유년기 안구적출술 및 방사선치료로 인하여 발생된 안와 열성장에 대한 재건 치험례

홍관석,김성문,김훈,임재석,최미숙,최성원,권종진 大韓顎顔面成形再建外科學會 1996 Maxillofacial Plastic Reconstructive Surgery Vol.18 No.1

There are many reports of the surgical management for the craniofacial abnormalities arising from the irradiation of the head and face for treatment of childhood cancers. Since the mordern combined-modality theraphy for childhood cancers began in the late 1960s and the early 1970s, recent reports have described the occular, dental and maxillo-facial abnormalities after irradiation in long-term survivors of cancers of the head and face. The resultant deformities may be known to be difficult to reconstruct with surgical techniques. This paper describes the late reconstructive surgery for the unilateral orbital and malar hypoplasia after eyeball enucleation and irradiation during childhood to correct the facial asymmetry and expand the contracted orbital socket into the functional dimension for the retaining eyeball prosthesis with spherical implant. We reports the satisfactory preliminary results from the midfacial osteotomy through the supero-lateral orbital rim and malar bone and the antero-lateral repositioning with the autogenous bone grafting in 26 year-old female patient who will be planned to make the new eyeball prosthesis by the department of ophthalmology.

소음성난청 유소견자들의 사후관리 실태

최장선,송재석,원종욱,강종두,차봉석,노재훈 大韓産業醫學會 1996 대한직업환경의학회지 Vol.8 No.2

The number of workers with noise induced hearing loss which comprise 56.9% in the total number of workers with work-related diseases in Korea of 1994, are becoming in position of the most serious problem. Periodic health examination system which was introduced for health care of workers on hazardous workplace has played important role in health care and the prevention of work-related diseases. The goal of periodic health examination may be obtained when we not only discover occupational disease, but also control them effectively. To study the post-examination health status of workers with noise induced hearing loss diagnosed from 1991 to 1994 in the periodic health examination, all 154 workers in 102 manufacturing factories in Banwol and Siwha industrial complex were reviewed. 1. Among 154 workers, 87 workers(56.5%) were changed to different department, 67 workers(43.5%) remained in the same department. 2. Among 102 workplaces, only 23 workplaces(22.9%) had changed their working environment while 79 workplaces(77.1%) did not. 3. In this study, post-examination health care of the workers diagnosed as noise induced hearing loss had significant correlated with the presence of health care manager, Industrial Health and Safety Committee in workplace and size of industry. The improvement of working environment is also closely related with the presence of health care manager in workplace. 4. Among 154 respondents, 3 workers(1.9%) had received compensation while 151 workers(98.1%) did not. 5. The reasons for not requesting the compensation were that 117 workers(77.5%) were ignorant of the administrative procedure for compensation, 30 workers(19.9%) were not sure of receiving compensation, 4 workers(2.6%) were busy. Considering the result of this study, we must establish the guide of management or contents of post management for noise induced hearing loss. To prevent the noise induced hearing loss, and protect the workers with noise induced hearing loss, education about post management is much required for employer and employee.

심실중격결손을 동반한 폐동맥폐쇄에서 선천적우회순환의 기시 및 분포 : A Cineangiographic Study

최재영,이종균,차응석,설준희,이승규,최규옥 대한순환기학회 1998 Korean Circulation Journal Vol.28 No.9

그람양성구균에 대한 Teicoplanin과 Vancomycin의 시험관내 항균력

최태열,김경숙,전용관,서일혜,김정욱,이웅수,안정열,김홍석,정재용,최효선,김덕언,유진우 대한감염학회 1994 감염 Vol.26 No.1

An increasing frequency of methicillin resistant S. aureus(MRSA), methicillin resistant coagulase negative staphylococci(MRCNS) and Enterococcal infection have been observed in recent years. Teicoplanin is a new glycopeptide antibiotic obstained from the Actinoplanes teicomycetius. The molecular structure and spectrum of antimicrobial activity of teicoplanin is simillar to those of vancomycin, and has been reported to have an excellent in vitro and in vivo effect against various gram-positive infections. Therefore, we evaluated the in vitor susceptibility of gram positive cocci, such as, S. aureus, coagulase negative Staphylococci(CNS), and Enterococci to teicoplanin and vancomycin. The total 253 strains consisted of MSSA(40), MRSA(53), MSCNS(47), MRCNS(48), and Enterococci(65). They were assayed by disc diffusion and agar dilution. During the study, 57% of S. aureus and 49% of CNS showed resistance to methicillin. The inhibitory diameter of teicoplanin was 15-20mm in MSSA, 12-19mm in MRSA, 13-24mm in MSCNS, 11-23mm in MRCNS, and 15-22mm in Enterococci respectively, and showed sensitivity in all but 8 strains(3.2%). The range of the minimum inhibitory concentration (MIC) of teicoplanin to MSSA, MRSA, MSCNS, MRCNS and Enterococci were 9.12-2.0㎍/ml, 0.25-2.0㎍/ml, & 0.25-32㎍/ml, 0.12-1.0㎍/ml respectively. One case of S. haemolyticus was resistant to teicoplanin (32㎍/ml) by the agar dilution method. Eight minor (3.2%) and one major(0.4%) error was observed when the MIC and disk diffusion data were correlated with teicoplanin. As for vancomycin the inhibitory diameter was 17-21mm in MSSA, 15-21mm in MRSA, 18-26mm in MSCNS, 18-25mm in MRCNS, and 16-22mm in Enterococci respectively. The range of the MIC of vancomycin to MSSA, MRSA, MSCNS, MRCNS, and Enterococci were 0.25-1.0㎍/ml, 0.25-4.0㎍/ml, 0.5-2.0㎍/ml and 0.5-2.0㎍/ml respectively. One minor error (0.4%) was seen with the vancomycin disk. The MIC90 of MSSA and MRSA exhibited the same results in teicoplanin (1.0㎍/ml, 1.0㎍/ml), and vancomycin(2.0㎍/ml, 2.0㎍/ml). MSCNS and MRCNS exhibited greater MIC90 with teicoplanin(4.0㎍/ml, 8.0㎍/ml) than vancomycin(2.0㎍/ml, 2.0㎍/ml). Incontrase Enterococci were more susceptible to teicoplanin(0.5㎍/ml) than to vancomucin (2.0㎍/ml). Results from this analysis indicated that both teicoplanin and vancomycin were very excellent for gram positive infections, especially those resistant to methicillin.

다발성 간종괴의 형태로 나타난 특발성 과호산구 증후군 치험1예

최승오,연규민,이승민,김순제,왕준호,박형석,이재동,진춘조,이창훈,신현준,김정은 건국대학교 의과학연구소 2004 건국의과학학술지 Vol.14 No.-

Hypereosinophilic syndrome is characterized by persistent blood eosinophilia of 1,500/ul or more in the absence of known causes and multiorgan dysfunction by eosinophil-related tissue damage. In Korea, some cases of hypereosinophilic syndrome with hepatic involvement have been described with prolonged benign clinical courses. Most of them were diffuse or multifocal lesions in imaging studies, and a few case presenting as a single mass has been described. Here we report a case of hypereosinophilic syndrome with hepatic involvement in a 65-year-old man who presented with multifocal mass lesions. By abdominal US and CT scan, multiple, ill-defined nodules were detected in throughout the liver. Liver biopsy revealed severe eosinophilic hepatitis, suggestive of hypereosinophilic syndrome. Hepatic mass lesions improved after steroid administration for several weeks.

북한 고등중학교 「지리」 교과서 분석 연구

최석진,남상준,류재명,손용택,이동엽 한국사회과교육연구회 2000 사회과교육 Vol.- No.33

이 연구는 남북한 통일을 대비하여 북한 고등중학교 지리 교육과정 및 교과서를 비교·분석한 것이다. 남북한의 학제와 지리과 영역의 교육과정상의 위치가 다르고 북한의 교육과정을 입수할 수 없었기 때문에, 입수한 북한의 고등중학교 1학년부터 5학년의 지리교과서 5종(1991년도부터 1993년도 발행분)을 대상으로 분석하여, 남한 6차 교육과정의 중학교 사회와 고등학교 공통사회(한국지리) 및 세계지리 내용을 비교 분석하였다. 연구 결과는 다음과 같다. 첫째, 남북한 중등학교 지리교육은 교육과정상의 편제에서 북한은 고등중학교 전학년에 걸쳐서 지리가 독립과목으로 편제되어 있으나, 남한은 중학교 사회과에 통합되어 있고, 고등학교에서는 공통사회에 포함되었으며 세계지리가 선택과목으로 되어있는 등 지리교육 내용계열과 조직체계도 차이가 난다. 둘째, 지리 교육의 이념과 목표에서, 남한은 민주시민 양성을 목표로 하여 개인의 지리교육적 성취가 주된 것이나, 북한은 집단 구성원으로서의 개인 양성에 중점을 두고 있다. 이러한 차이점은 정치체제의 차이에서 비롯된 것이며 지리교육 내용의 구성과 강조점등에서 많은 차이점을 나타내게 하고 있다. 셋째, 지리교육 내용 구성과 서술 등에 차이가 있다. 국토지리와 세계지리 및 계통지리와 지지의 배열과 비중 등이 다르며, 내용의 서술에서도 차이점을 볼 수 있다. 특히, 북한에서는 국토지리와 자연지리의 비중이 높으며, 주요 개념과 용어 설명에서 남한과 다른 점이 보인다. 넷째, 교과서의 구성과 교수-학습 방법 및 자료 사용에서 차이점이 보인다. 북한에서는 실습, 실험 등이 강조되면서 실제적인 기능 향상에 많은 비중을 두고 있으며, 사진에 비해서 그림을 사용하는 삽화의 비중이 높다. 교과서의 외형적 체제와 지질 등에서 차이가 큰데, 이 점은 경제력의 차이에서 비롯된다. 본 연구 결과 남북한은 모두 지리교육을 중등학교에서 중요시하고 있으며, 지리교육을 통하여 소기의 목표 달성에 노력하고 있으나, 서로간에 상당한 차이점도 발견할 수 있었다. The purpose of this study is to understand the similarity and differences of the geography textbook between north and south Korea in preparation for the unification. Five geography textbooks for the first through fifth grade in secondary school were used in the analysis of the geography curriculum for secondary schools in North Korea. The major findings of the study are as follows: First, South Korea takes an integration approach to teach geography as part of the social studies education whereas North Korea treats geography as an independent subject throughout secondary school. Second, South Korea aims at nurturing democratic citizen, emphasizing individual achievement, whereas North Korea puts emphasize nurturing citizenship within community. Third, difference is noted in the organization and content of the geography curriculum between the two Koreas. North Korea puts more emphasis on national geography and natural geography than does South Korea. Forth, North Korean textbook is different from that of South Korea in that the former emphasizes on performance skills through hands-on practice and training. Also North Korean textbook uses more drawings than pictures. Despite differences in various aspects of curriculum and textbooks, there are a great deal of overlap in essential concepts and contents covered in two Koreas' geography textbooks. Both Koreas value geography education in the secondary schools and make efforts to fulfil the educational objectives in geography.

인천 인현동 호프집 화재 피해자 분석

최정태,안무업,안희철,최영미,정재봉,서정열,유기철,이삼우,박석현,조준휘,김성환,김아진,송근정 대한응급의학회 2001 대한응급의학회지 Vol.12 No.4

Purpose : This study was conducted to develop field triage, transportation, distribution, and prehospital care at a fire disaster by analyzing the victims of the fore that broke out at a bar in Incheon. Method : We analyzed the cases of the victims of a fire in Incheon in Oct. 1999. We determined the primary care hospital, the arrival time, the burn size, the outcome, and the injury type from the medical records, the concerned organ records, and interviews with concerned persons. Result : The total number of victims was 137: 56 prehospital deaths, 1 hospital death, and 80 survivals. The Pearson correlation coefficient between the burn size and the severity was -0.175. There were 121(89.6%) cases of inhalation injury, 59 (43.7%) cases of flame burns, 66 (48.9%) cases of hypoxic brain damage, and 16 (11.9%) cases involving other types of injury. Conclusion : The causes of death of the fire victims were inhalation injury and hypoxic brain damage due to CO poisoning and other toxic inhalants. We propose the use of a simple triage and rapid treatment(START) system and a reassessment the delayed category in fire disasters.

부재료 첨가에 따른 갓김치의 항산화성

최영숙,황정희,김재이,전영수,최홍식 부산대학교 김치연구소 2000 김치의 과학과 기술 Vol.6 No.-

Antioxidative activities (AA) of mustard leaf kimchi (MLK) by the addition of optional ingredients among selected minor materials were studied. In order to determine AA of MLK with different spices, the model systems of ground cooked beef with green onion, garlic, and red pepper powder were prepared and stored for 4 weeks at 4℃. AA of red pepper added group was stronger than those of others. AA of red MLK was relatively higher than that of (green) MLK. For the enhancement of AA of MLK, another model systems were prepared with the selected antioxidative optional ingredients, which were bonnet bellflower root, leek, burdock, sea tangle, sea mustard, seastaghorn at the level of 2% or 4%. The extracts of water, 75% methanol and hexane of MLK, bonnet bellflower root added MLK, and seastaghorn added MLK had a considerable AA with the inhibition of peroxide formation during the autioxidation of linoleic acid mixtures in aqueous model systems at 37℃. Therefore, AA was more effective in MLK containing specific optional ingredients than that of MLK alone significantly.

흰쥐의 발치아에 이식된 태아 치아싹의 발육

최병재,장석철,정한성,이제호,김성오 大韓小兒齒科學會 2006 大韓小兒齒科學會誌 Vol.33 No.1

정상적인 치열의 형성 및 치아의 생성과정을 분석하고 실제로 임상에 적용하기 위해 치아의 발생과정을 연구하는 것은 매우 중요하다. 본 연구는 이식된 태아 치아싹의 석회화가 가능하고 정상적인 구조로 발육할 수 있는지 밝히기 위해, 그리고 악골 자체가 새로운 이식 공여부로 사용가능한지 알기 위해 흰쥐의 발치와에 치아싹을 이식하여 치아의 형성을 살펴보고자 하였다. 이를 위하여 성숙한 흰쥐의 상악 제 1구치를 발거한 발치와에 13.5일된 태아쥐의 치아싹을 이식한 후 4,8주 후에 희생하여 조직학적 및 방사선학적으로 관찰하여 다음과 같은 결과를 얻었다. 1. 이식된 치아싹에서 상아질과 백악질, 치수, 치주인대의 소견을 갖는 석회화된 조직이 형성되었다. 2. 형성된 경조직 및 연조직은 정상적인 치아형성과정에 비해 발육이 늦었으며 유착 및 골양상아질(osteodentin)과 같은 비정상적 조직이 관찰되었다. 3. 석회화된 조직은 8주내에 악궁으로 맹출하는 소견이 관찰되지 않았다. The developmental process of a tooth is being presented as an important study subject to analyze formation of normal dental arch and tooth. The purpose of this study was to see the formation of tooth from a tooth bud transplanted in a white rat regarding that the jawbone could be used as a new donor site of a trasplant. The first molar of a matured white rat was extracted and the tooth bud of a 13.5 day rat embryo was transplanted. The histological and radiographical results after 4 and 8 weeks respectively are as the following. 1. Calcification in dentin, cementum, pulp and periodontal ligament was formed from the tooth bud transplanted in the alveolar socket. 2. The development of hard and soft tissue was delayed compared to the normal tooth formation and abnormal histologic features such as ankylosis and osteodentin were found. 3. The formed hard tissue did not erupt into the jaw within 8 weeks.

우리나라의 測量制度 및 發展指標 定立에 관한 硏究

崔在和,崔允秀,朴喜周,李碩培 成均館大學校 科學技術硏究所 1994 論文集 Vol.45 No.2

오늘날의 측량의 내용은 우주측지기술의 실용화, 컴퓨터를 이용한 수치지도제작 및 인공위성에 의한 영상의 획득이 가능해짐에 따라 종래의 지상측량 및 지도제작의 범위를 뛰어넘어 크게 확대, 발전되고 있다. 그러나 우리나라의 측량학계는 이러한 시대적 변화를 능동적으로 주도해 가지 못하고 있으며, 내부적으로는 제도적, 기술적인 여러 가지 문제점을 안고 있고, 또한 측량업과 측량기술자의 위상은 사회적 공헌도에 비해 열악한 상태에 처해 있는 것이 오늘의 현실이다 따라서 본 연구에서는 우리나라 측량의 현황과 문제점을 조사, 분석하고 측량기술의 발전과 측량업의 건전한 육성을 위한 여러 가지 방안을 연구, 검토하여 미래지향적인 발전지표를 제시하고자 하였다. Nowdays the scope and the contents of surveying are enlarged from a small area of the conventional surveying and mapping to a large area of the practical use of space geodesy technology, digital mapping using computers and the development of remote sensing. However, there are many structual, technological problems on the Korean surveying and mapping field, therefore they cannot actively lead the new tendency of current movement of surveying. The social status of survey engineers and the surveying and mapping industry is lower than it deserves for its social contribution. In this paper, the present status and problems of Korean surveying and mapping field are reviewed and analysed, and proper scheme for future development of the field with the prospect of surveying technology and the sound cultivation of surveying industry is proposed.