경막외에 침범한 과립구성 육종 1예

최완영,김인순,최일영,정태준,이영열,고영혜,김남규 대한내과학회 1992 대한내과학회지 Vol.42 No.4

본 저자들은 백혈병으로 진단 받지 않은 환자에서 경막외에 침범하여 척수를 누르고 있고 수술후 방사선 치료로 증상이 좋아진 과립구상 육종을 경험하였기에 이에 보고하는 바이다. Granulocytic sarcoma is an uncommon tumor composed of immature cells of the granulocytic series, occuring in patients with AML and blast crisis of CML. It may rarely precede an acute myelogenous leukemia with an uniformly fetal course. We experienced a case of granulocytic sarcoma of extradural space presenting as spinal cord compression in a 31 years old female with no evidence of leukemia on the bone marrow and periphera1 blood. The tumor was located to the T₁-T₃ having narrowing pole after decompression laminectomy, patient received local irradiation to the residual tumor bed, and being followed at the OPD without evidence of leukemia.

유치와 영구치에서 치과용 접착제의 전단결합강도

최진영,최남기,박영준,최충호,양규호 大韓小兒齒科學會 2007 大韓小兒齒科學會誌 Vol.34 No.4

The objective of this study was to compare the shear bond strengths of five adhesive systems to the enamel and dentin of primary and permanent teeth. Fifty noncarious primary and fifty permanent teeth were collected and stored in an 0.1% thymol solution at room temperature after extraction. The tested adhesives were: Adper Scotchbond Multi-purpose Plus Adhesive (SM) Adper Single bond 2 (SB), Clearfil SE Bond (SE), Adper Prompt L-Pop (PL), G-Bond (GB). For the shear bonding test, the labial and lingual surfaces of primary and permanent teeth were used. To obtain a flat surface, the labial and lingual surfaces of the teeth were sanded on SiO₂with number 600 grit and then divided into 20 groups of 10 surfaces each. All samples were theromocycled in water 5℃ and 55℃ for 1000 cycles. The results were as follows: 1. For primary enamel, shear bond strengths of SM and SB were significantly higher than that of SE and also SM, SB, and PL were higher than GB(p<0.05). 2. For primary dentin, there were no significant differences among the shear bond strengths of any other bonding systems except differnece between SE and GB. 3. For permanent enamel, SB showed significantly higher mean shear bond strength than those of any other bonding systems(p<0.05). 4. For permanent dentin, SM showed significantly higher mean shear bond strength than that of PL and GB(p<0.05). 5. Between the primary enamel and dentin, there were significant differences in SM, SB, and GB, whereas there was statistically significant difference in PL between the permanent enamel and dentin(p<0.05). 6. Between the primary and permanent teeth on enamel, there were no significant differences among all bonding systems, whereas there were statistically significant differences in SM and SB between the primary and permanent teeth on dentin(p<0.05). 본 연구에서는 최근에 개발된 치과용 접착제를 대상으로 유치와 영구치의 법랑질과 상아질에 대한 결합력을 비교 평가하여 입상에서 상아질 접착제를 적절하게 선택하는데 도움을 주고자 시행하였다. 실험재료로 Adper Scotchbond Multi-purpose Plus Adhesive (SM; 3M ESPE,USA),Adper Single bond 2 (SB; 3M ESPE,USA),Clearfil SE Bond (SE; Kuraray Medical Inc.,Japan),Adper Prompt L-Pop (PL; 3M ESPE,USA),G-Bond (GB:GC Cooperation Toyko,Japan)를 이용하여 전단결합강도를 평가하여 다음과 같은 결과를 얻었다. 1. 유치 법랑질에서 전단결합강도는 SM이 28.47±7.93 MPa로 가장 높았고 SB (28.18±6.84),PL (24.02± 6.14),SE (21.70±6.56),GB (17.70±6.68) 순이었다. SM과 SB는 SE보다 통계적으로 유의하게 높은 결합 강도를 보였으며,SM,SB,PL은 GB보다 높았다(p<0.05). 2. 유치 상아질에서 전단결합강도는 SE가 28.72±14.44MPa로 가장 높았고,PL (20.10±6.13),SM 07.72± 10.65),SB (15.48±2.66),GB (10.10±5.45) 순이었으며 SE와 GB간 에는 유의한 차이가 있었으나,다른 군 들 간에는 유의한 차이가 없었다. 3. 영구치 법랑질에서의 전단결합강도는 SB가 28.36±5.68 MPa로 가장 높았고 SM (22.77±4.63), PL(22.05 士6.57),SE (21.74±4.62),GB (15.60±6.75)순이었다. SB는 다른 접착제보다 통계적으로 유의하게 높은 결합력을 나타냈으며,GB는 가장 낮은 결합력을 보였다(p(0.05). 4. 영구치 상아질에서의 전단결합강도는 SM이 28.22±5.56 MPa로 가장 높았고,SB (21.68±7.44),SE (20.13 ±9.88),GB (14.30±6.81),PL (14.18±5.88)순이었으며,SM은 PL,GB와 유의한 차이가 있었다(p<0.05). 5. 유치의 법랑질과 상아질 간에는 SM,SB,GB에서 유의한 차이가 있었고,영구치 법랑질과 상아질 간에는 PL에서 유의한 차이가 있었다(p<0.05). 6. 유치 법랑질과 영구치 법랑질 간에는 모든 접착제에서 유의한 차이가 없었으나,유치 상아질과 영구치 상아질 간에는 SM과 SB에서 유의한 차이가 있었다(p<0.05).

색소성 광선각화증에서 발생한 색소성 편평세포담종 - 1예 보고-

최현주,박경신,강석진,최영진,김병기,김선무,심상인 대한병리학회 1998 Journal of Pathology and Translational Medicine Vol.32 No.1

The Withdrawals Tax

Patrick R. Colabella,Richard J. Coppinger,Yeong Choi 한국세무학회 2006 세무학 연구 Vol.23 No.4

Patrick R Colabella*Richard J Coppinger**Yeong Choi***

8년간(1992~1999) 산업안전보건연구원에 의뢰된 직업병 심의 사례 분석

강성규,김규상,김양호,최정근,안연순,진영우,최병순,양정선,김은아,채창호,최용휴,김대성,박정선,정호근 대한산업의학회 2000 대한직업환경의학회지 Vol.12 No.2

Objectives : Pneumoconisis and noise-induced hearing loss (NIHL) have been reported as main occupational diseases by the Special Health Examination. The Industrial Accident Compensation Insurance has reported various work-related diseases, however, these two diseases occupied almost a half of compensated cases. Therefore, it was not well known about the status of occupational diseases other than pneumoconiosis, NIHL, and cardio-cerebrovascular accident (CVA). This study was conducted to analyze claimed cases as an occupational disease, that was requested to the Korea Industrial Safety and Health Agency (KOSHA). Methods : The local office of the Korea Labor Welfare Corporation (KLWC) has asked the KOSHA for confirmation of claimed cases as an occupational disease. We analyzed 379 cases requested from KLWC, the Ministry of Labor, employers, unions and occupational health agencies from 1992 to 1999. Results : Male was 80.7 % of the requested cases. Their mean age was 42 years old and 75.5 % of them were more than 35 years old. The requested cases were increased rapidly from 25 cases in 1992 to 108 cases in 1999 and the accept rate was 50.7 %. The majority of requested cases were respiratory diseases(22.4%), cancers(18.5%), Neuropsychiatric problems(14.5%), and musculoskeletal problems(13.5%). The accept rate was high in reproductive, respiratory, musculoskeletal and digestive disorders and low in neuropsychiatric, renal and otologic problems and occupational cancers. 73.6% of them were caused by chemical agents, especially 28.5 % were by organic solvents. 67% of them were clinically confirmed at university hospitals. A half of the cases were from KyongIn area, even the request came from the whole country. Conclusions : A claim was common in workers whose age was over 35 years old and exposure history was over 10 years. The respiratory diseases and neuropsychiatric disorders were still main problems in occupational health and occupational cancers was increasing even though its accept rate was not high yet.

매복된 중절치의 재식

최수미,이긍호,최영철,박재홍 大韓小兒齒科學會 2005 大韓小兒齒科學會誌 Vol.32 No.4

매복치는 인접치의 이동 및 치근흡수, 악궁의 공간상실, 치성낭종 형성, 부분맹출에 의한 감염, 전위맹출 등 여러 가지 합병증을 유발할 수 있다. 이를 방지하기 위해 매복치의 발육상태,모양,매복된 위치나 각도에 따라 발치, 외과적 노출 및 교정적 견인, 재위치 및 치아이식 등을 시행할 수 있다. 본 증례는 상악 좌측 중절치의 맹출장애를 주소로 본과에 내원한 환아로, 내원 당시 상악 좌측 중절치는 치조골 내에서 정상적인 맹출 경로를 이탈하여 역위 매복되어 있었다. 역위된 정도를 고려했을 때 외과적 견인 및 노출을 이용한 교정적 처치를 수행하기 보다는 재식시키는 것이 바람직할 것으로 판단하였다. 치아를 발거하여 치근 부위의 치낭이 건점함을 확인하고 정상적인 치조와 내로 재식한 후 resin-wire splint로 1주일간 고정하였다. 치아의 생활력이 건전하고 치근형성이 미약하여 치수에 대한 처치는 하지 않았으며 그 후 일년 동안 주기적인 관찰을 시행하여 치근의 성장이 양호함을 확인하였다. 매복된 영구치의 매복된 위치나 각도가 정사 범주에서 지나치게 벗어나 예후가 불확실하더라도 무조건 발치하기보다는 환자와 보호자의 심리적인 면, 저작기능, 심미성 등을 고려하여 더욱 보존적인 시술을 하는 것이 바람직할 것이다. Delayed eruption of a maxillary incisor results in midline shift, the space occupied by adjacent teeth and different levels of alveolar height. Extraction or surgical/orthodontic therapy is the most common treatment for a impacted maxillary incisor. Surgical repositioning provides another option for treatment of this problem. The advantages of this approach include immediate esthetic improvement, use of a single and simplified surgical procedure, simple and short orthodontic therapy, a normal gingival margin and the possibility of the developing root adapting to the new position. Autotransplantation of an immature tooth provides for possible adaptation of the developing root apex to the new position. A root whith an open apex has good chance of pulp revascularization after transplantation.

校內獎學 活性化 方案

최옥이 인간교육자원경영학회 2004 人間敎育硏究 Vol.11 No.1

In the age of educational information accompanied with the introduction of new learning paradigm, the role of teacher is changing from that of a conductor to the similar one of a gardener. It is widely requested to perceive a qualified teacher as the one who can provide proper guidance to students in need. Such perception should be applied to the autonomous in-school learning promotion activities, as had been to teaching activities so far. It is evident that provisions, data and conditions should be provided for teachers to acquire and utilize information well-met for their needs in the age of educational information and to engage exclusively in teaching, free from the conventional directive way of educational promotion. Vice school masters, among others, seem to be in the position to have firm understanding to and concern about the school information education and, by thus, to contribute positively to achieving the national goal of school information. In this context, the aim of this study is to find a new paradigm for in-school promotion of education based on IT by analyzing the anticipation of teachers toward vice school masters in terms of educational information, so that vice school masters, on the one side, can have clear sight on the given tasks and teachers, on the other, can be wholly involved in self-training to map out the direction of teaching with focus on the on-line guidance suitable to the educational information era.

잎담배 생산농가의 경작규모별 곁순방제 소요노동력 조사

최상진,김영신,이학수,석영선 충북대학교 연초연구소 2004 煙草硏究 Vol.19 No.-

This study was carried out to decect efficient method of sucker control classifed by cultivation hectarage per farm in 57 farms selected in the main producing districts of flue-cured and burley tobacco. In topping, it was no difference of working hours by cultivation hectarage per farm in flue-cured and burley tobacco. Suckering was the best in working hours among working type, and the more cultivation hectarage per farm was small, the more working hours of topping, suckering and application of suckercide was increased. Application of system suckercide shows a decrease as compared with application of contact suckercide but the decrease of working hours in application of contact suckercide by cultivation hectarage per farm was larger than in system suckercide. 경작면적별 효율적인 곁순억제방법을 알아보고자 황색종 및 버어리종 주산지에서 57개 경작농가를 선정하여 조사한 결과를 요약하면 다음과 같다. 1. 적심작업의 경우 황색종과 버어리종 모두 경작면적에 의한 노력소요량의 차이는 없었다. 2. 곁순제거작업은 다른 작업에 비해 노력소요량이 가장 많았고, 경작면적이 작을수록 노력소요량이 증가하였다. 3. 황색종과 버어리종 모두 침투성 곁순억제살포작업에 비해 접촉성 약제살포작업에서 노력소요량이 많았으나 경작면적이 큰 경우 접촉성 약제 살포작업 노력소요량 감소폭이 침투성 곁순억제제 살포작업에 대한 노력소요량 감소폭보다 컸다. 4. 각 작업에 대하여 농가간 최저 및 최고 노력소요량 차이가 큰 것으로 나타나 조사방법과 시기를 보완하여 보다 체계적이고 세밀한 조사가 추가적으로 이루어져야 할 필요가 있다.

미맹출 영구치 폭경예측방법의 정확도에 관한 비교연구

최영철,이은영 大韓小兒齒科學會 1996 大韓小兒齒科學會誌 Vol.23 No.4

The purpose of this study was to determine the accuracy of the prediction methods which are frequently used in the clinic, such as Moyers', Tanaka and Johnston's, Song's Hixon and Oldfather's, Kaplan's, Smith's, These prediction methods were compared to the data, which were obtained from 100 Kyung-Hee University students (50 males and 50 females) with normal occlusion of permanent dentition, using a retrospective statistical analysis. The standard periapical radiopgraphs for the lower premolars using 16-inch long cone technique and the yellow stone dental casts were taken from each samples. The mesiodistal widths of 4 incisors,canine, premolrswere measured on the dental casts, and those of premolars were measured on the radiopgraphs. The correlation coefficients, paired samples t-tests, regression coefficients between the actual measuredments of the samples and the predicted measurements of each methods were analyzed. The results obtained were as follows: 1. The prediction methods using periapical radiographs tended to show a stronger correlation than the methods using dental casts; the correlation coefficients between the actual widths of the lower canine and premolars and the predicted widths of the tested methods were higher in Smith, Kaplan, Hixon & Oldfater, and Tanaka & Johnston (p<0.001). 2. The Moyers' probability chart at 65% showed a tendency toward the least difference between the actual measurements and the predicted widths of the lower canine and the premolars, and the methods of Smith, Kaplan, Tanaka & Johnston also showed a less difference. 3. By means of evaluation in correlation coefficients and paired smaples t-tests, the Smith and Tanaka & Johnston in male, and the Moyers' 65% and Song in female showed a high tendency toward accurate methods. 4. The regression equations by models that are derived from the study were as follows. Male(Lt.) : Y=10.799+0.475X Femle(Lt.) : Y=7.427+0.6.9X (Rt.) : Y=11.043+0.462X (Rt.) : Y=8.475+0.556X 5. The regression equations by radiographs that are dericed from the study were as follows: Male(Lt.) : Y=6.561+0.9720X Femle(Lt.) : Y=4.8656+1.0632X (Rt.) : Y=7.8610+0.9060X (Rt.) : Y=4.5483+1.0843X

도시화로 인한 유출특성에 관한연구

최윤영,이영화 경산대학교(대구한의과대학) 1998 環境硏究 Vol.3 No.1

This study is carried out the analysis for the transformation of an overland runoff in urban areas with the progress of urbanization, Urbanization concerned with the concentration of population. activity and expanding the urban area changes a natural environment, and human activity in urban area causes the appearance of a new hydrologic cycle system. This studies defined the concept of urban environment and the role of rivers and investigates the change of natural environment caused by the civilization of urban area, the change of recharge from a surface flow for the fluxing characteristics in urban river, and the flux for suggesting the organization system of a surface flow in urban river. From the analysis of the rainfall-runoff processes in small urban area with the progress of urbanization, the following conclusions is obtained, It is found in the result of calculated geographical parameter that concentration time is quickened by 20-25 minutes rather than the urbanization before. Also, in the analysis of the peak rate of runoff, the peak discharge rise by 6% than the urbanization before.