소아 대퇴 근위부 골절의 치료결과

정성택,이근배,윤택림,문은선,송은규 全南大醫大 2001 전남의대학술지 Vol.37 No.1

무기수은 투여에 의한 백서체내의 수은축적에 대한 연구

이정택,송근배,조광헌 慶北大學校 齒科大學 1993 慶北齒大論文集 Vol.10 No.2

44마리의 Sprague-Dawley계 자성백서를 제1대군 12마리, 제2대군 12마리 및 제3대군 20마리로 나누고 다시 각각의 대군을 실험 2주, 4주 및 6주의 소군으로 나누어 제1대군은 대조군으로 일반 식수를 투여하고 제2대군은 체중 100gm당 0.945mg의 염화수은을, 제3대군은 체중 100gm당 3.780mg의 염화수은을 최종 6주까지 위장관내 투여법으로 매일 투여한 후 각 실험당일 백서의 털, 전혈, 신장 및 간을 채취하여 이를 각각 산분해용기에서 분해시켜 원자흡광광도계를 본체로 한 atomic vapour accessory를 이용하여 각 조직 장기에 축적되는 수은의 양을 정량하여 다음과 같은 결과를 얻었다. 제2 및 제3대군의 백서 털내의 수은함량은 대조군에 비해 2-4배 정도 높았다. 대조군 혈장내 수은 함량은 평균 0.09ppm(최저치 0.01ppm, 최고치 0.25ppm), 제2대군에서는 0.34ppm(최저치 0.09ppm, 최고치 0.61ppm) 및 제3대군에서는 0.76ppm(최저치 0.48ppm,최고치 1.06ppm)이었다. 신장은 체내 주요 장기중 수은의 주요 축적장기로 대조군의 평균 수은 함량은 0.16ppm(최저치 0.09ppm, 최고치 0.26ppm),제2대군에서는 60.98ppm(최저치 32.18ppm, 최고치 96.45ppm) 및 제3대군에서는 평균 102.45ppm(최저치 73.89ppm, 최고치 142.09ppm)이었다. 간내에 축적된 수은의 농도는 대조군, 제2대군 및 제3대군은 각각 0.06ppm, 2.46ppm, 3.46ppm으로 나타났다. 투여되는 수은량의 증가에 따라 각 신체 장기중에 축적되는 수은양의 상관관계를 알아본 결과 신장과 간에 축적되는 수은의 양 사이에는 상관계수가 r=0.8348로 통계적으로 유의한 양의 상관관계가 있었다. The toxicity and accumulation of mercury compounds in dentistry has been an issue of interesting concern. Relatively few data were available concerning the relation between toxicity and accumulation of inorganic mercury in vivo. The purpose of the study was to investigate the accumulation of mercury in rat tissues following exposure to different volumes of mercurous chloride. For this study, 44 Sprague-Dawley strain rats were divided into three large groups. The rats of Group I were supplied with a drinking water ad libitum, Grouop Ⅱ were fed 0.945mgHgCl_2 per 100gm of body weight and 3.780mg HgCl_2 per 100gm of body weight in Group Ⅲ. The rats were fed the mercurous chloride as solution type everyday via gastric lavage method for 2,4 and 6 weeks. The author collected the samples of hair, whole blood, kidney and liver and melted them in acid digestion bomb on the 2nd, 4th and 6th experimental week. The total mercury contents of hair, blood, kidney and liver were determined by Cold Vapour Atomic Absorption Spectrometry. The results obtained were as follows: The hair mercury contents of Group Ⅱ & Ⅲ were 2-4 times higher than that of the control . The mean mercury levels of whole blood were 0.09ppm(range 0.01-0.25) in control group, 0.34ppm(range 0.09-0.61) in Group Ⅱ and 0.76ppm (range 0.48-1.06) in Group Ⅲ during 6 weeks. The kidney was the main reservoir of mercury in body. The mean mercury levels of kidney were 0.16ppm(range 0.09-0.26) in control group, 60.98ppm(range 32.18-96.45) in Group Ⅱ and 102.45ppm(rang 73.89-142.09) in Group Ⅲ. There was significant difference of mercury content in kidney between groups(p<0.05). The mean mercury levels of liver throughout 6 weeks were 0.06, 2.46 and 3.46ppm in GroupⅠ, GroupⅡ and GroupⅢ, respectively. In control group, hair mercury content was the highest and kidney, whole blood, liver in descending order, but in GroupⅡ and Ⅲ, kidney mercury content was the highest and liver, hair, whole blood in descending order(p<0.05). There was significant correlationship between kidney mercury content and liver mercury content(r=0.8348, p<0.05), but there was no correlationship among the other samples.

발포폴리스티렌비드를 사용한 경량콘크리트의 역학적 특성에 관한 실험적 연구

주재금,이종찬,오세출,유택동,정광량,서치호 대한건축학회 2003 대한건축학회 학술발표대회 논문집 - 계획계/구조계 Vol.23 No.1(구조계)

The purpose of this study is to obtain basic data on the properties of the lightweight concrete within expanded polystyrene beads for various applications in the field. Inquiring into the change of the properties as altering cement matrix mixture and the capacity mixture ratio of expanded polystyrene beads, the mixture plane of this study is set up as W/C is fixed 50%, expanded polystyrene beads is increased 10% from 0% to 80% per 1m³ and the ratio of cement:sand in the cement matrix is 1:0, 1:0.5, 1:1. The results of this study are as follow. The slump as changing the mixture ratio of expanded polystyrene beads decrease smoothly until mixture ratio 50% but decrease rapidly being in excess of 50%. The density decrease regularly as the mixture ratio of expanded polystyrene beads increase but the ratio of strength decrease. The difference of cement matrix. The strength of cement matrix having more sand mixture ratio relatively decrease rapidly as increasing the mixture ratio of expanded polystyrene beads. It is judged decreased strength phenomenon as the quantity of coherent material created in the mixture decrease rapidly.

교합성 골수강내 금속정술후 발생한 대퇴골 간부 골절의 불유합의 치료

이근배,문은선,송은규,최진,정성택 대한골절학회 2002 대한골절학회지 Vol.15 No.4

목적 : 교합성 골수강내 금속정술 후 발생한 대퇴골 간부 골절의 불유합의 치료 결과를 알아 보고자 하였다. 대상 및 방법 : 1990년 5월부터 2000년 7월까지 대퇴골 간부 골절에 대한 교합성 골수강내 금속정술후 발생한 불유합에 대해 치료받은 환자중 1년 이상 추시 가능하였던 33명을 대상으로 후향적으로 조사하였다. 수술 당시 평균 연령은 40세(19~68)였으며, 남자가 27례, 여자가 6례였다. 불유합의 형태는 Weber와 Brunner와 분류 방법에 따르면 과혈관형 10예(30%), 무혈관형 21예(64%), 혼합형이 2예(6%), 무혈관형중에서 감염성이 5예(23%)였다. 결과는 수술 방법에 따른 골 유합 기간 및 불유합, 부정 유합, 감염 등의 합병증의 유무로 평가하였다. 결과 : 수술 방법은 불유합의 원인과 형태에 따라 결정하였으며, 5가지 방법으로 시행하였다. 골수강내 금속정 교환술을 시행한 경우가 7예, 골수강내 금속정 교환술 및 골 이식술을 함께 시행한 경우가 11예, 외고정술 5예, 금속판 고정 및 골 이식술 3예, 해면골 이식술만을 시행한 경우가 7예였다. 골유합 기간은 각각 평균 19주, 17주, 20주, 16주, 15주로서 치료 방법 간에 통꼐학적인 의의는 없었다. 전례에서 술 후 감염이나 불유합, 부정 유합 등은 관찰되지 않았다. 결론 : 교합성 골수강내 금속정술후 발생한 대퇴골 간부 골절의 불유합의 치료에 있어서는 불유합의 원인과 형태를 잘 분석하여 그 원인에 맞는 적절한 치료 방법을 선택하는 것이 골유합을 얻는데 매우 중요하다고 생각된다. Purpose : We analyzed the results of treatment for the nonunion of femur shaft fractures after interlocking intramedullary(IM) nail fixation. Materials and Methods : Thirty-three patients who underwent interlocking IM nailing due to femur shaft fractures from May, 1990 to July, 2000 and followed up for more than one year were evaluated retrospectively. Mean age at the time of operation was 40 year(Range, 19-68). 27 cases were men and 6 cases were women. By Weber and Brunner classification of the nonunion, hypervascular type were 10 cases(30%), avascular type 21cases(64%), mixed type 2 cases(6%). Infected type among the avascular type of noumion were 5 cases(23%). Results were evaluated with bone union by treatment methods and complications. Results : According to the causes and types of nonunion, we performed IM nail exchange in seven cases, IM nail exchange and bone grafting in eleven cases, external fixation in five cases, compression plating and bone grafting in three cases, and only cancellous bone grafting in seven cases. Radiographical union was achieved in 19weeks, 17 weeks, 20 weeks, 16 weeks and 15 weeks respectively. There’s no statistically significant difference between treatment methods. There are no cases of nonunion, malunion and infection. Conclusion : The selection of appropriate treatment method by the cause and type of each nonunion is very important to achieve the bony union in the treatment for the nonunion of femur shaft fractures after interlocking intramedullary nailing.

초내식성 스테인리스강 선재와 브라켓의 내식성 및 금속 이온 용출 특성

오근택,정경진,황충주,박용수,김경남 大韓齒科器材學會 2001 대한치과재료학회지 Vol.28 No.4

Metallic orthodontic appliances are known to release metal ions in an oral cavity. It is not advisable that toxic corrosion products derived from the appliances is absorbed into the body. Metal ions release from orthodontic appliances is known to have large effects on the result of orthodontic treatment and systemic health. Metal bracket and wire were made of super stainless steel(S32050) with high corrosion resistance. The corrosion resistance and ion release property of S32050 and conventionally used appliances were examined. Four types of wire were ligated in either super stainless steel(SB) or Tomy bracket(TB) with O-ring, and then each group was immersed in an artificial saliva at 37℃ for 12 weeks. Amount of released metal ions was measured with immersion time by graphite furnace atomic absorption spectroscopy and surface morphology was investigated. S32050 showed the low passive current density of about 1 μA/㎠ and the stable passive region to a high potential in artificial saliva. S32050 appliances did hardly release nickel ions in artificial saliva. S32050 wire(SRW) and NiTi wire(NW) didn't show significant difference of Ni ion release with immersion time, meanwhile, Remanium wire(RW) showed significant difference in 12 weeks. Ni ion releasce from the brackets didn't show any significant difference with immersion time and between SB and TB. Amounts of Ni ion released from TB-SRW showed significant difference in 12 weeks, those from TB-RW showed significant difference from 4 weeks later and highest release among all groupsin12weeks. TB-NW released little Ni ion for all immersion time and showed significant difference from 4 weeks later, TB-TW(TMA wire) showed significant difference in 12 weks. SB-SRW didn't show any significant difference and SB-RW signigicant difference in 12 weeks,but lower compared with TB group. SB-NW and SB-TW didn't show any significant difference. Corrosion products didn't be observed in mostly groups during the immersion time, except that in TB-RW, they were observed on the bracket surface between O-ring and wire from 8 weeks later. Super stainless steel wire had good corrosion resistance compared with stainless steel wire, and it is believed that it can be used as orthodontic material for bracket and wire.

심실 중격 결손에 의한 감염성 심내막염 환자의 치과치료

양정현,현홍근,김영재,김정욱,장기택,이상훈,한세현,김종철 대한소아치과학회 2007 大韓小兒齒科學會誌 Vol.34 No.3

Wiskott-Aldrich 증후군 환아의 증례보고

이연주,현홍근,장철호,김영재,김정욱,장기택,김종철,한세현,이상훈 대한소아치과학회 2007 大韓小兒齒科學會誌 Vol.34 No.3

파손된 치면열구전색제의 수리 방법에 따른 미세누출 비교

강명봉,현홍근,김영재,김정욱,장기택,이상훈,한세현,김종철 대한소아치과학회 2007 大韓小兒齒科學會誌 Vol.34 No.2

치면열구전색은 수 십년간 교합면 우식의 예방에 가장 효과적인 방법 중 한가지로 알려져 왔다. 하지만 치면열구전색제의 마모와 파절 때문에 치면열구전색제의 재시술 또는 수리를 필요로 하게 되었다. 본 연구의 목적은 파손된 치면열구전색제를 수리할 때 치질과 잔여 전색제의 표면처리 방법에 따른 미세누출 차이를 알아보고자 하는 것이다. 120개의 영구 대구치에 치면열구전색제를 적용하고 인위적인 파손을 만든 뒤 인공타액에 4주 동안 보관하였다. 4주 후 근심 또는 원심의 치면열구전색제가 완전히 파손 양상을 나타내는 치아 60개를 선택하여 각각 15개씩 4개 군으로 나누어 실험에 사용하였다. 각 군을 산부식만 시행한 경우(1군), air-abrasion만 시행한 경우(2군), 산부식 후 결합제를 적용한 경우(3군), air-abrasion 후 결합제를 적용한 경우(4군)로 나눠 각각의 치아를 표면처리한 후 치면열구전색제를 도포하였다. 고온(55℃)과 저온(5℃)에서 각각 30초씩 500회의 열순환을 시행한 뒤 미세누출도를 검사하여 다음과 같은 결과를 얻었다. 1. 치면열구전색제/치면열구전색제 경계면에서 미세누출도는 결합제 사용 유무에 관계없이 air-abrasion을 처리한 2군, 4군에서 산부식을 사용한 1군, 3군보다 낮은 값을 보였고(p<0.05) 1군과 2군, 3군과 4군 사이에는 통계적 유의차가 없었다(p>0.05). 2. 치면열구전색제/치아 경계면에서 미세누출도는 결합제를 사용한 3군, 4군에서 결합제를 사용하지 않은 1군, 2군보다 낮은 값을 보였고(p<0.05) 산부식을 사용한 1, 3군과 air-abrasion을 사용한 2, 4군 사이에는 통계적 유의차가 없었다(p>0.05). 3. SEM 상에서 치면열구전색제를 산부식 처리하였을 때 표면거칠기의 증가가 적었으나 air-abrasion 하였을 경우 표면거칠기가 현저하게 증가하는 것을 관찰하였다. The aim of this study was to investigate whether differences in surface treatment Prior to repair influenced the seal of a resin fissure sealant placed on the occlusal surfaces of permanent molar teeth. One hundred and twenty extracted human molars were selected and a light curing sealant was placed on their occlusal surface following cleaning by prophylaxis and acid etching. The teeth were deliberately damaged, and then stored in artificial saliva for four weeks. Sixty teeth with the desired morphology of sealant failure were randomly divided into four groups where one group was treated with only etching agent, another by only air-abrasion, another by applying an etching agent followed by a bonding agent, and the last by air-abrasion followed by a bonding agent each. After sealant application, the samples were thermocycled and the degree of microleakage was determined. The results were as follows: 1. In the sealant/sealant interface, group 2(0.22), 4(0.23) using air-abrasion showed a significantly lower microleakage score than group 1(0.38), 3(0.35) using an etching agent(p<0.05). There were no statistically significant differences(p>0.05) between groups 1, 2 and groups 3, 4. 2. In the sealant/tooth interface, group 3(0.20), 4(0.20) which used a bonding agent showed a significantly lower microleakage score than group 1(0.35), 2(0.40)(p<0.05). There were no statistically significant differences (p>0.05) between groups 1, 3 and groups 2, 4. 3. In SEM examination, while sealant surfaces treated with etching did not result in highly rough surfaces, those treated with air-abrasion did show rough surfaces.

다형성 교모세포종에서 광범위 전적출술후 단기 재발된 치험 1예

박호권,강중식,조준,문창택,장상근,임정애 건국대학교 의과학연구소 2003 건국의과학학술지 Vol.13 No.-

Glioblasty/ma Multiforme(GBM) is the one of the most common malignant tumors in central nervous system(CNS). The incidence of the tumor is about 12% of all CNS tumors and about 50% of all intracranial tumors. Though the development of the microsurgical technique, radiosurgical technique, and chemotherapy works effectively, complete cure of the GBM has not been achieved. It has been known that the prognosis of GBM depends on the extent of surgical tumor removal, remained tumor volume, radiation dose, and chemotherapy. Not only patient's age but also tumor characteristics such as MRI enhancement, angiogenesis and necrosis are also very important prognostic factors. Authors experienced very aggressive GBM in aged woman, who received gross total tumor removal, but refused other therapeutic motalities postoperatively. Very rapid recurrence of GBM and global cerebral edema in aged woman should be considered fatal. This case demonstrates the effectiveness of aggressive removal and the limited usefulness of neurosurgical tools in GBM recurrence. Authors would suggest that the early diagnostic effort and the verified neurosurgical therapy for malignant tumor are still strongly requested to make better prognosis.

Effect of Radio Frequency Plasma Treatment on Evaporation Behavior and Characteristics of RuCr Alloy Powder

Jung, Taek-Kyun,Lim, Sung-Chul,Kwon, Hyouk-Chon,Park, Soo-Keun,Ho, Jong-Whan,Jung, Seung-Boo,Baek, Jong-Jin,Jang, Kyu-Bong American Scientific Publishers 2015 Journal of Nanoscience and Nanotechnology Vol.15 No.11