회전식 nickel-titanium file을 이용한 유치의 근관치료

서주희,이광희,김대업,양계식 大韓小兒齒科學會 2001 大韓小兒齒科學會誌 Vol.28 No.4

유치의 근관치료에서 치수절제술은 실활된 유치를 치열궁내에 유지하기 위해 치관과 근관부분의 괴사된 치수조직을 완전하게 제가하는 것을 말한다. 이 술식은 감염된 치수의 세균을 감소시키는 것을 목적으로 하며, 다양하고 불규칙한 유치 근관의 형태가 주된 장애 요소로 작용한다. 더욱이 비협조적인 어린이의 경우에는 오랜 시간동안 정교한 시술을 하기가 곤란하다. 최근 들어 근관치료시에 회전식 기구를 이용하여 근관형성을 하는 장비들이 많이 개발되었으며 저속전기 모터에 회전식 NiTi file을 이용한 술식이 많이 사용되고 있다. 본 증례에서는 회전식 NiTi file과 전기모터를 이용하여 유구치의 근관치료를 시도하였다. 치수강을 개방하고 치관부 치수를 제거한 후 잠정적 작업장을 측정하였으며 적절한 NiTi file을 선택하여 잠정적 작업장까지 crown-down 방법으로 점차적으로 형성하였다. 수용 file로 근단부 도달 및 성형을 하고 전체적인 마무리를 하여 Vitapex로 충전하여 양호한 결과를 얻었기에 보고하는 바이다. The pulpectomy or root canal treatment on primary teeth is to be done when there is evidence of chronic in flammation or necrosis in the radicular pulp. Due to the tortuous and ribbon-shaped anatomy of the primary teeth, the instrumentation of endodontic hand files and barbed broaches is not an easy procedure. Recently, many automatic Ni-Ti rotary instruments have been developed and has made endodontic treatment easier and faster. This report describes two cases of root canal treatment on primary molars using Ni-Ti rotary files. The cervical constricture was eliminated by the crown-down method, as smaller file proceeded unhindered into the apical third of the canal. In addition, the crown-down technique enhanced the efficacy of the endodontic irrigant. The use of rotary instrumentation for primary teeth seemed to be a more effective way to debride the uneven walls of primary teeth.

중등학교 에너지 보존 실험의 검증 및 새로운 실험 방법의 고안

서종식,기대연,이상법 慶北大學校 師範大學 科學敎育硏究所 1999 科學敎育硏究誌 Vol.23 No.-

We examined experiments for kinetic energy conservation in the high school textbook of Physics I and Physics II for the 6th National Science Curriculum and designed a new kit which enables to reduce experimental errors. Most experiments in the existing textbooks deal with the energy conservation for gravitational potential energy transforming to kinetic energy of the same object. We carried out the most commonly used two experiments and found that the experimental errors exceed more than 10~20 percent if carried out without carefulness. This may possibly make students suspect the mechanical energy conservation law. Our new kit, on the other hand, exhibits that the mechanical energy conserves with an error of less than 6% even in the process of transferring the elastic potential energy of one object to the kinetic energy of an another object.

자동차차체 및 부품제조업 산업장의 작업환경실태에 관한 조사 연구

서준호,문덕환,김정호,이채관,황용식,손병철,김대환,이창희,김휘동,이채언 인제대학교 백병원 2002 仁濟醫學 Vol.23 No.5

Objectives: For the purpose of preparing the fundamental data and control the working environment and assessing the status of working environmental in manufacturing industry of bodies for motor car and of parts. Methods and Materials: Accessories for motor car and its engines the auther measured the noise level, concentration of dust, heavymetals, organic solvents, chemicals to 99 industries(24 working processes) form Feb. 2000 to Oec. 2000. Results: The results were as follows : 1. Mean noise level cutting, grinding, pressing, foundries and shot-blast was exceeded to threshold limit value(TLV) of noise. 2. Mean concentration of total dust was not exceeded to TLV. 3. Mean concentration of Mn in welding process and Pb in drying, welding, fabricating, rolling was exceeded to TLV. 4. Mean concentration for chemicals and organic solvents were not exceeded to TLV. 5. Mean concentration of dust and heavymetals were statistical significant difference between with local ventilation system and without local ventilation system. Conclusion: Above results, author suggest to prepare more passively control to working environment where exceeded the TLV.

미용사들의 이직욕구에 관한 연구 : 직무스트레스, 근골격계 증상을 중심으로 Focusing on Musculoskeletal Symptoms and Occupational Stress

서은경,문덕환,박명희,김정원,황용식,손병철,김대환,이창희,김휘동,이채언 인제대학교 백병원 2002 仁濟醫學 Vol.23 No.5

Objective : This study was conducted to prepare the fundamental data on desire of job transfer in hairdresser and prevent the health impairment of hairdresser due to occupational stress and musculosketetal symptoms. Methods and Material : The author surveyed the desire of job transfer and muscurlosketetal symptoms and occupational stress with self-reported questionnaire to 105 hairdresser who were working in beautyshop of Busan area and also 121 student in department of cosmestology as control group. Results : The results were as follows: 1. The rates of self reported symptom were 81.0% for shoulder, 72.4% for back, 67.6% for knee, 58.1% for hand in hairdresser, and 79.3% for shoulder, 71.9% for back, 66.9% for neck, 64.5% for hand and knee in student. 2. The rate of musculoskeletal symptom by NIOSH criteria was 36.2% in hairdresser, it was higher than student group(24.8%)(p<0.1). Occupational stress of the groups by occupational stress category was high as decision latitude, skill discretion, psycological job demand, decision authority in order. 3. The results of logistic regression of related varibles with desire of quitting job by logistic regression were statistical bordline significance between desire of quilting and social support(p<0.1). Conclusion : As above results, the author suggest to prepare the preventive program an musculoskeletal symptoms in hairdresser, especially shoulder, and also to control the occupational stress to hairdresser in beauty shop because occupational stress can be a factor of desire of quitting job.

국가예방접종전산등록체계 개발을 위한 민간의료 기관 하부구조 및 환경 조사연구

이무식,김은영,이건세,이석구,홍지영,김건엽,김대경,신의철,이연경,기몽서,나백주,김영택 한국모자보건학회 2003 한국모자보건학회지 Vol.7 No.2

개방대학의 조직 및 학사운영

문승식,최상도,서대진 진주산업대학교 1992 論文集 Vol.30 No.-

I wanted to know the organization and educational affairs of the 8 open universities in Korea and Chinju open university, and surveyed the school regulations and rules of education matters. (1) The organization of open university is composed of departments and faculties, a graduate school, auxiliary organs and educational administrative branches. Also, the open university is made up of a student council and a faculty council, and a student council is divided into a student’s meeting for the student activities and a board of representatives for decision A faculty council is delibration organization, and departments, auxiliary organs and educational administrative branches are executive organization for the school affairs. (2) The students of open university are selected out of the university selective examination, and the method of entrance into open university is various, there are the fresh, admissible, transmissible entrance and reentrance etc. The period of attendance at an undergraduate is unlimitted, but the period of temporary absence from school is two years. A school year is decided by the obtained credits, an university has the first, second and seasonal term. (3) The opening credits of the total subjects on a shcool curriculum are 110~l35% of the graduation credits(l40 units), that of the curriculum studies are drawn up 0~30% of the total opening credits. But, the opening credits of the essential subjects are formed different from an university. A student can apply the 20~21 units per a term and take 38~40 units per a school year. (4) The result of studies is estimated by the presence, reports, examination, practice and experimentation etc., that is recorded at the degree of 9 steps(A^+~D^0). A graduation examination and ceremony is enforced twice per a school year, also, the subjects of a graduation examination are English and the 4 subjects of major field. One who take 40~60% over of a subject and 60% over of total subjects is paased in a graduation examination. (5) The educational money due is decided by the applied credit units, and the student with excellent results and a labour service to be paid from a scholarship fund. But, student can't act political activities and political party's activeties, also, can't activeties in a management of educational affairs. (6) There are school regulations, educational rule, rules of student activities, management rules of auxiliary organs, rules of committe and rules of administrative branches on the educational affairs.

한국인의 각막에 관한 연구

강현식,김대년,김상연,강인산,박은규,서용원 대구보건대학 1999 대구보건대학 論文集 Vol.19 No.-

As the results of measurement of the radius of corneal curvature by keratometry for the right eye of 100 subjects, the steep meridian radius is 7.21㎜ to 8.27㎜ and flat meridian is 7.45㎜ to 8.65㎜, for the left eye the steep meridian radius is 7.30㎜ to 8.35㎜, and flat meridian is 7.45㎜ to 8.72㎜. The mean value of radius of corneal curvature is 7.8㎜ for night eye, 7.8㎜ for left eye. The results of measurement of P-value by topography, it is ranged from 0.45 to 0.91 for the night eye, 0.55 to 0.90 for the left eye, mean value is 0.756 for right eye, 0.735 for left eye respectively. That means the corneal shape is ellipses. The corneal thickness is measured 0.69㎜ 10°degree to the nasal, 0.76㎜ 20°degree to the nasal, 0.66㎜ 10°degree to the temporal, 0.72㎜ 20° degree to the temporal from the visual axis and 0.60㎜ at the central position. The horizontal size of corneal is 11.34㎜ for the night eye, 11.373㎜ for left eye. Those data can be used for contact lens design and fitting.

지능형 빌딩을 위한 통신실 설치기준

김영오,서태석,양수경,류명주,고대식 牧園大學校 建築·都市硏究센터 1998 建築·都市環境硏究 Vol.6 No.-

본 연구에서는 국내 건축물의 통신실에 대한 운영상의 문제점을 조사·분석하고 효율적인 구내통신 서비스를 위한 통신실의 설계 및 설치기준안을 제시하였다. 국내 업무용 건물의 통신실 설계 및 설치현황을 조사한 결과, 대부분의 통신실 크기가 장비의 설치 및 유지보수시에 필요한 여유공간의 고려가 없이 작게 설치되어 있었으며, 위치 고려의 문제점도 발견되는 등 통신실의 설계 및 설치단계에서 통신실의 중요성이 크게 인식되지 못한 문제점이 있었다. 한편, 통신실에 관한 국내·외 기준을 비교한 결과, 대부분의 선진국에서는 통신실의 설치기준이 자세하게 포함된 구내통신설비의 설계 및 설치 기술표준을 제정, 운용하고 있었지만, 국내에는 통신실에 대한 구체적인 설계 및 설치 표준이 없는 실정이다. 따라서, 본 연구에서는 국내 주거용 및 업무용 구내통신설비 설치표준과 미국의 통신협회인 BICSI 매뉴얼을 기반으로 하고 국내상황을 고려한 통신실의 설계 및 설치 기준안을 작성하였다.

초등학교 교사의 직무 만족과 사기, 직무 스트레스 및 근무 여건 개선에 관한 연구

김정휘,서대식 춘천교육대학교 초등교육연구소 2003 敎育硏究 Vol.20 No.-

정신분열병 및 정신분열형 장애에 대한 올란자핀의 효과와 안전성

안용민,강대엽,권준수,김창윤,김철응,반건호,신영민,이기철,이동우,이중서,조현상,채정호,김용식 大韓神經精神醫學會 2001 신경정신의학 Vol.40 No.4

연구목적 : 본 다기관 공동임상연구는 국내 환자를 대상으로 새로운 항정신병약물인 올라자핀의 치료 효과와 안전성을 확인하고자 시행되었다. 방 법 : 1999년 7월부터 2000년 3월까지 국내 10개 병원에 방문한 정신분열병 및 정신분열형 장애 105명을 대상으로 비대조 개방 임상연구를 시행하였다. 중등도 이상의 정신병 증상을 지니거나, 부작용으로 약물교체가 필요한 경우 또는 기분장애 증상의 치료가 필요한 환자를 대상으로 하였다. 2∼7일간의 약물 배설기간 후에 1일 10mg의 올란자핀을 투여하였고, 이후로 3∼7일 간격으로 용량을 조절하여 총 8주간 투여하였다. 치료 효과는 PANSS(Positive and Negative Syndrome Scale), BPRS(Brief Psychiatric Rating Scale), CGI(Clinical Global Impression-Severity), MADRS(Montgomery-Asberg Depression Rating Scale), HAM-A(Hamilton Rating Scale for Anxiety)로 판정하였다. 안전성 평가는 자발적인 이상반응 보고, 활력징후와 혈액 검사 및 SAS(Simpson-Angus Scale), BARS(Barnes Akathisia Rating Scale), AIMS(Abnormal Involuntary Movement Scale)척도를 이용하였다. 결 과 : 105명중에서 85.7%인 90명이 8주간의 치료를 완료하였다. 평균 최빈 용량은 일일 16.1(±4.7)mg이었고, 종료시점에서의 BPRS전체 점수가 기저 상태에 비해 40%이상 감소된 반응군은 69.5%이었다. PANSS의 양성 증후군과 일반정신병리 뿐만 아니라 음성 증후군 소척도에서도 유의한 감소를 보였으며, 이 감소들은 치료 초기부터 나타나서 8주간 지속되었다. 43.8%의 피험자가 중등도 이상의 우울증상을 같이 지니고 있었으며, 올란자핀에 의해 MADRS와 HAM-A가 유의하게 감소하였다. 치료 기간 동안에 활력징후에는 뚜렷한 변화가 없었으나 체중은 8주간 지속적으로 증가하였다. SAS와 AIMS는 감소하였으며, 정좌불능증을 제외한 나머지 추체외로 증상의 발생비율도 낮았다. 임상적인 증상이나 징후를 동반하지 않는 ALT/SGPT의 상승을 보였지만 프로락틴을 포함하는 대부분의 혈액 검사상 뚜렷한 이상 변화는 없었다. 결 론 ; 비록 본 임상연구가 비대조 개방 임상연구로서 많은 제한점을 가지고 있지만, 올란자핀이 기존 약물에 내약성을 보이거나 기분증상을 동반하는 정신병에 치료 효과가 있었다. 그리고 기존 항정신병약물 치료시에 문제가 되었던 추체외로 증상과 고프르로락틴 혈증을 포함하는 대부분의 부작용면에서 안전성을 보여 주었다. Objective : This multicenter clinical trial was carried out to investigate the efficacy and the safety of olanzpine for the treatment of Korean patients. Mothod : 105 patients with schizophrenia and schizophreniform disorder, visited at 10 mental or university hospitals, had received an open and non-comparative treatment with olanzapine for 8 weeks. Patients had psychotic or depressive symptoms with the severity above moderate degree or intolerable side effects to previous antipsychotics. After a wash-out period of 2-7 days, 10mg olanzapine was prescribed initially to all the patients, and then the dosage could be adjusted within the range of 5-20mg/day of olanzapine by 3-7 days. Results : 90(85.7%) of 105 patients completed the 8-weeks trial and the mean modal dose of olanzapine was 16.1(±4.7%)mg/day. At the end of the trial, 73 patients(69.5%) were classified as responder, which was defined as 40% or more improvement in BPRS(Brief Psychiatric Rating Scale) score comparing to baseline. There was a significant reduction in the scores of PANSS(Positive and Negative Syndrome Scale)and subscales including negative symptom scores and CGI. Also weekly analysis showed that the reductions in scores were kept on for the whole period of the trial. 43.8% of all the patients had depressive symptoms at the baseline and total scores of MADRS(Montgomery-Asberg Depression Rating Scale) and HAM-A(Hamilton Rating Scale for Anxiety) were also reduced after the trials. Vital signs revealed no clinically significant changes but continuous weight gain was observed during the treatment with olanzapine. The scores of SAS(Simpson-Angus Scale) and AIMS(Abnormal Involuntary Movement Scale) for assessing the EPS(extrapyramidal symptoms)and tardive dyskinesia respectively were significantly decreased and only a few patients reported EPS as adverse events. Although mild and clinically non-significant of ALT/SGPT was observed, most laboratory parameters including plasma prolactin level showed to significant changes during the trial. Conclusions : Although this trial had many limitations because it was a non-comparative and open study, olanzapine showed high efficacy on the positive, negative and depressive symptoms in schizophrenia and schizophreniform disorder.In addition to that, olanzapine showed a substantially favorable safety profile, such as low incidence of EPS and hyperprolactinemia.