• Title/Summary/Keyword: 구순

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Surgical correction of nostril base and nostril sill depression in unilateral secondary cleft lip nose deformity (일측성 이차 구순열 비변형에서 비공저와 비공턱 함몰의 수술적 교정)

  • Lee, Soo Hyang;Lee, Kyung Jin;Hwang, Eun A;Choi, Hyun Gon;Kim, Soon Heum;Shin, Dong Hyeok;Uhm, Ki Il
    • Archives of Plastic Surgery
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    • v.36 no.5
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    • pp.637-641
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    • 2009
  • Purpose: Most unilateral secondary cleft lip nose deformities have depressed nostril base and sill on the cleft side. To obtain a symmetric nose, correction of the recession on nostril is critical. The authors have worked out effective methods to elevate the nostril of the cleft side according to the extent of the depression. Methods: A total of 115 unilateral secondary cleft lip nose deformity patients with nostril depression were evaluated. Data were acquired from patients' charts and photography with special reference to the height difference of the nostrils between the cleft side and the non - cleft side. Patients were divided into three groups based on the difference and operated with various techniques : (1) mild degree(< 1 mm) with graft, (2) moderate degree(1 ~ 3 mm) with C - flap or suspension suture of septal cartilage (3) severe degree(> 3 mm) with graft, C - flap and suspension suture. Follow - up period averaged 21.3 months. Results: Forty - six patients(40 percent) were in mild group, and forty - two(37 percent) were in moderate. In twenty - seven patients(23 percent), nostril recession was more than 3 mm. The elevated nostril base and sill were maintained without height alteration during follow - up. Conclusion: The symmetry of the nostril base, especially projection of nostril sill influences successful correction of unilateral cleft lip nose deformity. Our tolerable techniques can be applied to most deformities with nostril depression and can present a new guideline.

A Study on the Application of Distributed Model for Ui Basin (우이천 유역에 대한 분포형 모형의 적용에 관한 연구)

  • Kim, Dong-Hyun;Moon, Young-Il;Park, Goo-Soon;Lee, Bum-Sub
    • Proceedings of the Korea Water Resources Association Conference
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    • 2012.05a
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    • pp.933-933
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    • 2012
  • 최근 들어 우리나라를 포함한 전 세계적으로 극심한 기후변화와 기상이변으로 집중호우에 의한 피해가 급증하고 있으며, 기상재해에 따른 강우-유출 현상에 관한 정확한 해석이 필요하게 되었다. 국내의 경우에도 1990년 중반부터 매년 국지적 집중호우나 이상호우로 인해 재산 및 인명피해가 속출하고 있다. 대상유역으로 선정한 우이천 유역 또한 강북구의 대표적인 상습침수지역으로 피해 받고 있는 상황이며, 이를 예방하기 위해 홍수범람도 작성, 재해지도 작성 등의 지리정보시스템 기법 및 각종 수해대책이 활발하게 진행되고 있지만 아직은 미비한 실정이다. 본 연구에서는 우이천 유역에 대한 강우-유출 해석을 위한 분포형 모형인 Vflo$^{TM}$의 적용성을 검토 분석하는 데에 의의를 두었다. 또한 각 격자크기별로 유출량의 변화를 타 모형과의 비교를 통하여 적정성을 검토하였다. 이를 위해 대상유역의 1:1000 수치지형도를 이용하여 50m, 100m, 150m, 200m의 DEM을 생성하였고 ArcGIS 프로그램의 Hydro툴을 이용하였다. DEM을 보간하기 전 총 세 곳의 Sink를 발견하여 조정한 후 Filling하였으며 수치지형도와 정밀토양도로부터 초기 입력자료를 생성한 후 ASCII 파일로 변환하여 분포형 모형에 적용하였다. 또한 VfloTM 를 통해 구성한 격자망을 실제 흐름 방향을 고려하여 최종 유출구로 흐를 수 있도록 격자망을 재구성하였으며, 강우의 공간적 분포 방법으로 Cokriging 기법을 사용하였다. 분석 결과 격자 크기가 작은 경우 오히려 첨두유량이 작게 산정되었는데 이는 배수계통의 변화 및 수치지형도와는 다른 지표면 특성으로 인한 것으로 사료된다. 또한 배수구역의 최적화 결과 전반적으로 실측치와 유사한 값을 나타내었으며, 타 모형과 비교한 결과 비슷하거나 조금 나은 결과를 보였다.

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One case treated Tremor(mouth, chin and hand) (수(手), 구순(口脣), 신 진전증(振顫症) 환자(患者)의 치험(治驗) 1례(例))

  • Seong, Gang-Gyeong;Lee, Sang-Gwan;Lee, So-Young;Cheong, Sang-Su;Cheon, Young-Sae;Lee, Si-Woo;Kim, Yo-Han
    • The Journal of Internal Korean Medicine
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    • v.22 no.3
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    • pp.477-482
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    • 2001
  • Tremor refers to rhythmic shaking of a body part. Tremor is a symptom of many disorders, including Parkinson's disease, essential tremor, orthostatic tremor, cerebellar disease, peripheral neuropathy and alcohol withdrawal. Tremors may be classified as postural, rest or action tremors. Symptomatic treatment is tailored to the tremor type. Because Dansambohyul-tang has been used to treat patients differentiated with an insufficiency of the heart and the spleen(心脾兩虛) in oriental medicine, we treated a 78 year-old female patient who suffered from tremor in mouth, chin and hand and insomnia, with improvement of general condition, who was differentiated with an insufficiency of the heart and the spleen(心脾兩虛) with Dansambohyul-tang, herb complex. After 78 days of treatment with Dansambohyul-tang and some other herb complex, we observed improvement of tremor, insomnia and general condition So Dansambohyul-tang shows therapeutic effects on tremor.

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Larval Gncthostoma nipponicum found in the imported Chinese loaches (중국산 수입 미꾸리에서 검출한 Gnahostoma nipponicum 유충의 형태)

  • Son, Un-Mok;Go, Won-Gyu;Lee, Sun-Hyeong
    • Parasites, Hosts and Diseases
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    • v.31 no.4
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    • pp.347-352
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    • 1993
  • Six early third-stage larvae of Gnnthostoma nipponicum were recovered from the muscle of 376 loaches, Misgurnw anguiILicnudatus, imported from China. They were 614 × 114㎛ in average size, almost colorless except brownish intestine, and encircled by about 229 transverse rows of minute cuticular spines. Their head bulbs provided with 3 rows of hooklets, of which average number were 34.5 on the first, 36.7 on the second and 39.7 on the third. According1y, it is revealed that the Chinese loach is a natural second intermediate host of G. nipponicum and G. nipponicum has been distributed somewhere in China. This parasite may infect human when the imported loaches are consumed raw.

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Analysis of Procedures for Correction of Microform Cleft Lip through Strategic Approaches (전략적 접근을 통한 미세형 구순열의 수술에서 실제 사용된 술기의 분석)

  • Song, Kyeong Ho;Bae, Yong Chan;Bae, Seong Hwan
    • Archives of Craniofacial Surgery
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    • v.14 no.1
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    • pp.16-23
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    • 2013
  • Background: Even though degrees of deformation of microform cleft lip are not high, it has to be corrected with various procedures upon conditions and areas since it has various expressions. Many studies have focused on the classifications and procedures, but there are only a few studies on how much these procedures are performed in the actual field. This study aims to analyze the utilization of various procedures upon major correction points. Methods: A total of 52 patients who had been corrected by one surgeon from 1995 to 2011 were enrolled as subjects. Based on the medical records, it was checked whether the incision was made or not along with the correction procedures for alar base and philtral column, Cupid's bow, and vermillion free margin. Results: In case of an incision, full incision (42 times) was conducted most frequently. For alar base and philtral column, muscle re-approximation (25 times) was performed most frequently. However, recently, it was shown that excision on only the affected area and correction with dermis were more likely to be used. For Cupid's bow and vermilion free margin, elliptical excision on the only affected area followed by re-approximation was performed most frequently for 46 times (Cupid's bow) and 44 times (vermilion free margin), respectively. Conclusion: For the correction of microform cleft lip, less invasive procedures are preferred. However, in the actual field, if needed, aggressive procedures consisting of incisions have been conducted to correction. These trends are somewhat changed to utilization of a simple procedure, such as excision on the modified area, followed by a re-approximation rather than complicated procedures using the muscle.

Complete denture rehabilitation in the edentulous patient with severe mandibular bone resorption and vascular malformation using closed mouth impression and monoplane occlusion: A case report (심한 하악골 흡수와 혈관기형을 보이는 무치악 환자에서 폐구인상법과 단일평면교합법을 이용한 총의치 수복 증례)

  • Kim, Jae-Hyun;Cho, Hye-Won
    • The Journal of Korean Academy of Prosthodontics
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    • v.59 no.2
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    • pp.220-227
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    • 2021
  • A patient failed to use conventional complete dentures due to severe mandibular bone resorption and soft tissue hyperplasia on lips, tongue and oral vestibule from vascular malformation. The treatment of choice would be an implant-retained overdenture, however, he refused owing to high cost. The closed mouth impression technique using BPS principle, CR record registration with gothic arch tracing and monoplane occlusion using non-anatomic teeth were used to fabricate complete dentures for this patient. Patient satisfaction, the retention and the stability of complete dentures were highly improved as a result.

Result Based Evaluation Model and Its Application to Peace Operation of the ROK Military Contingent to UN Mission (한국군의 UN평화활동에 대한 성과기반 평가모델개발과 적용)

  • KWON, Goosoon
    • International Area Studies Review
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    • v.21 no.1
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    • pp.303-324
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    • 2017
  • Current methods to evaluate the performance of ROK military contingents to UN missions unnecessarily raises the issues of relevance, validity and reliability. Thus, this article aims to suggest how the result based evaluation (RBE) model which is widely adopted in the UN field missions as well as the international development community would be modified and applied to peace operation of the ROK contingent. As a result of the study, the model presents a framework that integrates the planning process and monitoring and evaluation with a logical framework, which entails a cycle of assessment of pre-deployment planning, monitoring and phased evaluation, and post-deployment evaluation. Secondly, according to measurement of RBE benchmarks to the present ROK's monitoring and evaluation system, factors in an evaluation unit and a logical framework approach are unmet or partly met to the benchmarks. In addition, ex-post impact evaluation has been rarely performed. Finally, the policy recommendations for resolution of the aforementioned challenges as well as a joint evaluation unit, participated by experts in a civilian, public, and a military domain are proposed.

Full mouth rehabilitation in edentulous patient with unstable mandibular position using flat table treatment dentures and CAD-CAM technology (치료의치와 CAD-CAM 기술을 이용한 불안정한 하악위를 가진 완전 무치악 환자의 치료 증례)

  • Kim, Yuyeon;Lee, Younghoo;Hong, Seoung-Jin;Paek, Janghyun;Noh, Kwantae;Kim, Hyeong-Seob;Kwon, Kung-Rock;Pae, Ahran
    • The Journal of Korean Academy of Prosthodontics
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    • v.60 no.4
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    • pp.330-338
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    • 2022
  • For edentulous patients with unstable mandibular movements and abnormal facial features due to condylar fractures and morphological abnormalities, it is important to find a stable mandibular position. In this case, the patient's facial improvement, mandibular movement stability, and denture stability were improved by using flat table treatment dentures. In addition, computer-aided design/manufacturing (CAD-CAM) technology was used in denture fabrication to maintain the vertical dimension and lip support of flat table treatment dentures, we report good results in improving the patient's discomfort.

Analysis of Psychological Factors Inducing Cybercrime (사이버범죄를 유발하는 심리적요인 분석)

  • Lim, HeonWook
    • The Journal of the Convergence on Culture Technology
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    • v.7 no.2
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    • pp.157-163
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    • 2021
  • This study attempted to find individual reasons for inducing cybercrime. The survey was conducted targeting investigators and security experts on 11 types of cybercrime. There are 16 internal factors that cause crime and classified according to Maslow's 5 steps. As a result of the survey on a total of 176 items, the credibility of the Cronbach's Alpha coefficient was 0.925. The result of the factor analysis is as follows. Factor analysis results are maslow phase 1 physiological desire is commercial, sykes. Phase 2 safety desires are not punishable and crowd. The three-stage social desire is impulsiveness, indifference, etc. The fourth stage of respect is anonymity and honor. The desire for self-reality in stage 5 has been reduced to indesity, a loss of moderation, morality, and media effects. In conclusion, the physiological desire, the desire for respect for the crime of infringing on the information and communication network, the desire for menstruation, the desire for self-realization for the crime of using information and communication networks, the desire for self-actualization for the crime of illegal content. It was in the order of desire.

Using treatment denture and digital technology in patient with unstable mandibular movement: a case report (불안정한 하악위를 가진 무치악 환자에서 치료의치와 디지털 기술을 이용한 치료 증례)

  • Eunji Oh;Woohyung Jang;Chan Park;Kwidug Yun;Hyun-Pil Lim;Sangwon Park
    • Journal of Dental Rehabilitation and Applied Science
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    • v.39 no.3
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    • pp.168-175
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    • 2023
  • Long-term use of inappropriate prosthesis often results in habitual closure or irregular mandibular movements. In that case, guide to the stable centric position is difficult. Therefore, by using a treatment denture, the muscles and TMJ should be stabilized and the jaw relation should be acquired with the treatment position. Compared to the conventional method, digital technology in fabrication complete denture has the advantage of reproducing a stable tooth arrangement in cases of difficult tooth alignment, minimizing laboratory errors and reducing denture fabrication time. Therefore, in this case, the final denture was fabricated by digitally reproducing the stable treatment position, vertical dimension, and lip support with a treatment denture, and satisfactory results were obtained.