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        고정식 교정 환자에서 전동치솔 효과에 관한 연구

        박창헌,황현식,이기헌,홍석진 대한치과교정학회 2004 대한치과교정학회지 Vol.34 No.4

        고정식 교정장치를 부착한 경우 장치주위의 치태 축적 가능성이 증가되고 이로 인해 치은염, 법랑질 탈회 등의 부작용이 초래 될 수 있는 바 치태 제거를 위한 효과적인 치솔질이 필요하다. 본 연구는 교정환자에서 일반적으로 사용되고 있는 치솔에 비하여 전동치솔이 구강위생에 도움이 되는지 알아보기 위하여 시행되었다. 고정식 장치에 의한 교정치료 예정인 환자 34명을 본 연구의 대상으로 하여 고정식 교정장치 부착 전에 치태지수, 치은염지수, 치은출혈지수를 측정하였다. 장치 부착 4주 후에 각 지수를 측정한 다음, 연구대상을 치솔의 종류에 따라 전동치솔군과 수동치솔군으로 임의 구분하여 수동치솔 또는 전동치솔을 사용하도록 구강위생교육을 각각 시행하였다. 이때 전동치솔의 경우 본체는 Braun Oral-B D9511을 브러쉬 헤드는 Braun Oral-B Ortho OD 15-1을 사용하게 하였으며, 수동치솔의 경우는 Butler G.U.M 124를 사용하게 하였다. 구강위생교육 4주 및 8주 후에 각 지수를 측정한 다음 시간 경과에 따른 전동치솔군과 수동치솔군의 구강위생 상태를 비교 분석하여 다음과 같은 결과를 얻었다. 1. 고정식 교정장치 부착 4주 후 치태지수, 치은염지수, 치은출혈지수 모두 증가 양상을 나타내었다. 2. 구강위생교육 후 치태지수, 치은염지수, 치은출혈지수 모두 감소 양상을 나타내었다. 3. 치은염지수, 치은출혈지수의 경우 감소양상이 수동치솔과 전동치솔군 간의 유의한 차이를 보이지 않았다. 4. 치태지수의 경우 수동치솔에 비해 전동치솔군에서 감소효과가 유의하게 크게 나타났다. 이상의 연구 결과는 고정식 교정장치로 치료받는 환자에서 전동치솔이 구강위생에 도움이 됨을 시사하였다. Patients with fixed orthodontic appliances frequently have increased levels of plaque accumulation leading to the possibility of gingivitis or enamel decalcification. Although many methods may be helpful in reducing dental plaque formation, the optimal mechanical removal of plaque is the most important factor during orthodontic treatment. The purpose of this study was to evaluate the efficacy of an electric toothbrush (with a specially designed orthodontic brush head) compared to a manual toothbrush in controlling plaque and gingivitis for patients with fixed orthodontic appliances. Oral hygiene status was measured in thirty-four patients using a plaque index, a gingival index and a bleeding index, before and four weeks after the attachment of fixed orthodontic appliances. Patients were randomly divided into two groups: electric and manual toothbrush groups. Oral hygiene instruction was given according to the type of toothbrush used. The Braun Oral-B D9511 with Braun Oral-B Ortho OD 15-1 brush head was used as the electric toothbrush while the Butler G.U.M. 124 was given as the manual toothbrush. After four and eight weeks, oral hygiene status was measured again. Through a comparison between the electric and the manual toothbrush groups, the following results were obtained. 1. All oral hygiene indices showed an increasing tendency after four weeks of fixed orthodontic appliance. 2. All indices presented a decreasing tendency four and eight weeks after oral hygiene instruction. 3. In case of the gingival index and bleeding index, the decreasing tendency did not show a statistically significant difference between the electric and the manual toothbrush groups. 4. The decreasing tendency of plaque index presented a statistically significant difference between the two groups, showing that the electric toothbrush was more effective in terms of oral hygiene. These findings suggest that an electric toothbrush is useful to orthodontic patients with fixed appliances.

      • 2-Fluorenyl chalcone 유도체의 합성과 가수분해반응에 관한 연구

        이기창,황성규,윤철훈,오세영 명지대학교 자연과학연구소 1995 자연과학논문집 Vol.12 No.-

        Fluorenyl chalcone 유도체를 합성하였고 25 ±1℃의 20% dioxane-H?O 혼합용매 중에서 자외선 분광광도법을 이용하여 pH 1.0~13.0까지의 넓은 pH범위에서 가수분해 반응속도를 측정하였다. 또한 Fluoreny chalcone 유도체의 pH변화에 따른 반응속도로 측정하고, 일반염기효과, 치환기효과 및 가수 분해 생성물 확인 등으로부터 Fluorenyl chalcone 유도체에 대한 가수분해 반응속도상수를 구하였다. 이들 유도체들은 pH와 무관한 부분과 수산화 이온농도에 비례하며, pH와 무관한 부분에서는 중성의 물분자가 첨가된다. 반응속도 상수 측정으로부터 Fluorency chalcon 유도체의 가수분해 반응은 비가역 1차 반응임을 확인하였고, 치환기효과로부터 전자유인성기에 의해 반응이 촉진되는 것을 알 수 있었다. 또한, 가수분해 최종 생성물은 확인 결과 2 ~acetyl fluorene과 벤즈알데히드였다. 이러한 실험결과를 토대로 하여 Fluorenyl chalcone 유도체에 대한 가수분해 반응 메카니즘을 제안하였다. Fluorenyl chalcone derivatives were synthesis, it was measured that hydrolysis made use of ultraviolet spectrophotometry at a wide pH 1.0 ~ 13.0 range in 20% dioxane-H?O solution, 25±1℃. On the basis of general base catalysis, substitutent effect and confirmation of hydrolysis product, it was measured the reaction rate of fluorenyl chalcone derivatives for the pH change. It maybe concluded that a part was unrelated to pH and another part was in proportion to concentration of hydroxide ion: Above pH 10.0, It was in propotion to concentration of hydroxide ion, a part having no concern with pH was added to the neutral H?O molecule. From the result of measurement the reaction rate, hydrolysis of fluorenyl chalcone derivatives confirmed to the irreversible first order through measurement the substituent effect, It was found that reaction rate was accelerated first order through measurement the substituent effect, It was found that reaction rate was accelerated by electron attracting group. Also, from the result of final product, there were 2-acetyl fluorene benzaldehyde.On the basis of these findings, Hydrolysis for the fluorenyl chalcone derivative was proposed a fitting mechanism.

      • 고정식 교정 환자에서 전동치솔 효과에 관한 연구

        박창헌,이기헌,황현식,홍석진 전남대학교 치의학연구소 2002 구강과학 Vol.14 No.4

        Patients with fixed orthodontic appliances frequently have increased levels of plaque accumulation leading to the possibility of gingivitis or enamel decalcification. Although many methods may be helpful in reducing dental plaque formation, optimal mechanical removal of plaque is tile most important factor during orthodontic treatment. The porpose of this study was to evaluate the efficacy of'an electric toothbrush, with a specially designed orthodontic brush head. compared with a manual toothbrush in controlling plaque and gingivitis for patients with fixed orthodontic appliances. Oral hygiene status was measured in thirty four patients, using a plaquc index, a gingival index and a bleeding index. before and four weeks after attachment of fixed orthodontic appliances. Patients were randomly divided into two groups, the electric and the manual toothbrush groups. Oral hygiene instruction was given according to the type of toothbrush used. The Braun Oral-B D9511 with Braun Oral-B Ortho OD 15-1 brush head was used as the electric toothbrush while the Butler G.U. M 124 was given as the manual toothbrush. After 4 weeks and 8 weeks, oral hygiene status was measured again. Through the comparison berween the electric and the manual toothbrush grpups. following results were obtained. 1. All oral hygiene indices showed increasing tendency after 4weeks of fixed orthodontic appliances. 2. All indices presented decreasing tendency four and eight weeks after oral hygiene instruction. 3. In case of gingival index and bleeding index. decreasing tendency did not show a statistically significant difference between the electric and the manual toothbrush groups. 4. The decreasing tendency of plaque index presented statistically significant difference between the two groups. showing that the electric toothbrush was more effective in terms of oral hygiene. These findings suggest that an electric toothbrush is useful to the orthodontic patients with fixed appliances.

      • 膈下遂瘀湯 煎湯液이 鎭通, 消炎 및 膈臟에 미치는 影響

        崔海煇,黃忠淵,李起男 圓光大學校 韓醫學硏究所 1991 원광한의학 Vol.1 No.1

        Kyughachugatang(膈下遂瘀湯) has been applied as an oriental medicine which has been exerted therapeutic effects on pain of hypo-chondriac zone. This experiment is designed to investigate the effects of Kyughachugatang Extract on the analgesia, anti-inflammation and pancreatic damage. The results were obtained as follows : 1. On the experiment of analgesic effects of Kyughachugatang Extract, the Writhing syndrome induced by acetic acid was reduced compared with Control Group. The analgesic effects observed by the Hot plate method was revealed the Paw licking time and Escape time prolonged. 2. Anti-inflammatory effects was increased by Kyughachugatang Extract administration. 3. On pancreatic damage of mice induced by streptozotocin, the Writhing syndrome induced by acetic acid was reduced compared with Control Group, the analgesic effects observed by Hot plate method was revealed the Paw licking time and Escape time prolonged by Kyugachugatang Extract administration. 4. On pancreatic damage of rats induced by streptozotocin, anti-inflammatory effects was increased by Kyughachugatang Extract administration. According to the results, Kyughachugatang Extract is revealed the effects on the analgesia, anti-inflammation and pancreatic damage. We conclued that Kurghachugatang Extract promote or activate blood circulation by removing blood stasis(活血化瘀).

      • 서울의 Penicillinase Producing Neisseria Gonorrhoeae 발생빈도(1996)

        김재홍,황동규,전재홍,김윤석,김중환,김용준,이창균,임동진,김현수,조창근,김경문,박상훈,전우형,김희성,이호정,차명수,김갑형,김형석,김석우,황지환,박병순,권오상,이민수,송기훈,성소영,이인섭,부태성 대한화학요법학회 1999 대한화학요법학회지 Vol.17 No.2

        Background : In recent years, gonorrhea has been panedemic and remains one of the most commom STDs in the world, especially in developing countries. Objective & Methods: For the detection of a more effective therapeutic regimen and assessing the prevalence of PPNG, we have been trying to study the patients who have visited the VD Clinic of Choong-Ku Public Health Center in Seoul since 1980 by means of the chromogenic cephalosporin method. Results: In 1996, 139 strains of N. gonorrhoeae were isolated, among which 53(39.0%) were PPNG. Conclusion: Our results suggests that after a peak of 74.3% in 1993, the prevalence of PPNG in Seoul is gradually declining.

      • KCI등재

        Long-term postresection prognosis of primary neuroendocrine tumors of the liver

        Jay Jung,Shin Hwang,Seung-Mo Hong,Ki-Hun Kim,Chul-Soo Ahn,Deok-Bog Moon,Tae-Yong Ha,Gi-Won Song,Yo-Han Park 대한외과학회 2019 Annals of Surgical Treatment and Research(ASRT) Vol.97 No.4

        Purpose: Primary hepatic neuroendocrine tumor (PHNET) is a very rare neoplasm, requiring strict exclusion of metastasis from possible extrahepatic primary sites for its diagnosis. Methods: We reviewed our clinical experience of 13 patients with primary hepatic NET who underwent liver resection from January 1997 to December 2015. Results: The mean age of the 13 patients (8 males and 5 females) was 51.1 ± 12.8 years; the most common clinical manifestation was vague, nonspecific abdominal pain (n = 9). Of them, 11 patients underwent preoperative liver biopsy, 7 of which correctly diagnosed as neuroendocrine tumor (NET). Ten patients underwent R0 resection, and 3 underwent R1 resection. Diagnosis of PHNET was confirmed both immunohistochemically and by absence of extrahepatic primary sites. All tumors were single lesions, with a mean size of 9.6 ± 7.6 cm and a median size of 4.3 cm; all showed positive staining for synaptophysin and chromogranin. During a mean follow-up period of 95.1 ± 86.6 months, 7 patients died from tumor recurrence, whereas the other 6 remain alive to date, making the 5-year tumor recurrence rate 56.0% and the 5-year patient survival rate 61.5%. When confined to R0 resection, 5-year recurrence and survival rates were 42.9% and 70.0%, respectively. Univariate analysis showed that Ki-67 proliferative index was the only risk factor for tumor recurrence. Conclusion: PHNET is a very rare tumor with no specific clinical features, and its final diagnosis depends primarily on pathology, immunohistochemistry, and exclusion of metastasis from other sites. Aggressive surgical treatment is highly recommended for PHNET because of acceptably favorable postresection outcomes

      • 농촌지역 노인들의 우울증상에 관련된 요인들의 특성

        송미숙,전기홍,송현종,김정은,박승구,신상건,이동훈,정성현,최연주,최완철,최민규,황재철,홍지만 아주대학교 1997 아주의학 Vol.2 No.2

        This study was performed to identify risk factors for depression among the elderly in a rural area. A survey was done for the elderly living in Gosam-myenn, Ansung-kun during the period of July 28, 1997 and July 30, 1997. Demographic and sodoeconornic characteristics, and functional and health Status were assessed using a structured questionnaire, and the level of depression was measured by GDS score. The data obtained were analyzed by frequencies, percentage, t-test, ANOVA, and multiple regression, and the results were as follows: 1. The total sample consisted of 133 elderly. Of them, 47 elderly (35.4%) showed significant depressive Symptoms. 2. The GDS score was the highest for the group over 85 years of age (p < 0.05). Those living alone or widowed showed lower GDS score than those living with someone or married (p < 0.05). 3. The GDS score was the highest in the absolutely dependent group, followed by the partially dependent group, and the independent group (p < 0.01). The elderly who perceived their health Status as excellent showed the lowest GDS score. In contrast, those who had more than five chronic diseases showed the highest GDS score. 4. The elderly receiving financial and emotional support from their family or friends showed lower GDS score compared to those without any support. 5. The economically dependent group showed higher GDS score than that of independent group. 6. The elderly who involved in leisure activities showed lower GDS score than those without any involvement. 7. In terms of risk factors for depression, we found that perceived health Status, subjective economic Status, leisure activities, living arrangement and financial support were inversely associated with GDS score, whereas labor support was positively associated with GDS score. Based upon the above findings, this study suggests that these risk factors for depression in the elderly should be taken into consideration for a comprehensive mental health program for the elderly living in the rural area.

      • SCIESCOPUSKCI등재
      • 서울의 Penicillinase Producing Neisseria gonorrhoeae 발생빈도(1998)

        김재홍,김준호,반재용,이정우,황성주,정준규,정성태,강진문,조흔정,홍창의,정혜신,이한승,김이선,이봉길,이종호,선영우,한기덕,윤성필,이성훈,안종성,박석범,문승현,조항래,김형섭,류지호,황재영,박준홍,손상욱 한양대학교 의과대학 2001 한양의대 학술지 Vol.21 No.1

        In recent years, gonorrhea has been pandemic and remains one of the most common STDs in the world, especially in developing countries. For the detection of a more effective therapeutic regimen and assessing the prevalence of Penicillinase Producing Neisseria gonorrhoeae(PPNG), we have been trying to study the patients who have visited the Venereal Disease Clinic of Choong-Ku Public Health Center in Seoul since 1980 by menas of the chromogenic cephalosporin method. In 1998, 93 strians of N. genorrhoeae were isolated, among which 60(64.5%) were PPNG. The prevalence of PPNG in Seoul, which had been decreased to 39% in 1996 after a peak of 74.3% in 1993, is increased to 64.5% in 1998.

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