The diagnosis of coronoid impingement using computed tomography

Baik, Jee-Seon,Huh, Kyung-Hoe,Park, Kwan-Soo,Park, Moo-Soon,Heo, Min-Suk,Lee, Sam-Sun,,Choi, Soon-Chul 대한구강악안면방사선학회 2005 Imaging Science in Dentistry Vol.35 No.4

Coronoid impingement can cause limitation of mouth opening. In many cases, it appears to be related to the coronoid hyperplasia. We present a case of mouth opening limitation caused by coronoid impingement on the posterior surface of the zygomatic bone without coronoid hyperplasia. The bony changes in coronoid and zygoma including surface irregularity and discontinuity of the cortex and sclerotic change of inner medullary space were noted on computed tomography (CT) scans in different level of axial planes. Through another CT scans in open mouth position could demonstrate that those bony changes were caused by the contact of both surfaces against each other. In case coronoid impingement is suspected of the many possible causes, the open mouth CT scans will be needed to reveal the direct impingement of coronoid on zygoma even without coronoid hyperplasia.

成人女性의 心肺機能과 回復方法에 따른 血中乳酸 및 Catecholamine 變化에 關한 硏究

백광현,박수연,박철빈 경희대학교 체육과학연구소 1997 體育學論文集 Vol.25 No.-

The purposes of this study were 1) to investigate the effect of blood lactate disappearance during maximal exercise load and recovery; 2) to deteermine changes of blood lactate concentrations during incremental maximal exercise for the training and non-training groups; 3) to estimate changes of chrdiopulmonary function during exercise and recovery; 4) to analyze changes of plasma epinephrine, and norepinephrine during exercise and recovery. The subjects of this study consist of a total of 16 young adult women with a mean age of 22.1 year (7 basketball athletes and 9 women students) who are following at Physical Education department in S womens universilty. Incremental maximal exercise load test and active recovery (Vo2max40%) and passive recovery after Vo2max 100% were conducted on the treadmill three times at a week interval. 1.The results of this study indicated that with increasing time of exercise during the same intensity of exercises oxygen uptake was significanatly「(P<.05) higher in non-training group than training group. However, oxygen uptake was high in training group(52.34±9.87ml/kg/min) compare to non-training group(46.07±7.01ml/kg/min) at the level of all-out exorcise. 2.Respiratory exchange ratio at 10min absolute maximal exercise load was significantly high(P<.05) in non-training group(0.95 ±0.05) compare to training group(0.90± 0.05). 3.Hear rate at rest, during exercise, and recovery was high in non-training group compare to training group. Especially significant difference(p<.05) could be observde in heart rate between training(148.6±18.3beats/min, 175.0± 12.7beats/min) and non-training groups(164.1 ± 18.3bents/min. 189± 10. 1beats/min) at 6 and 10 min exercise. 4.Ventilation volume increased with increasing title and intensity of exercise and there was no difference between training and non-training groups. 5.Blood lactate concentrations during 6,8, 10, and 12 min of incremental maximal exercise load were significantly (p<.05) low in training group(1.51 ±0.41mM/l, 1.830mM/l. 1.84±0.37mM/l, 3.11 ± 0.33mM/l) compare to non-training group(2.28±0.51mM/l, 3.09±0.50mM/l. 4.85± 1.16mM/l. 6.09 ±0.99mM/1). 6.Blood lacate concentrations at recovery after a brief period of maximal exertcise load was found to be significantly low (p<.01) in trainging group compare to non-training group. 7.Recove rate of blood lactate aftar a brief period of maximal exercise load was significantly high(p<.05) in active recovery method(88.25± 10.85%. 76.30± 14.67%) compare to passive recovery method(42.41 ±8.93%, 46.69± 13.50%). 8.There was no significant change in plasma epinephrine for training 76.27±14.67pg/ml, 60.76±34.53pg/ml and non-training 72.37±23.46pg/ml, 77.10±28.58pg/ml groups at passive and active recovery after a brief period of maximal exercise load. However, plasma epinephring was significantly low(p<.05) in training group compare to non-training group. 9.There was no significant change in plasma norepinephrine for training (232.34±33.16pg/ml, 263.51±93.25pg/ml) and non-training(244.37±91.87pg/ml, 244.97±47.44pg/ml) groups at passive and active recovery after a brief of period of maximal exercise load. However, no significant difference was found in plasma norepinephrine between training antral non-training groups. 10.There were no differences in epinephrine and norepinephrine after a brief period of maximal exercise load for active(271.48±72.16pg/ml, 297.96± 101.21pg/ml) and passive recovery(271.70±81.28pg/ml, 311.69±109.38pg/ml) respectively. 11.No relationships could be observed between epinephrine and norepinephrine concentrations and maximal capillary blood locate values after a brief period of maximal exercise load. In conclusion, blood lactate concentrations were significantly low in training group after maximal exercise load compare to non-training group. Recovery of blood lactate concentration after exercise was also faster in training group compared to non-training group. Especially, active recovery at rest was found to be more effective blood lactate disappearance. There were no changes in catecholamine after a brief period of maximal exercise load. Catecholamine concentrations were not affected by recovery method and it did not show to be influenced by blood lactate concentrations.

댄스스포츠동작의 근 활동에 관한 분석

백승국,김철형 한국스포츠리서치 2003 한국 스포츠 리서치 Vol.14 No.3

This study was investigated about Hip Movement in Whisk of Samba of Latin American Dance Sport go through Electromyographic Analysis of Gluteus Medius, Erector spine, Rectus abdominis, External oblique. the subjects were three experts and three beginner of woman high school students. the conclusions of this study were follows It need of Gluteus Medius, Erector spine, Rectus abdominis, External oblique at hip movement. Beginners indicated to unsuitable energy for a momently in Gluteus Medius and while, Expertes External oblique was notable action at twist motion External oblique was most important in Hip Movement of Latin American Dance Sport more then anther muscles. Good Movement of hip were all muscles to be harmonious.

직장수지검사가 요류측정검사 결과에 미치는 영항

백승,소영석,노준,김철성,장대수 朝鮮大學校 附設 醫學硏究所 2004 The Medical Journal of Chosun University Vol.29 No.1

Background and Objectives : Digital rectal examination (DRE) and uroflowmetry have been usually together in the BPH management. The aim of this study was to determine whether DRE would affect uroflowmetry measurement. Materials and methods : A total of 80 male patients were included in this study. First uroflowmetry was done after DRE, second uroflowmetry was done without DRE. Third uroflowmetry was done after DRE, and fourth was done without DRE. Results : The mean Qmax on uroflowmetry after DRE was 15.2±8.7㎖/sec and 14.9±9.8㎖/sec. The mean Qmax on only uroflowmetry was 15.3±8.9㎖/sec and 15.4±8.4㎖/sec. There was statistically no difference between the mean Qmax(P> 0.05). And effect of digital rectal examination on uroflowmetry measurement with age was statistically no difference between the mean Qmax(P)0.05). Conclusions : We could not find and effect of DRE on uroflowmetry parameters, In this study, uroflowmetry test would be appropiate for recommending DRE before or after.

The Police And The People : Determinants Associating Cooperative Attitude Of The Public To The Police In Japan And China

이백철 경기대학교연구교류처 1997 論文集 Vol.41 No.1-1

嶺東ㆍ太白地區 炭鑛會社의 勞使協力에 관한 實態와 그 改善方案

申斗休,姜熙甲,白喆鉉 관동대학교 1976 關大論文集 Vol.4 No.1

Korea has made great progress in anthracite producing capacity since past decade. Neverthless its promotion is critically desired and has become one of the great concerns of the government in carrying out the present national economic development plan because of shortage in our energy resources. Increase of anthracite production results from cooperation between management and labor instead of useless and excessive labor disputes. In this article has been dealt with real conditions and improvement ways of Labor-Management cooperation of coal mining corporations in Yong Dong Area only. To point out some of them to be considered and examined, are as follows. Firstly, in Collective Bargaining, labor union's organization being prerequisite to it should be induced to all the coal mining enterprise, its organization activity should be trained and the operative labor union law needs to be amended so that employees may have the right to reqire nationwide collective bargainning. Furthermore, it is desirable to adopt minimum wage system and widen span of collective barginning to workers' participation in management. Secondly, in Consultation of Labor-Management, even the labor union unformed enterprise should have the duty to organize a consultation instrument between employers and empoyees, moreover the existing consultation meeting should be strengthened effectively to actualize workers' participation in management. Lastly, in view of social welfare for workers. prompt enforcement of minimum wage system, investment inducement to welfare facilities by the government and the enterprise concerned, and widening application of existing workers' compensation insurance will be needed. The true labor-management harmony is contribute not only to increase of coal production capacity, but to just distribution of business performance through democratization of industry.

우울증 환자 치료에 있어서 Tianeptine과 Sertraline의 효과와 안전성 비교

이민수,강성민,기백석,연병길,오병훈,이철,채정민,백인호 大韓神經精神醫學會 2001 신경정신의학 Vol.40 No.2

연구목적: 주요 우울증의 치료에 있어서 티아넵틴과 써트랄린의 임상적 효과와 안정성을 비교하기 위하여 연구를 시행하였다. 방법: DSM-IV 진단 기준에 의거하여 주요 우울증의 진단기준에 부합되고 17항목 해밀턴 우울척도 점수가 14점 이상인 환자를 대상으로 하였다. 총 40명의 환자를 무작위적 방식에 따라 티아넵틴 치료군과 써트랄린 치료군으로 분류하였다. 선탠된 환자에서 다른 항우울제를 복용하고 있는 경우 7일 이상의 약물 배설기간을 가진 후 티아넵틴과 써트랄린을 각각 6주간 투여하였으며, 기준점, 1주후, 2주 후, 4주 후, 6주 후에 HAM-D, MADRS, 그리고 CGI, COVI 등을 사용하여 평가하였다. 본 연구기간 중 발생된 모든 부작용은 부작용의 발생 및 소실 시기, 심한 정도, 발생 빈도, 관련 조치 및 결과에 대하여 증례기록서에 기록하도록 하였다. 결과: 30명(티아넵틴군 15명 ; 써트랄린군 15명)이 6주간의 연구를 완결하였고 티아넵틴 치료군에서는 1일 37.5mg을 투여하였으며 써트랄린군에서는 1일 평균 64.0±22.5mg을 투여하였다. 본 연구 결과 HAM-D, MADRS, CGI 상에서 두 군 모두에서 치료 1주 후부터 유의한 감소를 나타내었으며 이는 2주 후, 4주 후, 6주 후에도 지속적인 감소를 보였고 두 군간에 항우울 효과의 차이는 없었다. 활력징후, 일반 혈액학, 생화학, 심전도 검사 등에서는 두 군 모두 유의한 변화는 없었다. 티아넵틴과 관련된 부작용으로 흔히 보고한 증상은 오심(33.3%), 복부 불쾌감(26.7%), 구강 건조(20.0%), 두통(13.3%)등 이었고 써트랄린 치료군에서는 구강 건조(53.3%), 두통(46.7%), 오심(33.3%), 그리고 식욕 부진(33.3%)등으로 티아넵틴군에서 보다 적은 발현빈도를 보였다. 결론: 티아넵틴은 우울증의 치료에 있어서 효과적이고, 내약성이 우수한, 안전한 항우울제이다. Objective: This study was designed to evaluate the efficacy and safety of tianeptine and sertraline in the treatment of patients with depression. Method: The study was done on the patients with major depression diagnosed by DSM-IV, who had aHamilton Rating Scale for Depression(HAM-D) score ≥ 14 on the first 17 items of the HAM-D. A total of 40 patients were randomly assigned to tianeptine group and sertraline group. Tianeptine and sertraline were prescribed to each group. 6 weeks of each medication was carried out after 7 days of drug excretion period. Evaluation using 17 item HAM-D, Montgomery and Åsberg Depression Rating Scale(MADRS), Clinical Global Impression Scale (CGI), and Covi Scale was done on the baseline and after 1 week, 2 weeks, 4 weeks, and 6 weeks. Regrding all side effects that had occurred during the period of our study such as their developed/disappeaed time, severitien, incidences, managements and results have been recorded. Results: A total of 30 patients(tianeptine group 15 ; sertraline froup 15) finished the 6 weeks of research. 37.5mg of the daily dose was regularly prescribed to the tianeptine group, the average amount of 64.0±22.5mg of the final daily dose was prescribed to the sertraline group. Total 17 item HAM-D scores, total points of MADRS and CGI showed significant decrease after 1 week in each treatment froup and continous decrease after 2, 4 and 6 weeks ; and no difference was found between tianeptine group and sertaline group in the antidepressant efficacy. Also there were no significant changes in vital sign, CBC, chemistry, and EKG in each treatment group. The common reported side effects of tianeptine were nausea(33.3%), epigastic distress(26.7%), dry mouth(20.0%), headache(13.3%) and those of sertraline were dry mouth (53.3%), headache(46.7%), nausea(33.3%), anorexia(33.3%). Conclusion: According to the results, tianeptine was effective in improvement of depressive symptoms and was well tolerated and safe in patients with depression.

범법 정신 장애자와 일반 정신 장애자의 약물 사용 양상에 관한 비교 분석

이길홍,박두병,나철,이재광,기백석,이재우,유영식,이영식,이헌재 중앙대부설한국의과학연구소 1991 한국의과학 Vol.23 No.1

범법정신장애자의 정신의학적 특성분석

이길홍,이재광,박두병,나철,기백석,이재우,유영식,이영식,이헌재 중앙대부설한국의과학연구소 1991 한국의과학 Vol.23 No.1

정신분열병의 경과 중 발생하는 우울증

곽경환,박두병,최태영,민경준,이영식,기백석,나철 大韓神經精神醫學會 2002 신경정신의학 Vol.41 No.3

연구목적 : 정신분열병을 음성증상군과 양성증상군으로 나누어 두 군 사이에 우울증이 차이가 있는지를 조사하고 정신분열별의 증상과 우울증과의 연관과 정신분열병의 경과 중 보이는 우울증사의 특징에 대해서 알아보고자 하였다. 방 법 : 중앙대학병원에 입원한 총 31명(남자 13명, 여자 18명)의 정신분열병 환자를 대상으로 PANSS, BDI, HDRS와 Simpson Angus Scale을 시행하였다. 결 과 : 1) BDI 21점 이상을 기준으로 했을 때, 정신분열병의 경과 중 우울증이 발생한 환자는 총 18%였으며, 양성증상군과 음성증상군 간에 차이는 없었다. 2) 양성증상군과 음성증상군 간에 BDI, HDRS 그리고 PANSS-D 등의 점수의 차이는 없었다. 3) 주관척도인 BDI와 객관척도인 HDRS와 PANSS-D 사이의 연관은 없었다. 결 론 : 정신분열병의 우울증은 양성증상이나 음성증상의 한 부분으로 생각하기보다는 또 다른 영역으로 받아들여야 할 것으로 보인다. 임상적으로 정신분열병에서 우울증은 발생되는 비율의 정도를 고려할 대 다른 증상과 더불어 집중적인 관심이 필요하며 이와 함께 우울증으로 인한 결과와 예후의 심각성을 고려할 때 우울증에 대한 인식 및 진단과 치료에 더 많은 진전이 있어야 한다. Objective : The heterogeneity of symptomatology within the group of schizophrenias is still a major obstacle for defining clinically useful subgroups of these disorders. One of these symptoms is depression. Recently there is a growing evidence suggesting that depressive symptoms and related mood disturbances are important in treating schizophrenia. This so because of the improvement of such side effects as extraphramidal symptoms with increasing use of atypical antipsychotics. Althought depression is known to be a serious problems of many schizophrenic patients, the nature and course of depression in schizophrenia remain unknown. Methods : The author examined the depressive features in 31 patients with schizophrenia. Rating on the PANSS, BDI and HDRS were obtained. Eighteen percent of the total patients had BDI score above 21, considered depressed. Results : There were no difference in BDI, hDRS and PANSS-D between positive symptoms group and negative synptom group. There was also no correlation between subject scale(BDI) and objective scales(HDRS, PANSS-D). Conclusions : Depression in schizophrenia needs intensive studies. It is also considered as another hereogeneous domain beside negative or positive symptom domain. Out of respect for the high prevalence and serious outcome of depression in schizophrenia, a more differentiated assessment, analysis, and treatment of depressive symptom is recommended.