Bisphosphonates induced osteonecrosis of the jaw의 기전, 예방, 위험 평가 및 치료 방법

박정철,정의원,김창성,조규성,채중규,김종관,최성호,Park, Jung-Chul,Jung, Ui-Won,Kim, Chang-Sung,Cho, Kyoo-Sung,Chai, Jung-Kiu,Kim, Chong-Kwan,Choi, Seong-Ho 대한치주과학회 2009 Journal of Periodontal & Implant Science Vol.39 No.1

Purpose: Bisphosphonates are drugs used to suppress osteoclastic activity and to treat osteoporosis, Paget's disease of bone and bone metastasis. The purpose of this report is to review the literatures on bisphosphonates use that could affect bone healing and cause osteonecrosis of the jaws. Materials and methods: Medline research was carried out to find relevant articles on bisphosphonates and osteonecrosis of the jaw. Results: Oral administration of bisphosphonates is reported to decrease the risk of adverse bone outcomes. On the contrary, IV bisphosphonates is known to significantly increase the risk. Prevention of the osteonecrosis of the jaw is primary concern before usage. If the adverse bone reaction takes place, proper management and treatments are required to alleviate pain of patients and prevent further progression of necrosis. Conclusion: Case reports of bisphosphonates induced osteonecrosis of the jaw are increasing. Dentists and physicians should be aware of the higher frequency of osteonecrosis of the jaw in patients receiving IV bisphosphonates and be prepared to prevent and cope with adverse bone reaction.

백악질 열리의 임상 증례

박정철,백도영,김창성,조규성,채중규,김종관,최성호,Park, Jung-Chul,Baek, Do-Young,Kim, Chang-Sung,Cho, Kyoo-Sung,Chai, Jung-Kiu,Kim, Chong-Kwan,Choi, Seong-Ho 대한치주과학회 2008 Journal of Periodontal & Implant Science Vol.38 No.3

Purpose: Cemental tear is an uncommon form of root fracture that can lead to rapid localized attachment loss. When it is exposed in the periodontal pocket, it should be removed to prevent accumulation of dental plaque and calculus. Material and Methods: 2 patients were diagnosed as a cemental tear and they were treated with conventional flap operation and subgingival curettage. Additional treatments such as bone graft or guided tissue regeneration were not performed. Result: Symptoms subsided after the treatment. Periodontal pocket has been reduced but no gain of clinical attachment was observed. Remnant of cemental fragment remained after curettage. However, periodontal pocket was stably maintained and there was no recurrence. Conclusion: Periodontal attachment loss associated with cemental tear can be successfully treated with conventional periodontal surgical and nonsurgical procedures.

체질처방 및 오행침 치료로 호전된 혈청 음성 류마티스 관절염 환자의 증례보고 3례

박정철,송윤경,임형호,Park, Jung-Chul,Song, Yun-Kyung,Lim, Hyung-Ho 척추신경추나의학회 2010 척추신경추나의학회지 Vol.5 No.1

본 증례의 환자들은 수지관절 및 완관절 등에 통증을 주소로 하는 환자들로 침치료 및 한약물 치료로 유의한 호전을 보였기에 이를 보고하는 바이다. Objectives: This study is to report three cases those have an meaning for rheumatoid arthritis treatment by oriental medicine. In this case rheumatoid arthritis patients have phalangeal and carpal joints disorder mainly. Methods: These patients were treated by acupuncture and herb medication. Results: After treatment, the conditions of patients were improved with oriental medicine, so in two cases rheumatoid arthritis disappeared, but in one case rheumatoid arthritis not appeared. Conclusions: These results suggested that oriental medical treatment was effective to improve the condition of rheumatoid arthritis patients.

인성교육 방안으로서 내러티브를 활용한 PCK 음악수업의 실제

박정철 ( Park Jung-Chul ) 국제뇌교육종합대학원 인성교육연구원 2018 인성교육연구 Vol.3 No.1

음악감상수업에 있어 내러티브를 활용한 수업은 굉장히 중요하다. 교실에서의 수업은 교사의 내용교수지식에 근거하여 다양한 경험의 틀을 학생들에게 제공하기 때문에 이러한 수업은 교사 자신이 가지고 있는 내러티브적 요소에 근거하고 있다. 교사가 수업을 진행할 때 학습자는 단순히 교사의 지식을 전달받거나 질문하는 것이 아니다. 교사 역시 학생들에게 지식적 사고를 전달하는데 그치는 것이 아닌 지식을 구조화하여 전달하는 것이 중요하다. 이러한 교사와 학생간의 지식의 순환은 당연히 사전적 지식을 동반하게 되고 지식을 구조화하여 교사와 학생간의 다양한 순환적 모형에 근거하여 이루어지게 된다. 이때 가장 유용하게 사용되는 것이 교사와 학생간의 내러티브적 순환 구조라고 할 수 있다. 여기서는 음악수업에 있어서 교사의 내러티브적 요소를 살펴보고 일반적 수업과정에 내러티브가 어떻게 절차에 맞게 활용되는지 수업사례를 예로 들어 알아보고자 한다. 또한 감상 수업에 있어 다양한 내러티브적 요소가 활용되는 상황을 들어 인성교육 방법 제시하고자 하였다. The use of narrative in music appreciation learning is very important. Because classroom lessons provide students with a variety of experience frameworks based on teacher content knowledge, these classes are based on the narrative elements of the teacher. When a teacher is in class, the learner is not simply receiving or asking the teacher's knowledge. It is also important for teachers to structure and communicate knowledge, not just to convey knowledge to students. This circulation of knowledge between teachers and students is naturally accompanied by prior knowledge, structured knowledge, and based on various cyclical models between teachers and students. The most useful thing is the narrative circulation structure between teacher and student. In this section, we examine the narrative elements of teachers in music lessons and try to find out how the narrative is used according to the procedure in the general class. In addition, we tried to apply the teaching - learning model to situations where various narrative elements are used in appreciation classes.

白朮이 생쥐의 기아 Stress에 미치는 影響

박정철(Jung-Chul Park),송윤경(Yun-Kyung Song),임형호(Hyung-Ho Lim) 대한한의학회 2004 대한한의학회지 Vol.25 No.3

Human immunodeficiency virus 감염과 치주 질환의 상관관계, 진단 및 처치에 관한 문헌 고찰

박정철(Jung-Chul Park),엄유정(Yoo-Jung Um),정의원(Ui-Won Jung),김창성(Chang-Sung Kim),조규성(Kyoo-Sung Cho),채중규(Jung-Kiu Chai),김종관(Chong-Kwan Kim),최성호(Seong-Ho Choi) 대한치과의사협회 2009 대한치과의사협회지 Vol.47 No.8

Purpose: Infection with HIV-1 virus has become a critical worldwide public health problem. The oral complications of HIV infection with its progression of Impairment of the host response to combat infection present unique challenges to the periodontists. Material and Methods : Medline research was carried out to find relationship of the progression of HIV infection to the occurrence of oral lesions including the HIV-related periodontal diseases. Results; The linear gingival erythema, necrotizing ulcerative periodontitis, necrotizing ulcerative gingivitis and oral candidiasis are common lesions in HIV-infected individuals. The linear gingival erythema and necrotizing ulcerative periodontitis lesions in HIV-infected subjects were found to have a similar microbiological profile. There are several general considerations in the periodontal management of the HIV-infected patient with or without periodontal disease. The altered immunity and host response in patients with HIV infection may also affect the incidence and severity of other common forms of periodontal disease not associated with HIV infection. Conclusion: Periodontal diseases in HIV-infected individuals present unique challenges in diagnosis, monitoring, treatment and maintenance. Therefore exact HIV staging, geographic location, antiviral and antimicrobial therapies and oral habits should be taken into consideration when treating HIV-infected patients.

식도이완불능증 환자에서 스쿠알렌 복용 후 발생한 지방성 폐렴

박정철 ( Jung Chul Park ),정치영 ( Chi Young Jung ),이재광 ( Jae Kwang Lee ),이유진 ( Yu Jin Lee ),박승찬 ( Seung Chan Park ),서혜진 ( Hye Jin Seo ),김연재 ( Yeon Jae Kim ),이병기 ( Byung Ki Lee ),허동명 ( Dong Myung Huh ),손경락 대한결핵 및 호흡기학회 2008 Tuberculosis and Respiratory Diseases Vol.65 No.5

Exogenous lipoid pneumonia (ELP) is a chronic inflammatory reaction of the lungs resulting from the aspiration of vegetable, animal or mineral oils. Squalene, is a derivative of shark liver oil that is taken as a traditional remedy in some Asian countries, and is used widely also in cosmetics. Similar to the symptoms in most cases of oil aspiration, the symptoms of squalene-induced lipoid pneumonia are either absent or nonspecific. Hence, the disease is generally detected incidentally. Although many cases with predisposing factors have been reported, ELP with achalasia is quite rare. We report a 47-year old woman with achalasia who developed ELP after ingesting squalene. The patient was treated successfully by supportive care and surgical treatment of the achalasia. (Tuberc Respir Dis 2008;65:421-425)

잔소리졸 함유 껌의 치태 및 치은염 억제 효과

박정철(Jung-chul Park),송지은(Ji-eun Song),권영진(Young-jin Kwon),신용목(Yong-mock Shin),황재관(Jae-kwan Hwang),김종관(Chong-kwan Kim) 대한치과의사협회 2008 대한치과의사협회지 Vol.46 No.5

The purpose of the present study was to determine the effect of a chewing gum containing 70% xylitol and 0.23% Curcuma xanthorrhiza extract to remove dental plaque and reduce gingivitis when used as a supplement to daily toothbrushing for 3 weeks. The study group consisted of 75 adults with moderate gingivitis. Participants were divided into 3 groups(control 1 group - Gum base, control 2 group - 70% Xylitol, experiment group - 70% xylitol and 0.23% xanthorrhizol) and instructed to chew the study gum for 3 times daily for 3 weeks in addition to regular daily toothbrushing. Chewing xylitol/xanthorrhizol gum significantly reduced plaque index with significant difference by week 3(p<0.01). Gingival index and bleeding on probing were decreased in xylitol/Curcuma xanthorrhiza extract group by 35.9% and 31.65% each in the same period. No adverse effects on the oral tissues were observed in any of the participants for the duration of the study. In conclusion, regular use of a chewing gum containing 70% xylitol and 0.23% Curcuma xanthorrhiza extract appears safe and effective for the removal of dental plaque and reduction of gingivitis when used in conjunction with daily toothbrushing KEYWORDS. Xanthorrhizol; Xylitol; chewing gum; plaque; gingivitis

내러티브를 활용한 음악과 PCK 모형 탐색

박정철(Park, Jung-Chul),강현석(Kang, Hyeon-Suk) 학습자중심교과교육학회 2013 학습자중심교과교육연구 Vol.13 No.5

In schooling the most professional and the basic thing is knowledge about curriculum content. PCK is also true of the music curriculum in fostering teacher s professionality. In teaching key concept in the music, teacher s professionality with the right knowledge is important for relating experience to student. However, in the vein of existing class of music, students interest and attention does not lead to transfer of knowledge to the teacher s unilateral conveyance. Teaching a subject is interpreted by way of understanding of curriculum context which teacher s narrative activates. Pedagogical content knowledge is embedded in narrative knowing. Narrative is conceptualized as storytelling, meaning-making, and communication. In this research, elementary music and narrative in the PCK model, utilizing a variety of teacher s experience and knowledge with a narrative, is powerful tool for enhancing student s right understanding. Narrative and the relationship between music and PCK learning model as a basis for professional development of teachers provide students with musical understanding. 오늘날 학교 현장에서 교사들에게 요구되는 가장 전문적이고도 기본적인 지식은 교과 내용과 그 내용을 제대로 가르치는 데에 관련된 지식(PCK)이라는 점에는 이견이 없다. 음악 교과의 PCK의 경우도 마찬가지이다. 음악 수업에서 특정 개념을 지도할 때 그 개념을 학생들이 실질적으로 내면화하도록 제대로 학생들에게 전달하는 것(내용의 변환)이 중요하다. 2000년대 이후 학생들에게 제대로 내용을 가르치기 위한 수단으로 내러티브에 대한 관심이 증가하고 있다. 하지만 이에 대한 심층적인 연구는 부족한 실정이다. 기존 음악과 수업에서 학생들의 흥미나 관심을 유도하지 못하고 단순히 교사의 일방적 지식 전달에 그치는 경우가 종종 있다. 음악적 지식의 내면화가 제대로 이루어지지 못하고 있는 문제를 안고 있다. 이에 본 연구에서는 초등학교 음악과에서 내러티브를 활용한 PCK 모형을 탐색해봄으로써 교사의 다양한 경험 및 지식을 내러티브적으로 구성하여 올바른 이해를 통하여 학생들을 교육 목표에 도달하는데 도움이 되는 방안을 발견하는 데 목적을 두고 있다. 이를 위하여 내러티브와 음악과 PCK의 관계를 살펴보고 관련 모형을 탐색해본다. 이를 통하여 음악교사의 전문성 신장을 위한 근거 를 설정하고 음악교육에서 학생들이 보다 흥미와 관심을 가지고 수업에 참여하여 다양한 경험을 통한 이해를 증진할 수 있는 방안을 마련해보고자 한다.

흡연 환자에서의 치주치료와 임플란트 수술

박정철(Jung-Chul Park),정의원(Ui-Won Jung),조규성(Kyoo-Sung Cho),황지완(Ji-Wan Hwang),최성호(Seong-Ho Choi),김창성(Chang-Sung Kim) 대한치과의사협회 2011 대한치과의사협회지 Vol.49 No.10

Cigarette smoking is a significant risk factor for periodontaldiseases and implant treatments. Smoking control is regarded as a key to the success of dental treatments as well as the well-being of the patients. The aim of this study was to reviewthe effects of smoking on periodontal health, and the results of periodontal therapy and implant treatments. Also, in vitro, microbiological, immunological and epidemiological relationships were studied. In vitro studies show that smoking interferes with normal healing process and increased tissue destruction. There is still controversy on the population of microbes of smokers. Smokers showed significantly less gingival inflammation and bleeding on probing compared with non-smokers. After periodontal treatments, a compromised clinical outcome was noted for smokers in terms of pocket depth reduction and gain in attachment levels. In conclusion, data from in vitro, epidemiological, cross-sectional and case?control studiesstrongly suggest that quitting smoking is beneficial to patients before periodontal and implant treatments.