구순 구개열 환자의 성장후 측모형태에 관한 두부계측방사선학적 연구

장익준,손우일,송재철,진병로 영남대학교 기초/임상의학연구소 2001 Journal of Yeungnam Medical Science Vol.18 No.1

Background: Cleft lip and palate deformity have unknown patterns of maxillofacial growth and development. The maxillofacial growth can be affected either by congenital or environmental factors such as infection and trauma. Surgical repair of cleft lip and palate may interfere the subsequent growth and development of maxillofacial region. The purpose of this study is to evaluate the characteristics of maxillofacial growth patterns in adult cleft lip and palate patients. Materials and Methods: The material for this study consisted of 17 adult male patients with cleft lip and palate. Cephalometric tracing and measurements were done by one investigator. The relationship between 17 cleft lip and palate patients and Korean norms were evaluated statistically Results: There were statistically differences in Na. perpendicular to point A, SNA angle, effective maxillary length, maxillofacial differencial, Wit's appraisal and upper incisor to point A(p<0.01). Pogonion to Na. perpendicular also statistically differed(p<0.05). Other measurements didn't statistically differ. Conclusion: It was evident that in adult cleft lip and palate patients, maxilla was retruded and short. Careful cleft lip and palate repair and treatment are recommended for facilitating normal growth of maxilla.

매복 하악 제3대구치의 외과적 발거에 영향을 미치는 방사선학적 변수

김동현,박성빈,장익준,송재철,진병로 대한악안면성형재건외과학회 2001 Maxillofacial Plastic Reconstructive Surgery Vol.23 No.3

Purpose : The purpose of this study was to determine radiologic variables affecting extraction of impacted mandibular third molar. Materials and Methods : This study was investigated on 44 consecutive extractions of unilateral impacted mandibular third molars (Male;34, Female;10, Mean age;24.98, Age range;19-35). Fourteen radiologic variables, which were actual value except only one, were evaluated to establish their relation to the operation time. The Pearson correlation coefficient and Stepwise procedures for regression analysis were carried out. Results : Eight variables (depth, angulation, ramus width, relationship to the second molar, distal ramus depth, mesial ramus depth, mesial periodontal ligament width and follicle) showed a statistically significant relation to the operation time(Pearson correlation coefficient, p<0.05) . Two variables, depth and mesial periodontal ligament width, showed the most powerful and just relation to the operation time(r2 = 0.349, p<0.05). Conclusion : This study shows that our results can help general practioner to estimate the operation time of extraction of impacted mandibular third molars by measuring two radiologic variables ; depth and mesial periondontal ligament width.

자궁내막선암의 임상병리학적 고찰

송인철(IC Song) 대한산부인과학회 1977 Obstetrics & Gynecology Science Vol.20 No.2

1. 자궁내막선암의 발생빈도는 전 부인암중 3.8%를 차지하였고 자궁경암에 대한 비율은 1:19.8이었다. 2. 환자의 평균연령은 52세이었고 연령분포는 51~60세에서 가장 높은 빈도를 보였다. 3. 환자의 미경산율은 25% 이었다. 4. 평균 폐경기연령은 49.8세이었고 월경력과의 관계는 폐경기 이후가 50%로 가장 많았고 폐경기가 28.6%, 性성숙기가 21.4%이었다. 5.내과적 또는 부인과적 합병증으로는 불임증 29.2%, 고혈증 16.6%, 자궁근종 및 선근증이 각각 12.2%, 비만 8.2%의 순서이었으며 당뇨병은 1예도 없었다. 6. 자각증상은 불규칙한 자궁출혈이 88.4%이었으며 이중 폐경기 후 출혈이 46.2%로서 가장 많았고, 하복통 및 대하를 호소한 예가 각각 34.6% 이었다. 7. F. I. G. O의 임상분류법에 의하면 제1기 57.8%, 제2기 15.6%, 제3기 15.6%, 제4기 11.7 % 이었으며, Broder`s 분류법에 의한 조직학적 grade는 제1도 54.0%, 제2도 11.7%, 제3 도 23.4%, 제4도 11.7%이었다. 8. 임상적 stage와 조직학적 grade 및 조직학적 grade와 자궁근층침윤은 연관성이 있는 것 으로 추측되었으나 연령과 임상적 stage 및 연령과 자궁근층침윤은 연관성이 없는 것으로 추측되었다. 9. 조직학적 진단으로서는 자궁내막선암이 88%, 선극세포암이 12%이었다. 10. 난소의 병리조직학적 소견은 낭포성변화 30.4%, 피층기질증식 13.0%, 전이성자궁내막 선암과 부난소낭종이 각각 4.2%이었다. 11. 예비적 진단법으로 세포진을 28예중 20예(71.4%)에서 시행하였으며 그 진단적 정확성은 25%이었다. 12. 최종진단방법은 진단적 자궁내소파 50.0%, 부분적 소파 35.7%, 자궁경부의 생검 7.1%, 개복술 및 용종절제술이 각각 3.6%의 순위이었다. 13. 수술요법을 시행한 24예중 복식자궁절제술 및 양측부속기절제술을 시행하였던 예가 16 예(66.6%)로 가장많았고 복식광범위자궁절제술 및 골반임파선절제술을 행하였던 예가 6예(25.0%)이었고 전장기적출술 및 시험개복을 행하였던 경우가 각각 1예(4.2%)이었다. 14. 수술을 시행하였던 24예의 수술후 추적성적은 5년생존율이 확인된 예가 5예뿐이었으며 이는 모두 임상 제1a기에 속하였다. 총괄적인 5년생존율은 례수가 많지 않고 추적불가능한 예가 많아 단언할 수 없다. A Clinico-Pathological study was made on a series of 28 endometrial cancers experienced at the Department of Obstetrics and Gynecology, National medical Center during the period from January 1, 1959 to October 31, 1975. The results obtained were as follows; 1) The incidence of endometrial cancer of all gynecological malignancies was 3.8% and the ratio of the endometrial caner to cervical cancer was 1 : 19.8. 2) Age distribution of endometrial cancer was concentrated on the age group of 51-60 and average age was 52 years. 3) The frequency of nulliparity was 25%. 4) Regarding the menstrual status, a half of all cases occurred in woman beyond monopause, the proportion being 50.0% postmenopausal, 28.6% perimenopausal and 21.4% menstruating. Average age at menopause was 49.8 years. 5) Associated medical and gynecological conditions were as follows: Infertility was noticed in 29.2%, hypertension in 16.6%, myoma and adenomyosis in 12.2% respectively, obesity in 8.2%, and no diabetes mellitus. 6) As to the presenting symptoms, abnormal bleeding was encountered in 88.4%, commonly postmenopausal in 46.2%, and lower abdominal pain and vaginal discharge were in 34.6%, respectively. 7) According to the clinical stage adopted by FIGO in 1970 and histologic grading by Broder`s classification, stage I was found in 57.8%, stage 2 in 15.6%, stage 3 in 15.6% and stage 4 in 11.7%, and grade I was seen in 54.0%, grade II in 11.7%, grade III in 23.4% and grade IV in 11.7%, respectively. 8) Clinical stage, histologic grade and myometrial invasion were seemed to be related to each other such as well differentiated tumors were found relatively in a earlier stage and the greater the degree of dedifferentiation of the cells, the greater the myometrial invasion. 9) Regarding the ovarian pathology, cystic change was found in 30.4%, cortical stromal hyperplaia in 13.0, secondary adenocarcinoma and parovarian cyst in 4.2%, respectively. 10) Vaginal cytology as a preliminary diagnostic procedure taken from 20 cases, over pap class III was found 5 cases (25%). 11) Diagnosis was made by endometrial curettage in 50.0%, fractional curettage of endometrium in 35.7%, cervical biopsy in 7.1% and laparotomy in 3.6%, respectively. 12) All cases were primarily treated by surgery. Regarding the types of operation, total abdominal hysterectomy with bilateral salpingo-oophorectomy was performed in 66.6 %, radical hysterectomy with both pelvic lymphadenectomy in 25.0% and total exenteration and exploratory laparotomy in, 4.2%, respectively. 13) It was very hard to get 5 yesr survoval rate because of insufficient follow-up study. Only 5 cases of stage Ia revealed over 5 year salvage.

소아에서 편도 및 아데노이드 적철술 후 비음도의 변화

김익태,송상윤,장기현,전진형,김형종 대한이비인후과학회 2000 대한이비인후과학회지 두경부외과학 Vol.43 No.6

임신말기에 발생한 PUPPP증후군 1 예

최인철(IC Choi),김세광(SK Kim),장영건(YK Jang),윤달영(DY Yoon),조재성(JS Cho),송찬호(CH Song),이광길(KK Lee),김희정(HJ Kim) 대한산부인과학회 1994 Obstetrics & Gynecology Science Vol.37 No.3

PUPPP(pruritic urticarial papules and plaques of pregnancy) is a relatively common benign dermatosis of pregnancy. It generally occurs in primigravidas. Its etiology is unknown. The clinical manifestations include erythematous urticarial papules and palques that begin on the abdomen and spread to involve the buttocks, hips, thighs, legs, and upper inner arms, but facial involvement is rare. We report a case of PUPPP syndrome in a 27 year old primigravid woman. With conservative treatment, the symptoms resolved twol weeks after delivery.

천식 교육을 위한 가족용 보드 게임의 개발 및 교육 효과

최익선 ( Ic Sun Choi ),유병근 ( Byung Keun Yu ),변정혜 ( Jung Hye Byeon ),라경숙 ( Kyong Suk La ),송대진 ( Dae Jin Song ),유영 ( Young Yoo ),정지태 ( Ji Tae Choung ),이영미 ( Young Mee Lee ) 대한소아알레르기호흡기학회(구 대한소아알레르기 및 호흡기학회) 2009 Allergy Asthma & Respiratory Disease Vol.19 No.2

목적: 소아 천식의 효과적인 치료를 위해서는 천식에 대한 정확한 질병 인식을 통해 일상 생활에서 적절한 치료와 관리를 수행하는 것이 필요하다. 연구자들은 소아 천식의 관리와 치료 수준을 향상시키는 방법으로서 가족용 천식 게임을 개발하여 천식에 관한 인식도를 높이고자 하였다. 방 법: 2007년 4월부터 2008년 11월까지의 기간 동안 고려대학교병원 소아알레르기호흡기 세부전문의 3명, 소아과 전문의 1명, 소아과 전공의 3명 및 고려대학교 의과대학생 15명이 게임의 개발에 참여하였다. ADDIE 모델을 통한 체계적인 개발 과정을 적용하였고 19명의 천식 환아 보호자로부터 천식 교육 요구도를 심층 면담을 통해 조사하여 게임 내용에 반영하였다. 개발된 게임의 교육효과를 평가하기 위해 게임을 경험해본 환아군(n=20)과 경험해 보지 않은 환아군(n=22) 사이의 천식 인식도를 설문 조사 방식으로 조사하였다. 결 과: 개발된 게임은 보드 게임 형식으로 천식의 유발 및 악화 인자에 대한 인식과 회피 방법, 천식 증상, 유지 치료의 필요성 등을 내용을 포함하였다. 게임을 진행해 본 결과 초등학생 이상의 환자가 게임 방식과 내용을 쉽게 이해하고 진행할 수있었으며, 약 2시간 정도의 비교적 긴 게임 시간에도 집중력을 유지하며 참여였다. 천식 인식도 점수는 게임을 경험해 본 환아군에서 평균 74.0±17.6점으로 경험해 보지 않은 환아군의 평균 55.0±17.1점에 비해 높은 수준을 보였다.(P=0.006)결 론: 저자들은 체계적인 과정을 통해 천식 교육을 위한 가족용 보드 게임을 개발하였다. 개발된천식 교육용 보드 게임은 천식 인식도를 유의하게 향상시켰고 따라서 이를 통해 천식 관리 수준이 향상될 수 있을 것으로 기대된다. Purpose: The education for self-management of asthma is considered as an essential component to control asthma and improve outcomes. This study aimed to develope an educational game for increasing knowledge of asthma management among children and their caregivers. Methods: Three subspecialists of pediatric allergy and respirology, 1 pediatrician, 3 pediatric residents and 15 medical students conducted this study. An instructional systemic design using analysis, design, development, implementation and evaluation (ADDIE) model was applied in the entire process of game production. We surveyed the demands of asthma education in 19 caregivers of children who were in the treatment of asthma in Korea University Anam Hospital and reflected its results on the construction of game. For the evaluation of the objective effects of developed game, the comparison study was performed between the patients who had experienced the game (n=20) and those who had not (n=22) by using questionnaire about the knowledge of asthma. Results: The game was developed as a form of board game and had contents including precipitating factors, symptoms and treatment of asthma. The patients older than elementary student easily understood the mode and substances of game, and participated with their concentrations throughout approximately 2 hours` operating time. In analysis of the knowledge level of asthma, the patients who had experienced board game showed significantly higher knowledge level than those who had not (74.0±17.6 vs. 55.0±17.1, P=0.006). Conclusion: We developed a family board game for the asthma education through the systematic production process. The board game may increase the knowledge level in asthmatic children, which would improve the ability of self-management. [Pediatr Allergy Respir Dis (Korea) 2009;19:115-124]

한국산 개비자 나무 (Cephalotaxus koreana) 의 알칼로이드 함량분석

김상익(Sang-Ic Kim),최형균(Hyung-Kyoon Choi),송재영(Jai-Young Song),김진현(Jin-Hyun Kim),이현수(Hyun-Soo Lee),홍승서(Seung-Suh Hong) 한국생물공학회 2000 KSBB Journal Vol.15 No.5

Magnetic Properties of Cu²⁺ Substituted Co-ferrite

Sung Yong An,Ic Seob Kim,So Yeon Song,Jin Woo Hahn,Jeong-Wook Kim,Sung Wook, Hyun,Chin Mo Kim,Chul Sung Kim 한국자기학회 2010 한국자기학회 학술연구발표회 논문개요집 Vol.2010 No.12

양성난소기형종의 자연파열 3예

장명익(MI Chang),송인철(IC Song),박인서(IS Park) 대한산부인과학회 1979 Obstetrics & Gynecology Science Vol.22 No.10

자궁에 발생한 혈관근지방종

배평원(PW Bae),송인철(IC Song),박영주(YJ Park),최근해(GH Choi) 대한산부인과학회 1976 Obstetrics & Gynecology Science Vol.19 No.7

We experienced a cases of Angiomyolipoma of the uterus who was adimtted to our ob and gyn. Department of Obsterics and Gyunecology, the impression of the ovarian tumor of undetermined site. After laparatomy we confirmed the tumor mass was uterine tumor which was reported as angiomyolipoma through pathological examination. The angiomyolipoma is considered as benign mixed mesodermal tumor composed of the various component that is vesseles, muscles fatty tissues, elstic tissues, etc. This tumor has much rare incidence in the uterus but relatively common incidence in the kidney. We present this tumor because of its rarity and interesting pathological entity.