• 대한치과교정학회지
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• 제20권2호
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• pp.363-379
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• 1990

The purpose of this study was to evaluate the effects of the mandibular retractive force on the mandibular condyle of growing dog. The experimental animals were six mongrel dogs of two-month old. Their deciduous dentition were completed. Two of them was used as control group, and experimental group was composed of remaining four. Head band and chin cup were made of cotton tape, and hooks are fabricated on the chin cup and had band for closed coil. Mandibular retractive force was 100g/side and chin cap appliance was used for 14 hours/day during night. Experimental group were sacrificed at 2, 4, 6, 8 weeks from beginning of the experiment. Right TMJ was prepared for histologic study and left TMJ was examined grossly for disc, fossa, and condyle. The conclusions are: 1. Two-month old control animal showed active cartilaginous growth on the mandibular condyle, therefore showed thick proliferative and hypertrophic zones. Remodeling process in the condyle head was observed in which there were bone resorption on the anterior surface and bone apposition on the posterior surface. 2. Four-month old control animal showed marked reduction of hypertrophic zone but the condylar bone remodeling was more pronounced. 3. In experimental group, there are marked reduction of hypertrophic zone at 4 weeks from beginning of experiment, and hypertrophic zone disappeared at posterior-superior portion of condyle in 6-week experimental animal. 8 week experimental animal showed slight recovery of hypertrophic zone. 4. In experimental group, bone deposition was increased at anterior surface of condyle, and bone resorption was increased at posterior surface of condyle. 5. In control group, the glenoid fossa and surrounding bone showed mainly bone apposition. But experimental group showed bone resorption at anterior surface of articular eminence and increased bone apposition at posterior surface of postglenoid spine. 6. No marked traumatic change was seen but 4 weeks and 8 weeks experimental animal showed flattening of posterior surperior condylar surface. Bone marrow of condyle showed minute focal bleeding in 2 weeks and 4 weeks experimental animal, and congestion and depression of hematopoietic bone marrow during all experimental period.

• 대한물리치료과학회지
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• 제1권1호
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• pp.145-163
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• 1994

This study was done to determine differences in effect of postoperative pain control in patients receiving auricular electroacustimulation vs transcutaneous electrical nerve stimualtion following total knee replacement surgery. Thirty-one cases referred to physical therapy department after treated by total knee replacement surgery by orthopedic surgery department at the Pohang St. Mary's Hospital from January 1993 through June 1994. Of 31 total knee replacement cases, 13 cases were auricular electroacustimulation group, 11 cases were transcutaneous electrical nerve stimulation group, and 7 cases were control group. The results of the study summerized are as follows: Thirty-one total knee replacement cases(male in 12 cases, female in 19 cases), ranging in age from 34 to 61 years(mean${\pm}$SD=49.90 7.56) with diagnoses of degenerative arthritis(20 cases), rheumatoid arthritis(9 cases), and other(2 cases). In auricular electroacustimulation group, there was a significant change of pain intensity, unpleasantness, and active range of motion after treatment(p<0.01). In transcutaneous electrical nerve stimulation group, there was a significant change of pain intensity, unpleasantness, and active range of motion after treatment(p<0.01). In control group, did not show significant pre-posttreatment differences in pain intensity, unpleasantness, active range of motion(p>0.05). The mean change in pain intensity and unpleasantness, active range of motion from pretreatment baseline for the 3 groups. Auricular electroacustimulation group showed the large magnitude of increase in pain intensity and unpleasantness, active range of motion when compared to its own pretreatment cycle. Transcutaneous electrical nerve stimulation group showed small magnitude of increase in pain intensity and unpleasantness, active range of motion when compared to its own pretreatment cycle. No significant changes were observed in control group. Highly significant differences in pain intensity, unpleasantness, and active rage of motion were found using an ANOVA measures between treatment groups and control group(p<0.01). The squares correlation coefficients of pain and function measures pretreatment-posttreatment differences for each group. In treatment group, there was significant correlation between pain scale and function(p<0.001). In control group, there was no correlation between the pain scale and function (p>0.05). The continuous study is needd for many interesting issues of auricular electroacustimulation in new future.

• Journal of Trauma and Injury
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• 제25권4호
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• pp.254-260
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• 2012

Purpose: Ongoing treatment and care, as well as initial stabilization, are required for trauma patients. With increasing number of sickest trauma patients and shortage of surgeons, the need for advanced practice nurse to provide and coordinate trauma care has been greater. The purpose of this study is to analyze the effect of hiring a trauma clinical nurse specialist and its influence on the treatment of trauma patients. Methods: Based on the employment of the clinical nurse specialist in December 2010, the patients were divided into two groups: patients admitted from January 1, 2010 to November 30, 2010 and patients admitted from December 1, 2010 to December 31, 2011. Retrospectively, data were collected using electronic medical records. The general characteristics, clinical courses, and ICU re-admission rates, collaboration (transfers to other departments and collaborative surgery) were compared. Results: To have a clinical nurse specialist on the trauma team resulted in a statistically significant reductions in the length of general ward hospital stay (p<0.05), the ICU re-admission rate, (p<0.03), the lead-time before transfer to other departments (p<0.05). Conclusion: The clinical nurse specialist, as a professional practitioner, improved the quality of treatment through early detection and management of problems. In addition, as a coordinator, the clinical nurse specialist maintained a cooperative relationship with multi-disciplinary medical personnel. The trauma clinical nurse specialist contributed to the treatment of trauma patients positively through a decrease in ICU re-admission rate and length of hospital stay.

• 한국임상수의학회지
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• 제22권1호
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• pp.21-25
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• 2005

This study was performed to assess therapeutic effect of the tibial plateau leveling osteotomy (TPLO) in dogs with experimentally transected cranial cruciate ligaments (CrCL). Nine healthy adult Beagle dogs were transected left CrCL under general anesthesia. The dogs were assigned to TPLO and non-TPLO control groups. The TPLO procedures for correcting the CrCL rupture in the left stifle of dogs were performed under sterile conditions. Before TPLO procedures, all dogs were screened by orthopedic and radiographic examinations. Dogs were lameness free for the previous three months, and when examined at the walk and trot on a hard surface, in a straight line and on a circle. Lateral and craniocaudal radiographs were done to confirm the soundness of the both knee joint in dogs and not detectable lesions were diagnosed. The dogs were intravenously injected with a 10 mci/kg of 99mTechnetium-methylene diphosphonate (99mTc-MDP) under general anesthesia. Scintigraphs were obtained using a large field of view gamma camera equipped a parallel-hole, low-energy about 3 hours after intravenous injection of 99mTc-MDP. Before CrCL transection and 4, 8, and 12 weeks after the procedures, scintigraphy were conducted. Bone uptake of the left stifle joint increased after the procedures in all dogs. When the bone uptake from the TPLO procedure was compared with that of the control, there was a significant difference (p < 0.05). At 12 weeks after the TPLO procedure, the dogs showed normal anatomical posture and gait. It is concluded that TPLO procedure was effective in reconstruct of the stifle joint in dogs with CrCL rupture.

• 고려인삼학회:학술대회논문집
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• 고려인삼학회 1998년도 Advances in Ginseng Research - Proceedings of the 7th International Symposium on Ginseng -
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• pp.40-46
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• 1998

We investigated the influence of the root of Panax ginseng C. A. Meyer on the secretion of catecholamines from bovine adrenal chromaffin cells, which are used as a model of nervous systems. In two major parts extracted from the ginseng root, the crude saponin fraction, but not the non-saponin fraction, reduced the secretion from the cells, stimulated by acetylcholine (ACh). Ginseng saponins (ginsenosides) are classified into three groups, the panaxadiol, the panaxatriol and the oleanolic acid groups, on the basis of the chemical structures of their saponins. Both the panaxadiol and the panaxatriol saponins, excluding only one oleanolic acid saponin ginsenoside-Ro, generally reduced the ACh-evoked secretion. The inhibitory effects of the panaxatriol were much stronger than those of the panaxadiol. However, ginsenoside-Rg, and -Rh3 in the panaxadiol saponins were the potent inhibitors comparable to the panaxatriol saponins. Ginsenoside-Rg2 in the panaxatriol was the most effective. It is probable that the ginsenoside inhibition of the catecholamine secretion is due to the suppression of the function of the nicotinic ACh receptor-cation channels. On the other hand, ginsenoside-Rg2 did not affect the angiotensin II-, the bradykinin-, the histamine- and the neurotensin- induced catecholamine secretions from the chromaffin cells and the muscarine- and the histamine- induced contraction of the ileum in guinea-pigs. Ginsenoside-Rbl, a panaxadiol saponin, and ginsenoside-Ro had no or only a slight effect on them. On the contrary, ginsenoside-Rg3 not only competitively inhibited the muscarine-induced ileum contraction but also reduced the angiotensin R -, the bradykinin-, the histamine- and the neurotensin-induced catecholamine secretions. Thus, the ginseng root contains active ingredients, namely some ginsensides, which suppress the responses induced by receptor stimulation. The inhibitory effects of ginseng saponins may be one of the action mechanisms for the pharmacological effects of the Panax ginseng root.

• 폴리머
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• 제28권5호
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• pp.382-390
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• 2004

생체적합성 천연재료 중 하나인 탈미네랄화된 골분 (demineralized bone particle, DBP)은 골형성단백질 (BMP)을 함유하고 있어 골수간엽줄기세포 (BMSCs)의 분화를 유도한다. 본 연구에서는 DBP를 함유한 폴리 락타이드 (PLA)와 락타이드-글리콜라이드 공중합체 (PLGA) 다공성 지지체를 용매 캐스팅/염추출법으로 제조하였고, 수은다공측정계 및 전자주사현미경을 이용하여 특성결정 하였다. BMSCs는 골분화 배지를 이용하여 조골세포로 분화시켜 Wright-Giemsa, Alizarin red, von Kossa 및 ALP 염색으로 확인하였다. DBP가 함유된 지지체와 DBP가 함유되지 않은 지지체에 BMSCs를 파종한 후 면역결핍 누드마우스의 피하에 삽입하여 이들의 골형성 정도를 비교하여 보았다. 제조한 지지체의 다공도는 $90.2\%$ 이상이었고 평균 다공크기도 69.1$\mu$m 이상이었다. BMSCs는 Wright-Giemsa, Alizarin red, von Kossa 및 ALP 염색결과 조골세포로 분화가 가능했으며, 동물실험을 수행한 결과 DBP가 함유된 지지체에서 칼슘침착 영역을 확인할 수 있었지만 DBP가 함유되지 않은 지지체에서는 칼슘침착 영역을 확인하지 못하였다. 결론적으로 DBP를 함유한 지지체에서 DBP와 BMSCs가 골형성에 중요한 요인으로 작용한다고 사료된다.

• 대한소아치과학회지
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• 제46권2호
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• pp.209-218
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• 2019

이 연구의 목적은 상악 제1대구치의 결손 또는 발육 지연을 보이는 증례에서 나타나는 악안면 형태를 평가하는 것이다. 2006년부터 2017년 8월까지 부산대학교치과병원 소아치과에 내원한 어린이 2983명의 교정 진단자료를 후향적으로 평가하여 상악 제1대구치가 편측 또는 양측으로 결손되거나 발육지연을 보이는 34명을 선정하였다. Demirjian 법을 응용하여 상하악 치령을 추정하고 역령과 비교하였다. 측방두부규격방사선사진 계측을 통해 골격 및 치아치조적 부조화를 반영하는 지표들을 평가하였고, 전치부 교합관계를 확인하였다. 상악 치령은 역령과 비교할 때 유의하게 낮았다. 골격성 개방교합 경향 및 상악 열성장형 골격성 III급 부정교합을 나타내는 지표가 통계적으로 유의하였다. 전치부 피개는 반대교합과 절단교합이 주로 나타났지만, 보상에 의해 정상 피개를 보이는 증례도 있었다. 상악 제1대구치의 선천결손 및 발육지연은 상악골의 성장에 영향을 줄 가능성이 있다고 판단되었다. 따라서 제1대구치의 발육장애가 확인될 경우 사춘기 동안의 악안면 성장을 주의 깊게 관찰해야 하며 적절한 시기에 교정치료를 고려하는 것이 필요하다고 사료되었다.

• Journal of Korean Neurosurgical Society
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• 제65권5호
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• pp.719-729
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• 2022

Objective : The ossification of the ligamentum flavum (OLF) is one of the major causes of thoracic myelopathy. Surgical decompression with or without instrumented fusion is the mainstay of treatment. However, few studies have reported on the added effect of instrumented fusion. The objective of this study was to compare clinical and radiological outcomes between surgical decompression without instrumented fusion (D-group) and that with instrumented fusion (F-group). Methods : A retrospective review was performed on 28 patients (D-group, n=17; F-group, n=11) with thoracic myelopathy due to OLF. The clinical parameters compared included scores of the Japanese Orthopedic Association (JOA), the Visual analogue scale of the back and leg (VAS-B and VAS-L), and the Korean version of the Oswestry disability index (K-ODI). Radiological parameters included the sagittal vertical axis (SVA), the pelvic tilt (PT), the sacral slope (SS), the thoracic kyphosis angle (TKA), the segmental kyphosis angle (SKA) at the operated level, and the lumbar lordosis angle (LLA; a negative value implying lordosis). These parameters were measured preoperatively, 1 year postoperatively, and 2 years postoperatively, and were compared with a linear mixed model. Results : After surgery, all clinical parameters were significantly improved in both groups, while VAS-L was more improved in the F-group than in the D-group (-3.4±2.5 vs. -1.3±2.2, p=0.008). Radiological outcomes were significantly different in terms of changes in TKA, SKA, and LLA. Changes in TKA, SKA, and LLA were 2.3°±4.7°, -0.1°±1.4°, and -1.3°±5.6° in the F-group, which were significantly lower than 6.8°±6.1°, 3.0°±2.8°, and 2.2°±5.3° in the D-group, respectively (p=0.013, p<0.0001, and p=0.037). Symptomatic recurrence of OLF occurred in one patient of the D-group at postoperative 24 months. Conclusion : Clinical improvement was achieved after decompression surgery for OLF regardless of whether instrumented fusion was added. However, adding instrumented fusion resulted in better outcomes in terms of lessening the progression of local and regional kyphosis and improving leg pain. Decompression with instrumented fusion may be a better surgical option for thoracic OLF.

• 한국임상수의학회지
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• 제28권5호
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• pp.486-496
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• 2011

조직공학적 인공연골재생에 대한 관심이 증가함에 따라 많은 연구들이 활발히 수행되고 있으나 임상적인 적용의 한계를 극복하기위한 고효능을 보유한 양질의 연골조직생산의 필요성이 증가되고 있다. 인공연골은 자연연골과는 달리 '연골막(perichondrium)'을 포함하고 있지 않기 때문에 장기간 생체 내에 삽입된 후에 서서히 흡수 또는 변형으로 임상적 활용에 한계가 있다고 있다. 이에 본 연구는 양질의 연골조직생산을 목적으로, 세포판 제작기법(cell sheet engineering technique) 을 기반으로 한 인체유래의 배양 연골막(cultured perichondrium)을 이용하여 만든 인공연골막 세포판(cultured perichondrial cell sheet)의 생체 내 특성을 비교 분석하고, 배양된 연골막을 피복하여 고효능화를 유도한 인공연골복합체의 생체내 재생효능 및 조직특성을 비교 평가하고자 하였다. 본 연구에서는 Athymic nude mouse의 피하이식모델(study 1, n = 12)을 이용하여 담체로 hydrogel을 이용한 배양연골막 복합체의 생체내 효능을 분석하였고, 중대형동물의 대량연골 결손시의 재생효능을 평가하기 위하여 개의 무릎연골에 $1{\times}2cm$의 대량연골 결손모델(study 2, n = 12)을 통하여 인공배양세포판을 이식하였다. 이식12주 후 이식편을 회수하여 생화학, 분자생물학 및 면역조직학 분석을 시행한 결과, 배양연골막 복합체의 생체내 효능이 단독이식군에 비해 변형이나 과증식 없이 우수한 결과를 나타내었다. 본 연구의 결과로 토대로 배양연골막을 피복한 인공연골막의 관절내 효과를 규명하여 실제 임상적용을 조기화하는 기반을 제공하고 인공연골의 문제점이었던 변형과 흡수를 줄인 고효능 인공연골 제작기법을 제공하는데 유용할 것으로 기대된다.

• 생명과학회지
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• 제33권2호
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• pp.169-175
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• 2023

자외선으로 야기되는 피부조직의 손상에 대한 방어기전으로 멜라닌세포는 멜라닌 색소를 생산한다. 이러한 멜라닌 생성에는 tyrosinase 효소가 중추적인 역할을 수행한다. 그러나 과다한 멜라닌 생성은 피부조직에 주근깨와 검버섯 등의 과다 색소침착 병변을 일으킨다. 따라서 tyrosinase 발현이나 활성을 조절함으로써, 과도한 멜라닌 생성을 억제하는 물질을 발굴하는 것은 임상적인 의미가 있다. Catechin은 tyrosinase 발현을 저해함으로써 멜라닌 생성을 억제하는 화합물로 알려져 있다. 본 연구에서는 B16F10 마우스 흑색종 세포주와 버섯에서 추출된 tyrosinase를 사용하여, 참느릅나무의 줄기 껍질에서 추출 및 동정된 catechin 유도체 화합물(C5A, C7A, C7G, 및 C7X)의 멜라닌 생성 억제 효능을 검증하였다. 먼저, B16F10 세포주에서, 세포독성을 나타내지 않는 농도의 catechin 유도체 화합물 처리는, 모두α-MSH로 촉진된 멜라닌 생합성을 억제하는 효능을 보였다. Catechin 유도체 화합물의 이러한 효능은 멜라닌 생합성 저해제로 잘 알려진 kojic acid와 비슷한 수준이였다. 또한, C5A와 C7A는 버섯에서 추출된 tyrosinase의 효소 활성을 통계적으로 유의하게 억제하였다. 또한, 컴퓨터 분석을 통해 C5A와 C7A는 kojic acid와 유사한 수준으로 tyrosinase의 active site에 결합할 것으로 예측되었다. 이에 더하여, 4종류의 catechin 유도체 화합물 모두가 α-MSH 처리된 B16F10 세포주에서 tyrosinase 단백질 발현을 감소시켰다. 본 연구결과를 종합하면, 참느릅나무에서 추출/동정된 catechin 유도체 화합물은 멜라닌세포의 멜라닌 생성을 효과적으로 억제하였다. 따라서, 본 연구결과는 이러한 catechin 유도체 화합물이 피부의 과다 색소침착 질환 제어를 위한 새로운 조절 물질로 응용될 수 있음을 제시한다.