• Journal of Periodontal and Implant Science
• /
• 제30권3호
• /
• pp.527-538
• /
• 2000

Several extraction cases with advanced bone loss as a result of periodontal disease, root or labial bone fracture, extensive caries, and periapical lesions occur esthetic, functional problems and severe bone loss. Therefore, to treat these cases used several surgical methods and socket preservation among this therapies have been evaluated simple, effective and good prognosis in the implant placement. Socket preservation therapy have been used with barrier membranes or/and graft materials. Deproteinized bovine bone mineral have been evaluated ideal grafting materials. Recently, calcium-phosphate thin film coated bovine bone powders were developed in our country, but the study for these material wasn't reported. When two types of xenograft materials were implanted in extraction sockets of Beagle dogs, the effects of these were analyzed after 4 weeks and 8 weeks histological views. The results of this study were as follows. 1. In control groups, 4 weeks after implantation, the extraction sockets were filled with connective tissue which has dilated vessels and epithelial growth. And after 8 weeks, irregular connective bundles were observed. But new bone formation was not seen. 2. In Bio-Oss groups, epithelial growth was not seen and bone powder was covered with connective tissue fiber. New bone formation was found around the interproximal bone. There was no special change seen after 8 weeks, connective tissue fibers became more regular, and bone growth near bone powder was not made well. 3. In Ca-P BBP groups, epithelial cells didn't grow in the extraction sockets, there was a lot of new bone made around the bone powder after 8 weeks, new bone around bone powder was replaced with mature bone. It is thought that bone powder grafting into the extraction sockets is very useful for conservation of ridge, and Ca-P BBP is more effective in bone formation than Bio-Oss.

• Restorative Dentistry and Endodontics
• /
• 제21권1호
• /
• pp.289-299
• /
• 1996

It is necessary to measure the length of a root canal in order to attain a satisfactory prognosis after root canal therapy. There are several methods for determining root canal length, such as tactile sensation by the dental practitioner, the utilization of x-ray film, and electronic root canal measurement. Among these, the electrical measurement methods, in which the impedence between the oral mucous membrane and periodontal membrane is determined, have advantages of simplicity and accuracy. During root canal treatment, the root canal contains a solution of high electrical conductivity such as pus, blood, sodium hypochlorite and so on. Recently a new electronic root canal measurement device of frequency-dependent type has been developed, which is capable of measuring the length of root canal under moist conditions. Endex and Root ZX, which are frequency-dependent type, were evaluated for accuracy of measuring root canal length in vivo by stereomicroscope. The result were as follows ; 1. 82.5% of Endex and 87.5% of Root ZX measured in the range of ${\pm}0.5$ mm from the apical foramen and both showed 57.5 % in the range of 0.1 mm to 0.5 mm. 2. Endex showed significantly higher accuracy in vital teeth than nonvital teeth(p<0.05). But in case of Root ZX, there was no significant difference between vital and nonvital teeth. 3. As a result of this study, there was no significant difference in accuracy between Endex and Root ZX, and both devices showed file passes the apical foramen in more than half of the cases, and it is thought that this must be considered clinically.

• Journal of Chest Surgery
• /
• 제11권2호
• /
• pp.129-134
• /
• 1978

Two hundred and seventeen patients underwent diagnostic rigid bronchoscopy or bionchofiberscopy to evaluate the cytologic diagnosis in the lung cancer patient at the department of chest surgery of Yon-Sei university, college of the medicine from 1971 to 1977 year. One hundred and twenty cases of these patients were taken rigid bronchoscopy and ninety four cases of these patient were taken bronchofiberscopy. Cytologic examination of the sputum was done in 214 cases and sputum cytology was positive in 50 cases [23.4%]. Rigid bronchoscopy was made in 120 cases and this bronchoscopic cytology including bronchial washing and bronchial biopsy was positive in 34 cases [28.5%]. Bronchofiberscopy was performed in 94 cases and was positive in 45 cases [47.5%]. Histopathologically, 41 cases [43.6%] were epidermoid cell carcinoma, 8 cases [8.5%]of undifferentiated cell type, 12 cases [12.8%]of adenocarcinoma, 8 cases [8.5%]of alveolar cell type, and the 25 cases were undetermined. Cytologic examination of the sputum lacks the accuracy of the bronchoscopies in terms of both localization and accurate histologic indentification of the type of neoplasm. Rigid bronchoscope has the advantage of permitting identification of a tumor in a central location and of providing a sufficient amount of biopsy material for accurate diagnosis of carcinoma. However, it has the disadvantage of limiting examination to the larger, more central portions of the tracheobronchial tree. Bronchofiberscope had the advantage of examine upper lobe as well as other portions of the tracheobronchial tree which could not be visualized with the rigid bronchoscopy. A positive diagnosis in bronchofiberscopy was obtained in the highest rate, 47. 8% [45 cases]. A1 last, if a bronchogenic carcinoma is suspected on the basis of either symptoms of an abnormality on the chest film the diagnostic work-up-sputum cytology, bronchial washing, bronchoscopic biopsy, scalene node biopsy, thoracentesis and mediastinoscopy explothoracotomy etc-should precede in an attempt not only to obtain the higher positive diagnosis but also to obtain a tissue diagnosis and to evaluate the stage of the disease and to ascertain the appropriate mode of therapy.

• Journal of Periodontal and Implant Science
• /
• 제24권3호
• /
• pp.529-540
• /
• 1994

Rapidly progressive periodontitis is known to be usually associated with systemic problems and improved with antibiotic therapy. Recent experiments in which bioresorbable polycaprolactone was polymerized with minocycline has shown that the system released effective antibiotic concentration during the 7 days' period. This clinical trial was to compare the efficacy of a minocycline film(poly-caprolactone+polyglycol+10% minocycline) insertion plus supragingival scaling(MS) or subgingival scaling & root planing(MSRP) with the scaling(S) or subgingival scaling & root planing alone(SRP), at improving the periodontal condition in RPP. Fifteen patients were examined for plaque accumulation, gingival inflammation, probing depth and attachment loss at baseline, then 1, 2, 4 and 8 weeks after 4 treatment regimens were randomly undergone in 4 comparable sites(PD>5mm, LA>3mm) in each subject. Results revealed statistically significant treatement effect with a reduction in a probing depth in SRP(2.0mm), MS(1.8mm), and MSRP(2.1mm). There was no significant reduction in the supragingival scaling alone group(0.6mm). Similarly, attachment levels were significantly improved in the SRP(1.5mm), MS(2.0mm) and MSRP(2.0mm) groups. Net % BOP reduction at 8 week compared to baseline was 6.7% (S), 26.7% (MS), 26.7% (SRP), and 33.3% (MSRP). MSRP produced the greatest improvement in BOP at 8 week. This data suggests that a subgingival minocycline delivery system as a adjunct to scaling alone or scaling & root planing may produce significant clinical benefits over scaling alone in rapidly progressive periodontitis patients.

• Tuberculosis and Respiratory Diseases
• /
• 제40권3호
• /
• pp.301-307
• /
• 1993

Intravascular bronchioloalveolar tumor is now recognized as a pulmonary form of hemangioendothelioma(HE). HE is an unusual tumor of adult life which is characterized by proliferation of an "epithelioid" or "spindle" endothelial cell. In the lung it usually presents as multiple bilateral slowly growing nodules less than 2 cm in diameter. The aetiology and pathogenesis of this disease are unknown. Spindle cell HE occurs at any age, but approximately one half of patient are 25 years of age or younger and males are affected twice more frequently than females. On light microscopic examination, the tumor show mild cellular atypia, nearly absent mitoses and electron-microscopic studies reveal evidence of endothelial cell differentiation. Intracytoplasmic localization of Factor VIII-related antigen is demonstrated on immunohistochemical study, which confirmed the endothelial origin of the tumor. No effective therapy is yet known for HE, but survival of this tumor can be quite long. However, one half of the patient have died, usually of progressive pulmonary insufficiency. This 19-yr-old male complained of Rt. chest pain and intermittent hemoptysis. Simple chest film and chest CT scan showed the Rt. pleural effusion, variable sized bilateral pulmonary nodules, irregular large heterogenous tumor with well enhancement and extensive necrosis in the anterior mediastinum. The mediastinal mass was biopsied and diagnosed as spindle cell HE by light microscopic finding and immunohistochemical studies.

• 한국의학물리학회:학술대회논문집
• /
• 한국의학물리학회 2002년도 Proceedings
• /
• pp.138-140
• /
• 2002

The spinal cord dose is the one of the limiting factor for the radiation treatment of the head & neck (H&N) or the thorax region. Due to the fact that the cord is the elongated shaped structure, it is not an easy task to maintain the cord dose within the clinically acceptable dose range. To overcome this problem, the spinal cord partial block technique (PBT) with the dynamic Multi-Leaf Collimator (dMLC) has been developed. Three dimension (3D) conformal beam directions, which minimize the coverage of the normal organs such as the lung and the parotid gland, were chosen. The PBT field shape for each field was designed to shield the spinal cord with the dMLC. The transmission factors were determined by the forward calculation method. The plan comparisons between the conventional 3D conformal therapy plan and the PTB plan were performed to evaluate the validity of this technique. The conformity index (CI) and the dose volume histogram (DVH) were used as the plan comparison indices. A series of quality assurance (QA) was performed to guarantee the reliable treatment. The QA consisted of the film dosimetry for the verification of the dose distribution and the point measurements. The PBT plan always generated better results than the conventional 3D conformal plan. The PBT was proved to be useful for the H&N and thorax region.

• Journal of Yeungnam Medical Science
• /
• 제17권2호
• /
• pp.123-128
• /
• 2000

본 연구에서 인체공학적으로 개선된 새로운 2-채널 고선량을 근접치료용 적용구(Shin's Applicator)를 개발하였으며, 기존의 단일 선원 근접치료 적용구와 비교하여 질벽에 더 균등한 방사선치료가 가능하고 방광과 직장선량이 적어 근접치료 후 발생할 수 있는 부작용이 감소될 가능성을 확인하였다. 임상적으로 Shin's Applicator는 자궁 경부암이나 자궁 체부암의 수술 후 국소재발이나, 절강에 발생한 다발설 악성종양을 효과적으로 치료하는 데 유용하게 사용될 수 있을 뿐 만 아니라, 방사선 치료 후 흔히 나타나는 질강의 협착을 예방할 수 있는 질 확장기(vaginal dilator)로도 사용 가능하였다. 이상의 결과에서 Shin's Applicator는 부인과 종양환자들의 방사선치료 뿐만 아니라 치료 후 삶의 질의 개선에도 크게 기여할 것으로 생각되었다.

• 전기전자학회논문지
• /
• 제11권4호
• /
• pp.257-264
• /
• 2007

MM22 마이크로트론은 1986년도 11월부터 2006년 2월까지 암 환자를 위한 방사선 치료 장비로 사용되었다. 장비의 노후로 치료 장비에서 연구 및 교육용으로 전환하기 위해 방사선의학연구센터로 이전 설치하였다. 본 논문에서는 이전 설치 한 후 빔 인출을 수행하기 위해 마이크로트론의 동작원리, 시스템을 구성하는 각 장치의 특성을 분석하여 보았고 주요 부분의 파라메타인 펄스구조의 특징을 살펴보았다. 실제, 각 주요 시스템의 펄스를 측정하였고 빔 인출부, 빔 라인 및 최종단인 타겟에서 빔 인출 기법을 통하여 빔 인출 및 빔 측정을 수행하였다. 이전 설치 후 10 MV X-선의 경우 최종 단 치료기에서 30 mA 타겟 전류를 인출하였고, 필름을 SSD 100 cm, $10{\times}10cm^2$ 조사면에 놓고 100 MU 방사선을 조사하였다. 조사면의 방사선분포의 평탄도 측정 결과 3%이내로 안정적인 빔을 인출하여 이전설치가 성공적으로 수행되었음을 확인할 수 있었다.

• 문화기술의 융합
• /
• 제8권4호
• /
• pp.289-296
• /
• 2022

이 연구의 목적은 S 대학교 교양필수과목 중 하나인 교양과 인성 수업에 나타난 학생들의 반응과 자기 이해를 살펴보는데 목적을 두었다. 연구 결과는 다음과 같다. 첫째, 이 수업에서 학생들의 긍정적인 변화에 미친 영향 정도는 5단계 리커트 척도를 사용하여 보통 이상의 높은 단계의 반응이 나타났다. 특히 연구자가 실시한 영화 토의 결과 만족도는 매우 높게 나타났다. 둘째, 그림 검사 분석 결과 스트레스와 자원 척도를 통한 대처 능력의 변화가 학생들에게 나타났으며, 학생들은 자신의 마음을 들여다봄으로써 자신을 이해할 수 있는 기회가 되었다. 본 연구는 문학과 예술, 그리고 영상 등을 통해 학생들의 인성을 함양하고 토의를 통해 책임감, 리더십, 협동심, 배려, 소통, 공감 등 세계 시민으로서의 자질을 함양할 수 있는 수업 예시를 제시하였다.

• 한국콘텐츠학회논문지
• /
• 제22권6호
• /
• pp.184-193
• /
• 2022

최근 빈번히 사용되고 있는 '번아웃'은 치열한 경쟁 속에 사는 현대인들의 심리를 대변하는 대표적인 표현 중 하나다. 본 고에서는 직장인들의 힐링 영화로 손꼽히는 '꾸뻬씨의 행복여행'과 '잠깐만 회사 좀 관두고 올게' 두 편을 번아웃 관점에서 접근, 분석했다. 작품에서 나타난 번아웃의 증상은 무기력증, 짜증, 분노, 불면, 우울, 자살 충동 등이었으며, <꾸뻬씨..>의 경우 반복적인 상담업무에서 오는 가치 충돌이, <잠깐만..>의 경우 업무 과부하와 실적 압박, 동료 커뮤니티의 부재 등이 원인으로 작용하고 있었다. 이러한 번아웃 상태는 등장인물의 대사나 표정은 물론 다양한 사이즈의 부감쇼트와 낮은 조명, 주인공 앞쪽에 물건 배치 등을 통해 시각적으로 표현, 진단이 어려운 번아웃의 심리상태를 직관적으로 표현하고 있었다. 특히 번아웃의 진단 척도인 취미 생활이나 신체활동, 동료 커뮤니티의 유무 등이 번아웃에서 벗어나는데 도움이 된다는 것을 영화를 통해서도 확인할 수 있었다.