편측 상하지 마비를 동반한 두개강내 지주막 낭종1례

안상윤,김영태,이하백,문수지 한국의학사 1989 診斷과治療 Vol.9 No.8

하악 전치부에 발생한 과잉치 : A CASE REPORT

김성희,박종하,양연미,김재곤,백병주 大韓小兒齒科學會 2004 大韓小兒齒科學會誌 Vol.31 No.1

과잉치는 유치열에서 0.3-0.8%, 영구치열에서 1.0-3.5% 정도로 발생하며, 2:1로 남자에게 호발, 9:1로 상악에서 호발한다. 그 중 하악 전치부에서 발생하는 빈도는 전체 과잉치중에서 2-4%의 매우 낮은 빈도를 보인다고 보고되었다. 과잉치가 계속 존재할 경우 나타날 수 있는 합병증으로서 치간이개, 인접한 정상치아의 맹출장애, 치관의 형성이상, 인접치의 치근흡수, 함치성 낭종 등을 들 수 있으며, 치열 발육 중인 어린이의 경우 성장 중임을 감안하여 바람직한 교합유도를 위한 정확한 진단과 함께 적절한 처치가 필요하다. 본 증례는 전복대학교병윈 소아치과에 내원한 6세 환아의 하악 전치부에서 발견된 양측성 매복 과잉치로서 그 중 한개는 영구치와 융합된 경우를 보고하는 바이다. Supernumerary tooth describes an excess of tooth number, which are found in primary dentition with 0.3-0.8%, permanent dentition with 1.0-3.5% prevalence. Their frequency is about 2:1 (male vs female) and 9:1 (maxilla vs mandible). However, occurrence is very rare in the incisor region of the mandible. We need a early diagnosis and appropriate treatment plan because of possibility of diastema, eruption failure, displacement, rotation of the associated permanent teeth, root resorption, dentigerous cyst, with presence of the supernumerary teeth. This is a case report about two impacted supernumerary teeth found in madibular anterior region of 6 years old girl. One was extracted and another was retained because of fusion with permanent central incisor on the labial surface.

조선족 근로자의 사회적 지지, 스트레스, 외로움과의 관계

김옥수,백성희,김계하 성인간호학회 2003 성인간호학회지 Vol.15 No.4

Purpose: The purpose of the study was to examine the relationships among social support (network, composition, and satisfaction), stress, and loneliness in migrant Yanbian Korean workers. Method: Data were collected by using Social Support Questionnaire 6, Visual Analogue Scale, and the Revised UCLA Loneliness Scale. Result: Results indicate that means for social support were 1.52 for network size and 4.83 for satisfaction. The proportion percentage of network for kin members was 67.37. Subjects felt the moderate level of stress and loneliness. The level of loneliness was negatively related to the level of social support. Conclusion: This study showed that there is necessity to reduce stress and loneliness among migrant Yanbian Korean workers. Adequate social support satisfaction is crucial t o reduce the level of loneliness in migrant Yanbian Korean workers.

Alendronate의 뼈모세포를 통한 뼈파괴세포 형성 억제 기전

김현진,김민석,김태성,이은주,박하옥,김백윤,김선헌 대한해부학회 2003 Anatomy & Cell Biology Vol.36 No.6

Purification of Wastewater From Paper Factory by Superconducting Magnetic Separation

Dong-Woo Ha,Tae-Hyung Kim,Myung-Hwan Sohn,Jun-Mo Kwon,Seung-Kyu Baik,Rock-Kil Ko,Sang-Soo Oh,Hong-Soo Ha,Ho-Sup Kim,Young-Hun Kim,Tae-Wook Ha IEEE 2010 IEEE transactions on applied superconductivity Vol.20 No.3

<P>It is environmentally important to recycle the wastewater, since paper factories use a large amount of water and equivalent amount of wastewater is generated. Conventional water treatment facilities like precipitation process need large-scale equipment and wide space to purify the wastewater of paper factory. In case of massive waste water, high gradient magnetic separation (HGMS) parts are more effective to purify it rapidly and to occupy relatively small space, since large voids at filter with HGMS are adopted. In this respect, we prepared two types of superconducting magnets in order to apply HGMS parts for wastewater purification process. We made cryo-cooled Bi-2223 (HTS) superconducting magnet parts with room temperature bore in diameter of 70 mm and 200 mm in height. Also, cryo-cooled Nb-Ti superconducting magnet with room temperature bore in diameter of 100 mm and 600 mm in height was used for magnetic separator. Magnetic filters were designed by the analysis of magnetic field distribution at superconducting magnets. The faster wastewater's flow rate was, the worse the degree of clarity in treated water was. The ability of wastewater treatment in the case of magnetic separation used with 10 of magnetite particles was better than that in the case of 5 of magnetite particles.</P>

급성 요로감염 환아의 신장 반흔 예측요인

백준현,박영하,황성수,전정수,김성훈,이성용,정수교 대한핵의학회 2003 핵의학 분자영상 Vol.37 No.4

목적 : 본 연구는 요로 감염 환아의 추적 ^(99m)Tc DMSA신 피질 스캔으로 신장 반흔을 진단하고, 감염 초기 스캔 소견, 요관 역류, 신장 섭취율, 연령, 성 등 관련 요인들이 신장 반흔에 미치는 영향을 분석하고자 하였다. 대상 및 방법 : 임상증상, 소변 검사 및 뇨 배양 검사로 요로 감염으로 진단된 14세 이하의 환자 83명을 대상으로 하였다. 남아 50명, 여아가 33명이었고 평균 연령은 33.7개월 이었다. 치료 시작 일주일 이내에 DMSA스캔과 배뇨성 방광 요도술을 시행하였으며, 적절한 항생제 치료 후 6개월 이후에 추적 스캔을 하였다. 추적 스캔에서 감염 초기 보였던 피질 결손이 회복되지 않은 경우를 신 반흔으로 진단하였으며, 피질 결손을 1; 신장상부나 하부의 큰 결손으로 신장 의연은 불분명하나 변형은 없는 경우. 2 ; 작은 결손으로 신장 외연의 뚜렷한 변형이 없는 경우. 3 ; 단일 결손으로 신장 외연의 국소적인 변형을 일으킨 경우. 4 ; 정상 혹은 작은 크기의 신장으로 외연의 변형이 있는 경우. 5 ; 다발성 피질 결손이 있는 경우. 6 ; 국소적인 이상 소견 없이 미만성으로 신장 섭취가 감소한 경우로 분류하였다. 배뇨성 방광 요도술에서 요관 역류는 5단계로 분류하였다. 결과 : 166개의 신장 중 감염 초기 신 피질 스캔에서 결손을 보인 신장은 115개(69.3%) 이었고, 추적 검사에서 신장 반흔으로 진단된 신장은 65개(56.5%)였다. 신 피질 스캔에서 3, 4, 5 형태 결손의 75%, 77%, 78%에서 신장 반흔이 발생된 반면, 1, 2, 6 형태 결손의 65%, 77%, 50%에서 결손이 회복되었다. 회복이 어려운 3, 4, 5 형태 결손으로 신장 반흔을 진단할 경우 DMSA스캔의 민감도, 특이도, 정확도는 각각 76.9%, 85.1%, 81.9%였다. 요관 역류는 감염 초기 스캔에서 3, 4, 5 형태의 결손을 보인 경우 역류 유무 및 정도가 신장 반흔과 유의한 연관성을 보인 반면, 1, 2, 6 형태의 결손을 보인 경우 신장 반흔과의 연관성은 유의하지 않았다. 로지스틱 분석에서 감염 초기 DMSA 스캔에서 회복 가능성이 적은 3, 4, 5 형태의 결손이 있을 경우 그렇지 않을 경우에 비해 신장 반흔을 일으킬 19.1배였다. 경한 요관 역류 나 증증 역류가 있을 경우 신장 반흔을 일으킬 위험이 각각 3.5배, 14.4배 였다. 신장 섭취율도 신장 반흔과 연관성이 있었으나 신장 반흔 위험도는 유의하지 않았다. 연령 및 성별은 신반흔과 유의한 연관성이 없었다. 결론 : 요로 감염 초기 ^(99m)Tc DMSA 스캔에서 결손이 신장 외연의 변형을 일으키거나 다발성일 경우, 신장 반흔으로 진행될 가능성이 높으며, 적극적인 치료가 필요하다. Purpose : The purpose of this study was to evaluate the usefulness of ^(99m)Tc DMSA scintigraphy on the dignosis of a renal scar in children with urinary tract infection. Materials and Methods : Eighty three patients were included in this study, who were diagnosed as the urinary tract infection on the basis of sympton, urinalysis and urine culture. ^(99m)Tc DMSA scintigraphy and voiding cystoureterography were performed within 7days before the treatment in all patients. We classified the scintigraphic findings as follow s ; 1 ; a large hypoactive upper or lower pole, 2 ; a small hypoactive area. 3 ; single defect resulting in localized deformity of the cutlines. 4 ; deformed outlines in a small or normal sized kidney. 5 ; multiple defects. 6 ; diffuse hypoactive kidney without regional impairment. Follow-up scintigraphy was done at least 6 months after the initial study. When the abnormality on the initial scintigraphy was not completely resolved on the follow up scr, the lesion was defined as containing a scar. Results : One hundred and fifteen renal units of 166 units(69.3%) showed abnormal findings on the DMSA scintigraphy. 65 units(56.5%) was diagnosed as containing renal scars on follow-up scintigraphies. Incidences of renal scar among renal units showing pattern 3, 4 and 5 on the initial scan was 75%, 78% and 78%, respectively. Whereas many of renal units showing 1, 2 and 6 pattern were recovered(65%, 76%, 50%). Sensitivity, specificity and accuracy of pattern-based DMSA scintigraphic findings on the diagnosis of renal scar was 76.9%, 85.1%%, respectively. VUR was significantly associated with the renal scar when the initial DMSA shows unrecoverable findings(pattern 3, 4, 5). Odds ratio of the renal scar in a kidney showing unrecoverable initial scintigraphic findings was 19.1. Odds ratio in a kidney with mild or moderate-to-severe VUR was 3.5 and 14.4 respectively. Conclusion : In the urinary tract infection, renal scar was significantly developed in a kidney showing unrecoverable findings on the initial DMSA scan and VUR on voiding cystoureterography.

전교통 동맥류의 분류와 수술을 시행한 135 예에 대한 임상보고

백민우,김달수,김영,박춘근,김문찬,이상원,조태훈,조병일,이재수,윤석훈,하영수,강준기,송진언 대한신경외과학회 1986 Journal of Korean neurosurgical society Vol.15 No.1

During the 10-year period up to December 1984, 176 patients with anterior communicating aneurysm (ACOMA) among total 467 patients of intracranial aneurysms were admitted to this Catholic Medical Center. Of these, 135 cases of ACOMA were operated by direct intracranial procedures. To analyse the factors influencing the mortality involving in surgery of 135 patients with ACOMA, a classification of ACOMA was attempted. The origins and projections of aneurysms, anatomical variations were analysed with the aid of angiography, intraoperative findings and intraoperative photographs which permitted the establishment of a classification of ACOMA with their direction. Our classification of operated 135 cases of ACOMA are seven types: 32 anterior(23.7%), 30 anterior-rostral(22.2%), 42 anterior-caudal (31.1%), 3 posterior(2.2%), 18 posterior-rostral(13.4%), 4 posteriorcaudal (3.0%), caudal 6(4.4%), respectively. Most of ACOMA projecting anteriorly, anterio-rostrally were situated above or between the optic nerve, and the less frequent posterior-caudal and inferior aneurysms were in close proximity to hypothalamic branches of the anterior communicating artery and A₂ segment. There was on overall operative mortality of 6%. The surgical morbidity and mortality were significantly higher in the posteriorly projecting group, garticulary in the posterior-caudal direction. In direct surgery of ACOMA, subpial resection of the gyrus rectus was sffective for not only anteriorly, but also posteriorly directing aneurysms.

[Free Paper] Surgical Outcomes and Analysis of Prognostic Factors in patient with Gallbalddeer Cancer

Sung Ha Lee,Jae Do Yang,Hong Pil Hwang,Hee Chul Yu,Baik Hwan Cho 대한외과학회 2011 대한외과학회 학술대회 초록집 Vol.2011 No.11

Clinicopathological characteristics and prognostic factors in combined hepatocellular carcinoma and cholangiocarcinoma

Sang Eun Park,Sung Ha Lee,Jae Do Yang,Hong Pil Hwang,Si Eun Hwang,Hee Chul Yu,Woo Sung Moon,Baik Hwan Cho 한국간담췌외과학회 2013 한국간담췌외과학회지 Vol.17 No.4

Backgrounds/Aims: Combined hepatocellular carcinoma and cholangiocarcinoma (cHCC-CC) is an uncommon subtype of primary liver cancer that has rarely been reported in detail. This study was performed in order to evaluate the clinicopathological characteristics and prognostic factors of cHCC-CC in single center. Methods: The clinicopathological features of patients diagnosed and operated with cHCC-CC at Chonbuk National Hospital between July 1998 and July 2007 were retrospectively studied by comparing them with patients with only hepatocellular carcinoma (HCC) who had undergone a hepatic resection during the same period. Results: Ten out of 152 patients who had undergone a hepatic resection were diagnosed with cHCC-CC and thus included in this study (M : F=8 : 2, median age: 52±11.1 years). According to the parameters of the 7th American Joint Committee on Cancer T staging, there were 76 (50.0%), 44 (28.9%), 9 (5.9%), 18 (11.8%) and 5 (3.3%) patients with T stages 1, 2, 3a, 3b and 4, respectively. The overall survival period was longer in the HCC only group (68±40.4 months) than in the combined cHCC-CC group (23±40.1 months) (p<0.0001). The 5-year survival rate was 10% in the cHCC-CC group and 60% in the HCC group (p<0.0001). The disease free survival for patients with cHCC-HCC and HCC were 16±37.4 and 51±44.3 months, respectively (p<0.0001). Univariate analysis revealed that age, gender, transarterial chemoembolization (TACE), and T stage were statistically significant in terms of patient’s overall survival. However, there were no significant clinicopathological factors identified by the multivariate analysis. Conclusions: Even after the hepatic resection in the HCC, the prognosis is poorer if the patient has cholangiocellular components compared to the usual HCC.

Non-thermal plasma regulates the fate of mesenchymal stem cells

Sung Min HONG,Se Hoon KI,Eun Ha CHOI,Ku Youn BAIK 한국진공학회 2016 한국진공학회 학술발표회초록집 Vol.2016 No.8