後鼻漏를 主訴로 한 慢性 副鼻洞炎 患者의 治驗 1例

김창환,선영재,임웅경,김현기,Kim, Chang-hwan,Sun, Young-jae,Lim, Woong-kyoung,Kim, Hyun-gi 대한한방안이비인후피부과학회 2003 한방안이비인후피부과학회지 Vol.16 No.2

Paranasal sinusitis is a common disease in the otorhinolaryngology area. It is the change of inflammation at the mucous membrane which surrounds paranasal sinus. Chronic paranasal sinusitis is a chronic inflammation disease with purulent, mucous rhinorrhea, postnasal drip and cough. The attacked period continues above three months and it repeats exacerbation and remission. We diagnosed and treated an outpatient who complains postnasal drip of chronic paranasal drip of chronic paranasal sinusitis based on the Oriental medical theories and had good result.

단파장 자외선(254nm)에 노출된 고밀도 폴리에틸렌 수지의 카르보닐 지수(CI)와 기계적 물성 변화의 관계에 관한 연구

김창환 ( Chang Hwan Kim ),신진용 ( Jin Yong Shin ) 한국공업화학회 2013 공업화학 Vol.24 No.2

This paper studied the possibility to predict a mechanical property variation from changes in created carbonyl bands by irradiating the surface of high-density polyethylene with short-wavelength ultraviolet radiation of 254nm to induce a fast chemical degradation. The meaning of this study lies in checking whether a mechanical property change with the same chemical property as the induced optical deterioration is caused by using a UVC lamp with high photon energy instead of optical deterioration via xenon arc light source and outdoor exposure test via natural sunlight requiring a long time. The mechanical strength of high-density polyethylene checked by a tensile test and a creep destruction test showed a similar tendency with CI changes. In particular, the yield strength and elongation had a close relationship with the exposure time to ultraviolet radiation. Accordingly, this paper presented a method to grasp the mechanical property change outdoors requiring a long time more fast through the relationship between the mechanical property change and the carbonyl index using a UVC lamp causing the fast surface degradation.

안면신경마비에 대한 안륜근 미소안면침 증례보고

조아름,김지현,주경옥,원재선,김창환,Cho, Ah-Reum,Kim, Ji-Hyun,Chou, Ching-Yu,Won, Jae-Sun,Kim, Chang-Hwan 대한한방안이비인후피부과학회 2010 한방안이비인후피부과학회지 Vol.23 No.2

Objective : This study was designed to evaluate the effect of Miso Facial Acupuncture on Orbicularis Oculi muscle. Methods : Two men and four women with Facial nerve palsy were recruited. Miso Facial Acupuncture on Orbicularis Oculi muscle was performed two times a week for three weeks. The effects of the treatment were evaluated by H-B scale, Y-system and clinical symptom. Results : Before treatment with Miso Facial Acupuncture, three patients showed H-B scale improvement and the other three patients had no change. and four patients showed Y-system improvement and the other two patients had no change. In six cases, the patients had improvement in clinical symptom related with Orbicularis Oculi muscle function. Conclusion : Miso Facial Acupuncture on Orbicularis Oculi muscle showed significant improvement in facial nerve palsy.

Antitumor effects of recombinant human interferon α-2a and hydroxyurea against chronic myelogenous leukemia

김창환,이범준,박종환,박재학,Kim, Chang-hwan,Lee, Beom-jun,Park, Jong-hwan,Park, Jae-hak The Korean Society of Veterinary Science 2000 大韓獸醫學會誌 Vol.40 No.1

Prior to a clinical trial, the in vitro and in vivo antitumor effects of a new recombinant human interferon ${\alpha}-2a$ (rHu/IFN ${\alpha}-2a$) with/without hydroxyurea (HU) were investigated using chronic myelogenous leukemia (CML)-derived cell lines (K562 and KU812F) and BALB/c nude. mice transplanted with KU812F cells. The rHu/IFN ${\alpha}-2a$ ($10^4-10^6IU/ml$) strongly inhibited proliferation of both cell lines and the combined treatments with HU ($10{\mu}g/ml$) were more effective. In nude mice transplanted with KU812F cells. rHu/IFN ${\alpha}-2a(1{\times}10^6IU$) inhibited tumor growth by 42-65% at 15-21 days post-transplantation (DPT). The combined treatment of rHu/IFN ${\alpha}-2a (5{\times}10^5IU$) with HU (0.25mg/g b.w.) inhibited the tumor growth by 48-67% at 12-21 DPT. In addition, the treatment of rHu/IFN ${\alpha}-2a$ ($5{\times}10^6IU\;or\;1{\times}10^7IU$) rejected tumor transplantation by 40%. These results suggest that the new rHU/IFN ${\alpha}-2a$ alone or with HU is effective on CML cell lines.

양혈사물탕가미방(凉血四物湯加味方)이 Allergy성(性) 접촉(接觸) 피부염(皮膚炎)에 미치는 영향(影響)

김창환,김경준,Kim, Chang-Hwan,Kim, Kyung-Jun 대한한방안이비인후피부과학회 2005 한방안이비인후피부과학회지 Vol.18 No.1

Experimental drug was applied to a white male mouse taken ill with allergic contact dermatitis to investigate the effects of Yanghyulsamultanggamibang. 1. In case of skin moisture, when it was checked 72 hours later, there showed up meaningful differences among the normal, control, and sample groups. Especially, the moisture increased more noticeably in the sample group than in the control group. 2. With regards to RBC count in blood, it increased more in the control and sample groups than in the normal group when it was checked both in 24 hours and 72 hours. When it was checked in 48 hours, the number of RBC in the sample group increased the most, and the count in the control group increased more than in the normal group. 3. About the neutrophil rate in WBC count, it increased meaningfully more both on the control and sample groups than in the normal group in 24 hours. When the rate was checked in 48 hours, it increased the most in the sample group, and it increased more in the control group than in the normal group. When in checked72 hours later, it increased substantially more in the control group than both the sample and normal group. 4. As of the lymphocyte rate in WBC count, when measured in 24 hours, it increased in the normal group than in the control and sample groups. In 48 hours, it increased the most in the normal group, and it increased meaningfully more in the control group than in the sample group. 5. Regarding the total IgE, when measured 24 hours later, it increased noticeably more in the normal group than in the control and sample groups. In 48 hours, there showed up substantial differences among the normal, control and sample groups. In particular, it increased meaningfully more in the control group than in the sample group. 6. When the sample of skin tissue was examined, the corneal layer restoration increased more in the sample group than in the normal group. The above-mentioned results prove that Yanghyulsamultanggamibang can be taken when allergic contact dermatitis develops on the skin. Long-term observation afterward is also advised.

독도 화산체 정상부해역의 정밀해저지형 및 지구물리학적 특성 연구

김창환,박찬홍,이명훈,최순영,주형태,Kim, Chang Hwan,Park, Chan Hong,Lee, Myoung Hoon,Choi, Soon Young,Jou, Hyeong Tae 대한자원환경지질학회 2012 자원환경지질 Vol.45 No.6

본 연구는 현재까지 수행된 독도 화산체 정상부 해역의 정밀수심 및 지구물리 조사 자료를 종합하고 분석하여 정상부 해역의 정밀해저지형 및 지구물리학적 특성을 연구하였다. 독도 연안역 동도와 서도 사이 연결 수로는 약 10 m 이내의 얕은 수심을 이루고 있다. 독도 화산체 정상부해역의 전체적인 수심은 동도와 서도의 육지부부터 수면 아래 약 30 m 까지는 불규칙하며 급한 경사면을 가지고, 그 후 수심 약 30 m부터 수심 약 80 m 까지는 경사가 점차 낮아지다가 수심 약 80 m 이하로 완만한 경사를 보이면서 외해역으로 깊어진다. 독도 육지부와 그 북동쪽 및 북서쪽으로 연장되는 암반들은 독도를 생성시킨 화구륜의 잔해로 판단되며 동도와 서도는 화구륜의 남쪽 한부분일 가능성이 큰 것으로 생각된다. 또한 정상부 해역의 해저지형에서는 소규모의 움푹 패인 지형들이 나타나는데 이는 독도 형성 후 나중에 생성된 소규모 분화구의 흔적들로 추정된다. 독도 정상부 해역은 주로 암반이 많이 분포하지만 곳곳에서는 모래 퇴적층들도 나타나는 것을 볼 수 있다. 독도 화산체 정상부에는 계단형의 경사면들이 나타나는데 이는 제4 기에 나타난 해침, 해퇴 등 해수면변화에 의해 만들어진 해저단구로 유추되며, 지역별로 차이가 있기는 하지만 주로 약 30 m, 60 m, 80 m 및 약 100 m의 수심대를 위주로 하여 몇 개의 주요 해저단구가 나타나는 것으로 판단된다. 자기이상도 및 아날니틱신호도를 살펴보면 수면 위 독도에서 연장되는 북동 및 북서쪽의 이상대들은 화구륜의 잔해로 예상되는 암반들의 위치와 유사하게 나타난다. We studied the detailed bathymetry and the geophysical characteristics of the summit of the Dokdo volcano using mutibeam echosounding and geophysical survey data. The bathymetry around the main east and west islets of the Dokdo volcano shows very shallow within about 10 m water depth. From near islets to about 30 m b.s.l., the shallow water area has very steep slope and many irregular sunken rocks. The area from about 30 m to about 80 m b.s.l. shows gentle rises and falls, and less steep slope. The area from 80 m b.s.l. has gradually flat undulation and smooth slope seabaed and is extended to offshore. The main islets of the Dokdo volcano and the rocky sea bottom elongated from the islets might be the residual part of the eroded and collapsed main crater of the Dokdo volcano. The bathymetry and the seafloor image(from backscattering) data show small craters, assumed to be formed by the eruption of later volcanism. The seafloor images propose that, except some areas with shallow sand sedimentary deposits, there are typical rocky bottom such as rocky protrusions and lack of sediments in the main morphology of the survey area. The stepped slopes of the seabed are deduced to be submarine terraces. The several prominent submarine terraces are found at the summit of the Dokdo volcano, suggesting repetition of sea level changes(transgressions and regressions) in the Quaternary. The results of the magnetic anomaly and the analytic signal have a good coherence with other geophysical consequences regarding to the location of the residual crater.

과개교합 환자에서 Dahl concept을 적용한 가철성 보철 치료

김창환,고경호,허윤혁,박찬진,조리라,Kim, Chang-Hwan,Ko, Kyung-Ho,Huh, Yoon-Hyuk,Park, Chan-Jin,Cho, Lee-Ra 대한치과보철학회 2020 대한치과보철학회지 Vol.58 No.2

모든 과개교합을 가진 환자를 병적인 상태로 판단할 수는 없지만 전치부에 교합접촉이 불안정하거나, 전반적인 교합 부조화가 동반된다면 과개교합은 하악 전치에 대한 지속적인 마모와 정출을 일으킬 수 있다. 이 증례는 72세 남성환자로 상악과 하악의 전치가 잔존해 있지만 골격성 2급 부정교합으로 인하여 안정위 상태에서 교합접촉이 불가능하고 교합지지가 완전히 상실되어 수직고경의 증가가 필요한 환자였다. 이 증례는 보철 수복을 위해 수직고경의 증가가 필요한 경우로 수평피개를 더욱 심화시켜 교합의 부조화를 유발할 수 있기에 정밀한 진단을 통한 수직고경 증가량 결정이 필요하였다. 이 증례에서는 Dahl concept를 응용한 가철성 국소의치 보철물을 이용하여 안정적인 교합을 완성하였으며 적절한 치료 결과를 보였기에 이를 보고하고자 한다. Although not all kinds of deep bite occlusions are considered pathological states, they can cause persistent wear and eruption of the anterior mandibular teeth if the anterior occlusal contact is unstable or accompanied by an occlusal disharmony. The patient was a 72-year-old man with no occlusal contact of the remaining anterior teeth in the centric relation position because of a skeletal class II malocclusion and loss of occlusal support. If the vertical dimension needs to be increased for prosthetic restoration in a patient with a deep bite, the amount of vertical dimension increase must be determined through precise diagnosis. This is because the overjet may increase and cause an unstable occlusion. In this review, we report the case of a patient with a stable occlusion and good treatment results achieved by using a removable partial denture prosthesis and applying the Dahl concept.

중력 및 자력자료 분석에 의한 울릉분지 북동부 독도 및 주변 해산들의 형성 연구

김창환,박찬홍,고영탁,정의영,곽준영,유상훈,민경덕,Kim, Chang-Hwan,Park, Chan-Hong,Ko, Young-Tak,Jung, Eui-Young,Kwak, Jun-Young,Yoo, Sang-Hoon,Min, Kyung-Duck 대한자원환경지질학회 2007 자원환경지질 Vol.40 No.2

중력자료 및 자력자료를 이용하여 독도해산들의 지각평형 탄성판모델 및 VGP(Virtual Geomagnetic Pole)를 분석하여 해산들의 형성시기와 형성환경을 연구하였다. 후리에어중력이상은 독도와 이사부해산 최고치 사이에 약 50 mGal의 차이를 보이는데 이 두 화산체는 규모면에서 비슷하지만 후리에어중력이상에서 차이가 나는 것은 보상정도의 차이에 기인한다. 탄성판모델의 적용 결과는 해산 하부 지각의 강도(탄성두께)가 이사부해산에서 독도로 갈수록 강해짐(두꺼워짐)을 지시한다. 즉, 이사부해산이 생성될 당시의 해산 하부 지각의 연령이 가장 젊었고 독도가 생성될 때 하부 지각이 가장 오래 되었다는 것을 나타낸다. 자기이상은 독도해산들을 중심으로 복잡하게 나타난다. 고지자기 특성을 연구하기 위하여 자기 이상을 1500m 상향연속한 후 최소자승자화법 및 반놈자화법을 함께 이용하여 각 독도해산들의 VGP를 구하였다. 기존 독도암석의 연대측정, 탄성판 모델 및 VGP결과를 지자기 연대표와 비교하여 보면 울릉분지의 열개 종료 후에 이사부해산이 정자기극 시대에 가장 먼저 생성되었고 독도은 가장 후기에 생성되었으며 정자기극 시대에 첫 번째 대규모 분출이 있었고 그 후 역자기극 시대에 두 번째 대규모의 분출로 인하여 이루어졌을 것으로 생각된다. 심흥택 해산은 독도와 이사부해산의 생성시기 사이의 정자기극 시대에 형성되었을 것으로 사료된다. 이 해산들의 생성 시기는 동해 생성 후 압축응력이 작용하던 시기와 일치하며 이 압축력 시기의 화산활동에 의해 해산들이 생성되었을 가능성이 높은 것으로 판단된다. Loading time and loading environment of the Dokdo seamounts were studied from flexure model and VGP(Virtual Geomagnetic Pole) determined by gravity and magnetic data. In spite of their similarity in size. a large difference about 50 mGal between gravity anomaly peaks of Dokdo and the Isabu Tablemount suggests different compensation degrees. Flexural modeling results show that the flexural rigidity(effective elastic thickness) of lithosphere for Dokdo is stronger(thicker) than that for the Isabu Tablemount. Also, it implies that the age of lithosphere at the time of loading of the Isabu Tablemount may be younger than that of Dokdo. Magnetic anomalies occur complicated over the Dokdo seamounts. Paleomagnetism was studied from VGP estimated by the least square and the seminorm magnetization methods with 1500 m upward continued magnetic anomalies. Age dating of Dokdo from previous study, flexural modeling, VGP, and geomagnetic polarity time scale suggest that after the cease of spreading in the Ulleung Basin, the Isabu Tablemount was formed first in normal polarity interval and followed by Dokdo. Also, they indicate that the fist large eruption of Dokdo was in normal polarity interval and the second large eruption in reversed polarity interval. The Simheungtaek Tablemount was formed in normal polarity interval between the formations of the Isabu Tablemount and Dokdo. These loading times for the Dokdo seamounts show a good coherence with the compressive stress period after the end of the opening of the East Sea. The Dokdo seamounts probably was caused by volcanism associated with the compressive stress.

顔面神經麻痺에 대한 臨床 治驗例 보고

김창환,김현기,Kim, Chang-Hwan,Kim, Hyun-Gi 대한한방안이비인후피부과학회 2001 한방안이비인후피부과학회지 Vol.14 No.2

1. Five Clinical tests and case studies show that facial palsy can be improved under the treatment of Acupuncture, Infrared, Electroacupuncture. Herbal medicine and Herbal acupuncture. 2. The most common prodrome appears to be postauricular pain. including headache and dizziness. 3. As the more serious the paralysis becomes. the prodrome gets worse, and the treatment term extends. It also gets harder to perform prognosis 4. We confirm that either physical or mental overwork and stress can be the most likely cause of facial palsy.

腦出血을 동반한 慢性 두드러기 患者의 治驗 1例

김창환,선영재,김현기,Kim, Chang-Hwan,Sun, Young-Jae,Kim, Hyun-Gi 대한한방안이비인후피부과학회 2002 한방안이비인후피부과학회지 Vol.15 No.1

Urticaria is classified as Eunjin in Oriental Medicine. The intrinsic causes include digestive system disorder, food poison, parasite, female reproductive health problem, nervous breakdown, and disorder of endocrine hormone. The extrinsic sources include all kinds of insect bites or stings, medications, pollen, dirt, and toxic smells. Some unknown sources also produce urticaria. The urticaria that lasts for more than six weeks, is categorized as chronic urticaria which is not very different from acute urticaria that occurs rapid but for a short period. The chronic urticaria may come every day, and its symptoms can even get worse at irregular or regular intervals. The cycle is hard to predict. It could be weeks or years. In clinical treatments, the syndromes of patient's chronic urticaria with cerebral hemorrhage have been analyzed and identified as follows: The diagnosis by asking the patient's case history showed that the root cause was retention of food resulting from dysfunction of the spleen and stomach. First, Pyeongwisan was dosed. From the syndrome differentiation with four diagnostic methods, we diagnosed the symptoms as Poong yoel (wind-heat). Then, Hyeongbangpaedocksangamibang was prescribed to get very effective results.