서울대학교치과병원 소아치과를 내원한 교정환자의 분포양상에 대한 연구

구용한,현홍근,김정욱,장기택,이상훈,한세현,김종철 大韓小兒齒科學會 2009 大韓小兒齒科學會誌 Vol.36 No.4

과거에 비해 소아 및 청소년기에 교정치료를 시작하는 경우가 증가하고 있으며 따라서 소아치과에서 교정치료가 차지하는 비율 역시 증가하는 추세이다. 이러한 변화에 맞추어 소아치과에 내원하는 교정환자의 분포 양상을 파악하기 위하여 본 연구를 시행하였다. 2006년 1월부터 2008년 12월까지 서울대학교 치과병원 소아치과를 내원한 환자 중 교정 진단 받은 792명을 대상으로 조사를 진행하였으며 다음과 같은 결과를 얻었다. 1. 교정 진단을 받은 환자의 연령 분포는 8세가 22%로 가장 많았고 7세(19%), 9세(16%) 순서로 나타났다. 2. 골격 분포는 골격성 1급 부정교합이 52%로 가장 많았고 3급(29%), 2급(19%)순서로 나타났으며 연령이 낮은 경우 3급 부정교합 환자의 비율이 높은 경향을 보였다. 3. 총 792명의 환자 중 28%인 218명에서 전치부 반대교합을 보였으며 연령이 낮은 경우 그 비율이 높은 경향을 보였다. Distribution of orthodontic patients in pediatric dental clinics has increased recently. So it is worth to study about the present status of orthodontic patients in pediatric dental clinics. The purpose of this study was to recognize the characteristics and orthodontic patterns of orthodontic patients in pediatric dental clinics. The material consisted of distribution and orthodontic analysis records of 792 new patients in the department of pediatric dentistry, Seoul National University Dental Hospital, from 2006 to 2008. Results were as follows 1. In age distribution, 8-year-olds group comprised 22%, 7-year-olds 19%, 9-year-olds 16%, 10-year olds 15%, 11-year-olds 11%, and other age groups comprised 18%. 2. In skeletal patterns, skeletal class Ⅰ patients comprised 52%, class Ⅱ 29%, and class Ⅲ 19%. 3. In vertical facial types mesofacial comprised 41%, brachyfacial 35%, and dolichofacial 24%. 4. Out of 792 patients 218 patients(28%) showed anterior cross-bite, and the occurrence ratio of anterior cross-bite increased as the age decreased.

예방적 레진수복의 미세누출에 관한 연구

구현정,이상훈,한세현 대한소아치과학회 2001 大韓小兒齒科學會誌 Vol.28 No.3

예방적 레진수복은 교합면 열구전색의 개념을 확대하여 초기우식에만 국한한 와동을 형성하여 복합레진으로 충전한 후 나머지 건전한 부위의 소와열구를 치면열구전색재로 도포하는 것이다. 충전제가 첨가된 치면열구전색재로서 작은 와동의 수복도 가능하다는 새로운 방법은 소아환자의 치료시 술자와 환자 모두에게 도움을 줄 수 있을 것이다 그러나 예방적 레진수복을 시행하여 비교한 연구가 아직까지는 부족한 실정이다. 이에 저자들은 4가지 방법의 예방적 레진수복시의 미세누출을 비교해보고자 하였으며 레진수복만을 한 경우도 함께 비교하여 보았다. 55개의 상, 하악 소구치를 준비하여 I급와동을 교합면에 형성하고 다음과 같이 수복하였다. 제 1군 . 와동을 복합레진(Z-100)으로 수복 제2군 : 와동을 복합레진(Z-100)으로 수복 중합후. 비충전 전색재인 Teethmate F-1으로 소와열구도포 제3군 : 와동을 복합레진(Z-100)으로 수복 중합후, 충전 전색재인 Ultraseal XT-plus로 소와열구도포 제4군 : 와동과 소와열구를 한 번에 Ultraseal XT-plus로 수복 제5군 : 와동과 소와열구를 나누어 Ultraseal XT-plus로 수복 위와 같이 처리한 치아를 5℃와 55℃의 수조에 번갈아 30초씩 500회의 열순환을 실시하고 1% methylene blue용액에 24시간 담근 후 수세하고 투명레진에 매몰하였다. 매몰된 치아를 협설측으로 치아장축방향으로 평행하게 절단한 후 입체현미경으로 염색용액의 침투정도를 관찰하여 다음의 결과를 얻었다. 1. 평균 미세누출은 4군에서 가장 높았고, 3군에서 가장 낮았다. 평균 미세누출은 4>1>5>2>3군의 순으로 감소하였다. 2. 군간의 미세누출 비교에서 1군은 5군과는 통계학적으로 유의한 차이가 없었으나, 2군 3군보다 유의하게 높은 미세누출을 보였고(p<0.05), 4군보다는 유의하게 낮은 미세누출을 보였다(p<0.05). 3. 2군은 3군과는 통계학적으로 유의한 차이가 없었으나 4군. 5군보다는 유의하게 낮은 미세누출을 보였다(p<0.05). 4. 3군은 4.5군보다 통계학적으로 유의하게 낮은 미세누출을 보였다(p<0.05). 5. 5군은 4군보다 통계학적으로 유의하게 낮은 미세누출을 보였다(p<0.05). of as follows. Cavity preparation is limited to areas of initial caries. The cavity is then restored with composite resin, while other sound pits and fissures are sealed with pit and fissure sealant. If pit and fissure sealant with which microrestoration is possible is used, it may be of great benefit to both pa-tient and operactor in case of difficult-to-control children's treatment. However, study on preventive resin restoration using this kind of materials have been scarce. Preventive resin restoration, extended concept of occlusal pit and fissure sealing, is procedure composed The purpose of this study was to compare the microleakage of four different modes of preventive resin restoration . Restoration using only composite resin was compared together. Fifty-five bicuspids were prepared with small class I cavity preparation on the occlusal surface, divided into the following groups and restored accordingly. Group 1 : Cavity was restored with Z-100 composite resin. Group 2 : Cavity was restored with Z-100 composite resin. Pits and fissures were then sealed with Teethmate F-1. Group 3 : Cavity was restored with Z-100 composite resin. Pits and fissures were then sealed with Ultraseal XT-plus. Group 4 : Cavity and pits and fissures were restored with Ultraseal XT-plus altogether. Group 5 : Cavity was restored with Ultraseal XT-plus . Pits and fissures were then sealed with the same material . After restoration. the samples were thermocycled 500 times between 5℃ and 55℃ with a dwell time of 30 seconds. After thermocycling, the samples were dipped into 1% methylene blue solution for 24 hours, then rinsed with tap water. The teeth were then embedded in resin and cut buccolingually along the tooth axis and observed with a stereomicroscope to determine the degree of microleakage The results were as follows : 1 Group 4 showed the greatest microleakage, while group 3, showed the least. The mean microleakage decreased in the following order: 4>1>5>2>3. 2. There was no statistically significant difference between group 1 and group 5(p>0.05). However. group 1 showed significantly greater microleakage compared to group 2 and 3(p<0.05). Group 1 showed significantly less microleakage compared to group 4(p<0.05). 3. Group 2 showed no statistically significant difference compared to group 3(p>0.05). However, group 2 showed significantly less microleakage compared to group 4 and 5(p<0.05). 4. Group 3 showed significantly less microleakage compared to group 4 and 5(p<0.05) . 5.Group 5 showed significantly less microleakage than group 4(p<0.05).

수직적 안모형태와 치아성숙도의 상관관계에 대한 연구

구용한,현홍근,김정욱,장기택,이상훈,한세현,김종철 大韓小兒齒科學會 2010 大韓小兒齒科學會誌 Vol.37 No.1

본 연구는 수직적 안모형태와 치아성숙도의 관계를 평가하고 이러한 연관성에 대한 사춘기 성장의 영향을 평가하기 위한 것이다. 이번 연구를 위해 7세에서 9세, 13세에서 15세 환자 1306명을 Ricketts의 VERT index를 이용하여 수직적 안모 형태를 분류하였고 환자들의 치령을 Demirjian법으로 평가하여 다음과 같은 결과를 얻었다. 1. 모든 군에서 치령이 역령과 비교 시 통계적으로 유의한 수준에서 크게 측정되었다. 2. 사춘기 연령군에서 brachyfacial type의 경우가 dolichofacial type 보다 치아성숙도가 크게 나타나는 경향을 보였다. 여성의 경우는 통계적으로 유의성있게 차이가 나타났으며, 남성의 경우는 통계적 유의성은 보이지 않았다. 3. Brachyfacial type의 경우 사춘기전 군들과 비교 시 사춘기 군들에서 치아성숙도가 유의성있게 높게 나타났으며, dolichofacial type의 경우는 연령층간 치아성숙도의 차이를 보이지 않았다. The purpose of this investigation was to study the relationship between vertical facial pattern and dental maturation in children in pubertal and pre-pubertal periods. The material consisted of lateral head films and panoramic radiographs of 1306 patients. The subjects were selected according to Ricketts's VERT index and other including criteria. These subjects were divided by VERT index to brachyfacial group and dolichofacial group. In each selected subject, dental age was determined according to Demirjian's dental maturity score. All subjects were distributed according to age, vertical facial type and sex, mean and standard deviation of chronological age, dental age and age difference were determined in each group. And the data were analysed to find the difference of tooth maturation by facial pattern. Findings of this study include: 1. In all groups, dental age was determined higher than chronological age in statistically significant level. 2. Compared by vertical facial pattern, in pubertal age groups, it seems that subjects with brachyfacial type presented the tendency to have an advanced dental maturation, only in female group. 3. Compared by pubertal period, brachyfacial groups presented more advanced dental maturation in pubertal groups than pre-pubertal groups.

대구지역의 국지적 대기순환풍의 환기경로에 관한 수치모의 실험

구현숙,김해동,강성대 한국환경과학회 2004 한국환경과학회지 Vol.13 No.4

In urban area, thermal pollution associated with heat island phenomena is generally regarded to make urban life uncomfortable. To overcome this urban thermal pollution problem, urban planning with consideration of urban climate, represented by the concept of urban ventilation lane, is widely practiced in many countries. In this study, the prevailing wind ventilation lane of a local winds in Daegu during the warm climate season was investigated by using surface wind data and RAMS(Reasonal Atmospheric Model System) simulation. The domain of interest is the vicinity of Daegu metropolitan city(about 900 km²) and its horizontal scale is about 30km. The simulations were conducted under the synoptic condition of late spring with the weak gradient wind and mostly clear sky. From the numerical simulations, the following two major conclusions were obtained: (1)The major wind passages of the local circulation wind generated by radiative cooling over the mountains(Mt. Palgong and Mt. Ap) are found. The winds blow down along the valley axis over the eastern part of the Daegu area as a gravity flow during nighttime. (2)After that time, the winds blow toward the western part of Daegu through the city center. As the result, the higher temperature region appears over the western part of Daegu metropolitan area.

MWPECVD法에 의한 H₂-CH₄-O₂계로 부터의 Diamond合成

구효근,이임숙,박상현 경남대학교 신소재연구소 1995 論文集 Vol.5 No.-

마이크로파 플라즈마 기상합성법으로 CH₄-H₂-O₂의 혼합가스로부터 실리콘 기판 위에 다이아몬드 박막을 성장시켰다. 가스 조성비에 따른 박막과 입자의 표면형태, 성정율 및 막의 질을 SEM, XRD 및 Raman 분광기로 조사하였다. 그 결과 CH₄-H₂화합가스에 산소를 첨가함에 따라 어떤 조건하에서는 막의 질과 성장률이 증가하였다. Diamond thin films deposited on Si substrate from CH₄-H₂-O₂gas mixtures were investigated by microwave plasma chemical vapour deposition. The surface morphology of films and particles, the deposition rate and the films quality(SEM. XRD and Raman spectroscopy) were measured as function of gas composition. The results demonstrate that the addition of oxygen to CH₄-H₂gas mixtures can under certain conditions improve the film quality and increase the deposition rate.

표재성 방광 이행상피세포암에 있어서 방광내 항암제주입요법 밀 면역요법

설종구,신보현,하용원,김윤종,노안식,손성용 충남대학교 의과대학 지역사회의학연구소 1999 충남의대잡지 Vol.26 No.2

Intravesical chemotherapy and immunotherapy will commonly eradicate residual papillary transitional cell carcinoma or carcinoma in situ(CIS) and clearly reduce the short-term incidence and rate of tumor recurrence. So I reviewed the effects and complications of different therapeutic agents(thiotepa, mitomycin-C, epirubicin, adriamycin, bacillus Cal mette-Cue'rin(BCG)) in superficial bladder cancer confirmed with histopathology, with the literatures. Bladder cancer were recurred more commonly in multiple tumors(50.6-56.3%), high grade tumors(52.6%) rather than in single(30.9%) and low grade(31.6%). And recurrence rates according to therapeutic agents were 83.3% in mitomycin-C, 71.4% in thiotepa, 50.0% in epirubicin, 46.6% in adriamycin and 32.6% in BCG. But incidence of complications were highest in BCG(50.5%). So sufficient preventive manuevers should be needed before intravesical theraphy, especially in BCG immunotherapy.

통계적 방법을 이용한 오존 형성의 예측

여영구,손상현,오세천 漢陽大學校 環境工學硏究所 1999 環境科學論文集 Vol.20 No.-

통계적 방법을 이용하여 오존 형성의 예측에 관한 연구를 수행하였다. 통계적 방법으로는 파라미터 평가 방법과 인공신경 회로망 방법이 적용되었다. 파라미터 평가 방법에는 실시간 파라미터를 평가하기 위하여 ELS 및 RML 방법이 사용되었으며 오존 형성의 모델로는 ARMAX 모델을 사용하였다. 또한 3층 구조를 갖는 인공신경 회로망 방법을 이용하여 오존 형성의 예측 시험을 수행하였으며 본 연구에 사용된 통계적 방법의 성능을 평가하기 위하여 오존 형성의 예측결과를 실제자료와 비교 분석을 하였다. 실제 자료와의 비교를 통하여 파라미터 평가 방법 및 인공신경 회로망 방법에 근거한 예측방법이 제한된 예측 구간 내에서 만족할 만한 성능을 보임을 확인할 수 있었다. The prediction of ozone formation was studied using the stochastic method, Parameter estimation method and artificial neural network(ANN) method were employed in the stochastic scheme. In the parameter estimation method, extended least squares(ELS) method and recursive maximum likelihood(RML) were used to achieve the real time parameter estimation. Autoregressive moving average model with external input(ARMAX)was used as the ozone formation model for the parameter estimation method, ANN with 3 layers was also tested to predict the ozone formation. To demonstrate the performance of the ozone formation prediction schemes used in this work, the prediction results of ozone formation were compared to the real data. From the comparison it was found that the prediction schemes based on the parameter estimation method and ANN method show an acceptable accuracy with limited prediction horizon.

심근 경색증을 동반한 좌측 단일 관상동맥 1례

김성구,온영근,현민수,권영주 순천향의학연구소 2004 Journal of Soonchunhyang Medical Science Vol.10 No.2

Anomalous origin of the right coronary artery is uncommon in patient undergoing coronary angiography. Especially single coronary artery is a rare congenital anomaly. Most coronary anomalies did not result in signs, symptoms, or complications, and usually were discovered as incidental finding at the time of coronary angiography. However, some anomalies may be associated with malignant courses such as myocardial infarction, syncope or sudden cardiac death. This report describes a 65-year-old man who had right coronary artery originating from left circumflex artery with unusual type of isolated single coronary artery and myocardial infarction.

가토에 있어서 편측 요관 폐색시 환측, 반대측 요관에 대한 변화 : 조직학적 소견을 중심으로

설종구,김용웅,육승모,노안식,김홍식,김상현,이충식 충남대학교 의과대학 의학연구소 2003 충남의대잡지 Vol.30 No.1

This study was designed to clarify histological changes in the experimental rabbit ureter after unilateral prartial or complete ureteral obstruction. A total of 20 adult white rabbits were divided into 4 subgroups in the partial obstruction followed by 2 weeks, partial obstruction followed by 4 weeks, complete obstruction followed by 2 weeks, complete obstruction followed by 4 weeks. The normal control group consisted of 5 adult white rabbits. The H & E stain. light microscopy were used. Abnormal histological fingings were showed in ipsilateral ureter of all subgroups; dilatation of ureter, epithelial cell atrophy or loss, interstitial fibrosis, interstitial inflammation. These findings were most severe in the complete-obstructed ureter for 4 weeks. There were no significant changes in contralateral ureter of all subgroups. Despite of progressive histological changes in ipsilateral ureter no abnormal findings were showed in contralateral ureter. We suggest that long term experimental investigation for histological changes in ipsilateral ureter and compensatory changes in contralateral ureter should be done.

첫번째 뇌졸중 환자에서 무증상 뇌경색 : 뇌자기공명영상 소견과 위험인자 MRI Findings and Stroke Risk Factors

윤신구,방차옥,성기범,박형국,신현길 대한신경과학회 1996 대한신경과학회지 Vol.14 No.1