구개부에 발생한 다형선종의 처치

하주원,백승,송종운,박충열,이용욱,박홍주,오희균,유선열,김옥준 大韓顎顔面成形再建外科學會 2001 Maxillofacial Plastic Reconstructive Surgery Vol.23 No.6

Pleomorphic adenoma of the palate is the most common of all intraoral salivary tumors. It can occur at any age but it presents most commonly in the 40∼60 age group, and there is no significant sex preponderance. It grows slowly and is usually painless, firm, well-circumscribed nodule. Because of high rate of recurrence, extra-capsular excision including the overlying mucosa and margin of normal tissue is recommended. We report 10 cases of palatal pelomorphic adenoma which have been successfully treated by extra-capsular excision. The surgical defects smaller than 3㎝ in diameter were covered with palatal acrylic splint for the secondary healing. The larger defects were repaired using palatal island flap in 3 cases, rotation flap and buccal fat graft in each 1 case. No patient showed any recurrence or malignant change during the mean follow-up period of 4 years and 9 months. These repair methods seem to be simple, reliable and uncomplicated procedures in the palatal surgical defects.

史料紹介 : 『御尋朝鮮覺書』(小田四郞兵衛著) 異本 『朝鮮風俗記』

하우봉,홍성덕,장순순,小幡倫裕 전북대사학회 1997 전북사학 Vol.19ㆍ20 No.-

가토에서 Pentoxifylline, Aspirin 및 Heparin이 피부피판의 생존 및 출혈 경향에 미치는 영향

하주원,백승,박홍주,오희균,유선열 전남대학교 치의학연구소 2002 구강과학 Vol.14 No.2

The skin flap, which has been frequently used in the maxillofacial soft tissue defects, can be failed due to insufficient blood supply to the flap. To increase its survival rate, antithrombotic agents has been used. The agents have, however, been restrictly used because of their side effects, such as bleeding tendency or hematoma formation on the operation site. The present study aimed to the effect of pentoxifylline, aspirin, and heparin on the skin flap survival rate and bleeding tendency. Twelve adult white rabbits, weighing about 2.0 kg, were used. Five random skin flaps, which is 1mm thickness, were prepared on the dorsal surface of each rabbit by using 1.5 X 7.5 cm prefabricated template. The animals were divided into 4 groups on the basis of drugs used: Control group, animals in which no drug was given (n=3); Pentoxifylline group, animals in which pentoxifylline was given intraorally (n=3); Aspirin group, animals in which aspirin was given intravenously (n=3). On the 3rd and 7th day after operation, prothrombin time (PT) and activated partial thromboplastin time (aPTT) were measured to evaluate the bleeding tendency. The animals were sacrificed on the 7th day and the mean skin flap survival rate of each group was measured. The results obtained were as follows : 1. The skin flap survival rates of pentoxifylline (84.3±7.9%) and heparin (79.5±10.9%) groups were significantly increased, compared with control group (68.0±10.8%)(ㅔ<0.05). The survival rate of aspirin group (73.0±11.1%) was not increased. 2. In bleeding tendency, the PT values were prolonged in heparin and aspirin groups at the 3rd day after operation (p<0.05), and prolonged in order of heparin group, aspirin group, and pentoxifylline group at the 7th day after operation. The aPPT values in heparin and aspirin groups were also prolonged at the 3rd day after operation (p<0.05), and prolonged in order of Aspirin group. Heparin group, and Pentoxifylline group at the 7th day after operation. These results suggest that pentoxifylline may be the most useful drug among three drugs to increase skin flap survival rate and less increase the bleeding tendency.

가토에서 Pentoxifylline, Asprin 및 Heparin이 피부피판의 생존 및 출혈 경향에 미치는 영향

하주원,백승,박홍주,오희균,유선열 大韓顎顔面成形再建外科學會 2002 Maxillofacial Plastic Reconstructive Surgery Vol.24 No.5

The skin flap, which has been frequently used in the maxillofacial soft tissue defects, can be failed due to insufficient blood supply to the flap. To increase its survival rate, antithrombotic agents has been used. The agents have, however, been restrictly used because of their side effects, such as bleeding tendency or hematoma formation on the operation site. The present study aimed to the effect of pentoxifylline, aspirin, and heparin on the skin flap survival rate and bleeding tendency. Twelve adult white rabbits, weighing about 2.0 ㎏, were used. Five random skin flaps, which is 1㎜ thickness, were prepared on the dorsal surface of each rabbit by using 1.5×7.5㎝ prefabricated template. The animals were divided into 4 groups on the basis of drugs used: Control group, animals in which no drug was given (n=3); Pentoxifylline group, animals in which pentoxifylline was given intraorally (n=3); Aspirin group, animals in which aspirin was given intravenously (n=3), and Heparin group, animals in which heparin was given intravenously (n=3). On the 3rd and 7th day after operation, prothrombin time (PT) and activated partial thromboplastin time (aPTT) were measured to evaluate the bleeding tendency. The animals were sacrificed on the 7th day and the mean skin falp survival rate of each group was measured. The results obtained were as follows : The skin flap survival rates of pentoxifylline (84.3±7.9%) and heparin (79.5±10.9%) groups were significantly increased, compared with control group (68.0±10.8%)(P<0.05). The survival rate of aspirin group (73.0±11.1%) was not increased. In bleeding tendency, the PT values were prolonged in heparin and aspirin groups at the 3rd day after operation (P<0.05), and prolonged in order of heparin group, aspirin group, and pentoxifylline group at the 7th day after operation. The aPPT values in heparin and aspirin groups were also prolonged at the 3rd day after operation (P<0.05), and prolonged in order of Aspirin group, Heparin group, and Pentoxifylline group at the 7th day after operation. These results suggest that pentoxifylline may be the most useful drug among three drugs to increase skin falp survival rate and less increase the bleeding tendency.

Mg 其他 複合材料의 强化材 量 및 分布에 따른 機械的性質特性

안선규,하홍수,김영직,임병수 成均館大學校 科學技術硏究所 1997 論文集 Vol.48 No.1

The effect of different SiC particle size and weight fraction in Mg/SiC particle MMC on the mechanical properties has been investigated. In this study, different particle sizes of 7㎛, 20㎛ and 50㎛ were prepared with various weight fraction of 10wt.%, 20wt.% and 30wt.% for sample preparation. By tension tests, the properties of ultimate tensile stress, yield stress and % elongation were observed and by tension-tension fatigue tests, whose procedures are standardized in ASTM standard 647E-93, the ΔK vs, da/dN curves were also obtained. Finally, the crack propagation paths were observed by optical microscope.

관개수원에 따른 논에서의 영양물질 배출 특성

황하선,공동수,신동석,전지홍 한국물환경학회 2004 한국물환경학회지 Vol.20 No.6

Field experimental study was performed to examine characteristics of nutrient export from paddy rice fields with irrigation practices. Experimental fields with surface-water and ground-water irrigation were monitored and analyzed during rice culture period. The water balance showed that outflow generally balanced the inflow showing that about half (58∼68%) of total outflow was lost by surface drainage. Water and nutrient export are more in surface-water irrigation paddy than in ground-water irrigation paddy. The reasons might be more irrigation water available and easy to use in surface-water irrigation. If irrigation water reduced, it could result in reduction of nutrient export in paddy rice fields, which can save water and protect water quality. However, deviation from conventional standard practices might affect the rice yield and further investigations are necessary.

妊娠中毒症을 同伴한 妊産婦 및 新生兒 血淸 Immunoglobulins에 關한 硏究

薛弘烈,金善行,洪性鳳 고려대학교 의과대학 1985 고려대 의대 잡지 Vol.22 No.1

It has long been considered that toxemia of pregnancy might be an immunologic process and this study was designed to explore possible abnormalities in the immunologic process in toxemic pregnant women. IgG. IgA and IgM were measured by radial immunodiffusion plate technique in maternal and umbilical cord sera of toxemic patients and in normal pregnant cases at the time of delivery. The values obtained in the toxemic patients were compared with those from the normal term pregnant women, and the following results were obtained. 1. The level of IgG in maternal sera of toxemic group mere significantly decreased than that of the normal pregnant group. (p<0.05) 2. The levels of IgA and IgM in maternal sera demonstrated no significant difference between normal pregnant and toxemic patients. 3. Though the levels of IgG and IgA in cord sera of toxemic patient were slightly lower than those of the normal pregnant group, the difference was not statistically significant. 4. The level of IgM in cord sera of toxemic group was markedly lower than that of normal pregnant group and the difference was statistically significant. (p<0.05)

안인 군선강의 이화학적 수질

민선홍,최봉종,김한수,김영하,박광하 강릉대학교동해안지역연구소 1993 東海岸硏究 Vol.4 No.3

1993년 2월부터 9월까지 4회에 걸쳐 명주군 군선강의 8개 지점을 대상으로 하여 수질 조사를 하였다. 수질 평가를 위하여서는 수온, pH, 용존 산소량, 화학적 산소 요구량, 생물학적 산소 요구량, 부유 물질, 암모니아성 질소, 아질산성 질소, 질산성 질소, 인산염 인, 계면 활성제, 대장균등을 측정 하였다. 본 하천의 상류쪽은 산성을 나타냈으며 하류쪽으로 갈수록 알카리성으로 나타났다. 또한 대장균수는 상대적으로 작았다. 그 원인은 광산 폐수때문인 것으로 나타났으며 하류쪽으로 갈수록 해수와 혼합되기 때문인 것으로 나타났다. The water quality was monitored from February through September, 1993 for four times on the eight sites of Gunseon Stream, Myungju. To monitor the water quality, water temperature, pH, Dissolved oxygen, Chemical oxygen demand, Biochemical oxygen demand, Suspended solid, Ammonia-nitrogen. Nitrite-nitrogen, Nitrate-nitrogen, Inorganic phosphate, Sulfactant, and E. coli MPN were chosen as parameters. The upstream was more acidic; downstream was more alkalic. The E. coli MPN value was relatively low due to the mine pollutant and seawater mixture.

재발한 가와사끼병(Kawasaki disease) 1례

길홍량,한헌석,하태선,이경희,박범수 충북대학교 의과대학 충북대학교 의학연구소 1995 忠北醫大學術誌 Vol.5 No.1

가와사끼병은 5세 미만의 영유아에서 호발하는 급성 전신성 혈관염으로 아직 원인이 밝혀지지는 않았으나 감염성질환 또는 자가면역질환 등으로 추정되고 있다. 1967년 일본의 Tomisaku Kawasaki에 의해 처음 보고되었으며 국내에서도 많은 증례보고가 있어왔다. 가와사끼병은 발열, 발진, 안결막 충혈, 사지말단의 변화, 구강과 입술의 변화, 경부 림프선증 등을 특징으로 하며, 치료로는 면역글로블린의 대량 정주요법과 아스피린이 사용되고 있으며 합병증에는 관상동맥류를 비롯한 심혈관질환이 있고 이로 인한 사망율이 1-2%정도인 것으로 보고되고 있다. 이 질환의 재발은 드문 것으로 되어 있고 일본의 한 보고에 의하면 2-3%로 추정된다. 환아는 6세 남아로 14개월 전 처음 가와사끼병으로 진단받고 감마글로블린과 아스피린을 투약 받았고 당시 심혈관질환은 없었으며 본원 내원시에는 발열, 발진, 안결막 충혈, 붉고 갈라진 입술, 좌측 림프선병증과 손, 발의 부종이 있어 가와사끼병의 진단기준을 만족하였다. 환아는 역시 감마글로블린과 아스피린으로 치료받고 증세가 호전되었으며, 심초음파 검사상 관상동맥의 확장이나 관상동맥류의 증거는 없었다. 저자들은 가와사끼병의 재발 1례를 경험하였기에 보고하는 바이다. Kawasaki disease, acute systemic vasculitis, that usually occurs in infant and young children. The etiology is unknown, but is supposed to be infectious disease or autoimmune disease. Kawasaki disease was first reprted by Tomisaku Kawasaki at 1967 and then many cases have been reported in Korea. Kawasaki disease was characterized by fever, rash, conjunctival injection, changes of extremities, changes of oral cavity and lips, lymphadenopathy and has been treated with intravenous gammaglobulin and aspirin. The complications are cardiovascular lesions including coronary aneurysm and coronary thrombosis. Mortality is approximately 1-2%. Recurrence is rare and 2-3% in Japanese reports. A 6-year-old boy presented with the fever, rash, conjunctivitis, red fissured lips, left lymphadenapathy, and hands and feet edema. He had been treated with intravenous gammaglobulin and aspirin for Kawasaki disease 14 months ago. At that time, he didn't have cardiovascular lesion. He was also treated with intravenous gammaglobulin and aspirin at this episode. We didn't detect coronary artery dilatation or coronary aneurysm. So, authors report a case of recurrent Kawasaki disease.

영동지역 주요 3개 하천의 수질실태 및 관리에 관한 연구

박광하,민선홍,최봉종,전방욱 강릉대학교동해안지역연구소 1994 東海岸硏究 Vol.5 No.1

영동지방의 주요 3개 하천의 수질을 조사하고 QUAL-2E 모델을 적용하여 보았다. 강릉남대천은 각 수질항목에서 시기별, 정점별로 큰 차이를 보였으며, 일반적으로 상류의 수질은 하류로 갈수록 생활오수의 유입으로 수질이 악화되는 전형적인 양상을 나타내었다. 양양남대천은 강릉남대천 및 삼척오십천에 비하여 시기별 변이폭이 좁았으며 각 정점별의 수질도 양호한 것으로 나타났다. 삼척오십천은 시기별보다는 정점별 수질차이가 크게 나타났으며 오염된 상류의 수질이 자정작용에 의하여 개선되다가 다시 생활오수의 유입으로 인하여 악화되는 특이한 양상을 보였다. 모델링 결과 하천의 유속, 유량등의 실측 자료가 부족함에도 불구하고 강릉남대천과 양양남대천은 실측치와 예상치가 높은 상관관계를 나타내었다. 또한 이 모델을 사용하여 강릉남대천의 수질예측을 시도하였다. The water quality was monitored and QUAL-2E modelling was applied in three main stream of Youngdong area. Kangnung Namdaecheon was shown to be a typical stream that the downstream water quality was worse than in the upperstream. Water quality of Yangyang Namdaecheon was better than that of Kangnung Namdaecheon and Samchuk Osipcheon. The spatial variation of water quality was greater than the temporal variation in Samchuk Osipcheon: the polluted upperstream water got better in the midstream, but got worse gain in the downstream. Despite of the lack of suitable measurement data, Kangnung Namdaecheon and Ynagyang Namdaecheon showed good relationship between measured and obtained data: however Samchuk Osipcheon, which had many point sources and much pollution load, showed poor relationship. Based on this model, future water quality of Kangnung Namdaecheon was prospected.