임플란트 보철물에서 임시 접착용 시멘트의 인장결합강도 비교

서경숙,권태엽,권용훈,김교한 大韓齒科器材學會 2003 대한치과재료학회지 Vol.30 No.4

The major disadvantage of cement-retained implant-supported superstructure is difficulty of retrievability. Sometimes, it is recommended that proetheses be provisionally cemented to implant abutment in order to ebaluate occlusion, screw loosening and tissue reaction. The retention of the provisional luting cementedusually employed in this case is considered to be important. This study compared tensile bond strength of gold crowns cemented to machined titanium implant abutments with three provisional luting cements. Also the effect of petrolatum and thermocycling on tensile bond stength were evaluated. Tensile bond strength of provisional luting cement were as follows with the decreasing order of Eugenol (13.06±1.544 kgf), Temp-Bond (9.41±0.737 kgf), Cavex (8.04±0.974 kgf), and Temp-bond with petrolatum (5.28±0.800 kgf). The addition of petrolatum in Temp-bond decreased tensile bond strength significantly (p<0.01). After thermocycling of 1,500 cycles, the tensile bond strengths of the cements were decreased with the order of Nogenol (10.87±3.031 kgf), Temp-Bond (8.1±0.667 kgf), Cavex (7.33±1.103 kgf), Temp-bond with petrolatum (4.88±1.348 kgf). The mocycling decreased the bond strength of Temp-Bond significantly, with no effects no other cements (p<0.01).

응급실 내원 환자의 만족도 평가 및 관련 요인에 대한 연구

서강석,감신,박정배,이정헌,김종근,윤영국,곽경숙,이원기,우석정 大韓應急醫學會 1998 대한응급의학회지 Vol.9 No.4

Background: To examine the influencing factors on patients' satisfaction in the emergency department(ED) for quality assurance. Methods: Patients who visited to the ED were prospectively investigated from November 1 to December 31, 1997. Authors developed questionnaire to investigate influencing factors on patients' satisfaction. A Chi-square test and LISREL 7.0 were applied for statistical analysis. Results: Patients' satisfaction was significantly related to physical environment variables, accessibility variables, kindness of hospital personnel variables, and patient's trust for doctors variables. In path analysis, willingness for revisit was influenced by patients' satisfation, accessibility, physical environment, patients' trust for doctors in order, and willingness for recommendation was influenced by accessibility, patients' satisfaction, and kindness of hospital personnel in order. Conclusions: The influencing factors on patients' satisfaction are physical environment, accessibility, kindness of hospital personnel, and patient's trust for doctors. Willingness for revisit and willingness for recommendation are influenced by patients' satisfation. In spite of some limitations, the results of this study can be used as a baseline information for exploring the influencing factors on patients' satisfaction. Further comprehensive research efforts should be made on the study of patients' satisfactoin in the ED.

Angle씨 Ⅲ급 부정교합자의 Activator치료 전후 head posture변화에 관한 연구

서형식,차경석 대한치과교정학회 1994 대한치과교정학회지 Vol.24 No.2

This study was carried out to research the adaptation patterns of head posture after activator therapy in functional class Ⅲ malocclusion patents. For this purpose, 29 functional class Ⅲ malocclusion patients, from the ages of 8 to 13 years old, were used. 1. Increse in capacity of oral cavity capacity were found in all the samples, but craniocervical angulation were varied into incresed group and decreased group after therapy. 2. Head posture exhibited the compensatory adaptation in the relative growth increments of the vertical dimension, ALFH and PLFH. 1) A group with more PLFH and less sagittal angle showed relatively small growth increment in PLFH during the treatment period, thus craniocervical angulation was increased. 2) A group with less PLFH and more sagittal angle showed relatively great growth incrmenet in PLFH during the treatment period, thus craniocervical angulation was decreased.

기능성 Ⅲ급 부정교합자에서 편도 절제술 전 후의 Pharyngeal airway, hyoid bone, head posture에 관한 연구

박원서,이진우,차경석 대한치과교정학회 1997 대한치과교정학회지 Vol.27 No.2

본 연구는 거대 편도를 가진 기능성 III급 부정 교합자의 구개 편도 절제술 전후의 인두강, 설골, 두부 위치의 변화 양상에 대해 알아보기 위해 단국 대학교 부속 치과 병원 교정과에 내원한 남녀 환자 42명을 대상으로 연구하여 다음과 같은 결론을 얻었다. 1. Enlarged tonsil을 보이는 기능성 3급 부정교합자는 1급 부정교합자보다 혀는 전방에 위치하고 설골은 하방에 위치한다. 2. Tonsillectomy 후에 편도 절제술전과 비교하여 혀는 후방에 위치하고, nasopharynx은 증가 양상을 보이며, 설골은 상, 후방에 위치하며 counterclockwise rotation 양상을 보인다. 3. Tonsillectomy 후에 nasopharynx depth 변화와 하악 전치 경사도, 혀의 수직적 변화와 cranial base에 대한 hyoid axis, hyoid의 수직적, 수평적 변화와 두경부 경사도, 두경부 경사와 하악 전치간에 95% 유의수준으로 상관성을 보인다. 4. Tonsillectomy 후에 설골 장축의 counterclockwise rotation시 hya-NL의 감소와 nasopharyx의 증가를 보이고, 혀의 거상시 hya-NL의 감소를 보이며, 혀의 후방위치시 h-hl의 증가와 hya-ba-n의 감소를 보인다. This study was carried out in order to find out the changes of the pharyngeal airway, hyoid bone and head posture before and after tonsillectomy in functional class III malocclusion patients. For this study, 21 Angle`s class I patients and 21 Angle`s class III patients, totally 42 subjects were chosen. The results were as follows; 1. In comparison to Class I group, tongue was more anteriorly and hyoid bone was more inferiorly positioned in functional Class III group. 2. In comparison to pre-tonsillectomy, tongue was more posteriorly positioned and larger nasopharynx depth was shown in post-tonsillectomy. In post tonsillectomy, the hyoid bone was displaced posteriorly and superiorly and counterclockwise rotation was shown, 3. The level of significance for the correlations shown was 5 percent (p<0.05) indicating that: The change of nasopharyx depth was correlated to the inclination of lower incisors. Vertical change of tongue posture was correlated to the hyoid axis change. Vertical change of hyoid bone was correlated to the horizontal change of hyoid bone, craniocervical inclination. The change of craniocervical inclination was correlated to the inclination of lower incisors. 4. After the tonsillectomy, counterclockwise rotation of hyoid axis was associated with decrease of hya-NL and large nasopharyngeal airway. High posture of the tongue was associated with decrease of hya-NL. Posterior posture of the tongue was associated with increase of h-hl, and decrease of hya-ba-n.

일 대학 병원 마취 · 회복실 간호사의 간호활동 분석

강윤경,김경미,김연이,박혜옥,서광희,송숙녀,이현숙,조의영 대한간호행정학회 2006 간호행정학회지 Vol.12 No.1

Purpose: This study was aimed to specify roles of nurses from the anesthesia and recovery room by analyzing nursing activities as well as anesthesia nursing during surgery. Method: The objects were 12 RNs working in the recovery room of a university hospital located in Incheon. Self-report was performed by measuring stop-watch for five days from May 17th to May 21st in 2004. Research method was designed to record the time and frequency of the nursing activity from anesthesia and recovery room based on nurses' statement and other references for five days. The data were analyzed with descriptive statistics, ANOVA, and t-test via SPSS Win 10.0 program. Result: Nursing activities in anesthesia recovery room were classified into two different characteristics such as direct and indirect nursing activity. The activities consisted of 11 direct nursing areas and 39 nursing activities in anesthesia preparation room. The indirect nursing was classified into 8 nursing areas and 32 nursing activities. The direct nursing was classified into 12 nursing areas and 55 nursing activity. Also, the indirect nursing was classified into 7 nursing areas and 21 nursing activities in recovery room. In terms of prevalence of nursing activities in the anesthesia preparation room, observation and cooperation of anesthesia was the most prevalent activity, drug and eqipment management the second prevalent, and drug administration the third. On the other hand, in the recovery room, the most prevalent activity was vital sign checking and observation, the second most prevalent activity informative activity, and the third body temperature control. Nursing activity time was recorded according to the nursing characteristics. In the anesthesia preparation room, the direct nursing spent for 8092.20 minutes was larger than the indirect nursing spent for 7198.50 minutes. Also, in the recovery room, the direct nursing spent for 2361.16 minutes was larger than the indirect nursing spent for 1134.13 minutes. 4. Nursing activity time was compared to duty shifts. In the anesthesia preparation room, the direct nursing was more prevalent on day shift and the indirect nursing was prevalent on evening shift. However, in the recovery room, both direct and indirect nursing activities were prevalent on day shift. Conclusion: The role of anesthesia and recovery room nurses was analysed according to the time, frequency, and its characteristics.

한국산 긴몰개(Squalidus gracilis majime, Cyprinidae)의 난발생

박경서,홍영표,문운기,최신석,안광국 한국육수학회 2005 생태와 환경 Vol.38 No.1

한국산 긴몰개 (Squalidus gracilis majimae)의 난발생 과정을 연구하기 위하여, 긴몰개의 친어와 생태적 조사는 충청남도 보령시에 위치한 보령댐과 웅천천에서 실시하였다. 자연 산란에 의해 수정된 난과 배 발생의 형태학적 설명은 다음과 같이 요약된다. 수정란의 형태는 둥글고, 점착성이 있으며 투명하였고, 수정란의 평균직경은 2.9±0.3 ㎜ (n = 30)였고, 유구가 존재하지 않았으며, 수정란의 발생은 수온 26±1.5℃에서 관찰되었다. 수정 후 20분에 배반이 형성되었으며,48분 뒤 2세포로 나뉘어졌고, 포배기는 수정 후 5시간 40분에 나타났으며, 낭배기는 수정 후 6시간 55분에 관찰되었다. 배체의 형성은 수정 후 12시간 58분부터 시작되었고, 안포와 9개의 체절이 수정 후 17시간 05분에 발견되었다. 수정 후 23시간 30분에 이포가 생겼으며, 25~26개의 체절과 함께 안포안의 렌즈가 수정 후 32시간 35분에 발견되었다. 수정 후 37시간 27분에 뇌의 분화와 함께 배체가 꿈틀거리기 시작했으며, 심장박동과 안포내의 흑색소포가 수정 후 44시간 46분에 발견되었다. 수정 후 50시간 36분 가슴지느러미의 형성과 함께 몸 부분의 흑색소포가 형성되는 것을 끝으로하여 수정 후 57시간 49분에 수정란은 부화되었다. 이때 갓 부화된 자어는 전장이 3.3±0.2 ㎜(n= 120)이었다. 본 연구 결과는 최근 수질오염 및 종 다양성 감소가 시급한 상황에서 종 및 개체군 보존에 기여할 것으로 사료된다. This study was conducted, based on the field survey and laboratory observations, to elucidate egg developmental processes and their characteristics of the Korean slender gudgeon, Squalidus gracilis majimae. For the experiments, the mature adults were collected at the Woongcheon-Cheon Stream and Boreung Reservoir located in Boreung City, Chungnam Province and eggs were obtained from the natural spawning area. Morphological characteristics of the egg and embryonic development were su㎜arized as follows: The shape of the fertilized egg was spherical, adhesive and transparent. The fertilized egg was 2.9±0.3 ㎜ (n = 30) in mean diameter under water temperature of 26 ± 1.5℃, light white in color and had no oil droplets. After 20 minutes from the time of fertilization, a blastodisc was formed and divided into two cells at 48 minutes after fertilization. The blastular stage occurred at 5 hours 40 minutes after fertilization and the gastrular stage was detected at 8 hours 41 minutes after fertilization. The beginning of embryo formation was observed at 12 hours 58 minutes after fertilization and optic vesicles and 9 somites were discovered at 17 hours 05 minutes after fertilization. Differentiation of brains and embryo wiggling were observed at 37 hours 27 minutes after fertilization. Heart beating and the formation of melanophores in optic vesicles were detected at 44 hours 46 minutes after fertilization. The formation of pectoral fins and melanophores in the body were discovered at 50 hours 36 minutes after fertilization. Hatching occurred at 57 hours 49 minutes after fertilization. The newly hatched larvae were 3.3 ±0.2 ㎜ (n = 120) in total length. We believe that these results may contribute the species and population conservations under the situation of accelerated water pollution and the decreases of its diversity.

조기유자망 어구의 개량 및 생력화 조업시스템 개발 : 3. 생력형 5단 양망기의 해상 성능 시험

김석종,구명성,강경범,서대범,정용진 제주대학교 해양과환경연구소 2005 해양과환경연구소 연구논문집 Vol.29 No.2

상악궁 확장술을 통한 치료전,후 및 보정후 상악 구치부 변화에 관한 연구

박태서,이진우,차경석 대한치과교정학회 1997 대한치과교정학회지 Vol.27 No.1

치열궁의 크기와 폭경 변화에 대한 연구가 사용된 장치형태, 사용시기에 따라, 그리고 사용 목적에 따라 다양한 연구가 활발히 이루어져 왔다. 또한 Quad-helix도 선학들에게 관심의 대상이었으며 Quad-helix의 안정성과 장치 사용 전, 후에 대한 효과도 연구가 이루어졌다. 그러나 장치 사용에 대한 장기적인 효과에 대한 연구가 미흡하여 본 논문은 이 장치를 사용하여 치료한 환자의 치료 전, 후 및 보정후의 치열궁 변화에 대한 연구를 시행하여 Quad-helix사용 전, 후 구치부의 적응 양상을 연구함으로써 임상에서 Quad-helix를 통한 치료를 시행할 때 이 장치사용에 따른 효과 및 예후에 대하여 효과를 이해함으로써 교정치료에 도움을 주고자 연구를 시행하여 다음과 같은 결과를 얻었다. 1. Quadhelix를 사용한 교정치료시 상악 제 1 소구치와 제 1 대구치는 치료전과 치료 후 및 보정후에서 교두간 폭경의 증가를 보였고 제 2 소구치에서는 치료후와 보정후간에 유의성있는 증가를 보였다. 2. 상악 제 1 소구치와 제 1 대구치의 치축은 치료전과 치료후 그리고 보정후에서 협측 경사도가 유의하게 증가를 보였으며, 상악 제 2 소구치는 치료전과 치료후 및 치료전과 보정후 비교에서 설측 경사도가 유의하게 증가를 보였다. 3. 최대 풍융부 항목에서 상악 제 1, 2소구치는 치료전과 치료후의 비교에서 유의한 증가를, 제 1 대구치에서는 치료 전, 후, 및 보정후에 유의한 증가를 보였다. 4. 상악 제 1 대구치의 설면구 폭경은 치료전, 후 및 보정기간을 통하여 유의한 증가 를 보였고, 구개 높이는 치료전과 치료후 비교시 유의한 증가를 보였다. 5. 확장시킨 상악 치열궁은 회귀현상을 보이지 않고 안정적으로 유지되었다. The purpose of this study was to measure the changes of arch and dentition of maxillary posterior teeth before and after treatment and postretentios in patients treated with Quad-helix. Measurements and analysis were performed on study model with carlipers. Seventeen cases, eight boys and nine girls, were selected with average ages of 12.7 years. Mean retention period was 4 months, and mean wearing time was 127 days. The result were as follows 1. The interpremolar widths and intermolar width were significantly increased in maxillary first premolar and molar when compared between before and after treatment and postretention. The maxillary second premolar resulted in significant increase in interpremolar between after treatment and post retention. 2.The long axis of maxillary first premolar and first molar accompaning buccaltipping was significant increased before and after Tx and post retention. Significant increase of the lingual inclination of maxillary second premolar was obsered both in before and after Tx, and before Tx and post retention. 3.The distance between the height of tooth contour was significantly increased in the first and second premolar before and after Tx, and was significant increased in the first molar before and after Tx and post retention. 4.Intermolar width at the palatal groove was increased in before and after and after Tx. and post retention. The palatal depth was significant increased in before and after Tx. In conclusion, expansion of maxillary dental arch showed no relapse and results were stable retention.

스트레스 측정 도구로서의 Hemoglobin AHemoglobin A₁c 유용성 평가

김혜숙,정경동,감신,최광서,김건엽,김성아 大韓産業醫學會 1997 대한직업환경의학회지 Vol.9 No.3

To assess the possibility and usefulness of glycosylated hemoglobin (HbA₁c) as a screening tool for measuring stress; single-item for stress, BEPSI(Brief Encounter Psychosocial Instrument), PWI(Psychosocial Wellbeing-Index), FBS(Fasting Blood Sugar) and other demographic variables were assessed in 89 healthy male workers at periodic health examination. HbA₁c was not correlated with any kind of stress scores used in this study, but correlated with age(r=0.226). The single-item for stress, BEPSI, PWI were correlated each other(p<0.05). This result suggests well-organized brief questionnaire for stress might be enough to evaluate the stress level of workers in periodic health examination.

식이 조건에 따른 햄스터의 생장과 조직의 비교

조규태,서동석,안경준 西原大學校 基礎科學硏究所 1999 基礎科學硏究論叢 Vol.13 No.-

식이 조건(pellet, mixed pellet, egg yolk)을 달리하였을 때, 햄스터의 체중 증가량, 먹이 소비량 및 식이 효율 그리고 각 장기의 차이점을 비교하였다. 햄스터의 체중 증가량과 먹이 소비량의 비교는 ANOVA 검정과 Duncan이 다중비교검정에 기초를 두었고 식이 효율은 상관관계를 통하여 알아보았다. 혼합된 사료를 먹었을 때가 가장 많은 체중 증가량을 보였고 다음은 사료, 난황 순서로 증가하였다. 그리고 햄스터는 난황보다는 사료와 혼합 사료를 더 좋아하였으며, 난황만 먹인 경우 간조직에서 병적인 변화를 볼 수 있었다. The increase of weight, consumption rate of food, and histological structure of golden hamster were compared under different condition of feed(pellet, mixed pellet, and egg yolk). The comparison of increasing rate of weight and consumption rate of food was based on ANOVA test and Duncan's multiple range test. The golden hamsters fed on mixed pellet showed prominent growth but in the case of egg yolk showed poor growth. The golden hamsters preferred mixed pellet and pellet to egg yolk, and showed abnormal histological change on the liver and kidney tissue when only the egg yolk was fed.