteflo™, or dentin (p<0.05). 3. Radiopacities of Dyract□ AP, Compoglass□, and Tetric flow□ were shown to be greater than that of enamel when conventional radiography and CD-Dent digital radiography were used (p<0.05). Radiopacity of Dyract flow□ was shown to be greater than that of Enamel when conventional radiography was used (p<0.05).

手動리머와 電動리머의 根管形成效果

金省敎 大韓齒科保存學會 1984 Restorative Dentistry & Endodontics Vol.10 No.1

도말층이 가온 수직가압 근관 충전후 치근단 누출에 미치는 영향

김성교,권태경 大韓齒科保存學會 1998 Restorative Dentistry & Endodontics Vol.23 No.2

내측두엽 간질에서 위스콘신카드 분류검사

김철호,이상암,유희정,강중구,이정교 대한간질학회 2003 대한간질학회지 Vol.7 No.1