구강암 수술 및 재건 환자에서의 C-Reactive Protein 수치의 변화

김철환,황승연,Kim, Chul-Hwan,Hwang, Seung-Yeon 대한악안면성형재건외과학회 2010 Maxillofacial Plastic Reconstructive Surgery Vol.32 No.5

Purpose: The aim of this study is that we evaluate the change of the White Blood Cell(WBC) count, Absolute Neutrophil Count (ANC), Erythrocyte Sedimentation Rate (ESR) and C-reactive Protein (CRP) values, and try to make standardization for postoperative sequels before and after the oral cancer resection and reconstructive surgery. Materials and Methods: The study was comprised of 34 patients (male 15, female 19) who were diagnosed as an oral cancer and had performed ablation and reconstructive surgery at Dankook university dental hos-pital. Each blood specimen was collected from patients and estimated WBC count, Neutrophil count, ESR, CRP on first, third, fifth, seventh day efore and after surgery and analyzing inter relationship between each value. Classifying Group I (resection with reconstructive surgery patients) and Group II (resection without reconstructive surgery patients). Also classifying group A (below 4 hours of operation time), Group B (4 to 8 hours of operation time), Group C (above 8 hours of operation time), each group was analyzed and compared. The Following results were induced. Results: (1) In coefficient of correlation, the CRP and WBC has highest value except WBC count and Neutrophil count. (2) There was no significant difference any lapse in the progress between Group I and II of WBC count, Neutrophil count, but the CRP shows statistically higher level in group I than group II at immediate postoperative day, and 1 to 5 days after surgery. (3) There is no significant difference any lapse in the progress between Group A, B, C of WBC count, Neutrophil count, but CRP shows statistically significant difference in 1 day, 3 days after surgery Conclusion: It should be suggested that, determination of CRP is most valuable parameter for postopera-tive management and determination of postoperative clinical changes than other parameter such as WBC count, neutrophil count, and ESR values in oral cancer patient after resection and reconstructive surgery, based on the results of this study.

악간고정이 호흡기능에 미치는 영향에 대한 임상적 연구

김철환,김미숙,Kim, Chul-Hwan,Kim, Mi-Suk 대한구강악안면외과학회 1999 대한구강악안면외과학회지 Vol.25 No.4

Intermaxillary fixation is routine procedure to oral and maxillofacial area in jaw bone fracture, surgical correction of jaw deformity, osseus reconstruction of jaw. After transoral surgery, accompanied by intermaxillary fixation, dysphagia or airway obstruction may be followed due to blood clot, vomitus, or laryngeal spasm resulting from irritation by blood or secretions. Lingual or pharyngeal edema is other contributing factors of airway obstruction. In addition, intermaxillary fixation itself may cause obstruction of airway. In this study, pulmonary function test and arterial blood gas analysis were evaluated before and after intermaxillary fixation in 30 patients suffered from mandibular fractures. Comparative analysis was performed by estimated values. The results were as followed. 1. The spirometric values of FEV1, FEV1/FVC and FEF25-75% without intermaxillary fixation were reduced from 97.57%, 85.1%, 98.3,% to 71.7%, 66.5%, 61.2% with intermaxillary fixation, indicating the presence of obstructive pulmonary impairment. 2. Spirometric value of MVV, as the most influencing value of sensitive to extrapulmonary factors, was changed from 84.5% to 46.48%. 3. After intermaxillary fixation, the spirometric value of FVC, as indicator of restrictive pattern of pulmonary function, was not reduced significantly as measured from 94.47% to 89.97%. 4. $O_2$ saturation of arterial blood gas analysis without intermaxillary fixation was 97.86%. While intermaxillary fixation, $O_2$ saturation was 97.47%. The results indicate that careful airway management is mandatory undergoing intermaxillary fixation of various oral and maxillofacial surgery.

전외측대퇴유리피판 (Anterolateral Thigh Free Flap)을 이용한 구강안면부 결손의 재건

김철환,방대연,황승연,Kim, Chul-Hwan,Bhang, Dae-Yeon,Hwang, Seung-Yeon 대한악안면성형재건외과학회 2009 Maxillofacial Plastic Reconstructive Surgery Vol.31 No.6

Recently, the anterolateral thigh(ALT) flap, based on the septocutaneous vessels or musculocutaneous perforators from the descending branch of the lateral circumflex femoral artery has gained popularity in head and neck soft-tissue reconstruction. It has some advantages in free-flap surgery with respect to the radial forearm free flap, such as low donor site morbidity, availability of different tissues with large amounts of skin, adaptability as a sensate or flow-through flap (with the possibility of harvesting a long pedicle with a suitable vessel diameter). Moreover, the thickness of the flap is adjustable until the subdermal fat level, allowing it to be used as a thin or ultrathin flap. This clinical cases are ALT free flap reconstructions without functional impairment of the donor limbs (transitory and permanent) based on anastomosis with superficial temporal arteries and veins in patient of huge resection defect on face, lip and tongue.

한국의 재정적자와 환율 ; 오차수정모형 (誤差修正模型) ( 경제학문헌목록 주제분류 : H6 )

김철환,이경호 ( Chul Hwan Kim,Kyung Ho Lee ) 한국경제학회 1997 經濟學硏究 Vol.45 No.3

한국의 재정적자와 환율 : 오차수정모형

김철환,이경호 ( Chul Hwan Kim,Kyung Ho Lee ) 한국경제학회 1997 經濟學硏究 Vol.45 No.3

1970-1995년 사이의 연간 자료를 사용하여 한국의 재정적자와 대미달러 환율 사이의 관계를 실증적으로 분석한 결과 두 변수 사이에 공적분관계가 존재하는 것으로 나타났다. 오차수정모형을 사용하여 두 변수 사이의 인과관계를 추정한 결과 재정적자가 환율에 영향을 미치는 것이 아니라, 환율변동이 재정적자에 영향을 미치는 일방적인 인과방향이 장기적으로 존재하는 것으로 나타났다. 이제까지 우리 나라의 이자율과 환율이 각각 자본시장과 외환시장에서 결정되지 못하고, 정책적으로 결정되어 왔던 점을 감안하면 재정적자가 이자율을 변화시켜 환율에 영향을 주는 것은 기대하기 어렵다. 재정적자가 환율에 영향을 미치지 못하는 것으로 나타난 우리의 추정결과는 이러한 현실을 비교적 잘 반영하고 있다. 환율로부터 재정적자로의 장기적인 인과관계의 존재에 대해서는 명확한 설명이 쉽지 않다. 이러한 관계에 대한 하나의 가능한 설명은 두 변수가 수출, 소득 등의 다른 변수를 매개로 하여 장기적으로 함께 움직이는 경향이 존재 할 수 있다는 점이다.

도로 주변지역의 소음환경 개선방법

김철환,Kim, Chul-Hwan 대한환경공학회 2008 대한환경공학회지 Vol.30 No.6

항균 포장원지내 항균소재의 최적 정착법 탐색

김철환(Chul-Hwan Kim),김재옥(Jae-Ok Kim),정준호(Jun-Ho Jung),조성환(Sung-Hwan Cho) 한국식품영양과학회 2005 한국식품영양과학회지 Vol.34 No.2

과채류 포장용 기능성 항균포장지는 항균력이 우수한 식물성 항균소재(botanical antimicrobial agent-grapefruit seed extract mixture: BAAG)의 CaCO₃분말제재와 가스흡착제거능을 소유한 제올라이트를 일정배합비율로 펄프지료에 첨가하여 TAPPI Standard Method T200 sp-96에 의거하여 제조하였다. 아울러, 보류향상제인 cationic polyacrylamide (Ca-PAM)와 발수처리제 alkyl ketene dimer(AKD)도 같이 첨가하였다. 이때, 사용된 BAAG분말의 평균입자크기는 12.45였으며, Scanning Electron Microscope 촬영사진에서 CaCO₃에 침착되어 있는 BAAG 및 제올라이트가 육면체 형태의 미세한 분말로 지료상에 구성되어 있음을 알 수 있었으며, 포장원지내에 보류된 항균제의 보유량을 회분함량으로 측정한 결과, 항균제의 첨가량을 증가시킬수록 회분함량이 증가하는 것으로 미루어 Ca-PAM이 지료 섬유 네트워크내에 항균제를 정착시키는데 매우 효과적인 보류향상제로 작용함을 알 수 있었다. 한편, 분말형 항균제와 제올라이트를 지료에 첨가하여 포장원지를 제조하였을 때, 포장원지의 인장강도(tensile strength)와 파열강도(burst strength)는 항균제와 제올라이트를 첨가하지 않았을 때보다 다소 감소하는 경향을 나타내었고, 반면에 강성(stiffness)과 인열강도(tear strength)는 증가하는 경향을 나타내었다. 그러나, 기능성첨가제 분말의 첨가로 인하여 발생할 수 있는 골판지 상자의 라이너나 단위 포장용(item packaging) 포장지의 강도적 성질의 감소현상이 미미할 것으로 판단되어 항균포장지 제조에 사용되는 항균제와 제올라이트분말은 종이의 물성 열화에 미치는 영향이 크지 않는 것으로 나타났다. Antimicrobial packaging paper was prepared with a powder-type botanical antimicrobial agent from grape-fruit seed extract (BAAG) and zeolite according to TAPPI standard method. The functional fillers containing BAAG fixed to CaCO₃ and zeolite were well retained in the fiber network by a retention aid such as cationic polyacrylamide, which was ascertained by the ash contents of paper and the SEM microphotographs. With addition of the functional fillers to paper, tensile strength and burst strength of the paper decreased by interference of the functional fillers with interfiber bonding but bending stiffness and tear strength increased by improved elastic modulus of paper and delayed transfer of tearing energy. Finally, it was confirmed that the antimicrobial packaging paper might be able to be used to make packaging bags and corrugated containers due to the minor deterioration of strength properties.

Youth Unemployment In Korea

김철환(Chul Hwan Kim),이경호(Kyung Ho Lee) 한국노동경제학회 1992 勞動經濟論集 Vol.15 No.1

N/A

악골 병소의 켬퓨터 촬영상에서 Hounsfield Unit에 관한 연구

김철환(Chul-Hwan Kim),정종일(Jong-Il Jung) 대한구강악안면외과학회 2006 대한구강악안면외과학회지 Vol.32 No.4

The CT number is called Hounsfield unit(HU). Generally HU has a score between +1000 from -1000, and it is standardized usingthe air(-1000), water(0), and compact bone(+1000). Hounsfield Unit to standardize the density in computed tomography using the air and water has been used to analysis of lesion in other medical field. Computed tomography is popular method to analysis of lesion in oral & maxillofacial field but the analysis about density of lesion by Hounsfield unit is still obscure. For this study, computed tomography taken in Dankook University Dental Hospital and Hounsfield unit was measured to compare the difference of jaw bone lesion as cystic lesion, benign tumor, malignant tumor.

구강저에 발생한 거대한 유피낭종

김철환(Chul-Hwan Kim),박성민(Sung-Min Park),이철원(Chul-Won Lee) 대한치과의사협회 2011 대한치과의사협회지 Vol.49 No.8

Dermoid cyst is a benign neoplasm, so called by teratoma that is derived from both ectoderm and mesoderm during embryonic period. The majority of dermoid cysts are found in the ovaries and approximately only 7% of dermoid cysts are found in the head and neck. The growth of dermoid cysts in the floor of the mouth is considered a rare condition. We report one case of huge dermoid cyst in the floor of mouth suffered with double chin appearance and difficulty in pronunciation and respiration. The cyst was excised successfully only intra-oral incision. Clinical progress was uneventful and postoperative recovery excellent without recurrence.