안정적인 교합접촉을 잃은 환자에서의 전방유도를 고려한 치료증례

박종훈,조진현,Park, Jong-Hoon,Cho, Jin-Hyun 대한치과보철학회 2019 대한치과보철학회지 Vol.57 No.4

최근 들어 치아의 심미적인 개선을 위해 전치부 보철 치료를 하는 경우가 많다. 하지만 전치부 심미 보철치료이후 환자가 발음, 저작 등 기능적으로 불만족스럽게 생각하는 경우가 종종 있다. 전치부는 심미적으로 중요할 뿐만 아니라 교합과 관련하여서도 중심위 다음으로 중요한 전방유도가 성립되는 부분으로, 잘못된 전방유도 설정으로 인해 구치부의 교합간섭을 초래할 수 있다. 또한 새롭게 설정된 전치부 보철물의 전방유도가 환자의 기능로(envelope of function)과 조화를 이루지 않을 시 환자가 불편감을 나타낼 수 있다. 본 증례는 전치부 심미 보철 이후 부정확한 발음 및 안정적인 접촉이 없어서 불안정한 교합, 전반적인 불편감을 호소하는 환자에서 체계적인 진단과 치료과정을 통해 보철물을 재수복하여 환자와 술자 모두에게서 심미적으로, 그리고 기능적으로 만족스러운 결과를 얻었기에 보고하는 바이다. Recently, many patients undergo anterior prosthetic treatment for esthetic reasons. In some patients complain about functional reasons such as inaccurate pronunciation and occlusal discomfort after the treatment. Anterior teeth are important esthetically but in the occlusal point of view, anterior guidance is the second most important factor in occlusion, next to centric relation. Failure to determine an appropriate anterior guidance might lead to posterior occlusal interference, which can highly affect the stability of the posterior teeth. Also, discomfort might occur if the customized interior guidance is not in harmony with the patient's envelope of function. The patient in this case complained of overall discomfort in the maxillary anterior area after prosthetic treatment. The expressed difficulty in pronunciation, unstable occlusion due to lack of stable holding contact and discomfort of the facial muscles. Maxillary anterior prostheses were refabricated through systematic diagnosis and treatment and thus, this case presents esthetical and functional satisfaction to both the patient and the dentist.

Photo-assisted Fenton 반응에 다양한 Fe(III) chelator를 적용한 LNAPL(BTEX/MTBE)오염 지하수 처리에 관한 연구

박종훈,도시현,이홍균,조영훈,공성호,Park, Jong-Hun,Do, Si-Hyun,Lee, Hong-Kyun,Jo, Young-Hoon,Kong, Sung-Ho 한국지하수토양환경학회 2009 지하수토양환경 Vol.14 No.2

본 연구에서는(Fe$^{3+}$+chelating agent)/H$_2$O$_2$ 공정 [Fe(III) 1mM, ocalate 6mM, H$_2$O$_2$ 3%, pH 6]과 UV/(Fe$^{3+}$+chelating agent)/H$_2$O$_2$ 공정 [UV dose 17.4kWh/L, Fe(III) 1mM, oxalate 6mM, H$_2$O$_2$ 1%, pH6]에서 BTEX(benzene, toluene, ethylbenzene, xylene)를 분해하기위해 다양한 착제를 토입, 그 분해효율을 비교하였다. 착제의 종류는 catechol, NTA, gallic, acetyl acetone, succinic, acetate, EDTA, citrate, malonate, 그리고 oxalate,총 10가지 종류의 착제를 사용하였으며, 그 중,acetate를 착제로 사용한 경우, 가장 높은 분해효율을 나타내었다. 또한, UV를 조사한 경우, 모든 착제에 대한 BTEX의 분해효율이 UV를 조사하지 않은 (Fe$^{3+}$+chelating agent)/H$_2$O$_2$ 공정의 분해효율보다 높은 것으로 나타났다. 또한BTEX와 무연 휘발유의 첨가제로 사용되고 있는 MTBE(methl tert-butylether)의 혼합복합물(각각의 농도는 200mg/L)에 대해서도 acetate를 착제로 사용한 UV/(Fe$^{3+}$+chelating agent)/H$_2$O$_2$공정에서 높은 분해효율을 보였다. 이 경우, BTEX는 반응시간 180분 만에 완전 분해되었으며, MTBE의 경우, 85%의 분해효율을 보였다. 이러한 실험 결과는 acetate를 착제로 사용한 UV/(Fe$^{3+}$+chelating agent)/H$_2$O$_2$공정은 BTEX 분해효율뿐만 아니라, BTEX와 MTBE복합오염물의 분해효율도 증가시킬수 있음을 입증하고 있다. In this study, the degradation of BTEX (benzene, toluene, ethylbenzene, xylene) was tested in both (Fe$^{3+}$+chelating agent)/H$_2$O$_2$system [Fe(III) 1 mM, oxalate 6 mM, H$_2$O$_2$ 3%, and pH 6] and UV/(Fe3++ chelating agent)lHzOz system [UV dose 17.4 kWhlL, Fe(III) 1mM, oxalate 6 mM,H$_2$O$_2$ 1%, and pH 6]. The types of chelating agents used in experiments were catechol, NTA, gallic, acetyl acetone, succinic, acetate, EDTA, citrate, malonate, and oxalate and the optimum chelating agent for BTEX degradation was determined. The results showed that acetate was the optimum chelating agent for BTEX degradation in both (Fe$^{3+}$+chelating agent)/H$_2$O$_2$ and UV/(Fe$^{3+}$+chelating agent)/H$_2$O$_2$ system, and UV radiation enhanced the degradation of BTEX with any types of chelating agents. Moreover, UV/(Fe$^{3+}$+chelating agent)/H$_2$O$_2$ system, which chelating agent was acetate, removed effectively mixtures of BTEX and MTBE (methyl tert-butyl ether) when the concentration of both BTEX and MTBE was 200 mg/L, respectively. In this system, BTEX was degraded completely and 85% of MTBE was degraded at the reaction time of 180 min. Therefore, UV/((Fe$^{3+}$+chelating agent)/H$_2$O$_2$ system with acetate as a chelating agent removed not only BTEX but also BTEX and MTBE, effectively.

일체형 비구면 인공수정체 Tecnis? ZCB00과 삼체형 비구면 인공수정체 Tecnis? ZA9003의 앞방 깊이 변화 및 장기 안정성 비교

박종훈,김재형,이주은,김재용,김명준,차흥원.Jong Hoon Park. MD. Jae Hyung Kim. MD. Joo Eun Lee. MD. Jea Yong Kim. MD.Myoung Joon Kim. MD. Hung Won Tchah. MD 대한안과학회 2012 대한안과학회지 Vol.53 No.10

Purpose: To evaluate the postoperative outcome of Tecnis? ZCB00 1-Piece acrylic intraocular lens (IOL), the new single piece, aspheric IOL until 12 months. Methods: Sixty eyes undergone cataract surgery using two different IOLs; The Tecnis? ZCB00 1-Piece Acrylic IOL (30 eyes) and the Tecnis? ZA9003 3-Piece Acrylic IOL (30 eyes). Cataract surgery was performed in the same period. All complicated cases were excluded. Best corrected visual acuity (BCVA), refractive error, photopic and mesopic contrast sensitivity, total high order aberration, spherical aberration and anterior chamber depth were measured preoperatively and at 1, 6 and 12 months after surgery. Results: There were no statistically significant differences between two groups in BCVA, refractive error, total high order aberration and spherical aberration all the time after surgery. Both groups have negative ocular spherical aberration until 12 months after surgery. 1-piece and 3-piece groups had different tendency in axial movement. But there were no statistically significant differences in anterior chamber depth measured at 1 week, 1, 6 and 12 months after surgery. There was no statistically significant difference in contrast sensitivity at 1, 6 and 12 months after surgery. Conclusions: The Tecnis? ZCB00 1-Piece acrylic intraocular lens (IOL) showed comparable clinical outcomes to the Tecnis? ZA9003 3-Piece acrylic intraocular lens (IOL) until 12 months after cataract surgery. 1-piece and 3-piece IOL group had different tendency in axial movement. However, refraction remained stable during 12 months after surgery. Mostly, both IOL groups had negative ocular spherical aberration during whole follow-up period. J Korean Ophthalmol Soc 2012;53(10):1451-1457

실패한 청소년기 부주상골 절제술의 치료 (1예 보고)

박종훈,최선진,하정민,Park, Jong-Hoon,Choi, Sun-Jin,Ha, Jung-Min 대한족부족관절학회 2007 대한족부족관절학회지 Vol.11 No.2

Cause of flexible flat foot is predominantly idiopathic but pediatric flexible flatfoot is typically congenital. Neuromuscular disorders, tarsal coalition and prehallux are possible causes and there has been a controversy for diagnosis and surgical treatment guideline. Therefore we present 11-year old male with prehallux and flexible flat foot who was treated with Kidner procedure and subtalar arthroereisis using Kalix endoprothesis and reported good clinical outcome at 2-years follow up postoperatively.

온톨로지 기반 대학정보 검색 시스템의 설계 및 구현

박종훈,김철원,Park, Jong-Hoon,Kim, Chul-Won 한국정보통신학회 2012 한국정보통신학회논문지 Vol.16 No.2

오늘날 효과적인 정보검색을 위해 지능형 검색에 대한 다양한 기법들을 사용하고 있다. 이중에서 효과적인 검색 방법은 온톨로지 기술을 적용하는 것이다. 온톨로지는 시맨틱웹에서의 핵심기술이라 할 수 있다. 시맨틱웹에서 온톨로지 기술은 간단하면서 정확하게 추론엔진을 통하여 관련 정보를 검색하는데 사용될 수 있다. 본 논문에서는 대학, 대학원, 구성원을 중심으로 정보를 검색할 수 있는 온톨로지 기반 대학정보검색 시스템을 설계 및 구현을 하고자 한다. 대학, 대학원, 구성원 정보들의 계층구조를 수집하였으며, 온톨로지 개발도구인 protege 에디터를 이용하였다. 대학정보를 온톨로지로 설계하기 위해 설계된 대학정보 온톨로지를 protege 에디터의 추론기능을 이용하여 검증하였으며, 검증된 온톨로지는 지나 추론엔진을 적용하여 웹서비스 할 수 있도록 대학정보검색 시스템을 구현하였다. Currently, in order to develop an intelligent search engine to help users retrieve information effectively, many metodes have been used. The effective retrieval methods of these methods use ontology technology. Ontology technology is the core of the Semantic Web. In the Semantic Web, ontology technology can be used to retrieve related information through the inference engine more accurately and simply on the Semantic Web. In this paper, we implement and design college information retrieval based on ontology to retrieve college class, graduate school class and person class. We have collected the hierarchy structure about the College, graduate school and person informations, and we have used protege editor of the ontology developing tool to design some ontologies with the College informations collected. We also tested the designed ontology with the Inference Engine(Pellet) of protege editor, and implemented college information retrieval system using Inference Engine(Jena) for web services.

각막 지형도를 이용한 각막 구면수차의 산출

박종훈,김명준,김재용,차흥원,Jong Hoon Park,Myoung Joon Kim,Jae Yong Kim,Hung Won Tchah 대한안과학회 2012 대한안과학회지 Vol.53 No.11

Purpose: To formulate an equation to estimate corneal spherical aberration using Orbscan (Bausch & Lomb Surgical, Rochester, NY, USA) parameters. Methods: The study was carried out retrospectively. The participants were 76 eyes of 76 senile cataract patients with the mean age of 57.37 ± 17.63 years. Both Orbscan and KR-1W (Topcon Corp, Tokyo, Japan) were taken as preoperative examinations. Correlation analysis between various parameters from Orbscan and corneal spherical aberrations for a 6 mm pupil by KR-1W was performed. And multivariable linear regression was performed with the significantly correlated Orbscan parameters from the correlation analysis. Results: The mean corneal spherical aberration from KR-1W system was 0.25 ± 0.08 μm. As a result of the multivariable linear regression, we could generate following equations. If the Q-value was available, estimated corneal spherical aberration = 0.389 × Q-value + (0.022 × Axial power 3 mm) - 0.633 (R2 = 0.436). If the Q-value was not available, estimated corneal spherical aberration = 0.184 × (Mean power 5 mm – Mean power 3 mm) + (0.02 × Axial power 3 mm) - 0.563 (R2 = 0.429). By using the equations, 93.4-94.7% of subjects were in the error range of 0.10 μm. Conclusions: Even when equipped with Orbscan only, an appropriate aspheric intraocular lens can be selected using the estimated corneal apherical aberration by the equations.

SOAP 기반의 유/무선 웹 서비스 시스템 설계 및 구현

박종훈,Park Jong-Hoon 한국정보통신학회 2005 한국정보통신학회논문지 Vol.9 No.3

본 논문에서는 웹 서비스 기술을 이용하여 동적으로 가격비교를 위한 SOAP기반 유/무선 웹 서비스 시스템을 설계 및 구현하였다. 본 웹 서비스 시스템은 크게 상품검색, 상품정렬, 상품주문과 UDDI 검색 브라우저를 지원하는 웹 서비스 클라이언트 모듈과 상품 검색/주문 원격 프로시저와 UDDI 게시 브라우저를 포함하는 서버모듈과 무선 환경에서 상품 검색/주문을 지원하는 모바일 클라이언트 모듈로 나누어지며, SOAP 표준 환경기반으로 상호 정보를 교환하도록 구현하였다. 따라서 사실표준 환경인 SOAP, WSDL, UDDI 표준을 따르는 모든 환경에서 이식가능하며, 플랫폼에 독립적으로 지원할 수 있다. This paper designs and implements wire/wireless web service system based on SOAP for price comparison dynamically using web service technoloies in real time. This web service system composes web service client module including functions of product search, product sort, product order and UDDI retrieval browser, and server module including functions of remote procedure call for product search/order and functions of UDDI publish browser, and mobile client module supporting functions for product search/order in wireless environments. This web service system can exchange product information based on SOAP messages and support independence of platform and flexible portability in environment conforming to SOAP, WSDL and UDDI standards.

수술 치료를 받은 원발성 척추염 환자의 임상적 고찰

박종훈,김규홍,Park, Jong Hoon,Kim, Kyu Hong 대한신경외과학회 2001 Journal of Korean neurosurgical society Vol.30 No.10

Objective : To assess the surgical outcome for patients with primary spondylitis who were treated surgically. Materials and Methods : We retrospectively analyzed the clinical characteristics of 19 patients who underwent surgical treatment from september 1997 to October 1999 in our department. Results : The 19 patients presented 13 tuberculous spondylitis and 6 pyogenic spondylitis. The male to female ratio was 1.4 : 1 and average age 48.4 years(range 15-68 years). The most prevalent location was thoracic region(47%) and paraparesis was frequently seen in patients with middle and lower spinal lesions. Operative approaches were either anterior(13) or posterior(6). All patients with neurologic deficits improved after surgery. Autogenous rib and/or iliac strut bone grafting was performed, followed by spinal instrumentation. Solid bone fusion was obtained in all patients. There was no need for prolongation of duration of antituberculous drug therapy and no increased incidence of secondary infection due to spinal instrumentation. Conclusion : From the results, it may be advised that patients of primary spondylitis who had neurologic deficit should receive an aggressive opeation in their early stage.

무수혈로 진행한 대퇴골 원위부 골육종 사지구제술: 증례 보고

박종훈,박시영,이대희,황역구,이현민,Park, Jong Hoon,Park, Si-Young,Lee, Dae Hee,Hwang, Yeok Gu,Lee, Hyun Min 대한근골격종양학회 2014 대한골관절종양학회지 Vol.20 No.1

사지에 발생한 골육종에서의 사지구제술은 광범위 절제술을 기본으로 한다. 수술 전 항암 치료를 한 뒤에 시행하는 경우가 대부분이라 수술전에 빈혈인 경우가 많고 수술로 인한 출혈이 많아서 수술 전 후 빈혈 교정의 필요성이 대부분 존재한다. 수혈이 암 환자의 예후와 합병증 및 수술 후 치료 결과에 나쁜 영향을 미친다는 다양한 보고들이 있음에도 불구하고 사지 구제술에서 빈혈을 교정하기 위한 방편으로 수혈은 여전히 통상적인 치료로 간주되고 있다. 이에 저자들은 대퇴골 원위부에 발생한 골육종 환자의 사지구제술을 무수혈로 시행하였기에 문헌 고찰과 함께 증례 보고 한다. Limb salvage operations for osteosarcoma of the extremity usually consist of wide excision and skeletal reconstruction. Most osteosarcoma patients are anemic prior to the surgery as majority of them undergo preoperative neo-adjuvant chemotherapy; thus, it is necessary to treat anemia before and after the surgery since limb salvage operation tends to accompany significant blood loss. Despite the fact that blood transfusion has bad influence on prognosis, complication, and postoperative outcome of cancer patients, it is still considered as a standard management to fix anemia for limb salvage operations. We would like to present a case report in which the authors succeeded in performing limb salvage operations on patients with distal femur osteosarcoma without transfusion.

전자상거래 환경에서의 안전한 메시지 전송을 위한 웹 서비스 시스템 설계 및 구현

박종훈,김철원,Park, Jong-Hoon,Kim, Chul-Won 한국정보통신학회 2010 한국정보통신학회논문지 Vol.14 No.8

본 논문은 웹 서비스 표준을 이용하여 안전한 메시지 전송을 위한 웹서비스 시스템을 구현하였다. 본 시스템은 싱글사인온 모듈과 SSL(Secure Socket Layer) 모듈과 안전한 메시지 모듈로 구성되어 있다. 이들 모듈들을 적용하기 위해 가격비교사이트를 대상모델로 하여 설계하였다. 싱글사인온 모듈은 SAML(Security Assertion Markup Language) 표준을 사용하였으며, 또한 권한부여와 인증을 제공한다. SSL 모듈은 종단 간에 메시지 암호화를 처리하기 때문에, 시스템의 메시지를 안전하게 전송한다. 또한 안전한 메시지 모듈은 웹 서비스 보안 표준을 따르는 XML암호화와 서명을 적용하였다. This paper describes construction of web services system for secure message transmission appling web services standards. This system composes single sign on module, SSL module and secure message module. We applied these modules to price comparison site. Single sign on module used SAML standards. This module was designed, in order to provide authentication and authorization. As SSL module processes message encryption among end to end, messages of this system are secure. Secure message module is designed according to WS-Security standards and processes authentication, XML signature and XML encryption.